Hot Spot Application Form

Application for Hot Spot

Hot Spots for internet access are available on a limited basis. Applications will be evaluated on a first come, first served basis. You will be notified when your application is approved and provided a location to pick up the Hot Spot.
Student 1

First Name Last Name
Birth Date of Student 1 *

Month Day Year
Assigned School for Student 1 *
How my child attends school for Student 1: *

Rock Hill Schools Virtual Academy Face to Face / Hybrid Learning
Do you have additional children that need a Hot Spot? *

Yes No
Student 2

First Name Last Name
Birth Date of Student 2 *

Month Day Year
Assigned School for Student 2 *
Do you have additional children that need a Hot Spot? *

Yes No
Student 3

First Name Last Name
Birth Date of Student 3 *

Month Day Year
Assigned School for Student 3 *
Parent / Guardian Name *

First Name Last Name
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Preferred Phone Number: *
Parent / Guardian Email Address: *
example@example.com
Please explain your need for a Hot Spot: *
Should be Empty:

Application for Hot Spot