Use this form to request reimbursement of 60% of Internet costs (up to $35 per month) in order to access the internet for home-learning purposes at your child(ren)'s primary home address.

To qualify for the full amount in January for the fall term (covering Sept, Oct, Nov, Dec, and Jan) HOHL must receive a copy of your September bill for internet by December 15th at the latest.

To qualify for the full amount in June for the spring term (covering Feb, Mar, Apr, May, and Jun) HOHL must receive a copy of my February bill for internet by May 15th at the latest.

If your Internet Service Provider changes, or there is any change to the amount of your bill, you must also notify HOHL and submit a copy of your bill for the month of the change.

Reimbursement cheques will be mailed out at the end of January (for September to January) and the end of June (for February to June) in the name of the bill payee.

You must be active in the program to receive an internet reimbursement. This means you must be communicating regularly with your teacher and be up to date on weekly work sample and reflection question submissions for each month that you are wanting reimbursement.

FAMILY NAME


STUDENT NAME(S)


E-MAIL ADDRESS (must be the e-mail we have on file)


POSTAL CODE
Please enter your postal code so we can confirm that we have the correct address on file.


INTERNET SERVICE PROVIDER NAME


My child(ren), listed above, require(s) internet access in order to undertake studies in the Hands on Home Learning Program offered through Oak and Orca Bioregional School. I certify that I am not receiving an internet reimbursement from any other school or home-learning organization.



The monthly fee for my Internet service is currently:
$

The bill payee is (must be on file with the school as a primary contact for the child(ren) listed above):


I understand that it is my responsibility to notify Oak and Orca if this internet service is discontinued or if there is any change in rate, costs or service provider.



I understand that to qualify for reimbursement of internet fees, I must have been participating fully in the Hands-On Home-Learning program including weekly logging and work-samples and regular communication with my HOHL teacher during the time period of the requested reimbursement. (If this is not occurring, your reimbursement request will be denied.)



Please enter your full name to acknowledge the above responsibilities and warrant that the information provided in this form and the bills that will be submitted are true.


COMMENTS and ADDITIONAL INFORMATION


We cannot process this request until we receive a copy of your itemized Internet bill. To qualify for the full amount in January for the fall term (covering Sept, Oct, Nov, Dec, and Jan) HOHL must receive a copy of your itemized September bill for internet by December 15th at the latest. To qualify for the full amount in June for the spring term (covering Feb, Mar, Apr, May, and Jun) HOHL must receive a copy of your itemized February bill for internet by May 15th at the latest.

Please click here (opens in a new tab) to submit your bill(s) to Dropbox File Request link to submit a copy of your bills.

Please be aware that the servers for Dropbox are located in the United States, which means that due to the Patriot Act the United States government may, by court order, request personal information from the Dropbox company.

If you are not comfortable with submitting via dropbox, you can send us your bill by e-mail.

Submitting this form is a request and not a guarantee of reimbursement. You must be active in the program each month to receive the full reimbursement.

Note: When you click the submit button, you must prove you are human by entering the letters in the box and clicking 'continue' before your data will be submitted to HOHL.