Consent for the Collection and Use of Personal Information

■ (Optional) Items of Personal Information Collected and Their Purpose of Use

You may choose not to consent to the collection and use of optional personal information. However, if you do not consent to these optional items, you may not be able to receive certain services such as scholarship benefits or counseling schedule coordination.

■ (Required) Collection of Personally Identifiable Information (PII)

■ (Required) Collection and Use of Sensitive Information

■ (Required) Transfer of Personal Information Overseas

You may choose not to consent to the transfer of personal information overseas. However, without your consent, you may not be able to access certain educational services provided by international platforms such as the school email system (Google) or the academic management system (PowerSchool). PowerSchool is a cloud-based academic management system based overseas. All data is encrypted during transmission and storage. The system complies with international data protection standards such as FERPA (U.S. Family Educational Rights and Privacy Act) and GDPR (General Data Protection Regulation in the EU). Default security protocols are applied even if the school does not implement additional encryption settings.

■ (Required) Provision of Personal Information to Third Parties

■ Delegation of Personal Information Processing

For the smooth operation of school services, we delegate the processing of personal information within the necessary scope. The related information is retained until the completion of the delegated services. Service providers may change depending on contractual terms. Any changes will be posted on the school website.

■ (Optional) Provision of Personal Information to PAB (Parent Advisory Board) Representative

You may choose not to consent to the collection and use of this personal information. However, if you do not consent, you may not receive updates or related information regarding matters discussed by the Parent Advisory Board.

■ Consent from Parent/Guardian for the Collection and Use of Personal Information of Students Under the Age of 14

■ Right to Refuse Consent for the Collection and Use of Personal Information

The data subject has the right to refuse consent to the collection and use of personal information. However, please note that refusal to consent to required items will result in the inability to enroll or remain enrolled at the school. Refusal to consent to optional items may lead to exclusion from certain educational services provided by the school or the omission of relevant information.

※ This consent form must be completed and signed by both the student and the parent/legal guardian. Please note that the school bears no responsibility for any disadvantages that may arise if the form is not completed and submitted by the individuals themselves.

※ In accordance with the Electronic Signature Act, if this form is submitted online, an electronic signature may be used in place of a handwritten signature. Such an electronic signature is considered to have the same legal effect as a handwritten signature on a physical document.

■ Consent for Use of School Systems

To use school email (Google email system), PowerSchool, and other school-managed systems, I have read and agree to the following:
1. The provided account must be used solely for academic and school-related purposes.
2. I will comply with the school’s security and operational policies. Violation of these policies may result in restrictions on account usage.
3. If I do not consent to the use of school systems, I may not be granted access to those systems.

■ Consent to School Policies

I have read and agree to the following school policies.
1. I understand that if I violate school rules during school-related activities or events (such as field trips, after-school programs, outdoor activities, sports, etc.), teachers or coaches may take disciplinary actions including removal from the activity and/or restrictions from future participation.
2. I agree that photos and videos (for which I have given consent to collect personal information) may be used on the school website, social media platforms, etc., for the purpose of school life communication and promotion.
3. I understand and agree that the medical information provided in the Medical History Form (to which I have consented as sensitive information) may be shared with student management staff (teachers, nurses, school meal providers) for the purposes of student care and academic support.
4. I acknowledge that attendance policies are subject to change, and all absences will be closely monitored by teachers and the school. Repeated unexcused absences may result in further action.

■ Consent for Emergency Contact Update and Submission of Medical History Form

I agree to update and submit the Emergency Contact Information, Certificate of Family Relations, and Medical Information (Medical History Form) annually for the health and safety of the student.
1. Changes in the student’s health status must be accurately recorded.
2. The parent/legal guardian must provide a valid and up-to-date phone number to enable prompt contact in case of an emergency, and must inform the school immediately of any changes.
3. A secondary emergency contact designated by the parent/legal guardian must also be provided in case the primary contact cannot be reached.
Primary Contact: Parent/Legal Guardian – Phone Number
Secondary Contact: Designated by Parent/Legal Guardian – Name, Relationship to Student, Phone Number
4. In accordance with Article 909 of the Korean Civil Act (Joint Exercise of Parental Authority), the emergency contact information of one parent/legal guardian cannot be removed based solely on a request from the other parent.
5. The parent/legal guardian bears full responsibility for any issues arising from the submission of false or inaccurate information.

■ Primary Emergency Contact

■ Consent for Student Supervision and Monitoring on School Premises

I agree to the school policy that requires students to remain within the supervision of school staff to ensure student safety on campus.
1. Students must stay within designated areas of the school, even outside of class hours.
2. Moving to unauthorized locations without staff supervision or permission may result in disciplinary action.
3. This policy is enforced with the student’s safety as the school’s highest priority.

