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Parent Contact Information Contact Information

Accept responsibility for accessing the Student Handbook and Student. Code of Conduct by visiting the Web address listed above. I understand that the handbook contains information that my child and I may need during the school year and that all students will be held accountable for their behavior and will be subject to ...
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2017-2018

Student/Parent Contact Information First Name

Last Name

Grade

Date of Birth

Physical Address

Mailing Address

Premont, Tx 78375

Premont, Tx 78375

Other Mailing Address:______________________________ City:________________ ZIP______

Contact Information Mother’s Name:

Phone

Email Address: Father’s Name:

Phone

Email Address: *Guardian’s Name:

Phone

Email Address: *PISD must have appropriate documentation on file List a neighbor or relative who will assume temporary care of your child if you cannot be reached. This information must be filled out at registration.

Name

Physical Address

Phone

*Please be sure that the names listed above are those of individuals that will assume temporary care of your child if you cannot be reached. Students will not be given permission to leave campus during the day unless they are officially checkedout, in person, by individuals listed on this form. *PLEASE UPDATE ANY CONTACT INFORMATION IMMEDIATELY WHEN THERE ARE ANY CHANGES.

Student Name

Grade

Acknowledgment of Electronic Distribution Student Handbook and Code of Conduct 2017-2018

My child and I have been offered the option to receive a paper copy of or to electronically access at www.premontisd.net the PREMONT ISD Student Handbook and Student Code of Conduct for 2017–2018. I have chosen to:

□ Receive a paper copy of the Student Handbook and Student Code of Conduct.

□ Accept responsibility for accessing the Student Handbook and Student Code of Conduct by visiting the Web address listed above. I understand that the handbook contains information that my child and I may need during the school year and that all students will be held accountable for their behavior and will be subject to the disciplinary consequences outlined in the Student Code of Conduct. If I have any questions, I should direct those questions to the campus principal. Premont Early College Academy – Misty Benavides Premont Collegiate High School – Michael Gonzalez Campus: Signature of student: Signature of parent: Date:

Premont Independent School District HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB §89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student’s permanent record folder. NAME OF STUDENT______________________________________STUDENT ID#________________ ADDRESS_____________________________________TELEPHONE #_________________________ CAMPUS__________________________________________________________________________ 1. What language is spoken in your home most of the time? _____________________________ 2. What language does your child (do you) speak most of the time? _______________________ ___________________________________ Signature of Parent/Guardian ___________________________________ Signature of Student if Grades 9-12

_____________________________ Date _____________________________ Date

-------------------------------------------------------------------------------------------------------------------------------------

Distrito escolar independiente de Premont Cuestionario del idioma que se habla en el hogar DEBE DE COMPLETARSE POR EL PADRE/MADRE/ O REPRESENTANTE LEGAL: (O POR EL ESTUDIANTE SI ESTA EN LOS GRADOS 9-12): El estado de Texas requiere que la siguiente información se complete para cada estudiante que se matricula por primera vez en una escuela pública de Texas. Este cuestionario se archivará en el expediente del estudiante. NOMBRE DEL ESTUDIANTE_____________________________________ #ID__________________ DIRECCION ____________________________________ TELEFONO__________________________ ESCUELA __________________________________________________________________________ 1. ¿Qué idioma se habla en su hogar la mayoría del tiempo? _____________________________ 2. ¿Qué idioma habla su hijo/a (usted) la mayoría del tiempo? ___________________________ _______________________________________ Firma del Padre/Madre/ o Representante Legal _______________________________________ Firma del estudiante si está en los grados 9-12

____________________________ Fecha _____________________________ Fecha

PREMONT ISD SPECIAL EDUCATION DEPARTMENT 2017 – 2018 Student Name:________________ Grade:______ _________________________________________________________ Enrollment of a NEW STUDENT to: Premont Elementary School (Pre-K – 5th Grade) Premont Secondary School (6th – 12th Grade) Has your child received SPECIAL EDUCATION SERVICES or 504 at the previous school he/she was attending? □ YES -- please list their disability__________________________________________ (Contact Premont ISD SPED Department clerk immediately to obtain records requests)

□ NO If YES was selected by parent…please ensure that the enrollment/registration sheet and SPED document is submitted to Premont ISD SPED Department clerk immediately.

