Sample Only
City of Bainbridge Island
INTERNET USAGE AGREEMENT
On _______________(date), I________________________(print name) received a copy of the policies regarding Internet usage adopted in April 1999 for the City of Bainbridge Island. I have read the policies and agree to comply with all stated provisions and terms for usage involving City provided equipment and accounts. I understand that, pending investigation, failure to adhere to these policies may result in discipline, in accordance with established City policies.
__________________(date) _________________________(signature)
On _______________(date), I _______________________(print name) received the signed copy of the Internet Usage Agreement for the above employee. I give my approval for this employee to use the Internet and realize that I, working with the Information Technology (IT) Division, am responsible for the enforcement of the Internet Policies for usage involving City provided equipment and accounts. The City has not provided me with any special software or training to electronically monitor an employee's use of the Internet. Electronic monitoring responsibility rests with the IT Division, however if I suspect misuse of the Internet I will immediately notify the IT Division. I understand that, pending investigation, failure to adhere to my duties to supervise may result in discipline, in accordance with established City policies.
__________________(date) ________________________(signature)
On _______________(date), I _______________________(print name), as representative of the Information Technology Division, received the Internet Usage Agreement signed by both the employee and their supervisor. I agree to the usage of the Internet for that employee and realize that the IT Division will be held responsible for the setting up, maintaining, and monitoring of that employee's use of the Internet. IT Division realizes its responsibilities for the enforcement the Internet Policies. I understand that, pending investigation, failure to adhere to my duties may result in discipline, in accordance with established City policies.
__________________(date) _________________________(signature)
Revision 9/14/99 ALH