Request edit access
User Account Form and Acceptable Use Policy Agreement
By marking "Agree" in the box below, I understand and consent to the responsibilities, rules, regulations and procedures presented.  I also understand and agree that I will be held accountable for any misuse of the network user account for which I am applying.  I understand that the data contained on the Hattiesburg Public School District computer systems is sensitive and confidential.  I agree that I will not access or use the Hattiesburg Public School District's computers and/or network resources except for legitimate educational purposes. The following is a link to the Acceptable Use Policy in PDF format - http://goo.gl/lEcWX  Please read and mark the box below concerning the Acceptable Use Policy.
Sign in to Google to save your progress. Learn more
I have read the Internet Acceptable Use Policy for the Hattiesburg Public School District. *
First Name *
Middle Initial *
Last Name *
Select all that apply: *
Required
Work location *
Contact *
Please enter a GOOD email address where we can contact you to let you know your account is ready for use.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of hattiesburgpsd.com.

Does this form look suspicious? Report