FFSD Family Hotspot Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This application is for a "hotspot" for families in need that gives Internet access for the student Chromebook. It is only needed if there is no Internet in the home, or the Internet is slow or has a problem. Hotspot approval is subject to income verification and available supply of equipment.

Parent First Name *

Parent Last Name *

Email address

Phone Number

Address *

City *

Zip Code *

How many people reside in the household? *

What is the combined household ANNUAL/YEARLY income? *

I consent to the District determining my SNAP (Supplemental Nutrition Assistance Program) benefits eligibility *

Yes I consent to SNAP verification

Required

Student First and Last Name (only one needed for verification) *

Is there Internet access at home for a Chromebook? *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of Ferguson-Florissant School District. Report Abuse

Forms