Acceptable Use Policy - Permission Forms

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The Acceptable Use Policy should have stated that written parental consent is required before any student is given access to the Internet or to electronic mail. 

There needs to be a signature form for parents and students to sign indicating that they have read, understand and intend to abide by the school's Acceptable Use Policy.

The form needs to be easy to understand and cover the unacceptable uses and penalties for misuse. It should state that students will be held accountable for violations of the Acceptable Use Policy and that disciplinary action may be taken.

Sample Permission Forms

• Parent Permission Forms - Bellingham Public Schools, Bellingham, Washington
  • Parent Internet Permission Form - High School (pdf file)
  • Parent Internet Permission Form - Middle School (pdf file)
  • Parent Internet Permission Form - Elementary School (pdf file)
  
   
• Acceptable Use Policy Forms and Letters - Cleveland Municipal School District, Cleveland, OH
   
• Computer/Internet Usage Agreement - Hannibal Public School District, Hannibal, MO
   
• Permission Forms - Department of Education, State of Hawaii
  • Internet Access Parent/Guardian Permission Form
  • Internet Access Student Application Form
  
   
• Permission Form - Houston Independent School District's
   
• Acceptable Use Agreement Student Form - Monroe County Community School Corporation, Bloomington, IN
   
• Student Acceptable Use Policy Consent Form - Monroe Township Public Schools, Williamstown, NJ
   
• Student Acceptable Use Policy for Internet Access - Technology Learning Center, Oakland Unified School District
   

Next Section - Acceptable Use Policy Samples