Assistance Form

If you know of someone in need of assistive technology for computer access, please let us know. We may be able to help with a partial or full subsidization for hardware, software, or peripherals.

Please follow the steps below to submit the on-line assistance form and we will be in contact with you.

I.   Specify Assistance Type

Are you applying on behalf of an Individual or an Organization (such as a Clinic, Loan Closet, etc.)?



Applicant Prerequisites

GiveTech does not give away computers; rather we give away input devices that allow people with quadriplegia to use computers.