June 2016

Student/Parent High School Mobile Device Usage Agreement 2016-17 Students: This form must be turned in to librarian on the day your mobile device is issued. ___ I/We have read the SUHSD guides for students and parents. We have also reviewed the SUHSD Mobile Device acceptable use policy carefully. ___ I agree to be responsible for taking good care of my mobile device and to follow all school rules. ___ I agree to keep my mobile device charger in a safe place at all times. ___ I understand my financial liability for a total loss or damaged mobile device Lenovo Yoga 11e is $451.50. ___ I understand the consequences for breaking school rules with my mobile device. Student’s Name (print):

Student ID

Student’s Signature: Parent/Guardian’s Name (print): Parent/Guardian Email Address: Parent/Guardian’s Signature:

Date:

Students and parents share the responsibility to care for the mobile device issued by the Sweetwater Union High School District. Warranty coverage is limited. Parent(s) agree to pay a repair cost of $250.00 in the event that the LCD screen is damaged _______ (initial here). Parent(s) agree to pay a repair cost of $40.00 in the event of a damaged or lost power cord___________ (initial here). Parent(s) agree to pay a repair cost of $100.00 in the event of vandalism _________ (initial here). Lost or stolen device must be reported immediately to a school administrator

(initial here).

The receipt of a mobile device will meet the Williams Legislation for some courses as listed below. This legislation states that every school in the district is required to provide “Sufficient” instructional materials for all students in the core subject areas of mathematics, English/language arts, history/social science and science (plus health and world languages). Each pupil including English learners must have textbooks or instructional materials, to use in class and at home. Sweetwater Union High School District programs and activities shall be free from discrimination based on gender, sex, race, color, religion, ancestry, national origin, ethnic group identification, marital or parental status, physical or mental disability, sexual orientation or the perception of one or more of such characteristics. SUHSD Board Policy 0410.