5 Student Permission Form (Form S) - Round 2 work samples 20.pdf

Form S – Student PermissionSTUDENT PERMISSIONWORK SAMPLESLICENCE TO USE and CONSENT TO DISCLOSESTUDENT FIRST NAME:STUDENT LAST NAME:SCHOOL NAME:SCHOOL ADDRESS:STATE:STUDENT AGE:The Student:1. Grants the licence to the Australian Curriculum, Assessment and Reporting Authority, a bodycorporate established by the Australian Curriculum, Assessment and Reporting Authority Act2008 (Cth) (ACARA) set out in Part A below; and2. Consents to the School disclosing the Work and other Personal Information to ACARA orACARA’s representatives in relevant schooling systems who then disclose this information toACARA, on the terms set out in Part B below.Parent/guardian's signature(on behalf of the Student)Date:Parent name (please printfirst and last names)Licence to use and consent to disclose – July 2012 – Form SPage 1 of 4

Form S – Student PermissionPart A – Grant of licenceThe Student grants to ACARA a permanent, irrevocable, world-wide, non-exclusive, free, licence to use, modify,reproduce, communicate, perform, sub-licence and distribute the Work for any purpose that is not Commercial,on the following terms:1. The Student represents that the Work is entirely original work (except for any material which is owned bya third party (or third parties) and listed on the cover sheet accompanying each Work.2. Except to the extent specifically stated in Part B of this agreement (Consent to disclose Work), ACARAwill not identify the Student, their fellow students, teachers, or their school, and the Studentacknowledges and consents to the removal of such information from the Work before the Work isdistributed or communicated to any third party by ACARA.3. The Student consents to any of the following types of acts or omissions: (a) using, reproducing,communicating, adapting or exploiting all or any part of the Work, with or without attribution ofauthorship; (b) supplementing the Work with any other material; and (c) use of the Work in a differentcontext to that originally envisaged.4. ACARA will not falsely attribute authorship of the Work.5. ACARA will not return physical copies of the Work to the Student and does not guarantee that it will use,reproduce or communicate the Work.6. The Student consents to ACARA communicating, publishing, reproducing and sub-licensing the Workunder a range of different non-commercial licences, including a Creative Commons Attribution-Non-Commercial-ShareAlike 3.0 Australia licence.7. For the purposes of this licence:a. 'Commercial' means a purpose primarily intended for or directed towards commercial advantage orprivate monetary compensation;b. 'Student' means the student named on the front page of this agreement, or the parent or legalguardian on behalf of the Student where the Student is under 18 years of age; andc. ‘Work’ means any work created by the Student which is protected by the Copyright Act 1968(Commonwealth) and provided to ACARA, and includes:i. works which will be created by the Student in the future while attending his/her current school;andii. literary works (text), artistic works (photographs, drawings, logos, graphic design), musicalworks, sound recordings and cinematograph film works.Licence to use and consent to disclose – July 2012 – Form SPage 2 of 4

