Device loan agreement for pupils
Please complete the form to request a Chromebook for your child
Sign in to Google to save your progress. Learn more
Full name and address of Parent/ Carer *
Name of Student *
Email address of Parent/ Carer *
1. This agreement is between:1) Hylands School (“the school”) and 2) the above named parent/carer (“the parent” and “I”) *
Required
This agreement governs the use and care of devices assigned to the parent’s child ( the “pupil”). This agreement covers the period from the date the device is issued through to the return date of the device to the school. All issued equipment shall remain the sole property of the school and is governed by the school’s policies.                                                                                        • The school is lending the pupil a Chromebook (“the equipment”) for the purpose of accessing education from home.                                                                • This agreement sets the conditions for taking a Hylands Chromebook (“the equipment”)] home.  I confirm that I have read the terms and conditions set out in the agreement and my signature at the end of this agreement confirms that I and the pupil will adhere to the terms of loan. *
Required
2. Damage/loss                                                                        By signing this agreement, I agree to take full responsibility for the loan equipment issued to the pupil and I have read or heard this agreement read aloud and understand the conditions of the agreement.    I understand that I and the pupil are responsible for the equipment at all times whether on the school’s property or not. If the equipment is damaged, lost or stolen, I will immediately inform Mr Lyons, and I acknowledge that I am responsible for the reasonable costs requested by the school to repair or replace the equipment. If the equipment is stolen, I will also immediately inform the police. I agree to keep the equipment in good condition and to return it to the school on their demand from the school in the same condition. I will not leave the equipment unsupervised in unsecured areas. If the equipment is damaged, lost or stolen, and your child is eligible for the pupil premium, contact Mrs Sosin.                                                  I will make sure my child takes the following measures to protect the device:       • Keep the device in a secure place when not in use • Don’t leave the device in a car or on show at home • Don’t eat or drink around the device                           • Don’t lend the device to siblings or friends                • Don’t leave the equipment unsupervised in unsecured areas *
Required
3. Unacceptable use I am aware that the school monitors the pupil’s activity on this device. I agree that my child will not carry out any activity that constitutes ‘unacceptable use’. This includes, but is not limited to the following:                      • Using ICT or the internet to bully or harass someone else, or to promote unlawful discrimination   • Any illegal conduct, or statements which are deemed to be advocating illegal activity                                             • Activity which defames or disparages the school, or risks bringing the school into disrepute                         • Causing intentional damage to ICT facilities or materials                                                                                      • Using inappropriate or offensive language I accept that the school will sanction the pupil, in line with our behaviour policy, if the pupil engages in any of the above at any time. *
Required
4. Personal use                                                                             I agree that the pupil will only use this device for educational purposes and not for personal use and will not loan the equipment to any other person.                                                                                           5. Data protection I agree to take the following measures to keep the data on the device protected:        • Keep the equipment password-protected - strong passwords are at least 8 characters, with a combination of upper and lower-case letters, numbers and special characters (e.g. asterisk or currency symbol)                                                                                        • Make sure my child locks the equipment if it’s left inactive for a period of time                                                    • Do not share the equipment among family or friends                                                                                          • Update antivirus and anti-spyware software as required                                                                                        • Install the latest updates to operating systems, as prompted If I need help doing any of the above, I will contact Mr Manning on the email ithelpdesk@hylands-tkat.org.   *
Required
6. Return date I will return the device in its original condition to the IT Office within 3 of being requested to do so.  I will ensure the return of the equipment to the school if the pupil no longer attends the school. *
Required
7. Consent                                                                                 By signing this form, I confirm that I have read and agree to the terms and conditions set out above.      Please record your full name, the full name of the student and the date below to confirm your agreement. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Kemnal Academies Trust. Report Abuse