Low-Cost Internet

Low-Cost Internet Qualification Form

For Qualifying Families for the 2020-2021 School Year
Kaptel is offering low-cost internet to qualifying families of Vermilion Parish K-12 students.

Qualifying families can get up to 30mbps (or the maximum speed available at their address) for $10 a month. You will be asked to provide proof of your child's school enrollment and fill out a Lifeline verification form in order to qualify for this offer.

Please verify you meet ALL of the following criteria below:
- Have a child attending a Vermilion Parish K-12 school or a child being homeschooled in Vermilion Parish.
- Be eligible for Lifeline federal benefits (verify below.)
- Are not currently under a contract with Kaptel.
- Do not have any outstanding debt or unreturned equipment with Kaptel.
- Offer expires 10/30/2020.
Your Full Name (Parent/Guardian) *

First Name Last Name
Your Phone Number *

Area Code Phone Number
Email
example@example.com
Your Address (Matching Your Service Address) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Your Child's Name *

First Name Last Name
Your Child's School *
School Name
ACCEPTABLE SCHOOL DOCUMENTATION

Proof of School Enrollment. ONE OR MORE OF THE FOLLOWING DOCUMENTS:
- Proof of your child's school attendance such as a report card or a letter from the school showing your child's enrollment for current school year on school letterhead.
- Proof of homeschooling authorized by the school, school district or the state
Upload Proof of School Enrollment: *

Browse Files

Cancel of
LIFELINE DOCUMENTATION

Visit and complete Lifeline's Verifying Service here: nationalverifier.servicenowservices.com/lifeline

Once approved, please add the verifying number you receive below.
Lifeline Application ID Number *
QXXXXX-XXXXX
Check here *

I agree to give Kaptel permission to verify my application status with Lifeline for the purposes of this qualification.
Should be Empty:

Low-Cost Internet Qualification Form