Name: (Last) (First) E-mail: Organization: City: State:
E-mail: Organization: City: State:
Please answer each question by selecting one or more of the checkboxes provided or typing in requested information. If you answer "Other" to any of the questions given below, or if you have additional comments to make on these questions, please use the text box at the bottom of the form for your response.
1. Mechanisms: What mechanism should be used to provide Universal Service subsidies to schools and libraries?
Cash Grants Vouchers Discounts on selected services E-rate (100% discount) for schools and libraries Other
Request from Authorized Individual State Approved Technology Plan District Approved Technology Plan Knowledge of Technology Options Progress Toward Goals of Telecom Act Provision of Matching Funds Current Use of Network Resources Educational Need Need for Added Bandwidth
Yes No
Baseline subsidy Per capita subsidies Subsidies based upon population density Subsidies based upon income Other
Please elaborate on any of your responses to these questions as appropriate:
Thanks for participating!