ILPS Chromebook Requests 22/23

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If you do NOT have a desktop, laptop, Chromebook, iPad or other device that connects to the internet, please fill out this form. Complete the following Chromebook Request Form prior to coming to the school to pick-up your requested Chromebook.

One copy of this form needs to be filled out for each child requesting a Chromebook.

Devices will be available for pick-up on Monday to Friday between 9am-3pm with the exception of Board holidays. Please watch the school and Board websites for more information, as well as your email.

Please read and verify you will adhere to the Home Use of Technology protocol (verify at the bottom of this form):

**** STUDENT RESPONSIBILITIES: USE AND CARE OF EQUIPMENT ****

1. Only Board approved software is to be loaded onto the computer by Board personnel. This ensures the proper configuration of the system.

2. The Board’s Acceptable Use of Digital Technology (Policy # 318) will apply at all times and locations.

3. Repairs may only be done by an Upper Grand District School Board repair technician.

4. Equipment will be used with the provided electrical supply cords only.

5. Equipment will be plugged directly into a wall receptacle or a CSA approved power bar.

6. Technology support including repairs and technical advice is not available in the home setting or in other locations outside of the school building.

7. Equipment is to be handled with care to avoid damage. I understand and agree to follow the above conditions regarding the use of Upper Grand District School Board technology at home.

8. This equipment will be returned to the UGDSB immediately upon request.

While certain web browsing safety technology has been installed on this chromebook, I acknowledge that no software can provide 100% protection from inappropriate websites. I also acknowledge that it is my responsibility to use the equipment for education related services as directed by staff in the Upper Grand DSB.

Parent / Guardian First Name *

Parent / Guardian Last Name *

Parent / Guardian email address. *

Parent / Guardian Phone Number *

Student First Name (Please fill out one form per child) *

Student Last Name (Please fill out one form per child) *

Teacher's Name *

I verify that I have read and will adhere to the Home Use of Technology protocol as laid out by the UGDSB. *

Yes

I agree to return the Chromebook and both parts of the cord on the first day we return to in person learning. *

Yes

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