NDMS Student Device Agreement Form 2025-2026

Each Dorchester County Public School student is assigned a DCPS laptop or iPad for daily instructional use in school. Devices remain at school unless DCPS authorizes at-home use during approved virtual instruction, which includes 4 hours of required synchronous learning.

By signing the below, the student and their parent/guardian agree to follow and accept:
• The Board of Education of Dorchester County Acceptable Use Policy (193.00)*
• The Board of Education of Dorchester County Portable Electronic Communication Devices Policy (480.1)*
• Dorchester County Public School owns the Device, software and issued peripherals.
• If the student ceases to be enrolled in Dorchester County Public Schools, the student/parents will return the Device in good working order or pay the full replacement cost of the computer as listed below.
• If the assigned device or charger is not returned with the assigned labels to the assigned student, the student may be charged for the device.
• In no event shall Dorchester County Public Schools be held liable for any claim of damage, negligence, or breach of duty while the device is in the possession of the student.
*Copies of the above stated policies are available on the DCPS website.

Repair/Replacement Costs
Costs are dependent on the type(s) of repair, replacement, and age of device.

Laptop

Up to $870

Charger (block and cord)

Up to $40

Student's Name

First NameLast Name

Student's ID#

Homeroom Teacher

Grade Level

678

Please select one:

Option 1: Use School-Issued Device - My student will use the DCPS device assigned to them in school. In the event of virtual instruction, my student may take the device home to participate in required synchronous learning.Option 2: Use Personal Device at Home - My student will use a personal device for virtual learning. We understand that a DCPS device will still be assigned for in- school use only.Option 3: Virtual Packet (No Device Sent Home) - My student will complete a paper-based virtual instruction packet. We understand we may call the school for support during school hours. A DCPS device will still be assigned for in-school use.

*If this form is not returned, we will assume you would prefer a paper-based virtual instruction packet.

Parent/Guardian Name

First NameLast Name

Parent Email

example@example.com

Parent Signature

NDMS Student Device Agreement Form 2025-2026

Virtual Instruction Choice: