Registration Package - transfer from DDSB school
Transcription
Registration Package - transfer from DDSB school
Pine Ridge Secondary School 2155 Liverpool Road North Pickering ON L1X 1V4 [email protected] tel: 905-420-1885 fax: 905-420-3714 www.PineRidgeSecondarySchool.ca Pre-Admission Package Thank you for your interest in attending Pine Ridge Secondary School. 3. 1. Complete the attached forms: Student Registration Form Application for Direction of School Support Immunization Information Form Computing and Information Technology Facilities and Resources Acceptable and Safe Use Procedure: Parental Consent Form 2. Obtain and attach the following documents with this package: Official Transcript or Status Sheet Attendance Record for the most recent school year Individual Education Plan (if applicable) Record of Community Service Hours (if applicable) Ontario Secondary School Literacy Test results (if applicable) Proof of Citizenship (Birth Certificate or Passport) Proof of Residency Status and Record of Landing (if not born in Canada) Proof of residency (e.g., Purchase Agreement of new home, Ownership Title, Lease/Rental Agreement, Property Tax Assessment) Proof of Custody (court order and/or Consent for Guardianship, as appropriate) if the student does not reside with both parents (children in foster care must have a Children’s Aid Society worker present at the registration appointment) Mail, fax, email, or deliver all documents to the attention of the Guidance Office. Pine Ridge Secondary School 2155 Liverpool Road North Pickering ON L1X 1V4 4. Fax: 905-420-3714 Email: [email protected] If your application has been accepted, you will be contacted to schedule an interview with a vice-principal. The scheduling of and interview does NOT guarantee acceptance to Pine Ridge Secondary School. Student Information Last Name First Name Middle Name(s) Previous School(s) Phone Number Reason for Leaving Performance at Previous School(s) During the pre-registration interview, be prepared to discuss your academics, behaviour, and attendance at your previous school(s). School and/or Community Supports Please indicate which (if any) of the following services and/or agencies are or have been involved with your child’s programming: Occupational Therapist Psychological Services Speech and Language Therapy Social Worker Attendance Counsellor Other: ______________________________ Parent/Guardian Acknowledgement (if student is under 18) Your signature indicates that the information contained within this pre-registration package is complete and accurate. Students under the age of 18 must be accompanied by a parent or legal guardian AND by a custodial guardian (as applicable) at the interview. Signature: Date: DURHAM DISTRICT SCHOOL BOARD STUDENT REGISTRATION FORM School No. Shaded Area For Office Use School Name Legal Last Name Legal First Name male female Legal Middle Name Usual Last Name Preferred First Name Telephone Number Unlisted Grade Homeroom Date of Birth Status Year Month Out Of Area House number Gender Day Verification OEN Overflow Transportation Yes Stay for Lunch Yes Apt/Unit Street Name (if rural include Lot and Concession Number only) Occasional No (please contact the school on the day the student will be staying ) City/Town Postal Code (if rural include 911 Number) Mailing Address (if different from above include city/town) Previous School Language of Instruction at Last School Country of Birth Citizenship Canadian Admit Reason If Canada, Province of Birth Year Permanent Student Resident Visa Admit Date Native Ancestry Custody If born outside Canada, date of entry into Canada Parent Work/ Refugee Visa First Language Immigration Documentation Tuition Paid Student Native Education Directly to Visa Authority the Board Language Spoken at Home: Exclusive First Name Address (if different from student’s) Home phone (if different from above) Cell Phone Business Phone Number Parent 2 Surname Available at Work First Name Copy of Correspondence Yes Relationship to Student Lives with Student Yes Address (if different from student’s) Home phone (if different from above) Cell Phone Business Phone Number Copy of Correspondence Guardian Surname (if not living with parents) Available at Work First Name Address (if different from student’s) Home phone (if different from above) Business Phone Number Available at Work Student Living with Relationship to Student Yes Yes Willing to Volunteer Yes Willing to Volunteer Yes Court Order Lives with Student Yes Email address Email address Yes Relationship to Student Cell Phone Email address Yes Willing to Volunteer Yes Copy of Correspondence Yes SIBLINGS ATTENDING A DURHAM ELEMENTARY OR SECONDARY SCHOOL Given Name School Attending (if different) Relationship First Emergency Contact (Other than Parents) Second Emergency Contact (Other than Parents) Doctor’s Name Special Arrangements Day Both Parents Joint Parent 1 Surname(primary contact) Surname Crown Month Phone Number Health Conditions and/or Allergies Medication Administered at School (Please specify) Relationship Pick up Student Relationship Pick up Student Health Card Number (optional) Yes Yes Grade Phone Number