Application for Free Internet Access for Students
Rock Island is providing free internet access for qualifying students at Lopez Island School District
Student Name *
Your answer
Parent Name *
Your answer
Does your family qualify for "free lunch" at Lopez School? *
Do you have regular internet access at home through a service provider such as Rock Island or Century Link? *
Short Essay
This should be completed by the student and parent working together. Write as much as you like.
How will you use internet access on your school device at home? *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Lopez Island School District. Report Abuse - Terms of Service