2021-2022 OFMS Chromebook Form
Please complete all of the following questions in regards to technology usage and Chromebooks with the Orchard Farm School District.  

Please submit one form for each child that you have at Orchard Farm Middle School.

Please submit this form by Wednesday, August 18, 2021.  

If you have any questions or concerns about Chromebooks or this form, please email Heather Sanchez at hsanchez@ofr5.com.
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Email *
Student's last name: *
Student's first name: *
Student's Grade Level: *
In order to take the Chromebook home, the $25 OFSD insurance policy fee must be paid.   Please check only one option below. *
Required
Chromebook Video:  It is required that all parents and students watch the OFSD Chromebook Video.  If you have not seen this video, please see the link below and take a moment to watch this video.  Then please check the box below that applies.  https://www.youtube.com/watch?v=fjOiJXBVceE *
Agreement to Care for the Chromebook:  (1)  I will take good care of my Chromebook and know that I will be issued the same Chromebook each year.  (2) I will never leave my Chromebook unattended in an unsecured or unsupervised location.  (3) I will never loan out my Chromebook to other individuals.  (4) I will know where my Chromebook is at all times.  (5) I will charge my Chromebook battery to full capacity each night and bring it to school daily.  (6) I will keep food and beverages away from my Chromebook since they may cause damage to the device.  (7) I will not disassemble any part of a school-issued Chromebook or attempt any repairs.  (8) I will protect my Chromebook by always carrying it in the district provided case and in a secure manner to avoid damage.  Failure to keep Chromebook in district-provided case will void the insurance policy.  (9) I will use my Chromebook in ways that are appropriate for education.  (10) I will not place decorations (stickers, markers, writing, etc.) on the Chromebook.  (11) I understand that the Chromebook I am issued is subject to inspection at any time without notice and remains the property of Orchard Farm School District.  (12) I have read and will follow the policies outlined in the Chromebook Policy Handbook and the District Acceptable Use Policy while at school as well as outside the school day.  (13) I will file a police report in case of theft or damage caused by fire. (14) I will be responsible for all damage or loss/theft caused by neglect or abuse. (15) I agree to pay the full replacement cost of my Chromebook, power cord/charger, bag & ID tag in the event that any of these items are lost/stolen or intentionally damaged. (16) I agree to return the Chromebook, power cord/charger, ID tag and case in good working condition at the end of each school year. *
Chromebook Insurance Agreement - Terms:  (1) You agree to pay $25 yearly device insurance.     (2) You will comply at all times with the Orchard Farm School District’s Chromebook Policy Handbook and its guidelines as well as the Orchard Farm School District Technology Acceptable Use Policy.  Any failure to comply may terminate your rights of possession effectively immediately and the school may repossess the property.  Chromebooks are assigned to a single individual and are not to be shared. *
Chromebook Insurance Agreement - Loss or Damage:            (1)  If the property is accidentally damaged or incurs loss due to an act of nature, Orchard Farm School District will assess the Chromebook damage and repair or replace the device under the accidental loss or damage policy.  If the property is stolen, a police report must be filed by the student or student’s parents/guardian involved in the loss of property.  Loss or theft of the property must be reported to the School by the next school day after the occurrence. Fraudulent reporting of theft will be turned over to the police for prosecution.  (2)  Accidental damage claims will incur an insurance deductible fee of $20 for 1st and 2nd claims and $40 for the 3rd claim in one academic school year.  This deductible fee is in addition to the annual fee of $25 for the insurance policy.  (3)  Failure to keep Chromebook in district-provided case will void the insurance policy.  (4)  Insurance Policy does NOT cover loss or theft, only damage incurred by day-to-day use.  If Chromebook is lost or stolen, students will be assessed full cost of Chromebook, case and charger. *
Chromebook Insurance Agreement - Title and Repossession:  (1) Legal title to the Chromebook is to Orchard Farm School District and it shall remain in the School District.  The student’s right of possession and use is limited to and conditioned upon full and complete compliance with this Agreement and the Chromebook Policy Handbook.  (2)  Students not complying with all terms of this Agreement and the Chromebook Policy Handbook, including the timely return of the property, will be declared to be in default and authorities may be sent to your place of residence, or other location of the Chromebook to take possession.  (3)  Your right to use and possession of the property terminates no later than the last day of classes during the school year unless earlier terminated by the School District or upon student withdrawal from Orchard Farm School District. *
Technology Acceptable Use Agreement:  According to the Orchard Farm R-V School Board document EHB-R: “The district’s technology resources may be used by authorized students, employees, School Board members and other persons such as consultants, legal counsel and independent contractors.  All users must agree to follow the district’s policies and procedures.  Unless authorized by the superintendent or designee, all users must have a signed User Agreement on file with the district before they are allowed access to district technology resources.”  (The entire Technology Acceptable Use policy can be accessed electronically on our District School Board Policy website:https://simbli.eboardsolutions.com/ePolicy/policy.aspx?PC=EHB&Sch=416&S=416&C=E&RevNo=1.11&T=A&Z=P&St=ADOPTED&PG=6&SN=true).                                            We have read and understand the 2020-21 District Technology Acceptable Use Policy.  I understand that my use of the district’s technology resources is not private and that the school district may monitor my electronic communications and all other use of district technology resources as well as downloaded material and all data I store on the district’s technology resources, including deleted files, pursuant to state and federal law, even if the district’s technology resources are accessed remotely.  I understand that this form will be effective for the duration of my attendance in the district unless revoked or changed by the district or me. *
Required
Please enter the full name (first and last name) of the parent or guardian who completed this form.  By entering your name and selecting the "SUBMIT" button below, you are agreeing to all of the guidelines and policies outlined in this form.  By doing so, this will serve as your legal signature on these policies. *
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