Field Trips for Premont ISD The students of PREMONT ISD will have the opportunity to go on a number of educational field trips during the year. As always, parental consent must be granted in order for your child to attend/participate. YES, I give permission for _______________________________ to attend field trips. Name

Grade

NO, I do not give permission for ___________________________ to attend field trips. Name

Grade

I understand and realize that the Premont Independent School District is not legally liable under Texas Laws for injuries of any nature at any time or any place to any person(s), pupils, teachers, other employees, or any other person whatsoever. Chaperone(s) for the conference, meeting, activity, will expect all students who are participating in the program/activity to give them their complete cooperation and to comply with all requests governing their conduct and activities.

PARENT/GUARDIAN SIGNATURE

DATE

Phone Number: ___________________

Emergency Information In case of an emergency I give permission for my child to receive emergency medical treatment. In case of such emergency please contact:

PARENT/GUARDIAN SIGNATURE

DATE

______________________________ Emergency Contact Person

____________________ Phone Number

Premont Independent School District Transportation Department PO Box 530*Premont, TX 78375*361-348-3915, ext. 2202

Bus Rules/ Change of Address For everybody’s safety, the bus driver has the right to do the following: 1. Assign seats 2. Submit names of misbehaving students to the campus principal for disciplinary action, which may include suspension and/or expulsion from the school bus.

Students are to do the following while riding in a school bus: 1. Be courteous and respectful to the bus driver and others (NO violence [fighting] or vulgar language). Violence and/or vulgar language will result in bus suspension and/or expulsion from the bus, as decided by the campus principal. 2. Remain seated at all times. (Keep head, hands, and arms inside the bus.) 3. Keep the bus clean. (Do not eat or drink in the bus.) 4. Take care of the bus. (Do not vandalize and/or destroy school’s property.)

Riding a school bus is a privilege; therefore, if you want to ride the school bus, follow the rules as explained above.

If you have any questions, you may contact Gloria Garcia at the number listed above. Date:

Student Name:

Grade:

Parent Name:

Phone Number:

Physical Address: Parent Signature:

Student Signature:

FOR OFFICE USE ONLY Bus Number

Bus Driver

BUS ROUTE

PREMONT ISD 2017-2018 School/Parent/Student COMPACT Student Name ___________________________________ Grade___________ TEACHER/PRINCIPAL AGREEMENT

It is important that all students achieve to their greatest potential. Therefore, we shall strive to do the following: • Communicate and work with families to support quality student learning. • Care about all students and their success. • Provide relevant assignments that are appropriate for students. • Provide an enjoyable, supportive, learning environment. • Maintain high expectations for all students, parents, and educators. Teacher’s Signature: ______________________________________________________ Principal’s Signature: _____________________________________________________

PARENT/GUARDIAN AGREEMENT

I want my child to achieve to his/her greatest potential. Therefore, I shall strive to do the following: • Be actively involved in the education of my child including attending parent/teacher conferences • See that my child is punctual and attends school regularly, • Encourage my child’s efforts. • Provide uninterrupted time (without TV) for reading, homework, and other learning activities. • Support the school in its effort to maintain proper discipline. Parent’s/Guardian’s Signature: _______________________________________________

STUDENT AGREEMENT

It is important that I get the best education possible. Therefore, I shall strive do the following: • Attend school regularly and on time. • Come to school each day with the necessary material for learning. • Follow school and classroom rules • Complete and return school assignments to the best ability. • Respect self, others, and community. Student’s Signature: ______________________________________________________

2017-2018 Texas Education Data Standards Appendix 8.F – PEIMS Supplemental Information for Reporting Ethnicity and Race Data Reporting Final Version 2018.F.1.0

Exhibit 1A Student/Staff Ethnicity and Race Data Questionnaire in English Texas Education Agency Texas Public School Student/Staff Ethnicity and Race Data Questionnaire The United States Department of Education (USDE) requires all state and local education institutions to collect data on ethnicity and race for students and staff. This information is used for state and federal accountability reporting as well as for reporting to the Office of Civil Rights (OCR) and the Equal Employment Opportunity Commission (EEOC). School district staff and parents or guardians of students enrolling in school are requested to provide this information. If you decline to provide this information, please be aware that the USDE requires school districts to use observer identification as a last resort for collecting the data for federal reporting. Please answer both parts of the following questions on the student’s or staff member’s ethnicity and race. United States Federal Register (71 FR 44866) Part 1. Ethnicity: Is the person Hispanic/Latino? (Choose only one) Hispanic/Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. Not Hispanic/Latino Part 2. Race: What is the person’s race? (Choose one or more) American Indian or Alaska Native - A person having origins in any of the original peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment. Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. Black or African American - A person having origins in any of the black racial groups of Africa. Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Student/Staff Name (please print)

