2023-2024 Verizon Hotspot Application

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Please complete this application for a free Verizon Hotspot for your family.

Parent(s) Name *

Email Address *

Phone Number *

Did you utilize a Cowan-owned Hotspot during the 22-23 school year? *

Yes

How does your student currently connect to the Internet to work on school assignments (Check all that apply) *

Smart Phone

Dial-up Internet Service

Hotspot

Visit a friend or relative with Internet Service

We have no way to connect to the Internet

Required

Please describe the impact a Verizon Hotspot would have for your student to work on his or her school work? *

Please agree to this statement of assurance: I, as a parent/guardian, agree that if we are selected to receive a WiFi Hotspot for our home that it would be used for educational purposes only and that a violation of this policy would result in it being returned to school for the use by another family. *

I agree

I do not agree

Submit

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