State of Hawaii Department of Education Internet Driver's License Form

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State of Hawaii Department of Education Internet Driver's License Form Powered By Docstoc
					                   State of Hawaii Department of Education
                           James Campbell High School
                         http://www.campbell.k12.hi.us/


   Internet Access Student Form
The Department of Education (DOE) Internet services are designed for DOE K-12 students and educators. They can
be accessed via a computer and a modem at school or home and provide access to the Internet, a worldwide
telecommunications network. Internet provides a large amount of valuable information available from computers at
colleges, universities, and government agencies.

The DOE Internet services are designed to guide its users in navigating through the vast resources and also to
minimize the possibility of students accessing materials that are inappropriate for minors. However, the Department
of Education, University of Hawaii, Budget and Finance Information and Communication Services Division and
Maui High Performance Computing Center cannot guarantee that such materials will not be accessed.

There is not charge to the student for using this system.

Name:
           (please print clearly)

School: James Campbell High School
        91-980 North Road
        Ewa Beach, HI 96706    Phone: 689-1200

           Grade:                        Teacher:
           Teacher’s Signature:
Name of Parent or Guardian:
Home Address:                                                                             Phone (Home):
                                                                                          Phone (Work):
Please read and sign the statements below: ALL SECTIONS MUST BE COMPLETED AND SIGNED (*See both
sides of this paper)

 -----------------------------------------------------------------------------------------------------------------------------------------------
INTERNET ACCESS STUDENT APPLICATION
           I understand that I will be held accountable for all activities including, but not limited to, the content of
           materials sent by mail, news, or any other means using my account privileges. I agree to abide by the
           Department of Education guidelines and the JCHS Acceptable Use Policy, and that my use of this system
           will be for educational purposes only. I agree not to hold the State of Hawaii Department of Education, the
           University of Hawaii, Budget and Finance Information and Communication Services Division or Maui
           High Performance Computing Center nor any of its employees nor any of the institutions or networks
           providing access to the Internet responsible for the performance of the system or the content of any material
           accessed through it.




Student Signature                                                                         Date




                                                                                                                                      Rev 10/03
INTERNET ACCESS PARENT/GUARDIAN PERMISSION
      My child,                                                        , a student at James Campbell High School,
      has my permission to access DOE Internet services.

        I understand that my child will be held accountable for all activities including, but not limited to, the
        content of material sent by mail, news, or any other means using their account privileges. I also understand
        that my child must abide by the Internet and newsgroup etiquette guidelines and the JCHS Acceptable Use
        Policy and that use of the system will be for the educational purposes only.

        I agree not to hold the State of Hawaii Department of Education, the University of Hawaii or Maui High
        Performance Computing Center nor any of its employees nor any of the institutions or networks providing
        access to the Internet responsible for the performance of the system or the content of any material accessed
        through it.




Signature of Parent/Guardian                                             Date

SCHOOL RELEASE FOR ELECTRONICALLY DISPLAYED PROJECTS
     James Campbell High School utilizes the latest technologies to support student learning needs. As part of
     the many technological applications employed across the curriculum, we publish a variety of teacher and
     student projects on the Internet, closed circuit broadcast, cable casting on public access television, and
     multimedia presentations.

        Should your child’s work or achievement(s) be chosen for publication, your signature below acknowledges
        permission for such work or recognition or achievement(s) to be published on the Department of Education
        Internet Service, James Campbell High School closed circuit broadcast, and educational and instructional
        presentations.

        I hereby give permission for my child’s work or achievement(s), which may or may not be accompanied by
        the child’s name, email address, and/or photograph/video, to be electronically displayed. I understand that
        these will be used exclusively for non-commercial, educational purposes, which may include broadcast
        within or outside of the State of Hawaii in perpetuity. I also understand that there will be no financial or
        other remuneration and the Department of Education is not responsible for any expenses or liability
        incurred as a result of my child’s participation, including medical/health expenses resulting from or
        connected with the publication of such work.




Name:

Please indicate whether the following information may be included

  Yes        No           Your child’s e-mail address (if available)
  Yes        No           A photograph/video of your child (if available)



Signature of Parent/Guardian                                                          Date




                                                                                                             Rev 10/03
 10/03

				
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