MCCSC MiFi Request Form

Parents or school personnel may complete this form to request the issuance of a MiFi cellular hotspot for student use.

*Only 1 issued per household
*Content Filtering enabled on hotspots
*Limited total data usage (After exhausted, data throttling or no access may occur)
*Devices with 0GB usage in any 14 day period will be required to be returned to the school for redeployment
*A $240 charge will be billed to the family for any non-returned or damaged hotspots

Upon receipt of this application, MCCSC Information Services department will review the request and coordinate distribution of the device to the student's household via the school.

For more information on low cost home internet solutions and our available outdoor WiFi, visit
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Current Household Internet Status
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Student First Name *
Student Last Name *
Grade *
School *
Does this student have siblings attending MCCSC living in the same household? *
If Yes was answered on the previous question, please list the names, grades, and schools of each of the siblings attending MCCSC schools. (If Not Applicable, proceed to the next question)
Name of Person Completing this Request Form *
Email Address *
Phone Number *
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