Mobile Hotspot Request Survey

If you are interested in receiving a mobile hotspot device and believe you are qualified please provide the information requested below.
1.What is your name?(Required.)
2.What is your Student ID/C#?(Required.)
3.What is your phone number?(Required.)
4.What is your email address?(Required.)
5.What is your preferred method of communication?(Required.)
6.County of Residence(Required.)