Pilot Grove C-4 School’s Parent Portal Agreement for Web Access to Student Data Please complete this form to activate or make corrections to the PARENT PORTAL system. Through this web-based system, you will be able to view such information as your student’s attendance, course schedule, discipline reports, and grades. The information that is available for your student may vary based on grade level. You will be notified by email when your account is activated. Information for your child is available only with a password. All passwords are distributed through email. It will be your responsibility to keep this password private. We cannot issue any passwords via phone conversation. Passwords will not be issued to school children. You must have an e-mail address to view your child’s records in the Parent Portal system. A single login address provides information to all students in your household. Please write in the email address that you would like to use for student information notifications. Please list all parents or legal guardians who would like to establish access to the Parent Portal web system. _____ I would like to be able to access my student’s information over the internet. _____ I do not want access to my student’s information available over the internet. Parent Name(s) _________________________________________________________________________ Primary Email(s) PRINT __________________________________________________________________ Guardian Name(s) _______________________________________________________________________ Primary Email(s) ________________________________________________________________________

Student Name(s)

Grade

Date of Birth

I understand that it is my responsibility to protect my PARENT PORTAL password. I understand that I take full responsibility should I share my password with my children. I understand that the PARENT PORTAL system may not be available 24 hours a day due to maintenance on the school network, weather related interruptions, etc. _____________________________________

___________________________________

____________

Parent/Guardian Signature

Printed Name

Date

Please return this letter to the high school office. If you have any questions, please contact us. Janet Stoecklein

Jason Eckerle

STI Coordinator

Technology Director

Phone: 660.834.4415

[email protected]

[email protected]

Fax: 660.834.4401

parent portal agreement.pdf

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