ISD381 2021-2022 Internet Hotspot Application
Families only need to fill this form out once for the household. Please be sure to indicate the number of school age children living in the home.
Sign in to Google to save your progress. Learn more
Email *
Student's Last Name (Please use the name of the oldest sibling if this application is being completed for multiple students)
Student's First Name (Please use the name of the oldest sibling if this application is being completed for multiple students) *
Please indicate how many currently enrolled students are living in your home *
School/s (please check all that apply) *
Required
Grade (If completing this application for multiple siblings, please check all grades that apply) *
Required
Primary Household Guardian/s Full Name *
Do you currently have some level of internet access in the home? *
If you level of internet access in the home is not sufficient, please check all the boxes that apply: *
Required
Were you issued a school-owned hotspot last year? *
Hotspots must be returned at the end of the 2021-2022 school year. The fee for a missing or damaged hotspot is the replacement value $75. The fee for a missing or damaged power charger is $15. By typing your name, you agree to return or replace any of these items issued to the student. Please type your name below for consent: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lake Superior School District #381. Report Abuse