Unlisted Yes Phone Number Unlisted Yes Permission to Transport Yes by Ambulance Life Yes Threatening Epipen Provided Form on File If the student has a DANGEROUS life threatening allergy, the “Allergy Alert Form” and “Request For Administration of Medication by Injection in Emergency Situations Form” must be filled in. Forms are available in the office. Alternate address/Childcare Provider (if applicable) Phone Number Before School Address is busing drop off / pickup / other Address is drop off / pickup / other After school Address is busing drop off / pickup / other Address is drop off / pickup / other POTASSIUM IODIDE PILL The following only applies to parents with students attending schools within a 10km radius of either Pickering or Darlington Nuclear Generating Stations. All schools within the radius have a copy of the Durham District School Board’s Nuclear Emergency Procedures. In the event of a serious accident at the Nuclear Generating Station, radioactive material may escape from the station. One type of radioactive material that may be released is radioiodine. If radioiodine is inhaled, it is absorbed by the thyroid gland. The ingestion of potassium iodide (KI) pill will minimize the amount of radioiodine absorbed by the thyroid gland. It is expected there will be sufficient time to close the school and evacuate your child before any radiation exposure occurs. However, a decision has been made to pre-distribute KI pills to all schools within a 10km radius. All principals have been instructed that the issue of these pills is subject to Provincial Authorization. There may be some reaction to the KI pills for individuals allergic to iodine. For this reason, it is important for parents to notify the school if they suspect or know their child is allergic to iodine. For questions regarding thyroid-blocking potassium iodide, please contact the Regional Municipality of Durham Health Dept. at 905-723-3818 ext. 2188 or 1-888-777-9613 ext. 2188 Yes I grant permission for my child to be administered a KI pill My child is allergic to iodine EMERGENCY SCHOOL CLOSURE During inclement weather, the Board may attempt to keep schools open but this does not mean that students must be sent to school. It is the parents’ responsibility to decide if conditions are safe for their children to walk to and from school. Listen to radio announcements early in the morning. When buses are cancelled in the morning they will not run in the after afternoon. In case of inclement weather or an emergency due to lack of heat, water or a gas leak, etc., I grant permission for my child to be sent home Yes If your child is NOT to be sent home please specify alternate arrangements: INTERNET ACCESS I have read the ACCEPTABLE AND SAFE USE PROCEDURE form and I give permission for my child to access the internet while at school Signature of Parent/Guardian or Students 18 years and older WAIVERS My child’s school work, may be displayed in school buildings (other than the student’s classroom), school or board publications, articles in the local media, and any film/media. I give consent I do not give consent My child’s photograph/visual likeness may be displayed in school buildings (other than the student’s classroom), school or board publications, articles in the local media, and any film/media. I give consent I do not give consent My child’s school work or photograph/visual likeness may be displayed on the Durham Board website. I give consent I do not give consent I give permission for my child to be included in neighbourhood excursions under a teacher’s supervision. I give consent I do not give consent I give permission for my name and phone number be used by School Community Councils for the purpose of sharing school information. I give consent I do not give consent If this student is currently suspended or expelled from any school in Ontario please indicate suspension or expulsion If yes, name of the school you were suspended or expelled from and a contact name suspension expulsion In accordance with the Municipal Freedom of Information and Protection of Privacy Act, 1989, s29(2), personal information is collected under the authority of Education Act R.S.O. 1980, c 129, s.10, and will be used for the general administration of our schools. Questions about this collection should be directed to Superintendent of Education/Employee Relations, Durham District School Board, 400 Taunton Rd. E. Whitby, Ontario L1R 2K6, 905-666-5500. I understand that it is my responsibility to advise the school immediately of any changes in any information stated on this form. I acknowledge that the school accepts no liability for thefts which may occur on the school premises. Date Signature of Parent/Guardian or Student 18 years and older Date Signature of School Administrator Application for Direction of School Support under section 16 of the Assessment Act Demande d’affectation des taxes scolaires en vertu de l’article 16 de la Loi sur l’évaluation foncière. An application must be made to the Assessment Commissioner to include or revise school support on the assessment roll. Pro perty Iden tifier / Iden tification d e pro priété NBHD Q u a r ti e r Po ur a joute r ou mo difier l’affe ctatio n d es ta xes sco laires sur le rôle d’évaluation, il faut soumettre une demande au commissaire a l’évaluation. C ou nty C om te Mun Mun. M ap /D iv Pla n/d iv . Map/Sub P l a n /s e c . Parcel Pa rce lle P r im / S u b P r in c / se c Ins truc tion s: se e re ve rse sid e / voir au verso Please enter or revise my school support designation on the assessment roll in accordance with the following information. Veuillez inscrire ou modifier l’affectation de mes taxes scolaires sur le rôle d’évaluation selon les renseignements ci’après. Mu nicipality / Mu nicipalité Ad dres s of P roperty / Ad ress e de la prop riété Unit/A pt / Logement /App. Res idenc e Te l. No. / N° de t el.