Student+Contract

Community Service for Laptop Insurance Premium Agreement

I understand that I am agreeing to work 8 hours community service to cover the cost of the laptop insurance premium instead of paying for it.

I realize I must complete the community service before I will be able to take the laptop home.

I realize that the community service must meet with the approval of the school.

I realize that if I would like to complete the community service hours with another service organization (other than the school), I will provide a written description of the community service and seek approval from the school administration PRIOR to beginning the community service. Upon completion of these hours, I will submit a form identifying the time and date of the hours worked and signed by an adult who witnessed the service.

I realize that I cannot use the community service performed for the laptop premium for another purpose such as community service hours for school or my church.

I realize that I cannot combine partial payment with partial completion of community service hours. If I have worked part of the community hours and decide I want to pay the insurance premium instead I have to pay the full premium and not discount it for the time worked.

_ _ Student Signature Date

I understand that my child will work 8 hours of Community Service as payment for the insurance premium for the laptops and understand that they have agreed to comply with the issues stated above.

___ Parent/Guardian Signature Date