ANESU Student Media Privacy Form 2009/2010
Introduction: Students are learning in an age of incredible opportunity. Technologies exist that allow them to learn from libraries, museums, experts and classmates around the world! Parents and grandparents can now see student work in class plays, presentations or field trips in ways they seldom could before. While full of potential, such on-line activities are not entirely without risk. Just as in our neighborhoods, there exist some dangers, but reasonable safety precautions allow rich opportunities. Student work can be shared in a variety of ways, including newsletters or newspapers, radio or TV programs, web pages, wikis, blogs, podcasts, electronic mail, compilations of student work on a class CD, etc. It is important for parents and students to consider the level of exposure for the students’ work.
Student Privacy Guidelines: A primary goal of the Addison Northeast School District is to ensure the safety and privacy of our community of learners. To help achieve this goal, publication of student information on the Internet and sharing of student information via print media, electronic mail, video, and other technologies is restricted. Student information and student work will not be published or shared unless permission is obtained. No personal information, such as home or mailing address or phone number, except as listed below, will be published or shared. (Please see ANESU Media Publishing Guidelines, available on the ANESU web page, for more specific information on Internet publishing.)
Parent Section: I understand that my child may engage in classroom projects and activities that enable others to view or listen to him or her, view his or her work, and/or to interact with him or her. In order for my child to participate in such projects and activities, I understand that the attached permission form should be completed, signed, and on file at my child’s school and that lack of a permission form will be regarded as “permission granted.” I understand that, where possible, appropriate alternative activities will be provided as substitutes when permission is not given.
Please return the form on the back to school by Friday, September 4. Thank you.
Student Name:_____________________ Teacher:_____________________
Student Work/Photos
Media Permission Form
Instructions: Please check the appropriate boxes for each question.
1. My child’s work may be displayed on the Internet with no personal identification.
2. My child’s photo may appear in a group photo/video with no identification.
3. My child’s individual photo/video may appear with no identification.
Yes No
4. My child may use the classroom email account to correspond regarding school work with other students or adults. There will be no personally identifying information in the email.
5. My child may participate in audio/video conferencing about school work with other students or adults.
6. My child may use his/her initials on a protected site, such as a class wiki.
Yes No
7. For Mt. Abraham school only: My child may use his or her personal email in school to correspond with other students or adults about school work.
I understand that U. S. copyright law protects my child’s work. I also understand that the School District has no responsibility to, nor will it, enforce U.S. copyright law pertaining to my child’s work. In granting this permission I understand the guidelines stated above will be followed.
Parent / Guardian Signature: ____________________________________________________ Date: ________
Student Section: I have read the information above and/or discussed it with my parents. My signature below acknowledges that I understand the limits and permissions my parents have set. I certify I will only submit work that I have created. I also understand that the School District has no responsibility to, nor will it, enforce U.S. copyright law pertaining to my work.
Student Signature (Required for students in grades 5 – 12): _____________________________________
Date: ________
Students who participate in athletics/clubs/performances may have photos posted in newspapers or school web pages.
If this form is not returned to the school, it will be regarded as permission granted.