JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
HYSA Home Internet Support: Hotspot Request
If you feel you need the support of a Verizon hotspot to provide an adequate internet connection to your HYSA student, please provide the following information:
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student Name (First and Last)
*
Your answer
Parent Name (First and Last)
*
Your answer
Parent Email
*
Your answer
Please indicate the reason for your hotspot request. You may check more than one box.
*
No internet at home
Slow, unreliable internet at home.
Multiple users affects reliability of internet at home.
Other
Required
If you chose "Other" as a response to the previous question, please elaborate.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Arizona State University.
Report Abuse
Forms
