Fillable Student Information Form (Page 3 of 3) in pdf

MONTGOMERY INDEPENDENT SCHOOL DISTRICT

Student:

_______________________________

_____________________________________

First Name

Last Name

Campus:

_______________________________

Homeroom Teacher: __________________

PARENT/STUDENT HANDBOOK ACKNOWLEDGEMENT

In an effort to reduce non-instructional costs, we are making the M.I.S.D. Student and Parent Handbook and Student Code of

Conduct available on-line. They can be accessed on the Montgomery Independent School District website ( ). Please

indicate below whether you will access these documents on-line or need a hard copy.

Yes, I have access to the internet, and will access the above listed documents on-line.

Instructions for accessing on-line: Go to ; Click on Parent Information; Click on Student Handbooks

No, I do not have access to the internet, and I need a hard copy of the above listed documents.

The handbook and Student Code of Conduct are an attempt to develop positive communication among students, parents, and faculty;

it was developed by representatives from each group. The contents herein reflect the Montgomery Independent School Board

Policy and will be in effect during the 2015–2016 school year, unless pre-empted by law.

I understand and agree that students shall be held accountable for their behavior and consequences outlined in the Student Code of

Conduct at school and at school-sponsored and school-related activities, including school-sponsored travel and for any school-related

misconduct, regardless of time or location. I understand that any student who violated the Student Code of Conduct shall be subject to

disciplinary action, up to and including referral for criminal prosecution for violations of law.

ESPONSIBLE

ECHNOLOGY

GREEMENT

As the parent or guardian of this student, I have read the Network and Internet Use Policy and the Responsible Use Technology

Agreement for Students. I understand the conditions for use of the network and Internet resources provided by the Montgomery ISD

and that access to technology resources are provided for the purpose of promoting education excellence in keeping with the academic

goals of the District, and that student use for any other purpose is inappropriate. I recognize it is impossible for the District to restrict

access to all controversial materials, and I will not hold the school responsible for materials acquired on the school network. I

understand that children’s computer activities at home should be supervised as they can affect the academic environment at school.

I understand that my child is responsible for any transactions that occur under his or her user ID or account, that any violation of that

policy will be considered a violation of the Student Code of Conduct, and that my child may be denied access to the district’s

technology resources in addition to any other disciplinary action.

I understand as a parent or guardian of this student that Montgomery ISD may issue technology resources to this student for use in the

normal course of instruction such as, but not limited to, an Apple iPad that has geo-tracking capabilities installed on that device. I

further understand that this agreement serves to fulfill any legal requirement Montgomery ISD has to notify a parent or guardian and

by signing this agreement I give my permission for this student to use a technology device that has geo-tracking capabilities installed.

I understand that from time to time the school may wish to publish examples of student projects or photographs of students on the

School District’s website.

I D

I DO NOT give permission for my child to use technology resources at Montgomery Independent School District.

In compliance with COPPA regulations: By signing below I also specifically give my permission to Montgomery ISD to

establish an email account for my student’s use should MISD elect to offer such a service to my student. I further understand

that this email content is not private and may be retrieved, reviewed, recovered or archived as needed by MISD.

TUDENT

NSURANCE

I choose to insure my child through the school insurance program and will pick-up the form in the Main Office

I will provide insurance for my child and choose to waive school insurance.

My signature indicates that I will be held responsible for the information communicated in the 2015-2016

Parent-Student Handbook and I have read the above information and agree to its content.

Date: _____________________________

Parent Name: ____________________________________

Parent Signature:

Student Information Form Page 3

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