Form S – Student PermissionPart B – Consent to disclose Work and other Personal InformationThe Student consents to the School disclosing the Work and other Personal Information to ACARA or ACARA’srepresentatives in relevant schooling systems who then disclose this information to ACARA, on the followingterms:1. That the Work is only used for the Purpose (defined in clause 3).2. The Student has read the Privacy Statement below and agrees with its terms.3. In this consent and in the Privacy Statement below:a. Personal Information means, broadly, information that identifies the Student or could identify theStudent and has the same meaning as set out in the Privacy Act 1988 (Cth);b. ‘Purpose’ means to illustrate levels of achievement of relevant aspects of the Australian Curriculumachievement standards for each learning area and year. Works that are selected by ACARA will beuploaded onto the Australian Curriculum website, a public website. The Work will be annotated tohighlight evidence of student levels of achievement of different aspects of the achievement standards.Works that are selected by ACARA and uploaded to the Australian Curriculum website may also beused by other education bodies in a wide variety of non-commercial educational applications. State andTerritory Departments of Education and other education bodies, including the CommonwealthDepartment of Education, Employment and Workplace Relations, the Australian Institute for Teachingand School Leadership (AITSL), Education Services Australia, non-government school authorities andoverseas schools where the Australian curriculum is taught, may use the Works (or excerpts) in othersupport materials to assist teachers and students. These support materials may be made available indifferent forms, such as in hard copy, on disk, and as digital publications that can be downloaded fromthe intranet or web sites of education bodies, typically for classroom use or professional development.c. 'Student' means the student named on the front page of this agreement, or the parent or legal guardianon behalf of the Student where the Student is under 18 years of age; andd. ‘Work’ means any work created by the Student which is protected by the Copyright Act 1968(Commonwealth) and provided to ACARA, and includes:i. works which will be created by the Student in the future while attending his/her current school;andii.literary works (text), artistic works (photographs, drawings, logos, graphic design), musicalworks, sound recordings and cinematograph film works.Privacy StatementThis privacy statement applies to the Personal Information:contained in this form;contained in the Work; andcontained in the cover sheets attached to the Work.ACARA is subject to the Privacy Act 1988 (Cth) (Privacy Act). The Privacy Act sets out how AustralianGovernment agencies should collect, use, store and disclose Personal Information and how individuals canaccess records containing their Personal Information. ACARA is committed to protecting the privacy of thePersonal Information that it receives from the Student.What is Personal Information?Personal Information is, broadly, information that identifies the Student or could identify the Student. There aresome obvious examples of personal information, such as the Student’s name. Personal Information can alsoinclude photos, videos, and even information about what the Student likes - basically, any information where theStudent is reasonably identifiable.Information does not have to include your name to be Personal Information. For example, in some cases, theStudent’s age may be enough to identify the Student.Licence to use and consent to disclose – July 2012 – Form SPage 3 of 4

Form S – Student PermissionTo be precise, the Privacy Act definition of Personal Information is:"... information or an opinion (including information or an opinion forming part of a database), whether trueor not, and whether recorded in a material form or not, about an individual whose identity is apparent, orcan reasonably be ascertained, from the information or opinion."What Personal Information does ACARA collect in relation to the Work?The Personal Information ACARA collects from the Student in relation to the Work comprises:the Student’s name;the Parent or Guardian’s namethe School name and location;the Student’s current age;the Student’s Work;the Student’s current school Year level;whether English is an additional language/dialect for the Student;whether the Student is a student with disability; andwhether the Student identifies as an Aboriginal student or a Torres Strait Islander student.How will ACARA use and disclose the Personal Information?Any Personal Information ACARA collects in relation to the Work will only be used for the Purpose. Other thanfor the Purpose, ACARA will not disclose the Student’s Personal Information without your consent, unlessrequired by law.In order to comply with this requirement, the Student’s name will not be connected to the Work if it is publishedon the internet. In the licence agreement (Part A), the Student consents to ACARA communicating the Work onthe internet without attributing authorship (clause 2 of Part A).Access to the Student’s Personal InformationACARA will provide the Student with access to the Student’s Personal Information upon request and will allowthe Student to update their Personal Information if incorrect.Complaints regarding the handling of the Student’s Personal InformationIf you are concerned about the way that ACARA has handled the Student’s Personal Information, ACARA’sPrivacy Officer will investigate any concerns that you send to us in writing. ACARA’ postal address is Level 10,255 Pitt Street, Sydney, NSW, 2000. ACARA’s email address is info@acara.edu.auIf you are dissatisfied with ACARA’s investigation of the concerns, you can complain to the Office of theAustralian Information Commissioner who is independent of ACARA. The Information Commissioner has thepower to investigate complaints about possible breaches of the Privacy Act 1988 (Cth). Under the Privacy Act,you should address your complaint to ACARA in the first instance before lodging a complaint with theInformation Commissioner. The Information Commissioner can be contacted by phone: 1300 363 992 and byemail: enquiries@oaic.gov.auLicence to use and consent to disclose – July 2012 – Form SPage 4 of 4