Comcast Internet Essentials Sponsorship
PLEASE NOTE: Information provided on this questionnaire WILL be shared with the Jeffco Schools Foundation and Comcast/Xfinity for the purposes of coordinating a limited-time sponsorship of internet access fees. If you are filling out this information on behalf of a family, please confirm this release of information with them.
School Name(s) that Your Student(s) Attend *
Your answer
Jeffco Schools Foundation Liaison
Your answer
Jeffco Schools Foundation Liaison Email Address
Your answer
Comcast Internet Essentials Account Number *
Your answer
Last Name on Comcast Account *
Your answer
First Name on Comcast Account *
Your answer
Street Address on Comcast Account *
Your answer
Apartment / Unit Number
Your answer
City on Comcast Account *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address
Your answer
Other Information
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Jefferson County Public Schools. Report Abuse