Home Broadband Needs - Caldwell Parish
A form to determine Caldwell Parish home addresses where broadband service is needed.
Sign in to Google to save your progress. Learn more
Please enter a valid email address *
Name of person completing this form (optional)
Does your household include teachers, support staff, or other employees of Caldwell Parish School District? Please check any that apply. *
Required
Does your household include students who attend any school in Caldwell Parish? *
Do you have any form of Internet connection at your home? *
Which best describes the source of your home Internet? *
Do you need broadband Internet at your home? If you have Internet service but feel it is not meeting your needs, please respond yes. *
Please provide your physical address for mapping purposes. (Your home will not be visited. This information will give us the locations where broadband service is in high need in our parish.) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Caldwell Parish School District. Report Abuse