(Parent/Guardian)/(Staff) Signature

Student/Staff Identification Number

Date

This space reserved for Local school observer – upon completion and entering data in student software system, file this form in student’s permanent folder. Race – choose one or more: Ethnicity – choose only one: American Indian or Alaska Native Asian Hispanic / Latino Black or African American Native Hawaiian or Other Pacific Islander Not Hispanic/Latino White Observer signature:

Campus and Date: Texas Education Agency – March 2017 1

2017-2018 Texas Education Data Standards Appendix 8.F – PEIMS Supplemental Information for Reporting Ethnicity and Race Data Reporting Final Version 2018.F.1.0

Exhibit 1B Student/Staff Ethnicity and Race Data Questionnaire in Spanish Agencia de Educación de Texas Cuestionario de Información de Datos Raciales y de Etnicidad de Estudiantes/Miembros de Personal de las Escuelas Públicas de Texas El Departamento de Educación de Estados Unidos (USDE) requiere que todas las instituciones estatales y locales de educación, recopilen datos sobre etnicidad y raza de los estudiantes y de miembros de personal. Esta información es utilizada para los reportes estatales y federales así como para reportar a la Oficina de Derechos Civiles (OCR) y a la Comisión de Igualdad en el Empleo (EEOC). Al personal del distrito escolar y los padres o representante legal de estudiantes que deseen matricularse en la escuela, se le requiere proporcionar esta información. Si usted rehúsa proporcionarla, es importante que sepa que el USDE requiere que los distritos escolares usen la observación para identificación como último recurso para obtener estos datos utilizados para reportes federales. Favor de contestar ambas partes de las siguientes preguntas sobre la etnicidad y raza del estudiante así como del miembro de personal. Registro Federal de Estados Unidos (71 FR 44866). Parte 1. Etnicidad: ¿Es la persona Hispana/Latina? (Escoja solo una respuesta) Hispano/Latino – Una persona de origen cubano, mexicano, puertorriqueño, centro o sudamericano o de otra cultura u origen español, sin importar la raza. No Hispano/Latino Parte 2. Raza. ¿Cuál es la raza de la persona? (Escoja uno o más de uno) Indio Americano o Nativo de Alaska – Una persona con orígenes o de personas originarias de Norte y Sudamérica (incluyendo America Central), y que mantiene lazos o apego comunitario con una afiliación de alguna tribu. Asiático – Una persona con orígenes o de personas originarias del Lejano Este, Sureste de Asia o el subcontinente indio, incluyendo, por ejemplo a Cambodia, China, India, Japón, Corea, Malasia, Pakistán, las Islas Filipinas, Tailandia y Vietnam. Negro o Áfrico-Americano – Una persona con orígenes de cualquier grupo racial negro de África. Nativo de Hawai u otras islas del pacífico – Una persona con orígenes o de personas originarias de Hawai, Guam, Samoa u otras Islas del Pacífico. Blanco – Una persona con orígenes de personas originarias de Europa, el Medio Este o el Norte de África.

Nombre del Estudiante/Miembro de Personal (por favor use letra de imprenta)

Firma(Padre/Representante legal) /(Miembro de personal

Número de Identificación del Estudiante/Miembro del personal

Fecha

This space reserved for Local school observer – upon completion and entering data in student software system, file this form in student’s permanent folder. Ethnicity – choose only one: Race – choose one or more: Hispanic / Latino American Indian or Alaska Native Not Hispanic/Latino Asian Black or African American Native Hawaiian or Other Pacific Islander White Observer signature:

Campus and Date: Agencia de Educación de Texas – Marzo 2017 2

PREMONT INDEPENDENT SCHOOL DISTRICT Migrant Education Program 439 Southwest 4th Street Premont, TX 78375

2017-2018

(361)348-3915 ext. 2202

FAMILY SURVEY

Date:____________________ Dear Parents, In order to better serve your children, the Premont Independent School District would like to identify students who may qualify to receive additional educational services. The information provided below will be kept confidential. Please answer the following questions and return this survey form to your child’s school. Or, if you prefer, for more information, call: (361) 561-8615

Name of child____________________________________ Age______________ Grade________ 1. Have you moved within the last 3 years?

