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Title 1 Tech Application For School
Please complete this application so we have a better understanding of the technology connection needs of your area.
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First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
District Name and Address
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Your answer
School Name and Address
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Your answer
Your Position at the School
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Your answer
Your Phone Number
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School Principal's Name
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Your answer
Name and Contact Info for Contact if Different than Applicant or Principal
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Your answer
Number of Students in the District/School on Free and Reduced Lunch
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Your answer
Number of Students in Need of Internet Connectivity at Home
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Your answer
Number of Students without Laptop/Computer at Home
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Your answer
Number of Laptops/Computers Needed for the School or Classroom
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Your answer
Explanation of Need
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Your answer
If Selected, Will You be Willing to Provide Us a Testimonial Regarding Your Experience Receiving Support From Our Program
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Your answer
If Selected, for Receiving Devices for Students to Take Home, Will you be Willing to Complete a Questionnaire in the Future Regarding the Impact it Has Had on the Students and Their Families?
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