ACP Home Internet services are provided by some of America’s top Cellular, Cable, Fiber, and Satellite providers helping us connect neighborhoods across America with more speed, bandwidth, and reliability with a $30 monthly discount for qualifying households through the ACP (Affordable Connectivity Program). 

By submitting this enrollment application you authorize ACP-Lifeline and its affiliates to submit and process the application on your behalf. The corresponding programs to which you are applying here are the sole determining factor of your qualifying and will use their own discretion when deciding on eligibility.  If ACP-Lifeline or its affiliates discover fraudulent application attempts at any time during the application process, the application may be stopped and reported to the corresponding authority.  If you agree to the previously mentioned statement, please follow the instructions below for the application enrollment into the ACP program. and its affiliates are not responsible for inaccurate or false information. The applicant is solely responsible for any and all provided information following the local, state, and federal guidelines for this program.



Please fill out the information as accurately as possible. DO NOT provide false information per the guidelines above. Please ensure you have a valid email and a valid phone number. Make sure these are not being used by another applicant. Phone numbers and email addresses are not to be shared for applications they must be unique.

DO NOT provide full Social Security Number (SSN) – Only the last 4 digits are necessary for the application.

A true physical address is needed. DO NOT use a business address or P.O. Box. Note: Multiple People CAN use the same address as long as they fall under the federal household guidelines (i.e. If you are not sharing income with your roommate; that is considered two separate households. On the other hand, if you are sharing income with someone in that makes only one household.)

When submitting documentation for your program, make sure the documentation has the following:

  1. The consumer’s name, or the name of their benefit qualifying person (BQP): The name of the qualifying program, such as SNAP, Medicaid, etc…
  2. The government, Tribal entity, program administrator, school, school district, university, or college that issued the document; and
  3. An issue date within the last 12 months or a future expiration date that aligns with the benefit period, with the following exceptions:
  • For the Free and Reduced-Price School Lunch Program or School Breakfast Program, including at US Department of Agriculture (USDA) Community Eligibility Provision schools, documents must be from the current school year or the school year immediately preceding the application.
  • For USDA Community Eligibility Provision (CEP) schools, documents must show that the student is enrolled in a CEP School. Acceptable documentation must include the name of the enrolled student, the relevant school year, the name and address of the school, and contact information for the school.
  • For Federal Pell Grants, documents should be from the current award year and can include: Screenshots that clearly document the student’s receipt of a Pell Grant during the current award year.  Written confirmation from a student’s school (college or university, community college, or career school) or the Department of Education that the student has received a Pell Grant for the current award year. A student’s official financial aid award letter documenting the amount of a student’s Pell Grant award received for the current award year, or a copy of a student’s paid invoice that clearly documents the student’s receipt of a Pell Grant during the current award year.

Enrollment Application

Enrollment Form