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Remote Academy – Inadequate Internet Access
Please complete this form to let us know you do not have adequate internet access.
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* Indicates required question
What is your first name?
*
Your answer
What is your last name?
*
Your answer
What is the first name of the student who needs internet access?
*
Your answer
What is the last name of the student who needs internet access?
*
Your answer
What is the best phone number to reach you?
*
Your answer
What is the grade level of the student who needs internet access?
*
K
1
2
3
4
5
6
7
8
9
10
11
12
Are there other students who need internet access in the household?
Yes
No
Clear selection
How would you describe your internet access?
*
We do not have any internet access – there are no Internet Service Providers, also known as ISPs, in my area (such as such as Consolidated, Spectrum, etc.)
We do not have any internet access – our family can't afford service.
We have internet access but only on a cell phone.
Other:
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