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Technology/Connectivity Access Request
Please complete this form in order for LLCA to better determine how we might be able to assist with your specific connectivity needs.
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Email
*
Your email
Your Name:
*
Your answer
Student(s) - List all names of your children attending LLCA
*
Your answer
Address:
*
Your answer
Email:
*
Your answer
Internet Provider
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Your answer
Cell phone provider
*
Your answer
Current Access
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No Internet at home
Some internet access, but not enough data to support online learning(band width)
I can use the internet through my cellphone
I cannot access internet consistently (spotty)
I have to use public internet access points for my child to complete assignments
Other:
The internet connection that WILL work at my home address is
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Verizon
AT&T
T-Mobile
US Cellular
Sprint
Other
Required
Additional information that you would like to share with us:
Your answer
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