Emergency Internet Access Subsidy Application
About this free form template

Get Connected: Emergency Internet Access Support for Students

Access to reliable internet is no longer optional—it's essential for education. If you're a student or parent struggling to afford broadband for remote learning, this Emergency Internet Access Subsidy Application can help you secure the connectivity you need.

Who This Form Is For

This application is designed for families with K-12 or college students who need financial assistance to access internet services for educational purposes. Whether you're eligible for the Affordable Connectivity Program (ACP) or need emergency support through local or state programs, this form helps you apply for subsidies that can reduce or eliminate your monthly internet costs.

What You Can Apply For

Through this application, you can request support for:

  • Monthly internet service subsidies
  • One-time device assistance (laptops, tablets, or hotspots)
  • Digital literacy training and technical support
  • Emergency connectivity during critical learning periods

Why Use Paperform for Public Assistance Applications?

Government agencies, school districts, and nonprofit organizations use Paperform to streamline assistance applications because it's secure, accessible, and easy to manage. This template includes:

  • Conditional logic that shows relevant questions based on household income, student enrollment, and existing connectivity
  • File upload fields for required documentation like proof of enrollment, income verification, and utility bills
  • SOC 2 Type II compliance to protect sensitive applicant information
  • Multi-page layout that breaks the application into manageable sections

After submission, you can use Stepper to automatically route applications to the right caseworker, send confirmation emails, update your case management system, and trigger follow-up tasks—all without manual data entry. Papersign can also be used to collect signatures on program agreements or consent forms electronically.

Making Public Services More Accessible

Digital equity is a civil rights issue. By using modern, mobile-friendly forms like this one, agencies and organizations can reduce barriers to access, serve more families efficiently, and ensure no student is left offline. This template is fully customizable to match your program's specific eligibility criteria, branding, and workflow requirements.

Start connecting students to the resources they need—no coding or complicated software required.

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HIR.png
HKTB-logo.png
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adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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