Student: _________________________________________________________________________
Teacher: _________________________________________________________________________
Date: ____________________________________________________________________________
Students who access restricted items on the Internet are subject to the appropriate action described in the school's discipline policy or student handbook or to the following consequences:
__________ First Offense:
The above student has violated the Student Internet Policy by intentionally accessing restricted material. He/she has lost Internet access for a period of ten
(10) school days.
__________ Second Offense:
The above student has violated the Student Internet Policy by intentionally accessing restricted material for a second time. As a consequence of this
violation the above student has lost Internet access for a period of ninety (90) days.
__________ Third Offense:
The above student has violated the Student Internet Policy by intentionally accessing restricted material for a third time. As a consequence of this violation
the above student has forfeited all Internet privileges for a period of one hundred eighty (180) school days, or the balance of the school year.
