Centerpoint Student Request for Verizon Internet Hot Spot (Mifi access point)Solicitud de un Hot Spot de Internet para Estudiantes de Centerpoint (punto de acceso MiFi)
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Primary Parent or Guardian Last Name/ Apellido del Padre o Guardian Principal: *
Primary Parent or Guardian First Name/ Primer Nombre del Padre o Guardian Principal: *
Primary Parent or Guardian Phone Number/ Numero de telefono del Padre o Guardian Principal: *
Primary Parent or Guardian Email Address/ Corre Electronico del Padre o Guardian Principal: *
List the FIRST and LAST name of all Centerpoint students living in the household/ Liste el PRIMER NOMBRE y APELLIDO de todos los estudiantes de Centerpoint (Example/Ejemplo: John Doe, Jane Doe) *
Number of ELEMENTARY students (K-5) in the home/ Numero de estudiantes de PRIMARIA (K-5) en la casa: *
Number of MIDDLE SCHOOL students (6-8) in the home/ Numero de estudiantes de la ESCUELA MEDIA (6-8) en la casa: *
Number of HIGH SCHOOL students (9-12) in the home/ Numero de estudiantes de LA SECUNDARIA (9-12) en la casa: *
Does the house currently have access to fixed internet? (DSL, Satellite, or South Central Connect) NOT INCLUDING CELL PHONE ONLY ACCESS/ Esta casa actualmente tiene acceso a internet fijo? (DSL, o South Central) NO INCLUYENDO ACCESSO SOLO A TELEFONO CELULAR *
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