FILE:  IFBGA-E

Cf:  IFBGA

Acadia Parish School Board

Acceptable Use of Internet and

District Network Resources for Students

STUDENT AGREEMENT PAGE

(Please return ONLY this page to your assigned teacher.)

Student Section:

I, a student in Acadia Parish schools, understand and will abide by the APSB Acceptable Use of Internet and District Network Resources for Students policy. I fully understand that any violation of the regulations mentioned in this policy is unethical and may constitute a criminal offense. Should I commit any violation, my privileges may be revoked; school disciplinary action may be taken, as well as possible appropriate legal action.

Student’s Full Name (please print): _________________________________________

Student’s Signature: ________________________Date: ________________

Parent Section:

As the parent(s) or guardian of this student, I have read the APSB Acceptable Use of Internet and District Network Resources for Students policy. I understand that this access is designed for educational purposes only. APSB has taken precautions to eliminate controversial material. However, I also recognize it is impossible for the School District to restrict access to all controversial materials, and I will not hold them responsible for materials acquired on the network.

Please select ONE below:

_____I DO give permission to open an account for my child for use of the District network resources and Internet Access and certify that the information contained on this form is correct.

_____ I DO NOT grant permission to open an account for my child for use of the District network resources and Internet Access. The reason why is: ________________________

____________________________________________________

____________________________________________________

Parent(s) or Guardian’s Name (please print):  _________________________________

Parent(s) or Guardian’s Signature:__________________________________________

Date: ____________ Daytime Phone: _____________ Evening Phone: ____________

This completed form shall remain in the Student’s Cumulative folder at all times.

Acadia Parish School Board