eRate Requests Form

BEFORE SUBMITTING THIS FORM:

Before submitting this form, please contact the Office of Online Learning at online@uga.edu. They will consult with you and help with the budget template that must be attached to this form.



USE THIS FORM TO:

  • Create a new program to be offered online with an eRate;
  • Request that an existing face-to-face program also be offered online with an eRate;
  • Request to add an eRate to an existing online program;
  • Request to increase the eRate on an existing online program;
  • Request to decrease the eRate on an existing online program; or
  • Request to remove the eRate on an existing online program.


Example of online tuition differential: Click here

 
 

Contact Information

 
 
 
Phone
 
 

Department Information

 

Please select from the dropdown menu or key enter.

 

Please select from the dropdown menu or key enter if you cannot locate your department in the list.

 
 

Approval Workflow

 
 

This email will be used for workflow approvals, so please double check that the email address is entered correctly, or copy/paste this email into the field.

 
 

This email will be used for workflow approvals, so please double check that the email address is entered correctly, or copy/paste this email into the field.

 
 

Program Information

 
 

E-Rate Information

 
 
 
 

If this is a newly proposed rate, when should the eRate be effective? If you are changing or removing an existing eRate, when should the change go into effect?

 
Drop your files here