I will. ❏ Communicate with my teacher if I'm confused about or need help with anything, if I'm having trouble managing my workload, or if I can't access something I need for class. ❏ Be a good friend to my classmates by not bullying, humiliating, or upsetting anyone online, and also by speaking up or asking for help if I see someone being treated poorly. ❏ ❏ Have a schedule for distance learning so I can avoid multitasking while I'm focusing on schoolwork. ❏ Help my family come up with a reasonable media plan and follow it. ❏ Include time in my day for doing activities that don't involve electronic devices, eating healthy food, and getting some exercise. ❏ "Pause for people" by looking up and paying attention if someone wants to talk to me when I'm on my device. ❏ ❏ Support my digital learning by setting me up for success. ❏ Communicate regularly with my teacher about my progress.
I will. ❏ Not share my school account passwords with anyone other than my teacher and parent or caregiver. ❏ Not create accounts or share private information without my family's permission. (This includes my full name, date of birth, address, phone number, and photos or videos of myself.) ❏ Tell my teacher or an adult I trust if anything makes me feel uncomfortable online, or if anyone acts inappropriately toward me. ❏ ❏ Remember that teachers and administrators can see whatever I say and do on a school-issued device during video meetings, in emails and chats, and on shared documents. Get more distance learning resources at xxxxxxxxxxxxxx.xxx. Shareable with attribution for noncommercial use. Remixing is permitted. Se puede compartir con el crédito debido para uso no comercial. ❏ Not post anything online that I wouldn't want my family, teachers, college admissions officers, or future employers to see because posts and comments can be saved and shared without my knowledge. ❏ Investigate whether a source is credible because not all information online is true. ❏ Give proper credit whenever I use, reference, or share someone else's creative work online. ❏
I will follow the school rules; - be polite, friendly and helpful to other children and staff; - treat school property with respect; - behave in a way that sets a good example for others.
I will. ● Bring any school-issued device to school fully charged each day. ● Follow CPCSC and building policies, rules, and regulations. ● Be a responsible Digital Citizen. ○ Keep private information private. (Password and identity are not to be shared with anyone other than parents/guardians.) ○ Treat others with respect both online and offline. ○ Use the device for school-related purposes during school hours. ○ Credit my sources when I am using other people’s information, images, or other material. ○ Respect the work of other students and not copy, alter or damage work that is not mine. ● Use cords, cables, and external ports with care. ● Keep any school-issued device protected from poor weather, secured and attended to at all times, and always inside of the school-issued case. ● Use school technology and resources only for educational purposes. ● Share my password with others. ● Place food or drink on or near any device. ● Store the device at home near pets or liquids. ● Place stickers, labels or any drawings on the device or case. ● Place heavy objects on top of the device. i.e. textbook, backpack, etc. ● Trade or swap my device with any other students. ● Access or attempt to access other people’s files, private communications, schoolwork, programs, or resources without their permission. ● Use inappropriate language or pictures. ● Use any form of electronic communication to harass, intimidate, ridicule, or otherwise harm others. ● Take pictures and/or record audio/video without the consent of a staff member. ● Search for, possess, forward, send, read, view, or copy inappropriate pictures or information. ● Damage, change, or tamper with the hardware or network in any way. ● Use any other personal electronic devices, including cell phones, without specific approval from teachers or administrators.
I will. ❏ Not share my school account passwords with anyone other than my teacher and parent or caregiver. ❏ Not create accounts or share private information without my family's permission. (This includes my full name, date of birth, address, phone number, and photos or videos of myself.) ❏ Tell my teacher or an adult I trust if anything makes me feel uncomfortable online, or if anyone acts inappropriately toward me. ❏ ❏ Remember that teachers and administrators can see whatever I say and do on a school-issued device during video meetings, in emails and chats, and on shared documents. ❏ Not post anything online that I wouldn't want my family, teachers, college admissions officers, or future employers to see because posts and comments can be saved and shared without my knowledge. ❏ Investigate whether a source is credible because not all information online is true. Get more distance learning resources at xxxxxxxxxxxxxx.xxx. Shareable with attribution for noncommercial use. Remixing is permitted. Se puede compartir con el crédito debido para uso no comercial. ❏ Give proper credit whenever I use, reference, or share someone else's creative work online. ❏
I will. Communicate with my teacher if I'm confused about or need help with anything, if I'm having trouble managing my workload, or if I can't access something I need for class.
I will take part in all school activities; - always work hard; - listen carefully; - keep trying when things are hard; - wear a proper uniform.
I will. Not share my school account passwords with anyone other than my teacher and parent or caregiver. Not create accounts or share private information without my family's permission. (This includes my full name, date of birth, address, phone number, and photos or videos of myself.) Tell my teacher or an adult I trust if anything makes me feel uncomfortable online, or if anyone acts inappropriately toward me. Remember that teachers and administrators can see whatever I say and do on a school-issued device during video meetings, in emails and chats, and on shared documents. Not post anything online that I wouldn't want my family, teachers, college admissions officers, or future employers to see because posts and comments can be saved and shared without my knowledge. Investigate whether a source is credible because not all information online is true. Give proper credit whenever I use, reference, or share someone else's creative work online.
I will. ☐ I will only get my pain medicine from this clinic during scheduled appointments. ☐ I will take my pain medicine the way that my healthcare provider has ordered. ☐ I will be honest with all my healthcare providers if I am using street drugs. ☐ I will be honest about all the medicine I use. This includes medicine from stores and herbal medicines. ☐ I will be honest about my full health history. ☐ I will tell my healthcare provider if I go to an emergency room for any reasons. ☐ If I get pain medicine from an emergency room, I will tell my healthcare provider. ☐ I will call this office if I am prescribed any new medicine. ☐ I will call this office if I have a reaction to any medicine. ☐ I will tell all other healthcare providers that I have a pain medication agreement. ☐ I will tell the emergency room people that I have a pain medication agreement. ☐ I will take drug tests and other tests when I am told to do so. ☐ I will go to office visits when I am told to do so. ☐ I will go to physical therapy when I am told to do so. ☐ I will go to counseling when I am told to do so. ☐ I will follow directions for all treatment. ☐ I will show up on time for all appointments. ☐ I will make an appointment for refills before I run out of medicine. ☐ I will tell my health provider if I will be out of town so that I can get my refills. ☐ I will get past health records from other offices when needed. ☐ I will deliver these records by hand if needed. I will do this within one month of being asked. I will pay for these records if needed. ☐ I will give permission to this clinic to talk about my treatment with pharmacies, doctors, nurses, and others who are helping me. ☐ I will give permission to any healthcare provider to get information from this clinic about my health and my pain treatment. ☐ I will take responsibility if I overdose myself accidentally or on purpose. ☐ I will tell my healthcare provider if I plan to become pregnant. ☐ I will tell my healthcare provider if I am pregnant while I am taking pain medicine. ☐ I will only take this medicine the way I was told to take it.
I will. Be a good sport (win or lose), be honest and fair.
