Application for Funding for Alaska Connects Broadband Access Grant Unlimited (BAG Unlimited) Program
Submit detailed district, provider, and service information to apply for broadband funding. Please complete all required fields and upload supporting documentation as instructed.
Applicant/ School District Information
Provide your school district's basic details.
School District Name
*
School District Mailing Address
*
Primary Contact Name
*
Primary Contact Title/Role
Primary Contact Phone Number
*
Please enter a valid phone number.
Primary Contact Email Address
*
example@example.com
Community Names Served
*
Population of Each Community (List each community, its population, and census source)
*
Eligibility Confirmation: All communities served have populations under 8,000
*
I confirm all communities served have populations under 8,000.
Service Provider Information
Details about your primary service provider, partners, and technology details.
Primary Service Provider Name
*
Primary Provider Contact Name
*
Primary Provider Contact Email
*
example@example.com
Primary Provider Contact Phone
*
Please enter a valid phone number.
Is the Proposed Service a Space-Based, Low-Earth-Orbit (LEO) broadband service?
*
Yes
No
Description of LEO Technology
Sub-Providers or Partners (if any)
Comprehensive Overview of Equipment and Services to be Delivered
Service & Bandwidth Details
Provide detailed information about your broadband service.
Download Speed (Mbps)
*
Upload Speed (Mbps)
*
Total Contracted Bandwidth (Mbps)
*
Service Contract Duration (e.g., 3 years, 36 months)
*
Service Locations (List each school site and district office)
*
Service Use Confirmation: Service is used only for schools and district offices
I confirm service is used only for schools and district offices.
Cost & Funding Details
Provide cost breakdowns and funding requests.
Monthly Service Cost (Total, in USD)
*
Cost per Mbps per Month (in USD)
*
Cost Threshold Confirmation: Cost does not exceed $350/Mbps
*
I confirm the cost does not exceed $350 per Mbps.
Total Contract Value (Full Term, in USD)
*
Eligible Broadband Capacity Cost (if different from total contract value)
Requested BAG Unlimited Funding Amount (in USD, if applicable)
Requested Funding Percentage (if applicable)
Billing & Disbursement Acknowledgment
*
I acknowledge the billing and disbursement requirements.
Eligibility Confirmations & Compliance
Confirm eligibility and compliance with program criteria.
Alaska District Confirmation
*
I confirm this application is for an Alaska district.
Community Population Criterion Confirmation
*
I confirm all communities served meet the population criterion.
LEO Broadband Criterion Confirmation
*
I confirm the service meets the LEO broadband criterion.
Cost Threshold Criterion Confirmation
*
I confirm the cost threshold criterion is met.
Funding Percentage Criterion Confirmation
*
I confirm the funding percentage criterion is met.
School-Only Use Confirmation
*
I confirm the service is used only for schools and district offices.
Funding Limitation Acknowledgment
*
I acknowledge the funding limitations.
Contract Compliance Acknowledgment
*
I acknowledge contract compliance requirements.
Non-Endorsement Acknowledgment
*
I acknowledge that submission does not constitute endorsement.
Upload Required and Supporting Documentation
Upload all required and any optional supporting documentation.
Upload: Service Provider Contract / Quote
*
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Upload: Network or Service Description (Optional)
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Upload: Census Population Documentation (Optional)
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Upload: Additional Supporting Documentation (Optional)
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Certification Statement: All information provided is true and accurate.
*
I certify that all information provided is true and accurate.
Authorized Signer Name
*
Authorized Signer Title
*
Signature Date
*
-
Month
-
Day
Year
Date
Electronic Signature
*
Submit Application
Submit Application
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