- I agree to use the Internet as
a learning tool for conducting school approved
projects.
- I agree to identify the staff member
who has approved my project and the topic or question
I am researching.
- If in my research, I find myelf
in an inappropriate site or a site that may be
offensive to others, I agree to immediately exit
it.
- I agree not to interfere with other
people's files or work on a computer.
- I agree to use a computer in ways
that show consideration and respect to other people.
- I agree not to use or copy software
for which I have not paid.
- I agree not to use the Internet
for profit.
- When using the Internet for e-mail,
I agree to:
- never give out my last name,
phone number, or address
- never arrange to meet anyone
in person that I have met via the Internet/e-mail.
I,  ,
now understand the expectations for
(Student's
Name)
school use of the Internet and agree
to follow the guidelines written above. I participated
in an Internet instructional lesson with
on  .
(Staff
Member's Name) (Date)
I agree to give up my Internet privileges
if I don't follow the rules stated in this agreement.
Consequences:
- Loss of privilege -
short term, long term, or permanently.
- Written student plan with parent
and principal signature.
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Student Signature
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Date
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Parent Signature
|
Date
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Teacher Signature
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Date
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A new agreement must be signed
by each user of Internet at the beginning of each school
year and kept on file.
Back of Document
Chimacum School
District
I hereby grant permission
to the Chimacum School District Supervising Teacher
to publish my original
work* on the World Wide Web or to other electronic
media. I understand that said publication might
include a change of formatting that is appropriate
for the media. I further understand that once published,
other network users unknown to the Chimacum Schools
will be able to access and obtain my work.
Please publish my original work with the following
attached: (Circle and supply info.)
My first name and last initial ______________________
My initials only ______________
Anonymous
My picture may be included? YES
NO
Do you want the following statement appended to
your work?
Copyright 2004-05. Links to this site or quotations
from this work must acknowledge (Student’s
name)__________________________________________________
as author/creator and that the author reserves
all rights to his/her work. YES NO
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Student
Signature _____________________________________________________________
Parent/Guardian’s signature _____________________________________________________
Date_____________________________________
*original work means that it is of your own creation
and not plagiarized. If you have included any
copy-written pictures and/or text, you must give
credit where
credit is due.
Click
here to download a copy of this sheet and the
back.
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