If you are interested in receiving a mobile hotspot device and believe you are qualified please provide the information requested below.

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* 1. What is your name?

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* 2. What is your Student ID/C#?

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* 3. What is your phone number?

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* 4. What is your email address?

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* 5. What is your preferred method of communication?

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* 6. County of Residence

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