Computers for Student Success Application

Please complete this form to apply for a Desktop computer from the TCC Computer Club's Computers for Student Success Program. Applications are prioritized based on need and take 1 to 2 weeks to process.

If you are selected for a computer, enrollment in TCC courses will be verified, and a $25 processing fee will be due upon pickup.

Name * Required
First Last
Please enter your VCCS email address * Required
example@email.vccs.edu
Enter Email Confirm Email
Please enter your TCC student ID number * Required
Please select the campus on which you take the majority of your classes: * Required
- Chesapeake
- Norfolk
- Portsmouth
- Virginia Beach
Are you a military-related student? * Required
Military-related students include active duty, reserves, veterans, dependents, and Department of Defense and Homeland Security employees.
Please select which of the following choices apply to you. * Required
- Active Duty
- Reserve
- Veteran
- Dependent
- DOD/Homeland Security employee
Please provide your cell phone number * Required
Please provide your home phone number
Do you have any computers in your household? * Required
Number of computers in your household * Required
Please briefly describe why you need an additional computer. * Required
Do you receive federal or state income-based aid? * Required
Examples include: Financial aid (e.g. Pell Grant, VA Commonwealth Grant, federal student aid); Unemployment; SNAP; TANF
Please explain your need for computer; how it will be used; and why you are unable to afford one: * Required
Describe your situation (e.g., are you unemployed? Are you a single parent?)
Is there anything else you would like to add?
Are you willing to learn how to maintain your computer? * Required
Are you willing to allow the TCC Computer Club to use your photo and story? * Required
Sharing recipients' stories helps us demonstrate the program's positive impact on the community.
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