IJNDB-E Student Computer/Internet Use Acknowledgment Form
NEPN/NSBA Code: IJNDB-E 

STUDENT COMPUTER/INTERNET USE ACKNOWLEDGMENT FORM 

No student shall be allowed to use school computers or the Internet until the student and parent/guardian have signed and returned this acknowledgment to the school.

Student:

I have read policy IJNDB – Student Computer/Internet Use and IJNDB-R – Student Computer/Internet Use Rules and agree to comply with them.

I understand that my use of the school unit’s computers, electronic devices (including personally owned devices used at school), networks, school provided accounts, internet and other services is a privilege, not a right. Unacceptable use/activity may result in losing the ability to have a device or service including seizure of a personal device.


______________________________________________         ______________________
Signature of Student                                                                    Date



Parent/Guardian:

I have read policy IJNDB – Student Computer/Internet Use and IJNDB-R – Student Computer/Internet Use Rules and understand that my son/daughter’s use of school computers is subject to compliance with these rules.

I understand that my student’s use of the school unit’s computers, electronic devices (including personally owned devices used at school), networks, school provided accounts, internet and other services is a privilege, not a right. Unacceptable use/activity may result in losing the ability to have a device or service including seizure of a personal device.


______________________________________________         ______________________
Signature of Parent/Guardian                                                      Date


Revised: May 11, 2015



M.S.A.D. #4