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USD 235 Technology Consent Form

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Uniontown USD #235 Technology Use Consent Form (Yellow Form)


STUDENT NAME: _____________________                                Grade: _____


The Uniontown USD #235 Technology Use Policy can be viewed on the school’s webpage and copies are available at the district office upon request.



I understand and will abide by the district guidelines and conditions for the use of the facilities of USD #235 public schools and access to the Internet. I further understand any violation of the district guidelines is unethical and may constitute a criminal offense.  Should I commit any violation, my access privileges will be revoked. School disciplinary action and/or appropriate legal action shall/may be taken.


Student Signature ___________________                 Parent Signature ____________________



As a parent or guardian of this student, I have read the terms and conditions for USD #235 public schools facilities use and Internet access as well as the Acceptable Use of Computers and Networks Student Agreement. I understand this free access is designed for educational purposes. However, I also recognize it's impossible to restrict access to all controversial materials and I will not hold USD #235 public schools responsible for materials acquired or sent via the network. I hereby give my permission to USD #235 to permit my child to access and use the available information retrieval technologies.


______ Yes I agree.                                                                 _______ No, I do not agree.



Parent Signature: ________________________



This is a one-year agreement and can be changed in subsequent years. This agreement covers only those official Uniontown publications that are intended for the general public. Consent covers usage of this year’s materials. Please choose an option below and sign.  If this form is not returned, it will be regarded as “consent” by the district.


______ Yes I agree.                                                                 _______ No, I do not agree.


Parent Signature_______________________



As the parent or legal guardian of this child I authorize my child to fully participate in Google Apps for Education including but not limited to Gmail (PK-8 school district only accounts). I understand that by consenting to my child's registration to Google Apps for Education, I am enabling my child to participate in all aspects of this platform. I understand that participation in Google Apps activities may enable my child to post personal information (ex. e-mail address) that will be accessible to other Google Apps members within our school district. I further understand that what other Google Apps members do with this information is beyond the control of Google Apps for Education and USD 235. I understand that my child's information will be collected and processed in the United States and that the site uses cookies. I consent to these practices. I understand that I may withdraw my permission granted herein, with written notice, at any time. I also understand that it is important to provide accurate information in this consent form in case there is a need to contact me for any reason.


Parent/Guardian Signature: _________________________

  Student Signature: ________________________




I agree to follow all guidelines in the Student Handbook and the Technology Agreement which can be found online, in the student handbook, and a copy can be requested from the district office.  I understand that if I do not follow the guidelines, I will be subject to the consequences set forth by the district for my device.


Student Signature: ___________________    Parent Signature: ___________________

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