*
Required
First Name
*
required
Last Name
*
required
Do you have access to a desktop/laptop?*
Yes
No
Do you have camera access on the desktop/laptop?*
Yes
No
Do you have access to reliable internet service?*
Yes
No
Who is a reliable/known service provider in your area? (Verizon, AT&T, C-Spire, T-Mobile etc)
*
required
Have you downloaded the free Microsoft software from the student section located on our homepage?*
Yes
No
Will you have access to a printer? *
Yes
No
Will you have a quiet workplace or area that you can go to during class time?*
Yes
No
What county and state do you reside in?
*
required