RSU73 MLTI – TECHNOLOGY USE PERMISSION AND AGREEMENT FORM
RSU 73's Acceptable Use Policy, Internet Safety Policy and Technology Care and Use Guidelines provide a foundation for a partnership that the school and parents must share to support safe, healthy and effective technology use habits by our children. By submitting this form you agree that you have reviewed the information contained in these documents with your child, understanding the expectations and accept all responsibilities outlined in these documents.

This document is for parent/guardian use only. Students are not to fill this form out. Falsifying any information, acknowledgement and/or permission on this form will breach district policies and could result in disciplinary actions.

Your responses will be retained for the current 2017-2018 school year, but will not be shared except for internal management and communication purposes relating to the administration of the MLTI program.

Email address *
Choose school student attends *
Student's Name : *
Your answer
Grade Level :
Your answer
Internet Safety Policy and Acceptable Use Policy *
I have reviewed the RSU 73 Internet Safety Policy (ISP) and Acceptable Use Policy ( AUP ) with my child and we agree to the expectations, responsibilities, and consequences outlined in student handbook. Visit this link http://rsu73.org/wp-content/uploads/2014/12/RSU73-Student-Internet-Safety.pdf and http://rsu73.org/wp-content/uploads/2014/10/IJNDB-E.pdf. Answer Yes or No and know that your email will be your signature for agreement.
Required
Parent/Guardian Name *
Your answer
Parent/Guardian Email address *
Your answer
Student Homeroom / Connections Teacher : *
Your answer
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