Student's Name Instructor's (Your) Name Course Code and Section # Notes This student has requested to use a Smartpen in your classroom. The student will not use this Smartpen to record if, at any time during any class session, you withdraw permission. The student will be the only user of this Smartpen and any recording the student makes will NOT be shared, published, posted, or rebroadcast. The student has been informed that it is against the law in Pennsylvania to record without knowledge or consent and that criminal prosecution is possible if this law is violated. Instructor's Decision I will allow this student to use the Smartpen in my classroom. I will NOT allow this student to use the Smartpen in my classroom. Note: Your response will be sent via email to the student and the Learning Center. CAPTCHA Submit