McAllen Housing Authority

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* 1. Which of the following electronic devices do you own? (Please select all that apply.)

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* 2. Which of the following devices do you most often use to connect to the internet?

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* 3. What type of internet access do you have at home?

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* 4. Are you or someone in your household a student without internet?

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* 5. What is your approximate average household income?

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* 6. How many children live in your household?

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* 7. Does anyone in your household currently receive Supplemental Nutrition Assistance Program (SNAP) benefits or Supplemental Security Income (SSI) (applicants age 65+ only)?

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* 8. If you are a McAllen Housing Authority resident and are interested in receiving low cost internet, please leave your name, address, and phone number to be contacted.

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* 9. Please let us know if you are in need of any other services.

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* 10. Do you have any other comments, questions, or concerns?

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