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Internet Use Consent
Student Work Release

Technology Policy

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Internet Use Agreement...

Diocese of Savannah Internet Use Agreement:

(Please print this form(2 pages), complete it and send to the school.)

User: I understand and will abide by the Diocese of Savannah Internet Use Agreement. Any violation of the school's posted rules will result in any or all of the following consequences. I further understand that any violations of the regulations above are unethical and may constitute a criminal offense. Should I commit any violation, (1) my access privileges may be revoked and (2) school disciplinary action and/or appropriate legal action may be taken.

I have reviewed my Internet-Use responsibilities, specifically, the co-signing teacher has discussed each of the following points with me.

Diocese of Savannah asks that the co-signing teacher monitor access, including e-mail, to see that the access is being used for the stated purpose. For this and other reasons, e-mail is not private. Violations that may lead to revocation of Internet access include:

I understand the conditions for accessing the Internet.

User Name_____________________________________________
Signature__________________________________________
Date______________________________________________

Parent or Guardian: (Parents/guardians of Pre-K-8 student users must also read and sign this agreement.) As the parent or guardian of this student, I have read the Internet Use Agreement. I understand that this access is designed for educational purposes. The Diocese of Savannah has taken precautions to eliminate controversial materials, and I will not hold them responsible for materials acquired on the network. Further, I accept full responsibility for supervision if and when my child's use is not in a school setting. I hereby give permission for my child to access the Internet and certify that the information contained on this form is correct.

Parent or Guardian’s Name____________________________________________
Signature_________________________________________
Date_____________________________________________

Sponsoring Teacher: (Must be signed if the applicant is a Pre-K-8 student.) I have read the Internet Use Agreement and agree to promote this agreement with the student. Because the student may use the network for individual work or in the context of another class, I cannot be held responsible for the student's use of the network. As the sponsoring teacher I have instructed the student on acceptable use of the network and proper network etiquette (see checklist).

Teacher’s Name____________________________________________
Signature_________________________________________
Date_____________________________________________