JGESA Distance Learning Information 3/25/2020
Please complete the following to help JGESA be sure all students have the resources they need to participate in a Distance Learning plan.
Email address *
Student (s) Name *
Your answer
Does your student(s) have a devise at home to access online learning? This may be a home computer, tablet, or a JGESA chromebook *
Does your home have access to internet so your student may participate in online distance learning? *
If you borrowed a JGESA Chromebook please complete the questions below - JGESA TECHNOLOGY EQUIPMENT USE AGREEMENT
This form is designated as a waiver for technology equipment use for outside of school. Students and parents are required to fill out this form for any equipment that is being borrowed.
Check-Out Date
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DD
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YYYY
Check-In Date (estimate if you are unsure)
MM
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DD
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YYYY
Chromebook
If you chose OTHER, please fill out the details of the technology borrowed.
Your answer
Requirements for use: I agree to take responsibility for technology hardware/software listed above in exchange for the use of the equipment for educational purposes only. I understand I am responsible for maintaining the equipment/software in working condition while said equipment is in my possession. I agree to return the equipment in the same working condition that I received it to the designated personnel. I agree and understand that if the technology equipment, software, and/or other related items are stolen, vandalized, misplaced, destroyed, etc that I am responsible and will reimburse (pay) the school the amount required to replace or repair the equipment, software or other related items. I will not modify, Powerwash or add accounts that are not school-related and approved.
STUDENT: By typing, in your full name you are electronically signing this form and herein agree to the above requirements and technology responsibilities.
Your answer
Today's Date
MM
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DD
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YYYY
PARENT: By typing, in your full name you are electronically signing this form and herein agree to hold your student the above requirements and technology responsibilities.
Your answer
Today's Date
MM
/
DD
/
YYYY
If you need to contact the school about the technology you have borrowed, please contact the Tech Team --> tech@jgesa.org
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