SCPS MiFi Request Form
Students without Internet access at home can request to borrow a MiFi device
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Name of Parent / Guardian filling out this form *
Student's Names (list all students in home) *
Schools of Attendance (check all that apply) *
Required
Grade Levels of students (check all that apply) *
Required
Do you have a smartphone that is able to be used as a hotspot? *
Required
How do you currently access the Internet? *
Who is your Internet Service Provider?
Why are you interested in receiving a MiFi? *
Address where MiFi will primarily be used. *
Name of the area of the county where this address is located.  Be very specific so we can provide the best device for the area.  (Examples:  Berlin, Sebrell, Sunbeam, Blackcreek, etc.) *
Parent's Contact Number *
Parent's Email Address *
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