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* 1. What is the name of your Student?

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* 2. What is your physical address?

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* 4. What type of access to the internet does your household have? (Please check all that apply)

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* 5. Who is your Household Cellular provider?

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* 6. What type of devices does your household own that can access the internet? (Select all that apply)

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* 7. How many devices does your household own that can access the internet? (Please include desktops, laptops, tablets, and cellular devices in your total count)

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