STUDENT APPLICATION FOR A NETWORK ACCOUNT

Student name ____________________________________________________

Grade _____________________

I have read the Network Usage Agreement and understand it. I agree to abide by this agreement. I understand that violation of the provisions stated in the policy may constitute suspension or revocation of network and computer access with all related privileges and may lead to school disciplinary action.

Student signature ________________________________________________

Date _____________________________________

Parent/Guardian:

As the parent/guardian of _______________________________________, I have read this agreement and consent to the Scott City R-1 School District to create and/or manage my child’s school related network account(s). I understand that the network account is designed for educational purposes only. I also understand that it is impossible for Scott City School District to restrict access to all controversial materials. I will not hold the teacher or the Scott City R-1 School District responsible or legally liable for materials distributed to or acquired from the network. I also agree to report any misuse of the information system to the school district or the teacher.

Parent/Guardian Signature _______________________________________

Date ____________________