(d om icile) Ma iling A ddres s - if different from abo ve / Adresse postale - si autre que ci’dessus Street No.,Name, P.O. Box, RR# / N° et rue, C.P., R.R. Com plete for ru ral areas only / Remplir dans les ces des zones rurales seulement City / Ville Province/Province Country/Pays Postal Code/Code postal Lot N o./N° de lot Bu sines s A ddres s - if self-em ployed o r in partne rship in bu sines s / Adresse comm erciale - comm erçant indépendant ou société de personnes Plan/Conc No. N ° d e p la n / c o nc . Bu sines s Te l. No. / N° de tel. (bureau) List oth er prop erties tha t you ow n or ren t in the M unicipality or Re gion / Indiquez les autres propriétés que vous possédez ou louez dans la municipalité ou la région. Pleas e A nsw er All Qu estion s B elow. / Veuillez répondre à toutes les questions ci-dessous. For S cho ol Boa rd Us e O nly / Rés ervé au c ons eil scola ire B C Occupants Status Statut de l’occupant(e) 1. Owner Pro priétaire This person lives: Cette personne demeure: 2. Tenant Loc ataire 1. At above address à l’ad res se indiq ué e cidessus 3. Spouse Conjoint 4. Child, boarder, etc. En fant, pen sion naire etc. A Res ident (Please Print) Résident(e) (S.V .P.) First N am e(s) / P r é n o m ( s ) 1 2 Male Homme Female Femme G B ir th / N a is s a n ce y e a r / a nn é e Month moi Day Jour G Canadian Citizen Citoyen canadien Yes oui G 3 G No Non 4 Las t Nam e / No m de f am ille First N am e(s) / P r é n o m ( s ) 1 2 Male Homme Female Femme G B ir th / N a is s a n ce y e a r / a nn é e Month moi Day Jour G Canadian Citizen Citoyen canadien Yes oui G 3 G No Non 4 Las t Nam e / No m de f am ille First N am e(s) / P r é n o m ( s ) 1 2 Male Homme Female Femme G B ir th / N a is s a n ce y e a r / a nn é e Month moi Day Jour G Canadian Citizen Citoyen canadien Yes oui G 3 G No Non 4 Las t Nam e / No m de f am ille First N am e(s) / P r é n o m ( s ) 1 2 Male Homme Female Femme G B ir th / N a is s a n ce y e a r / a nn é e Month moi Day Jour G Canadian Citizen Citoyen canadien Yes oui G 3 G No Non 4 Las t Nam e / No m de f am ille First N am e(s) / P r é n o m ( s ) 1 2 Male Homme Female Femme G G B ir th / N a is s a n ce y e a r / a nn é e Month moi Canadian Citizen Citoyen canadien Yes oui Sc hoo l lease in effec t? Procuration scolaire signée? Indica te Cocher ( T) Day Jour Indicate (T) area occupied. Cocher les parties occupées: G G * This application is: Cette demande est: G Approved Approuvée D ate / D a te Day Jour G 3 G No Non Roman Catholic? French-language Education Rights? catholique? Droit à l’enseignement en langue française? 3. Els ew he re In th is m unic ipality ailleurs dan s ce tte mu nicipa lité 1. E ng lish- Pu blic Public de langue anglaise 2. En glish-S epa rate Séparé de langue anglaise 3. Fr en ch -Pu blic Public de langue française 4. Fren ch-S epa rate Séparé de langue française 4 G G G G 1 2 3 4 G G G G G G G G G G G G G G G G 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 G G G G yes oui G yes oui G no non G no non G 1 2 3 4 G G G G G G G G G G G G G G G G yes oui G yes oui G no non G no non G 1 2 3 4 yes oui G yes oui G no non G no non G 1 2 3 4 yes oui G yes oui G no non G no non G 1 2 3 4 yes oui G yes oui G no non G no non G 1 2 3 4 Whole House Maison entière Base. Apt. App. Au sous-sol 1st Floor 1er. étage 2nd Floor 2e. étage 3rd Floor 3e étage G G G G G Na m e of S cho ol Bo ard / A gen t / Nom du conseil scolaire/agent Signature of Owner or Tenant Signature du propriétaire ou du locataire 2. Els ew he re o n this prop erty ailleurs sur ce tte prop riété Su ppo rter/Ele ctor for: Co ntribua ble/éle cteu r des écoles: 4. In ano ther m unic ipality dan s un e au tre mu nicipa lité List all occupants, including ALL children. I n s c ri v ez le n o m d e t o us l e s oc c u p a n ts , ,y c o m p r is T O U S l e s e n fa n t s . Las t Nam e / No m de f am ille Sch ool Sup port (see instructions) Sou tien sc olaire (voir les instructions) G G G G G G G G G G G G G G G G G G G G Owner or tenant of this property since Propriétaire ou locataire de le propriété depuis Date / Da te Year An né e Mont h M ois Day J o ur Is here by authorized to act as agent in matters of school support designation in respect to the above mentioned prop erty(ies) o n be half of th e un ders igne d. I est autorisé par le présente à agir en tant au’agent pour les questions relatives à l’affectation des taxes scolaires en