CYBERSAFETY 2016-17 HCS Grades 6-12 CIPA Verification Form
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First Name
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Grade Level
Third Period Teacher
CIPA VERIFICATION-DIGITAL SIGNATURE
By completing the digital signature below, I attest that I have been educated on the following topics:
**Cyberbullying awareness and response
**Appropriate online behavior-interacting with others on social networking and chat rooms
**Staying safe online--protecting personal information
Please type your name below as a digital signature for CIPA verification. *
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