*Required fields

*Name of School
*Address
*City
*State
*Zip
*Contact Person
*Work Phone
Mobile
*E-mail
*Number of Students
*Grades/Level
*Title I?
*Current Internet Access
*Computer lab at school?

*Student Demographics (if none, enter 0):
% American Indian or Alaska Native
% Asian
% Black or African American
% Hispanic or Latino
% Native Hawaiian or Other Pacific Islander
% White

% low income
% that go to college (if high school)

How did you hear about us?

HITN’s 4G Educational Network Application for Schools

Please fill out the form below with your school’s information. When you are finished, click Submit.

We will review your application and respond as soon as we can. Thank you for your interest!