• Pocahontas School District 1:1 Student Chromebook Program Agreement Form

    Pocahontas School District 1:1 Student Chromebook Program Agreement Form

  • PLEASE COMPLETE THE FOLLOWING DOCUMENTS AND RETURN TO THE SCHOOL OFFICE IN ORDER TO RECEIVE A CHROMEBOOK.

  • The 1:1 Student Chromebook Program documentation can be found on the schooll website at

    www.pocahontaspsd.com - Explore

  • Student / Parent Information and Signatures (PLEASE PRINT)

  • Yes, I have received a copy of the 1:1 Student Chromebook Program. I understand the program conditions and my responsibilities in using the Chromebook computer.

  • Date:*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date:*
     / /
    2 digit month, 2 digit day, 4 digit year
  • By signing this agreement, the student and parent / guardian agree to follow and accept:

    • Student AUP - Acceptable Use Policy / Internet Agreement
    • This Chromebook Agreement in its entirety
    • The Website and Social Media Guidelines (below)
    • That Pocahontas School District owns the Chromebook, software, and issued peripherals
    • If the student ceases to be enrolled in Pocahontas School District, the student/parents will return the Chromebook in good working order or pay the full $250.00 replacement cost of the Chromebook. In addition, the student must also return both the Chromebook and AC adapter. Students may be charged for any piece that is not returned.
    • In no event shall Pocahontas School District be held liable to any claim of damage, negligence, or breach of duty.
  • Chromebook computers that are not returned prior to student departure for the summer or withdrawal from school will cause the school district to file a criminal complaint with the Pocahontas Police Department or the Randolph County Sheriff’s Office.

  • Website & Social Media Guidelines

  • Think before you act because your virtual actions are real and permanent! Please read over the following statements. Students need to initial on the left hand side and parents on the right.

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