ce qui concerne le(les) propriété(s) mentionnée(s) ci-dessus au nom du (de la) s ous sign é(e). Month Mois Refused Rejetée Year Année Signature of Owner or Tenant Signature du propriétaire ou du locataire Date / Da te Year Année Mon t h Mois Day Jour Signature of Assessment Commissioner Signature du commissaire à l’évaluation Date / Da te Year Année Mon t h Mois Day Jour Reason for Refused / Motif du refus For School Board Use Only / Réservé au conseil scolaire 2 1 29 K (9 7 -1 2 ) W P M P A C Information about the Application The Application for Direction of School Support form enables any person to apply to have their school support included or revised on the assessment roll by sending the completed form to the Regional Assessment Commissioner. The collection of the information on the form is authorized under the Assessment Act and any personal information is confidential and protected under the Freedom of Information and Protection of Privacy Act. The information will be used to direct your school taxes; to indicate whether you will be an elector for English-language or French-language school trustees; to prepare voters’ lists for municipal and school board elections; to help with municipal and school board planning. Note: Tenants have the right to direct school taxes even though they may not pay taxes directly. Included below are instructions to help you complete each section of the form. If you have any questions about the form or about school support, please contact your local Public or Separate school board. HOW TO COMPLETE THE APPLICATION A Resident Every person in your household should be listed. Put the family name first, followed by given name(s). Owner or tenants are listed first, followed by spouses, all children, and other occupants. If this form is not for your permanent home (for example, if it is for your cottage or your business), only owners, tenants and spouses should be listed - children and other occupants should not be listed. B Occupant’s Status Is this person an owner, tenant, spouse, child, boarder or other resident? Note: A Roman Catholic who has signed a separate school lease will be shown as a tenant. This does not affect their ownership. C School Support Roman Catholic - includes Greek and Ukrainian Catholics French-language Education Rights You have French-language education rights if you are a Canadian Citizen and can answer “yes” to any one of the following questions: 1. Is French the language you first learned and still understand? 2. Did you receive your elementary school instruction in Canada in French? (This does not include French immersion or French as a second language.) 3. Have any of your children received, or are they now receiving, elementary or secondary school instruction in Canada in French? (This does not include French imm ersion or French as a second language.) School Board Persons who are not Roman Catholic and do not have French-language rights, must be English-Public school supporters. Persons who are not Roman Catholic but do have French-language education rights, must be either English-Public or French-Public school supporters. Roman Catholics who do not have French-language rights must be either English-Public or English-Separate school supporters. Roman Catholics who have French-language education rights, have the choice of supporting any one of the following school boards: English-Public, English-Separate, French-Public or French-Separate. If you do not indicate which school board you support, it will be assum ed that you are an English-Public school supporter. Renseignements sur La demande La Demande d’affectation des taxes scolaires, dûment remplie et envoyé au commissaire régional à l’évaluation, permet à quiconque de demander de préciser ou modifier son soutien scolaire sur le rôle d’évaluation. Ces renseignements sont recueillis en vertu de la Loi sur l’évaluation foncière et toute information personnelle sera tenue strictement confidentielle et protégée par la Loi sur l’accès à l’information et la protection de la vie privée. Ces renseignements serviront à déterminer la destination de vos taxes scolaires; à préparer les listes électorales aux fins des élections municipales et scolaires; à faciliter la planification scolaire et municipale. Nota: Même s’ils n’acquittent pas directement leurs taxes scolaires, les locataires ont le droit d’en choisir l’affectation. Voici quelques directives qui vous aideront à remplir chacune des sections du form ulaire. Si vous avez des questions concernant le formulaire ou le soutien scolaire, adressez-vous au conseil d’écoles publiques ou séparées de votre localité. Comment remplir la demande A Résident(e) Chaque occupant doit être recensé: le nom de fam ille d’abord, suivi de tous les prénoms; assurez-vous aussi que le sexe, la date de naissance et la citoyenneté de chaque personne sont bien inscrits. Les noms de famille inscrits en premier sur la liste doivent être ceux des propriétaires ou locataires, suivis de ceux du conjoint, de tous les enfants et de tout autre occupant de la propriétaire Si le formulaire ne concerne pas votre domicile permanent (un chalet ou un bureau par