JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Internet Assistance Request
This form is to give families the opportunity to apply for assistance with internet in their homes. This option is assistance is available for families who qualify for Free or Reduced meals through Sweetwater #1. You may find the online applications for Free and Reduced meals here:
http://www.sweetwater1.org/free_and_reduced_forms
. You will also need to be sure and update your child's information through PowerSchool Forms:
https://sweetwater1.powerschool.com/public
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Have you completed the Free & Reduced Meal Application?
*
You must complete this application before moving forward.
Yes
No
Have you updated your student(s) information through PowerSchool?
*
You must update your student's information before being approved for internet assistance.
Yes
No
Contact Name (First and Last)
*
Your answer
Contact Phone Number
*
Your answer
Student Names (First and Last)
Your answer
How many students do you have enrolled in Sweetwater #1?
*
Your answer
Please check all of grade levels that apply to your student(s)
*
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Required
Please check all of the schools your student(s) attend.
*
Black Butte High School
Desert School - Wamsutter
Desert View Elementary
Eastside Elementary
Farson-Eden School
Northpark Elementary
Overland Elementary
Pilot Butte Elementary
Rock Springs High School
Rock Springs Junior High
Sage Elementary
Stagecoach Elementary
Walnut Elementary
Westridge Elementary
Required
Street Address
*
Your answer
City, State, Zip
*
Your answer
Would your student(s) potentially go to other households or locations to complete school work? (i.e. grandparent, other parent, childcare provider)
*
Yes
No
If yes above, does this address have internet access?
Yes
No
Clear selection
Will the student(s) need internet access assistance in other locations?
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sweetwater County School District #1.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report