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River Delta Joint Unified School District Survey
Dear Parent/Guardian
If you struggled or are currently struggling to afford your internet bill during COVID-19 pandemic, the Emergency Connectivity Fund (ECF) may be able to help you. This federal program will provide River Delta Joint Unified School District with funds to purchase equipment such as laptops and tables for qualifying students to connect to the Internet, as well as cover the monthly cost of Internet access in qualifying homes. Please complete the following questions to aid the district in applying for and receiving ECF funds.
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Date *
MM
/
DD
/
YYYY
Your full name *
Street Address *
City *
State *
Zip *
Please check any or all of the boxes below that apply to your situation as of March 1, 2020, showing you may be a qualifying household. *
Required
Please check any or all of the boxes below that apply to your situation as of July 1, 2020 showing you may be a qualifying household. *
Required
Student Name - List all students of residence *
School Name - List all schools students will be attending for school year 2021-22. *
I hereby certify that, to the best of my knowledge, the provided information is true and correct *
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