Free Internet Program Application:

Information provided here is secure, encrypted and not shared. 

Thank you for taking the time to let us know of your interest in this program! We hope to have you up and running within 5 - 14 days of correct completion of this form. 

Please refer to OSPI's website for more information or general questions about the program. 

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* 1. Are you currently qualified for the free and reduced lunch program through the school districts? Your family must be qualified for free and reduced lunch to participate in this program.

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* 3. School District: If your children attend in more than one disctrict, please list the district you are most often physically located in.

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* 4. Child's school: Please list your oldest child's information if you have more than one child enrolled in public school at this time. 

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* 5. Child's First and Last Name: Please list your oldest child's information if you have more than one child enrolled in public school at this time. 

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* 6. Child's Date of Birth: Please list your oldest child's information if you have more than one child enrolled in public school at this time. 

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* 7. Parent or guardian first name?

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* 8. Parent or guardian last name?

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* 9. Your email address?

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* 10. Home location information: 

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* 11. Shipping location information: (this will be where your internet conectivity equipment will ship to)

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