exemple), seuls les noms du propriétaire ou du locataire et du conjoint doivent figurer sur la liste. N’inscrivez pas les enfants et autres occupants. B Statut De l’occupant(e) La personne est-elle: propriétaire, locataire, conjoint, enfant, pensionnaire ou autre? Nota: Un(e) propriétaire catholique qui a signé un <<bail d’école séparée>>, sera classifié(e) comme <<locataire>>. Cela ne modifie aucunement le statut de propriétaire de cette personne. C Soutien scolaire Catholique - comprennent aussi les catholiques grecs ou ukrainiens Droit à l’enseignement en langue française Vous avez droit à l’enseignem ent en langue française si vous êtes citoyen(ne) canadien(ne) et que vous pouvez répondre <<oui >> à n’im porte laquelle des questions suivantes: 1. Le français est-il la première langue que vous avez apprise et le comprenez-vous toujours? 2. Avez-vous fait vos études primaires en français au Canada? (Cela n’inclut pas les program mes d’imm ersion ou de français langue seconde.) 3. Avez-vous un ou des enfants qui ont fait ou qui font des études primaires ou secondaires en français au Canada?(Cela n’inclut pas les program mes d’imm ersion ou de français langue seconde.) Conseil Scolaire Toute personne d’allégeance non catholique et qui ne jouit pas du droit à l’enseignement en français doit destiner ses taxes scolaires à un conseil d’écoles publiques de langue anglaise. Toute personne d’allégeance non catholique mais qui jouit du droit à l’enseignem ent en française doit destiner ses taxes scolaires à un conseil d’écoles publiques de langue anglaise ou française. Les catholiques qui ne jouissent pas du droit à l’enseignement en français doivent destiner leur taxes scolaires soit à un conseil d’écoles publiques de langue anglaise, soit à un conseil d’écoles séparées de langue anglaise. Les catholiques qui jouissent du droit à l’enseignement en française ont le choix de destiner leurs taxes scolaires à l’un ou l’autre des conseils scolaires, à savoir écoles publiques de langue anglaise, écoles séparées de langue anglaise, écoles publiques de langue française ou écoles séparées de langue française. Si vous ne confirmez pas votre préférence en matière de soutien scolaire, vos taxes scolaires seront destinée au conseil d’écoles publiques de langue anglaise. ( R ) 2 1 29 K (9 7 -1 2 ) W P M P A C Dear Parent/Guardian and Student: The Durham District School Board is pleased to provide parents/guardians and students with information regarding computing and information technology facilities and resources available to students at school. Please read this letter and the accompanying Acceptable and Safe Use Procedure. DDSB computing and information technology facilities and resources are made available to students to support their learning, research requirements, and career preparation. Such facilities and resources may include computers and associated peripherals, the communication infrastructure and related equipment including local area networks (LANs) and wide area networks (WANs), facsimile machines, scanners, copiers, telephone, video, and other multimedia devices and forms of software. DDSB services and technologies are expanding to allow all schools to offer Internet access to their students. The Internet is a vehicle for accessing a global network of information resources. It provides valuable information and interaction unavailable elsewhere. Students may use this service to locate and retrieve information and communicate with others. With access to Internet resources from all over the world comes the availability of material that may be questionable, objectionable, or illegal, or contact with persons who may exhibit unacceptable behaviour. The DDSB provides Internet access to students and staff through IBM’s NetVista which utilizes Cyber Patrol filtering software. This software blocks access to specific sites known to contain violence, sexually explicit acts, intolerant, racist, and other extremist viewpoints, cults, etc. No software is capable of blocking all unacceptable Internet sites. However, the Internet is a leading technology in the delivery of information in today’s society and therefore, an integral part of our student’s education. Teachers and students are instructed on the safe and acceptable use of the Internet and other DDSB computing and information technology facilities and resources. Teachers will supervise student use of the Internet as they supervise student use of all other school resources. All students are expected to abide by the DDSB Acceptable and Safe Use Procedure included with this letter. Misuse and/or abuse of the facilities and resources are subject to consequences as defined and explained in their school’s Student Code of Behaviour. In addition, use of the Internet is governed by Regulation 5500, the Durham District School Board Code of Conduct, which states that “a student may be suspended or expelled from his or her school, expelled from attending any school in Ontario, and/or prohibited from engaging in school-related activities if the student commits an infraction of the Code of Conduct while he or she is at school, engaged in a school-related