Home Internet Request Form
Technology & Innovation staff are preparing to make home internet access available to district students who do not have access to internet at home during the current closure related to COVID-19.

Families of elementary school students that do not have home internet access should complete this request form, after which you will be contacted with instructions on how you will be getting service and any steps you may need to take to aid in the setup. We ask that requests be made by families who lack internet access at home, as we wish to ensure that access is available to all families in need of service and service provided will conflict with existing home internet services.

Secondary students have had access to hotspots available through the high school and junior high libraries for the past two years. If you have a secondary student in your household and a) you do not have home internet and b) they have not been issued a wireless hotspot by the district, please contact the ICCSD Helpdesk using the email address below.

Any questions about this form can be directed to helpdesk@iowacityschools.org.
Parent/Guardian Email Address *
Your answer
Elementary Student First Name *
If you have more than one student in your household, you only need to enter the name of one student.
Your answer
Elementary Student Last Name *
Your answer
Student's ICCSD Email Address (username@icstudents.org) *
If unknown, please enter the student's current grade level here.
Your answer
What school does the student attend? *
Your answer
Home Address (Street Number, Street Name, Apt or Unit Number, City, and Zip Code) *
Your answer
Contact Phone Number: *
Your answer
Never submit passwords through Google Forms.
This form was created inside of ICCSD. Report Abuse