Wi-Fi and HI4Y
Full Name: *
Address *
Phone Number *
1. Do you have internet access in your household? *
2. If you have wireless internet access, are you satisfied with your current wireless internet service provider?
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3. If you are not satisfied with your current wireless internet service provider, why not? (Check all that apply.)
3a) Who is your internet service provider?
3b) If Comcast: Do you have Comcast's $10/mo Internet Essentials plan or a standard package?
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4. Would you be interested in subscribing/switching to a low-cost internet service ($15-$20/a month)? *Note: The providers being considered offer internet service with no contract, no credit check, and no additional fees.* *
5. Do you consent to receiving more information regarding wifi services from JCHA or other parties via phone, mail or email? *
Email Address
6. Do you have school aged children at home? *
7. If offered, would you be interested in a remote/virtual after-school or summer programming for your child(ren)?
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8. If virtual programming was offered, do you have internet connectivity and a reliable device for your child(ren) to attend remote programming?
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9. Do you consent to receiving more information regarding child care and after-school or summer programs from JCHA or other parties via phone, mail or email?
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