Middletown Area School District Middletown Area School District 55 West Water Street – Middletown, PA 17057

Middletown Area School District Acceptable Use Policy for Technology Middletown Area School District Acceptable Use Policy for Technology User Access Request Form NOTE: THIS INFORMATION WILL NOT NEED TO BE SUBMITTED ON AN ANNUAL BASIS, UNLESS PARENT/GUARDIAN/DISTRICT REQUESTS TO CHANGE THE CONTENT/SELECTIONS MADE THE PREVIOUS YEAR. For This Form To Be Honored, ALL Asterisked(* Information Must Be Provided!! CLEARLY PRINT OR TYPE THE FOLLOWING INFORMATION (except for signatures) Name*: _________________________ Building: __________ *___Student/ __Employee/ ___Parent Home Address: _____________________________________________________________ Home Computer (Make, Model): _____________________________________________________ I have read the District’s Acceptable Use Policy for Technology. I agree to follow the rules contained in this policy. I understand that violation of these rules, may result in disciplinary, and possibly, legal action. User’s Signature*: ___________________________________________________ ___/___/______ CONTINUE FOR STUDENT ACCESS: Homeroom Teacher: ___________________________ Graduation Year*: ________________ Social Security Number*: _________ - _______ - ___________ Birthdate: ____/____/_______ PLEASE, MAKE ONE SELECTION*: (Check Only One) ___ I give permission for my child to use the school computers and to access the Internet, with supervision. ___ I give permission for my child to use the computers in the school environment, but he/she may not access the Internet or participate in any online activities. ___ My child may not use any computer within the school environment. Print Parent/Guardian’s Name*: _________________________________________ ___/___/______ Parent/Guardian’s Signature*: __________________________________________ ___/___/______ Home Address: _________________________________________ Telephone: _________________ System Administrator Section, Only! User ID: ___________________________ Special Access Code: _________________________ Temporary Password: _____________________ Level of Account (User Profile Types): __ N/A, __ A, __ B, __ C, __ D, __ E, __ F, __ G COMMENTS: __________________________________________________________________________ _____________________________________________________________________________________ Updated: 8/1/02

https//powerschool.raiderweb.org/public 1.Notice this is a secure website, requiring a special login and password. 2.Do not type “http” or “www” 3.Once this screen displays, bookmark this page, to speed-up your next visit

Parent User ID Username p04jdoe Username = “p” + “Student Grad Yr” + “Student FInitial LName” p04jdoe Password blw9427 Password = 3 Letters + 4 Numbers blw9427 NOTE: Accounts are different for each child, so that they may be shared with the student, if desired.

Input Parent User ID Close the program window or… Input Parent User ID for another child.