CIS Elementary Mobile Device Agreement

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The iFive Technology Initiative in District Five provides students the opportunity to use a mobile device to engage in anytime, anywhere learning. Students can use these tools to research information, create projects, engage in class presentations, upload and download digital material and actively engage in communication and collaboration on their academic work.

Please visit the iFive Instructional Technology Initiative web page (see link below) where you will find the District Issued Mobile Device Guide. The guide describes the terms and responsibilities of accepting a district issued device. Please read it thoroughly before selecting yes or no at the bottom of this page.

To be issued a device, parents must also agree to the internet Acceptable Use Agreement that allows the student to utilize the district network. This was done in Registration Gateway.

https://sites.google.com/a/lexrich5.org/ifive-project/home

Email *

Student LAST Name *

Student FIRST Name *

List your student's 5 Digit Student ID Number

My child is enrolled in the District FIVE (virtual) Program. *

Yes

2020-2021 Grade Level *

l understand the device is to be used for educational purposes only by the student to whom it’s assigned. *

Yes

I understand that a parent or guardian is required to monitor appropriate use of the device. *

Yes

I understand that the district will make every effort to provide content filtering off of school grounds, but it is my responsibility as parent/guardian to monitor device use and ensure the student only accesses appropriate educational sites. *

Yes

I understand that the school or district may require that the device be returned at any time for inappropriate use. *

Yes

I understand that a parent or guardian may be held financially responsible for damage to the device when off-campus. Please see Mobile Device Guide on repair policy. *

Yes

Teachers will be providing live virtual instruction. Do you give permission for your child to be in this recording? If not, we will have your child turn their video off during the class. They will be able to see the teacher and others, but their face will not be visible. *

Yes

By signing/typing your name below, you are giving permission for your child to use a District Issued Mobile Device at home for educational purposes and you acknowledge and accept the agreements outlined in the Mobile Device Guide. *

A copy of your responses will be emailed to the address you provided.

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