Name:
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Building:
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User is: Employee Student |
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Date of Request
(mm/dd/yyyy) |
| I request the adjustment of the district’s Internet blocking/filtering to allow access to the following website; the material on this website is not prohibited by Board policy: |
Website address:
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Explanation of why the website does not contain inappropriate materials designated in Board policy and should not be prohibited:
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| User's Signature: |
| Signature of Sponsoring Teacher/Administrator: |
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| *Submit this form to the building principal, who will forward it to the Superintendent or designee for expedited review. |
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***************************************************************************************************************************************** For District Use Only Access is: Approved: Denied: Signature of Superintendent or Designee: Date of approval: |
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