Yes______ No_______ 2. If yes, have you done agricultural or fishing related work since your move? (e.g., field work, canneries, lumbering, dairy work, meat processing) Yes______ No_______

If you answered “yes” to both of the questions above, an education representative may contact you to find out whether your child is eligible for additional educational services. Please provide the following information: Parent/Guardian Name: Address: Telephone Number:

Alternate Phone Number:

Email Address:

Best Time to Contact You:

Schools: Please return this survey to the Federal Programs Office, ATTN: Gloria Garcia

PREMONT INDEPENDENT SCHOOL DISTRICT Migrant Office 439 Southwest 4th Street Premont, TX 78375

2017-2018

(361)348-3915 ext. 2202

ENCUESTA DE FAMILIA

Fecha:___________________ Estimados padres, Para mejorar los servicios educativos de sus hijos, el distrito escolar de Premont quisiera identificar estudiantes que puedan calificar para recibir servicios educativos adicionales. Toda la información proporcionada será mantenida confidencial. Favor de responder a las siguientes preguntas y devolver esta forma a la escuela de su niño/a. O, si prefiere, para más información, llame a: (361) 561-8615

Nombre de su Niño/a: _____________________________Edad _________ Grado ________ 1. ¿Ha cambiado de residencia usted o alguien en su familia dentro de los últimos tres años? Sí______ No _______ 2. Si usted contesto “sí” en la pregunta anterior, ¿ha trabajado usted en la agricultura o en la pesca? (por ejemplo, la labor, fábrica de conservas, explotación de bosques, trabajo en la lechería, el proceso de carne) Sí______ No _______

Si usted contestó "Sí," en las dos preguntas anteriores, un representante del distrito escolar quizás se vaya a comunicar con usted para averiguar si su niño/a califica para servicios educativos adicionales. Favor de completar la siguiente información: Nombre del Padre/Guardián: Número de teléfono:

Número Alterno:

Dirección: Dirección de correo electrónico:

La mejor hora para localizarlo:

Schools: Please return this survey to the Federal Programs Office, ATTN: Gloria Garcia

Premont Independent School District Emergency & Health Data Parent/Guardian: To serve your child in case of ACCIDENT OR SUDDEN ILLNESS It is necessary that you furnish the following information annually. 2017-2018 Student’s Name ____________________________Birth Date_____/_____/_____ Grade _________ A Med at School Form must be signed by the Dr. and both parents before the Nurse will administer medications at school. A Food Allergy Action Plan must be filed separately with the Nurse. Please designate the student’s Doctor in case an emergency arises. Doctor___________________________________PH#______________________________Address__________________________ List any Health/Medical conditions that the student may have:

Heart kidney Epilepsy Asthma

eye or ear problems low blood sugar or diabetes Severe allergies Other _________________________

Does your child carry an inhaler

yes

no

List any surgeries that the student may have had: 1. 2. 3.

Please list your child’s allergies: 1. 2. 3.

• • • • • • • •

Your child’s vision, hearing, weight, height, spine (visual assessment for abnormal curvature), and blood pressure will be screened in selected grades as required by law and school policy. I, do hereby authorize officials of PISD to contact the person(s) named on this form, and do authorize the physician listed to render such treatment necessary in the event of an emergency to the child. In the event that the physician, other person’s on this form, or parent cannot be contacted, the school officials (Principal or Appointed designee) are hereby authorized to take whatever action is necessary in their judgment, for the health of the child. I will not hold the school district financially responsible for the emergency care and or transportation for the said child. The undersigned, legal custodian of ________________________ a minor, hereby authorize the Principal or Appointed Designee into whose care the aforementioned minor pupil has been entrusted, to consent to any emergency x-rays, treatment, or hospital care. It is understood that this authority is given in advance of any required diagnosis, treatment or hospital care and provides power to the aforementioned agent to give specific consent to any and all such diagnosis, treatment, or hospital care which a licensed physician or dentist might deem necessary. The authorization is given for the full school year unless revoked in writing and delivered to said agents. Understand that PISD, its officers, and its employees assume no liability of any nature in relation to the transportation of the child.