activity, or engaged in conduct that has a relationship to the school, school community, the reputation of the school or Board.” In addition, use is governed by all relevant federal (e.g., Copyright), provincial (e.g., Education Act), DDSB (Policies and Procedures), and local school (e.g., School Code of Behaviour) laws and regulations. Use of DDSB computing and information technology facilities and resources for illegal, political, or private commercial purposes is strictly prohibited. The onus is on the user to know and to comply with these laws and regulations. We look forward to providing students with the opportunity to use the school’s computing and information technology facilities and resources in a safe and meaningful way. Acceptable and Safe Use Procedure for computing and information technology facilities and resources Students must complete the attached Computing and Information Technology Facilities and Resources Acceptable and Safe Use Procedure: Parental Consent Form. Students who do not complete this form, which also acknowledges they have read and will abide by the code of conduct, will not have access to computers within the school. Applies to the use of all computer resources, including use of the Internet. Students are expected to adhere to the hardware, software, and Internet Policies of the Durham District School Board and the school. Students are encouraged to use the computers and technology systems available at school for the express purpose of academic achievement. Computer resources are to be used only for the purposes of schoolrelated activities and are not to be used for commercial or non-school related activities. Students accessing material obtained from any source will not plagiarize this material in any school assignment or project, or aid other students in plagiarizing material. Students will not access, send, print, or distribute inappropriate material. Examples of inappropriate material include, but are not limited to, the following: - Content which is sexual, pornographic, racist, violent, satanic, militant, or extremist; - Material depicting illegal activities, drug and drug culture, cults, gambling, betting, MUDS, or violent games; - Fraudulent, harassing, or obscene messages or materials. Chain letters and other forms of mass mailings are not permitted; - Contents deemed inappropriate by school administration. Students will not be allowed to access chat groups, chat lines or Usenet News Groups. Games, other than those approved and installed by Board personnel, are not permitted. Students are responsible for proper password protection and a student may only use the account assigned to them. Frequent changing of one’s password is encouraged. Students will not attempt to circumvent data protection schemes or uncover security loopholes. Students will not violate terms of applicable software licensing agreements and copyright laws. Students will not knowingly run or install on any computer system or network, (or give to another person), a program intended to damage or to place excessive load on a computer system or network. This includes their home address, telephone number, picture, route taken to school, parent’s hours of work, etc. Students will inform the teacher immediately when accidental access to inappropriate materials, or with unacceptable users, has been made. Students will assume that all communications distributed on the system are private and confidential and will not disseminate them without permission from the original author. Students will report all instances of hardware damage or changes to the Windows desktop or operating system immediately. Student files and folders will be monitored by the site administrator. Students may lose computer privileges at school Possible suspension, possible expulsion, based on the seriousness of the offence Parents will be informed of serious technology infractions and resulting consequences Computing and Information Technology Facilities and Resources Acceptable and Safe Use Procedure: Parental Consent Form PLEASE NOTE: The completion and return of this form is required for student access to our computer/technology system. I have read the “Acceptable and Safe Use Procedure for Computing and Information Technology Facilities and Resources” and the accompanying letter to Parents/Guardians and Students. I understand that if I do not follow the rules and procedures outlined therein, my access to computing and information technology facilities and resources may be terminated. Student #: _______________________________ Homeroom: ______ Homeroom Teacher: _________________________ Student Name: _________________________________________________ Student Signature: _______________________________ Date: _______________________________ Parent/Guardian Signature: _______________________________ Date: _______________________________ This form must be returned to your homeroom teacher as soon as possible after the beginning of classes. Computer privileges will be temporarily permitted but will be withdrawn after a grace period if the form has not been received.
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