CARTERET COUNTY PUBLIC SCHOOL SYSTEM
Internet Safety and Technology Responsible Use:
High School Student Account Agreement
Student’s name (please
print):____________________________________________________
School:_________________________________________________________
Expected Year of Graduation ________
Grade:_____ Homeroom
Teacher:_____________________________________
SIMS # ________________________
I,
________________________, parent/guardian of
__________________________have read the School System’s Student
Internet Safety and Responsible Use Agreement.
I
hereby release the school system, its personnel, and any
institutions with which it is affiliated, from any and all claims
and damages of any nature arising from my child's use of, or
inability to use, the school system’s computer system,
including, but not limited to claims that may arise from the
unauthorized use of the computer system to purchase products or
services or exposure to potentially harmful or inappropriate
material or people. I understand that I can be held liable for
damages caused by my child's intentional misuse of the computer
system.
I
will instruct my child regarding any restrictions against
accessing material that are in addition to the restrictions set
forth in the School System Policy and Regulations. I will
emphasize to my child the importance of following the rules for
personal safety.
I
give permission in the following areas regarding this agreement:
|
Parents:
Please initial in the
appropriate block for each item.
Any items left blank will be assumed to be a yes. |
||
|
YES |
NO
|
|
|
|
|
I
give permission for my student to use the Internet. I
understand that this permission includes permission for my
student to access information through the Web, receive an
individual e-mail account, engage in other educationally
relevant electronic communication activities, and provide
personal information to others for education or career
development reasons or as approved by school system
employees. |
|
|
|
I
give permission for the school to post the following
information/material on the Internet: |
|
|
|
I
give permission for the school to post my student’s photo,
work, class rolls and team rosters-- accompanied by full
name-- on the Internet. |
I
understand that I may revoke any of these permissions, at any
time, by submitting a new permission form to the school. I further understand that the Family Educational Rights and
Privacy Act, 20 U.S.C. § 1232g, prohibits the disclosure of any
education record regarding my child without my written consent.
Parent/Guardian
Signature
Date
I
have read and/or understand the Student Internet Safety and
Technology Responsible Use Agreement. I agree to follow the rules
contained in this Policy. I understand that if I violate the rules
my account can be terminated and I may face other disciplinary
measures.
Student
Signature ________________________________________________ Date
_________________
Internet
Safety and Technology Responsible Use Policy available at
http://www.carteretcountyschools.org/techmedia/isp/