2020-21 6th Grade Pioneer Chromebook Policy, Insurance, and Social Media Signature Page

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This form serves as the signature page and acceptance for the ISD 484 Chromebook Policy, Insurance Options, and Social Media and Internet Use Agreement for 6th grade only. No other grade will be taking Chromebooks home. Please review the movie with your student and have them sign the Respectable/Acceptable Use Section by typing their name.

Email *

Last Name of Student *

First Name of Student *

Grade *

Chromebook Usage Policy Acceptance

By typing your parent/guardian name, this acts as your signature, accepting and agreeing to the 2020-21 Chromebook Policy and Social Media responsibility awareness and agreement. These documents can be reviewed on the Chromebook 101 page under the Elementary tab from the district web page. https://www.pierz.k12.mn.us/6th-grade-chromebooks.html

Typed signature of Parent/Guardian *

Chromebook home with student? *

I WILL NOT allow my student to take his/her Chromebook home

I WILL allow my student to take his/her Chromebook home

Required

Decline or Accept the Optional Insurance - Choose only one

Choose one option and sign by typing in your name as the parent/guardian. By typing your name you also accept that losing the Chromebook charger will result $30 replacement cost paid by you, the parent/guardian. This is not covered by insurance.

Choose One: *

Typed Signature of Parent/Guardian *

Respectable & Acceptable Chromebook Use - Student Signature

Respectable & Acceptable Use of Chromebooks -
I will:
-Use digital devices, networks and software in school for educational purposes and activities.
-Bring Chromebooks to school each day charged and ready for use.
-Leave protective case/shell on Chromebook at all times.
-Keep Chromebook in the carrying bag provided by ISD 484 when transporting the device to and from school.
-Keep my personal information (including home/mobile phone number, mailing address, and user password) and that of others private.
-Show respect for myself and others when using technology.
-Refrain from using Chromebook for personal entertainment, including social media and YouTube unless instructed by your teacher.
-Charge Chromebook at night so it is ready for school the following day.
-Give acknowledgement to others for their ideas and work.
-Report inappropriate use of technology immediately.

Caring for your Chromebook:

I agree to the Respectable and Acceptable Chromebook Policies and have viewed the Chromebook Care video - student: type name as signature *

Send me a copy of my responses.

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