21-22 Student Home Internet Need
CCSD will be providing MiFis and internet service to those families demonstrating need. This form is to be completed by either a parent or a school staff member in order to request a MiFi device for the 21-22 school year. Once received, a device will be sent to the school and assigned to the student. Any questions can be directed to MiFi@charleston.k12.sc.us
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Email *
Student Name *
School Name *
Names of additional students in home
Schools of additional students
Clear selection
Parent or Guardian's Full Name: (First Name and Last Name)   *
Child's Home Address:  (List the Street Address) *
Child's Home Address:  (Indicate the City) *
Child's Home Address:  (List the Zip Code) *
Parent or Guardian's Email Address:
Parent or Guardian phone number
Student does not have access to internet at home and needs internet for schoolwork *
Required
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