GCSA-E/MSAD #11 Employee Computer and Internet Use Acknowledgment Form

File: GCSA-E

MSAD #11 EMPLOYEE COMPUTER AND INTERNET USE ACKNOWLEDGMENT FORM

Employee Privately Owned Computer Use Form

I understand and consent to the MSAD #11 School Board policy on staff use of privately owned computers. I request that my privately owned computer be allowed to use the school computer services.

After signing and returning this form, you will be contacted with instructions on having your personal computer added to the network.

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Brand Name Model No. Serial No.

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MAC Address (wireless) MAC Address (wired) Operating System

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Employee (Printed Name) Date

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Employee (Signature) Date

Adopted: August 4, 2011