Wise County Public Schools
PERSONALLY OWNED COMPUTING/NETWORK DEVICE
ACCEPTANCE OF RESPONSIBILITY AND DEVICE USE AGREEMENT
PERMISSION FORM
I,______________________________ agree to let
Name of parent or guardian Name of student
bring their personally owned computing device for instructional use in Wise County Public Schools (WCPS). I
understand that the student named above will be permitted to use their personally owned device, subject to the
conditions in the WCPS Acceptable Use Regulation document.
I understand that if I agree to allow my student to use their own device that Wise County Public Schools is not
responsible for any device or data loss, theft, damage or other associated costs of replacement or repair incurred
during the school day or at home as a result of participation in this program. I understand that WCPS Staff will be
unable to support or troubleshoot student owned devices. The student named above will take full responsibility for
the device and will appropriately secure all devices when not in use or place devices where instructed to by their
classroom teacher.
WCPS uses technological measures such as filtering to promote internet safety. Filtering limits students’ ability to
access harmful internet sites from any device connected to the WCPS network, but only when this equipment is
used in school on the WCPS network. Access through cellular networks does not provide the same measures of
filtering. Students should only use the WCPS network (not private cellular service) for internet access while on
WCPS property.
I have verified my student is aware that all aspects of the Wise County Public School’s Student Handbook,
Acceptable Use Policy for Network Access apply to the use of the WCPS computer system as well as the use
and care of their personal device while on WCPS property or while involved in any WCPS sponsored
event/activity.
I understand that the purpose of allowing my student to use their own device is to participate in teacher approved
activities in support of the WCPS curriculum. Uses of these devices for unrelated activities beyond or outside the
WCPS educational program are prohibited.
__________________________________ ___/___/___
Parent or Guardian’s Signature Date
Student Acceptance:
I agree to adhere to the AUP guidelines presented in the Student Handbook. I will utilize the device(s) for
instructional purposes only while at any WCPS school or on the WCPS network.
___/___/___
Student Signature Student ID# Date
Wise County Public Schools
PERSONALLY OWNED COMPUTING/NETWORK DEVICE ACCEPTANCE
OF RESPONSIBILITY AND DEVICE USE AGREEMENT
PERMISSION FORM
To be filled in by Parent/Guardian: You may fill out this form to register up to 3 devices. If you need assistance with
collecting this information, please ask a member of your school technology support team.
Device 1
Device 2
Device 3
Device Type
(make and
model)
Serial
Number
Network/MAC
Address for
all network
adaptors
I,____________________________ agree to let _______________________ bring this/these devices:
Name of parent or guardian Name of student