Form E 6161 (A) - World Wide Web Permission To Publish January!2010 printable pdf download

E!6161!(a)!

Last!Name!of!Student__________________________

NOME CITY SCHOOLS World Wide Web Permission to Publish Form

Dear Parent/Guardian:

Your student will have the opportunity to publish documents and participate in projects on the World Wide

Web as part of the schoolʼs educational program. These projects might include a personal home page, a

story or poem, a graphic, a science or research project, a group photograph from an activity or club, or a

project in collaboration with local or international students. Your student may also have the opportunity

participate in a live videoconference with another school or an organization such as NASA or The Seward

Sea life Center. Additionally, a teacher may publish classroom work with photographs of students

involved in these activities

. Individuals with Internet access around the world will

(image use guidelines below)

be able to view and may respond publicly to your studentʼs work by electronic transmission. Nome City

Schoolʼs believes that this is an exciting and enriching opportunity for our students that will help prepare

them success in the 21

century. However, we will publish these documents only with your written

permission. Please consider the following options, then sign and return this form to your student's

teacher. To see examples of work that is already published on the World Wide Web, please contact your

studentʼs teacher or the District Technology Department.

Use of student images

Email -

Group and

Group video

Group &

Video shots of

Address

Individual

shots, no

individual photos

individual students

Photos no

names

with names (first,

with or with out

names

last or both)

names

Elementary

Never

No media

Media release

School

permitted

release needed

required

Junior/Senior

Permitted

No media

Media release

High School

release needed

required

Participation Guidelines

•

Published documents may not include a student's phone number, street or mailing address, or last

names of family members.

•

Published documents may not include any information that indicates the physical location of a

student at a given time other than attendance at a particular school or participation in school

activities.

•

Published documents may not contain inappropriate material or point directly or indirectly to

inappropriate material.

•

Published documents must conform to school board policies and established school guidelines.

•

A teacher shall edit and approve all documents prior to publication on the World Wide Web.

Parent/Guardian Signature

I grant permission for my son/daughter, _____________________________, to publish or be

published on the World Wide Web as describe above, including the following: (initial all that apply)

First Name

_____Yes

_____No

Last Name

_____Yes

_____No

Photograph

_____Yes

_____No

Return E-mail Address

_____Yes

_____No

Video Conferences

_____Yes

_____No

My student, ______________________________, does not have my permission to publish documents

or participate on the World Wide Web as described above.

Parent/Guardian Signature: ___________________________________ Date: _____________

Revised!January!2010!

Form E 6161 (A) - World Wide Web Permission To Publish January!2010

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