■ Consent for Locker and Personal Belongings Inspection

I have read and agree to the following regulations regarding the inspection and management of student lockers and personal belongings.
1. The school has the authority to inspect and manage student lockers when there is an urgent need or other special circumstances in order to ensure student safety.
2. If there is reasonable suspicion that a student is in possession of items that could seriously disrupt the learning environment or the safety of the dormitory—such as alcohol, tobacco, drugs, explicit materials, or electronic devices that could be used for misconduct—the school reserves the right to inspect lockers, dormitory spaces, and personal belongings regardless of the student’s consent. A female staff member will be present during inspections involving female students.
3. If any illegal or prohibited items are found, appropriate action will be taken in accordance with school regulations.

■ Consent to the Electronic Device and Internet Use Policy

I have read and agree to the following electronic device and internet use policy.

1. Restrictions on Electronic Device Use
• The use of personal electronic devices for non-academic purposes is restricted during class time.
• During exam periods, the use of electronic devices is strictly prohibited in testing areas to prevent cheating.
• Electronic device use may be restricted in designated areas such as the library, auditorium, and other school-specified zones, and students must follow posted guidelines.

2. Monitoring and Inspection of Electronic Device Use
• If a student’s use of an electronic device violates school policies or negatively impacts learning or school life, the school may request an inspection within a reasonable and minimal scope.
• In principle, inspections are conducted with the consent of the student and parent/guardian and will be explained to the student in advance.
• Staff may not search a student’s electronic device without the student’s consent. However, in cases requiring legal action (e.g., criminal suspicion, emergency situations), appropriate authorities may be involved.

3. Regulations on the Use of AI Programs and Social Media
• AI programs (e.g., ChatGPT) may only be used within the scope permitted by the teacher for classwork and assignments.
• Students must not violate others’ privacy or post hate speech on social media. Any such violation may result in disciplinary action according to school policies.
• The school will not inspect students’ personal social media accounts arbitrarily. However, if a specific post significantly affects the school community, the school may request its removal and take appropriate disciplinary action.

■ Consent to Medical Treatment and Medication Administration

I acknowledge and agree to the following regarding medical treatment and medication administration for the student’s health management and emergency response at school.

1.In the event that the student becomes ill or is injured during school-sponsored on-campus or off-campus activities, I consent to the student receiving medical treatment at a medical institution when necessary. In emergency situations, the school will immediately contact 119 emergency services, and school staff may provide minimum necessary first aid in accordance with Article 5-2 of the Emergency Medical Service Act until professional medical personnel arrive or as instructed by emergency responders.
2.During off-campus activities, students may carry and self-administer medication only with prior parental/guardian consent and when accompanied by a physician’s prescription or medication instructions. Parents/guardians must accurately provide the medication name, dosage, and method of administration in the [Consent for Medical-Related Matters] form and submit the prescription and consent form to the administrative office. Medication must be prepared in its original labeled container or pharmacy packaging so that the student may self-administer it independently. When necessary, school staff may assist with visits to hospitals or pharmacies; however, all medical judgment and treatment decisions shall be made by licensed medical professionals.
3. On campus, students are generally prohibited from carrying or self-administering medication. If medication is required, parents/guardians must submit the medication to the school in its original labeled container. Submitted medication will be stored under the supervision of the school nurse or designated staff members. Assistance with medication use may be provided when necessary; however, school staff will generally not directly administer medication. Exceptions may be made for conditions requiring immediate emergency treatment, including anaphylaxis (epinephrine auto-injector), asthma (inhaler), or diabetes (insulin). In such cases, students may be permitted to carry and self-administer emergency medication with a physician’s prescription and prior parental/guardian consent.
4. The school has a duty to protect and supervise student safety in accordance with applicable laws and regulations. In emergency situations, medical measures shall be carried out by licensed medical personnel employed by the school, 119 emergency responders, or individuals certified as emergency medical technicians, within the scope of their duties and applicable laws. In principle, expenses related to medical treatment, medication, and hospital transportation shall be borne by the parent/guardian (parent or legal guardian). However, where the school is found legally liable due to intentional misconduct or gross negligence, such expenses shall be handled within the scope permitted under applicable laws and regulations.
5. I agree to cooperate with measures required under the Infectious Disease Control and Prevention Act and the school’s infectious disease response guidelines. I also agree to cooperate with requests from the school nurse team for submission of related documents and understand that expenses incurred for hospital visits, including medical and transportation costs, may be charged to the parent/guardian.
6. In emergency situations such as anaphylaxis, the student may first self-administer necessary emergency medication, including an epinephrine auto-injector, insulin, or inhaler, in accordance with a physician’s prescription. Subsequent emergency measures shall follow the school emergency response procedures described in Section 1 above.
7. Health and medical information may be provided to relevant school personnel solely for purposes related to student health management and academic support in accordance with Article 23 of the Personal Information Protection Act. This consent may be withdrawn; however, certain services may be limited as a result. In addition, during off-campus activities (including field trips, school excursions, and experiential learning activities), medication and health-related information submitted by the parent/guardian may be shared, to the extent necessary, with accompanying staff members and relevant administrative personnel for student safety management and emergency response purposes. The school will collect and use prescriptions, consent forms, student medication lists, and other health-related information submitted for the operation of off-campus activities only to the minimum extent necessary, and such materials will be securely destroyed within 14 days after completion of the off-campus activity.

