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Raymond
School District EGA-R
Acceptable Use Procedures Agreement
Form-Student
THE FOLLOWING MUST BE
COMPLETED BY EACH STUDENT AND HIS/HER PARENT OR GUARDIAN
PRIOR TO ANY USE OF TECHNOLOGY RESOURCES.
The student and parent or guardian should
read and discuss this document together to
ensure that it is clearly understood before signing.
Please understand that the use
of technology resources is considered essential to each
student’s academic
success.
1. We
understand that use of all of the District’s technology
resources,
such as the District’s computers, network, website and
Internet web
access is designed for and will be used for educational
purposes only.
2. We
understand that any violation of the Raymond School
District
Acceptable Use Procedures may result in the restriction,
suspension or
cancellation of access privileges, and may result in other
disciplinary action,
civil liability or criminal prosecution by the appropriate
authorities.
3. We
agree to immediately report any misuse of the District’s
technology
resources to the District administration.
4. We
understand the importance of following these regulations
for
reasons of personal safety and the safety of others.
5. We
acknowledge that the use of the District’s technology
resources is
at the risk of both student and parent or guardian.
6. We
hereby release, indemnify and hold harmless the Raymond
School
District, its staff and any institutions with which it is
affiliated, from any and
all claims and damages of any nature arising from the
student’s use of or
inability to use the District’s technology resources.
7. We
certify that the information contained in this form is
true and
accurate.
We acknowledge that in regards to
student _______________________________ we have received,
read, discussed and fully understand Raymond School
District’s Acceptable Use Procedures.
Parent Guardian Info:
Print Name:_______________
Signature:_____________________ Date:______
Home
Address:______________________________________________________________
Home Phone Number:_______________
Work Phone Number:__________________
Do you have internet access at home?
_____ Is it broadband? _____ dial up? _______
Parent email
address:_________________________________________________
Student Info:
Print Name: ___________________
Signature:______________________ Date:______
Home room/RAP teacher:
______________________Grade: _______
Please indicate desired password
(must be at least 5 characters that are a combination of
numbers and letters). _______________________________ (RHS
and IHGMS only)
Adopted: April 16, 1998
Revised: November 4, 1999
Revised: September 20, 2001
Revised: May 16, 2001
Revised: May 16, 2001
Revised: August 2, 2006
Revised: May 6, 2009
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