Cell Phone Or Mobile Device Contract Form 2014 printable pdf download

Student Name ___________________________

Please Print

STUDENT/PARENT CELL PHONE OR MOBILE DEVICE CONTRACT

Should a student not have this signed contract on file, he/she will lose the opportunity for a warning and have the cell phone privilege

revoked for the remainder of the school year.

Maintaining the integrity of the learning environment is the top priority

•

Students will be permitted to have cell phones in their possession throughout the school day. However, cell phone use

will only be permitted before the first bell and after the last bell of the day.

•

Students MUST have their cell phones turned off during the school day and while being transported on the school bus;

cell phones shall cause no disruption.

•

During the expressed time when cell phones are allowed to be on and in use, students are encouraged to keep their phone

on a “silent” mode, should that telephone option be available.

•

Cell phones will not be visible during the school day.

•

The only exception to the above polices is as follows: Technology including, but not limited to, laptop computers, cell

phones, and personal digital assistants intended and actually used for instructional purposes will be permitted, with the

teacher’s permission and supervision and the permission of the administrator.

Should a student be observed using a cell phone, or a cell phone rings during the school day, discipline action may include but

is not limited to a dean’s referral and confiscation of the phone. Additionally, student abuse of this policy will result in the student

losing the privilege to be able to carry a cell phone permanently, or for a period of time as determined by an administrator.

•

Student behavior concerning cell phones must be consistent with the School Board Policy 5500.

•

Student cell phones ringing in class will result in confiscation of the phone and disciplinary action.

•

Should confiscation occur the phone will only be returned when retrieved by a parent or guardian.

During times of testing and other student evaluations, teachers may request that students remove their cell phone from their

possession, either by returning to a locker or placing under a desk, reducing the possibility of compromised test security.

Fire drills, assemblies, or other school evacuations are considered cell phone blackouts. During such contingencies, there will

be absolute ZERO TOLERANCE on cell phone use.

STUDENT CONTRACT

I,________________________________________(student’s name) understand that possession of a cellular telephone on school

campus is a privilege, and that it may be revoked at any time by the administration for violating this school policy regarding such

possession, which I have been provided with and read. Furthermore, I understand that the school and its employees are in no way

responsible for any theft or damage of my cellular phone while on school grounds. The school is not obligated to investigate the loss

or damage of any phone.

Student signature: _____________________________________________________Date:_________________________

Cell phone make, model and phone number: _____________________________________________________________

(This information will be used in any attempt to locate your phone should it be lost or stolen.)

***Should you acquire a new cell phone, you must furnish the make, model and number of your phone to the dean’s office

immediately, or this contract will be null and void.***

PARENT CONTRACT

I, ________________________________________ (parent’s name) understand this contract regarding my student’s possession of a

cellular telephone on campus. Furthermore, I understand that the school and its employees are in no way responsible for any theft or

damage of my child’s cellular phone while on school grounds. The school is not obligated to investigate the loss or damage of a cell

phone. Should my student’s cell phone be confiscated, I understand that it will only be returned when I come to school to retrieve it.

_______________________________________________________

Parent/Guardian Name (Please print)

Parent/guardian Signature: ________________________________________________Date:___________________________

Revised by Student Services January 2014

Cell Phone Or Mobile Device Contract Form 2014

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