ACCOUNTABILITY
By signing your names below, you are indicating that you have read and understood the preceding class
guidelines and that you will assume the responsibilities and accountability of being a student, or the
parent/guardian of a student, in the English class.
Print Student’s Name ___________________________________________________________
Student Signature_______________________________________________Date____________
Please answer the following questions:
 Do you have computer access at home?
 Do you have Internet access at home?
YES/NO
YES/NO
 If you answered NO to either of the above questions, where would you go to use a
computer or the Internet?
____________________________________________________________
___________
 Will you need me to provide you with any of the supplies mentioned in the course
outline?
YES/NO
 If YES, which supplies will you need help with? List them here:
Parent/Guardian please sign below verifying the information above:
Print Parent’s/Guardian’s Name_____________________________________________________
Parent/Guardian Signature__________________________________________ Date ___________
Parent/Guardian Information:
Name
Daytime phone (
)
Evening phone (
)
Email Address
Additional Comments: