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Certificated Request for Uniform Resource Locator (URL) Access by hmh17149

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									   Board of Trustees                                                                                                   District Administrative
   John Norman, President                                                                                             2045 South San Jacinto A
   Willie Hamilton, Clerk                                                                                               San Jacinto, CA 92583
   Nancy Ayres, Member                                                                                                                (951) 929
   Deborah Rex, Member                                                                                                           Fax: (951) 658
   John Schouten, Member                            Shari L. Fox, Ed.D., District Superintendent                            www.sanjacinto.k12
                                                             sfox@sanjacinto.k12.ca.us




             Certificated Request for Uniform Resource Locator (URL) Access



Name: ________________________________________________________________

Site: __________________________________________________________________

URL requested: _________________________________________________________


Instructional purpose:

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________


I understand that, if approved, my request for access may be removed at the District’s
sole discretion for any reason. I also agree to comply with all applicable Administrative
Regulations and Board Polices including the District’s Acceptable Use Agreement and
the Child Internet Protection Act with respect to this access. I understand that all
internet activity is monitored and I agree to use this URL access for valid instructional
purposes only and as approved on this form. I understand that misuse of this access
will be reported to Personnel Services and will result in disciplinary action.


Signature:____________________________________________________________


Supervisor Signature: ___________________________________________________



When complete, please fax this form to the Technology Department at 929-7042

Jayne Christakos, Asst. Superintendent   Lucinda Edmunds, Asst. Superintendent    Diane Perez, Asst. Superintendent
                                         Scott Shira, Asst. Superintendent
Business Services                        Educational Services                     Personnel Services
           Facilities & Operations
jchristakos@sanjacinto.k12.ca.us         ledmunds@sanjacinto.k12.ca.us            dperez@sanjacinto.k12.ca.us
        sshira@sanjacinto.k12.ca.us
Fax (951) 652-7350                       Fax (951) 929-2890                       Fax (951) 652-6250
             Fax (951) 929-5343

								
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