* Required

STUDENT ACCEPTABLE USE POLICY (AUP) & PARENTAL CONSENT FOR APPROVED ONLINE EDUCATIONAL SERVICES CONSENT AGREEMENT

To be completed after reviewing the Acceptable Use Policy (AUP) Information and Google Consent Agreement found above. One form is required for each student.

Student First Namerequired

Student Last Namerequired

PLEASE NOTE: Full and correct 9 digit student ID is REQUIRED for the field below. Don't know student ID#? Find it in HAC.

FULL Student ID Numberrequired

Buildingrequired

Graderequired

Parent/Guardian First Namerequired

Parent/Guardian Last Namerequired

Parent Emailrequired

DISCLAIMER: We use administrative, technical, and physical safeguards to protect information in our possession and control against foreseeable hazards. Please note, however, that perfect security does not exist on the Internet.

Please Verify Agreement*

By clicking on the SUBMIT button below, I agree to have my student/s abide by the conditions of the AUP.

Please Verify Agreement*

I give permission for Springfield School District to create/maintain a Google Workspace for Education account for my child and to use my child’s account to access online resources only for the educational purposes described above.