STUDENT DEVICE CHECK OUT PROGRAM ACCEPTANCE OF RESPONSIBILITY and HOME USE AGREEMENT
Submitting this document indicates that my family needs to borrow a device from WLS. During Distance Learning at WLS and the need to access a WLS Device for home use, my family agrees to the following conditions:
I understand that devices are distributed as they are available in order of priority by grade, starting at grade 8.  WLS will distribute one device per family as available.  *
Parent/Guardian and student understand all aspects of the World Learner School’s Technology Use Agreement (found on WLS website). *
The School Device will be designated for use by the undersigned student. *
Accessing the internet via the School Device shall be used for instructional purposes and not for recreational or employment activities. *
WLS has the right to recall and review the contents of the reports produced by the installed filtering software, which tracks usage data, time of day of access and captures internet browsing history. *
WLS has the right to recall and review the contents of the School Device at any time including any personal information that may be stored on or accessible by the device. *
Device use unrelated to the WLS educational program (including but not limited to downloading of personal games or music, and installing additional applications) are prohibited. *
Once the School Device is returned, data the student may have stored on the device will no longer be accessible. *
Parents and guardians are responsible for monitoring their students’ use of the Device *
The School Device and accessories will be surrendered immediately upon request of the instructor or other school official. *
Parent/Guardian and/or student accepts full responsibility for the Device. Parent/Guardian agrees to reimburse the school for any damage caused as a result of student negligence or misconduct regardless of where the damage occurs. *
Parent /Guardian will reimburse for the cost of a replacement should the School Device be lost, stolen or damaged. The costs incurred will not exceed the original cost of the device and its accessories. In the case of lost, stolen or damaged equipment, parent/student agrees to contact the school within five business days so that appropriate procedures can be put into action to ensure replacement. If a device is lost or stolen and the replacement cost creates a financial hardship, the parent/guardian must contact the director to determine a solution to this difficulty. *
Device users will follow the guidelines for use and care of the device provided at pick up. *
Name of Parent/Guardian *
Name of Student(s) *
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This form was created inside of The World Learner School of Chaska.