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 5/31/2021.
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.
(Please use the number that begins with Q. Your must provide your SSN to Lifeline to get the correct program and verification number.)
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