Signature of Parent or Guardian____________________________________ Date ____________________

PREMONT INDEPENDENT SCHOOL DISTRICT P.O. Box 530 PREMONT, TEXAS 78375 (361)348-3915

REQUEST FOR MEDICAL-PROFESSIONAL RECORDS Dear Parent/Guardian: We feel that it is necessary to request information concerning your child’s medical/health history so that we may meet his/her needs in the school setting. Your signature on the following release form will give us your permission to request this information. Date

_

Principal’s Signature

REQUEST FOR RELEASE OF MEDICAL-PROFESSIONAL RECORDS I do hereby give my consent for the release and exchange of information contained in the Medical or professional record. Child’s Name Name and Address of Professional to be contacted for information

Birth Date Information needed by School

Send information to School Contact Telephone Number Date

Signature of Parent/Guardian Relationship to Child

Premont Independent School District P.O. Box 530 Premont, Texas 78375 Phone # (361)-348-3915 Ext.2003

Fax #(361)-348-2882

Name of Student: _______________________________________________ Birth Date ___/___/___ Age:____ Social Security #____________________ This questionnaire is intended to address the McKinney-Vento Act 42 U.S.C. 11435. The answers to this residency information help determine the services the student maybe eligible to receive. 1. Is your address a temporary living arrangement? _____Yes _____No 2. Is this temporary living arrangement due to loss of housing or economic hardship? _____Yes _____No If you answered YES to the above questions, please complete the remainder of this form. If you answered NO, you may stop here.

Where is the student presently living? (Check one box) ____ In a motel ____ In a shelter ____Moving from place to place ____ With more than one family in a house or apartment ____ In a place not designed for ordinary sleeping accommodations such as a car, park, or Campsite. Name of Parent (s) Legal Guardian (s) ___________________________________________ Address________________________________ Zip_____________ Phone______________ Presenting a false record or falsifying is a offense under Section 37.10, Penal Code, and enrollment of the child under false documents subjects the person to liability For tuition or other costs. TEC Sec.25.002 (3) (d) Signature of Parent/Legal Guardian__________________________________ Date___________ Please send a copy to Premont ISD at the Central Office or Fax a copy to (361)348-2882

Distrito escolar independiente de Premont P.O. Box 530 Premont, Texas 78375

Teléfono # (361) - 348 - 3915 Ext.2003

Fax # (361)-348-2882

Nombre del estudiante: ________________________________________ Fecha de nacimiento ___ / ___ / ___ edad: _____________previsionales #_________________ Este cuestionario es destinada a cumplir con el acto de McKinney-Vento 42 U.S.C. 11435. Las respuestas a esta información de residencia ayudan a determinar los servicios al estudiante tal vez elegible para recibir. 1. Es su dirección en un arreglo de vivienda temporal? ___Si ___No 2. Es este arreglo de vivienda temporal debido a la pérdida de penurias económicas o vivienda? ___Si ___No Si usted contestó sí a las preguntas anteriores, por favor complete el resto de esta forma. Si su respuesta es NO, usted puede dejar aquí.

Dónde está actualmente viviendo el estudiante? (Marque una casilla) ___ En un motel ___ en un refugio ___Moving de sitio a otro ___ Con más de una familia en una casa o apartamento ___ En un lugar no diseñado para ordinario plazas como un coche, aparcar, o Camping. Nombre del padre (s) encargado (s) ___ Address________________________________ Zip_____________ Phone______________ Presentar un registro falso o la falsificación es una ofensa bajo la sección 37.10, Código Penal, y la inscripción del niño bajo documentos falsos somete a la persona a responsabilidad Por matrícula u otros costos. TEC Sec.25.002 (3) (d) Firma del padre/Legal Guardian______________________________Date________________ Por favor, envíe una copia a Premont ISD en la Oficina Central o Fax una copia a (361) 348-2882

Premont Independent School District Military Connected Student Form 2017-2018 PLEASE RETURN THIS FORM TO YOUR CHILD’S CAMPUS ONLY IF YOUR CHILD MEETS ONE OF THE CRITERIA BELOW In 2009 The Texas Legislature adopted the Interstate Compact on Educational Opportunity for Military Students – Texas Education Code Chapter 162. This legislation requires schools to recognize and extend certain privileges to students who are military dependents and to assist military dependent students in the transition process of changing schools when their military parents are reassigned and forced to relocate. Parent Name: Student Name:

