Closed School Student Form

Closed School Student Form
Emily Cooperative Telephone Company and Crosslake Communications will be providing FREE entry level internet service for two (2) months to families with students in the ECTC or Crosslake Communications serving areas that currently do not have services for student online
learning.
This form is for parents and guardians of students (college or otherwise) whose school or university has shut down due to coronavirus
(COVID-19).
This service is for families with students that have not had previous internet service with us. Once approved, this form will allow for two (2) months of FREE entry level internet service.

Customer Information

Different Billing Address? *

Student Information

Please upload a copy of the students' current student ID card or recent report card with school name. *
Maximum upload size: 516MB
By typing and signing your name below, you agree this is an electronic signature. You also agree that the student(s) name you submit does live in your household.