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2021-2022 Chromebook Student User Agreement

Please complete the form below. Required fields marked *

This form should be filled out by rising 8th grade students and 9th-12th grade students and any K-12 students requesting a Chromebook during remote learning. Please review the document below with your child before signing the form.

https://drive.google.com/file/d/1Z8tRt2hJdl8yMFHEDvSFHf-cWyE4LD1m/view?usp=sharing

Student Name:*

(First and Last name- no nicknames, please)

Answer Required

Student Acknowledgement*

Answer Required

I acknowledge receipt of the Chromebook Student User Agreement and with the Acceptable Use Policy contained in Union Academy's Parent/Student Handbook.

Parent's Name:*

(First and Last name, please).

Answer Required

Parent Acknowledgement*

Answer Required

As the parent or legal guardian of a minor student signing above, I acknowledge the purpose and rules related to his/her use of the Chromebook and related services. I understand that some materials on the Internet may be objectionable and inappropriate, but I accept responsibility for guidance and supervision of the student’s Internet use outside of the School and for setting and upholding the school’s standards, procedures and rules when selecting, sharing, or exploring information and media. I acknowledge that the student’s violation of the Chromebook Student User Agreement or School’s Acceptable Use Policy may subject the student to disciplinary and/or financial consequences.