Date of Birth:

Grade:

Campus:

Please check one box below to indicate if your child is a dependent of a member of: For all students: Active Duty: Army, Navy, Air Force, Marine Corps, or Coast Guard [This includes Missing in Action (MIA)] Texas National Guard Reserve Duty: Army, Navy, Air Force, Marine Corps, or Coast Guard For Pre-Kindergarten students ONLY: Armed forces or reserved forces of the United States (Army, Navy, Air Force, Marine Corps, or Coast Guard) or Texas National Guard who has been injured or killed while on active duty

Campus: ______________________

Student Grade Level__________

Authorization for Use of Computer Resources within Premont Independent School District 2017-2018 Premont Independent School District has no control of the information on the internet, nor does it provide any technological barriers to account holders accessing the full range of information available. Site accessible via the internet may contain material that is illegal, defamatory, inaccurate, or potentially offensive to some people. Access to any information on the internet is ultimately the responsibility of the user. Student and parent/guardian signatures are required prior to use of computer resources within the district. As a student in the Premont Independent School District, I agree to abide to the district’s policies as stated in the Student Acceptable Usage Policy, regarding use of computer resources. Student Name (PRINT) _____________________________________________ Student Signature _________________________________________________ Date:____________________________

PERMISSION FOR THE PUBLICATION OF CLASSROOM WORK/PICTURES ON SCHOOL WEB PAGES I understand that there may be an occasion at which time the school may wish to publish examples of projects and/or photographs of students, and other work on an internet accessible world-wide web server. _____Yes, my child’s photo, artwork, projects etc. can be used. _____No, my child’s photo, artwork, projects etc. cannot be used.

I have read and understand my responsibility as the parent or guardian for actions by the student listed above regarding computer resource usage and permission for publication of classroom work/pictures on school web pages. Parent Name (PRINT) _____________________________________________ Parent Signature _________________________________________________ Date:____________________________ Student Acceptable Usage Policy 2017-2018

Google Apps for Education/Chromebook Acceptable Use Policy The Premont Independent School District will be using Google Apps for Education in Grades K-12. These accounts will be used for school related projects only and will provide students with very powerful collaboration tools including Documents, Spreadsheets, Forms and Presentations. The email feature for all Grade 6-12 Google Apps accounts has been restricted to only allow students to send/receive to other premontisd.com teacher or student accounts. K-5 students will not be able to use the email feature of Google Apps. District educators make every reasonable effort to monitor student conduct related to class content in order to maintain a positive learning community. All Google Apps participants will respect the teachers' time and professionalism by supporting the same positive approach. All Google Apps participants will be respectful in their postings and comments. Inappropriate language, personal insults, profanity, spam, racist, sexist or discriminatory remarks, cyberbullying or other threatening comments will be not be tolerated. All Google Apps user files and e-mail communications are subject to review by administrative district staff; the use of this service is for class-related projects and assignments. As such, users should avoid use for non-school related purposes; as a district-monitored service, there should be no expectation of privacy. No student, or other participant, may include any information on the site that could compromise the safety of him/herself or other class members. Participants should avoid specific comments about school location, schedules or personal information. All Google Apps users must protect their log-in and password information and class passwords (if any). If participants suspect that a password has been compromised, they must notify the teacher immediately. No Google Apps participant may share his/her log-in information or protected information about the site with anyone who is not an authorized participant. Digital plagiarism of other users’ work is unacceptable. Student use must follow all other expectations as listed in the Premont ISD Acceptable Use Policy. Failure of students to follow these guidelines may result in disciplinary action and/or termination of this service. Parent/Guardian Consent: Google Apps for Education runs on an Internet domain purchased and owned by the school and is intended for educational use. Your student’s teachers will be using Google Apps for lessons, assignments, and communication. Google Apps for Education is also available at home, the library, or anywhere with Internet access. School staff will monitor student use of Apps when students are at school. Parents are responsible for monitoring their child’s use of Apps when accessing programs from home. Students are responsible for their own behavior at all times. I agree to the parent expectations and give my child permission to use Google Apps for Education. Parent/Guardian Name: _________________________Parent/Guardian Signature:_______________________ Date: _______________

Student Consent: I agree to abide by the Student Expectations of Acceptable use of Google Apps for Education. Student Name: _________________________Student Signature:____________________________ Campus: ______________________________ Grade:____________ Date: _______________