Student:_____________________________________________________________________
Teacher:_____________________________________________________________________
Date:_______________________________________________________________________
Students who access restricted items on the Internet shall be subject to the appropriate action described in the school discipline policy or student handbook forward to the following consequences:
____________ First Offense:
The of the student has violated the student Internet policy by intentionally accessing restricted material. He/she may lose Internet access for up to three weeks at the discretion of the supervising teacher. A second offense will result in the student losing Internet access for a period _________________________.
____________ 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 of the above student has lost Internet access for a period __________________.
____________ 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 __________ or the balance of the school year.