Applicant Forms

 

 

Form

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Description
USAC Forms Various USAC/SLD Forms:
470, 471, 479, 486, 500 & 472
IRS W-9 Form W-9 IRS W-9 Taxpayer Identification Number
Fall 2010
Distribute to students starting Spring 2010 through Fall 2010. Survey can be used to determine your school's E-Rate discount using the Alternative Discount Method.
Nov 2010
If you use the Household Income Survey, use this form to summarize your results.
Board Items Jun10 Items to discuss at your June/July 2010 Board Meeting
CIPA Certification June 2010 KSLLC Clients: Use this form to certify compliance with the Children's Internet Protection Act, including a cyberbullying awareness curriculum declaration.
Jul10
KSLLC Clients: Use this form to send us contact information for your school or library
Ongoing
Notification Form for Equipment Transfers. Use this form if you move E-Rate funded equipment within the 3 year non-transfer period.
Ongoing
KSLLC Clients: Use this form to notify us that you would like to change service providers (vendors)
Ongoing
KSLLC Clients: Use this form to notify us that you would like to change products and services on your existing E-Rate funding.
Sep 2010
KSLLC Clients: Use this form to specify the eligible use of servers and supporting server items requested for FY 2011-12. Also used to report usage of existing servers for which basic maintenance is being requested.
Sep 2010
KSLLC Clients: Optional form to provide us with your list of equipment for maintenance.
Nov 2010
KSLLC Client Schools: Low Income and Enrollment information needed to establish your E-Rate discount.
Dec 2010
KSLLC Clients: Use this form to list your accepted bids for 2011-12.
Dec 2010
KSLLC Clients: Use this form to score your bids for E-Rate 2011-12.
© 2010 Kellogg & Sovereign Consulting, LLC
1101 Stadium Drive
Ada, OK 74820
Phone: (580) 332-1444
Fax: (580) 332-2532
Email: info@kelloggllc.com