TECHNOLOGY USAGE POLICY Technology Usage Agreement Form www.marshallk12.

org
From time to time, your child's school or the district may wish to publish examples of student projects, quotes,
photographs, student recognition and/or video that include your child on the Marshall County Schools' web pages, in
publications authorized by school officials, or on Marshall County's Community Channel. Pictures or video posted on
the Marshall County Schools' web sites, in publications authorized by the school or district, or shown on the
Community Channel may include but are not limited to students when they are involved in projects, when they are in
large groups, or when they receive recognition. Selected school materials published on the web could include but are
not limited to; artwork, written papers, videos, and/or class projects.
Students:
I acknowledge that I have read, understand, and agree to all terms in the Marshall County Schools Technology
Usage Policy as outlined in the Marshall County Schools' Policy Manual. I further understand that, as a student in
Marshall County Schools, I am responsible for appropriate behavior when using any Marshall County Schools
technology resource or any personal technology resource if allowed on campus.
I understand that any or all of the following disciplinary actions could be imposed if I break any of the rules in the
policy:
1. loss of access to any technology resources such as but not limited to computers, printers, the Internet, and/or
video equipment;
2. additional disciplinary action determined as appropriate at a specific school by school staff; and/or legal action,
when applicable.
I also understand that this agreement will be binding during my entire career at my current school.
Students may not be allowed computer access until this form has been completed, signed, and returned. If you have
any specific questions regarding the policy, please contact the Principal at your school.

___ As a student of Marshall County Schools, I understand and agree to

comply with the Technology Usage Policy. (Initial Here)
Parent/Guardian
My child may use the Internet while at school according to the rules outlined in the Marshall County Schools
Technology Usage Policy. _____Yes ____No
My child's picture (including those in a video format) may be published on Marshall County web pages, other
district/school licensed sites and/or district or school TV channels as outlined above. __Yes __No
My child's full name may be published on the Internet, in publications, authorized by school officials, and/or school
and district TV channels. __Yes __No
My child's selected school materials may be published on the Internet, in authorized publications, and/or school and
district TV channels. __Yes __No
My child may have an email account for school related purposes. __Yes __No

Student Name____________________________________
Student Signature_________________________________ Date_________ Parent
Signature__________________________________Date_________

Technology Usage Policy Available at www.marshallk12.org

2.
3.
4.
5. 6.
unless otherwise prescribed by a doctor.

Media Waiver
Should a student need to take medication at school, the medication must be administered in the office by trained staff
member or the school nurse. The student must consume his/her medication in the presence of said staff mem- ber.
The medication must be brought to the office, in the original prescription bottle with the signed school form. The form,
signed by the parent and the physician if medicine is prescribed by a physician, states the name, time and amount of
medication to be administered.
As the parent/guardian, I hereby grant permission to Marshall County Schools to allow the publication of the picture
and full name of child in school-related articles in the following publications: (1) The Sand Mountain Reporter, (2)
Advertiser Gleam, (3) The Birmingham News,(4) Arab Tribune, (5) The Gadsden Times and (6)The Huntsville Times.
This permission also also applies to any and all Internet versions of those publications. I understand that if I deny this
permission, my child will be excluded from having his or her photograph taken along with peers and class mates, for
such publications.
I give my consent to Name, Photography and Statements. __Yes __No CELL

PHONES Agreement

By signing the cell phone agreement, I understand the terms of the Cell Phone Policy as presented in the Student
Handbook.
Student Name_________________________________
Student Signature______________________________ Date__________ Parent
Signature_______________________________ Date__________