※ If medication use at school is not necessary, please write "None"

■ Consent for the Use of Photographs and Videos

I have read and agree to the following regarding the use of photographs and videos.
1. I understand that photographs and videos of the student may be used by the school for promotional or educational purposes, even after the student graduates or transfers.
2. When using photos or videos that include the student, the school will use the student’s image as originally captured, without alterations.
3. The student’s photos and videos will not be used for any commercial purposes beyond school promotion or education.

■ Consent Regarding Off-Campus Activity Conduct and Response

I have read and agree to the following terms regarding off-campus school activities.
1. I understand that if a student fails to comply with school rules during an off-campus activity, the student may be sent home at the parent/legal guardian’s expense, and additional disciplinary measures may follow.
2. If a student is required to return home from an off-campus location, the parent/legal guardian must personally pick up the student at the activity site.
3. In cases where a student cannot be immediately handed over to the parent/legal guardian, I understand that the student may be temporarily separated and supervised in a designated space.
4. I acknowledge that all instructions and requests from teachers (chaperones) are for the student’s safety and well-being, and students must follow all school rules. Failure to comply may result in being sent home or subject to further disciplinary action.
5. I agree that the parent/legal guardian will be responsible for all expenses resulting from any damages or injuries caused by the student’s failure to follow the teacher’s instructions, including property damage and any physical harm or medical expenses.
6. I agree not to engage in smoking (including e-cigarettes), drinking, violence, bullying, or inappropriate sexual behavior during school-sponsored off-campus trips.

■ Consent for Academic Support and Counseling

I have read and agree to the following terms regarding academic support and counseling.
1. I consent to the student receiving academic, social/emotional, college/career counseling, and other support services provided by the school.
2. I understand that information shared during counseling may be disclosed under the following circumstances:
• If there is a serious risk of harm to oneself or others
• If there is evidence or disclosure of abuse (physical, emotional, or sexual) or neglect
• If there is a threat to school safety
• If there is an ongoing criminal or delinquency-related legal proceeding

※ The school counselor or professional will inform the student of these limitations to confidentiality and will notify the student when information needs to be shared with others.

■ Agreement to School Policies

I confirm that I have reviewed and agree to the contents of the KISJ ES/MS/HS School Handbook 2026-27.
1. I confirm that I have read and understood the information contained in the School Handbook.
2. I agree to pay all fees established by the School in full by the specified due dates in accordance with the approved payment plan. Failure to make payment may result in measures including restrictions on the student's participation in classes, withholding of report cards, or denial of re-enrollment.
3. I agree to submit supporting documentation stating the reason for any absence.
4. The parent (legal guardian) agrees to cooperate with the directions of teachers and administrative staff in support of the student's academic progress.
5. I agree to use the appropriate communication channels established by the School when resolving problems or concerns (for example, first contacting the teacher or staff member most directly involved and, if necessary, escalating the matter to the principal or head of dormitory).
6. I understand that shuttle bus, cafeteria, and laundry services are provided by third-party contractors, that the School acts solely as an intermediary, and I agree to comply with the policies and financial obligations established by those contractors.
7. I understand that I am responsible for contributing to a positive school environment, avoiding conduct that causes intolerance or discord among members of the school community, and refraining from making unfounded statements that could damage the reputation of the School or its faculty and staff.
8. I acknowledge that failure to comply with KIS Jeju's policies and guidelines may result in disciplinary consequences, including expulsion.
9. Entering my name and signing indicates that I have received, read, and understood all policies set forth in the School regulations and agree to them.

(G12 Only) Agreement by Students Who Reach Legal Adulthood to Comply with School Policies

• I acknowledge and agree that even if I reach the legal age of adulthood (age 19 or older) while enrolled, I remain obligated as a KISJ student to comply with all school rules, procedures, and guidelines.
• I acknowledge and agree that certain activities or the purchase, possession, or consumption of certain items (including alcohol and tobacco etc.) are prohibited under school rules even if legally permitted for adults.

■ Consent to Dormitory Regulations

I have read and agree to the following dormitory-related policies outlined in the KISJ ES/MS/HS School Handbook 2025-26.
1. I confirm that I have read and understood the dormitory regulations included in the KISJ ES/MS/HS School Handbook 2025-26.
2. Upon entering the dormitory, both the student and the parent/legal guardian must comply with all dormitory rules.
3. Dormitory regulations apply equally to students aged 18 and above, and any violations are subject to disciplinary action by the school.
4. Failure to follow shared living rules in the dormitory may result in warnings or expulsion from the dormitory.
5. I understand that serious misconduct such as sexual or physical violence in the dormitory will lead to immediate expulsion from the dormitory.
6. I will not smoke (including electronic cigarettes) or possess smoking-related items anywhere on campus.
7. I will not consume or possess alcoholic beverages anywhere on campus.
8. Consent to safety and emergency procedures in the dormitory – In the event of an emergency where there is a delay in contacting the guardian, dormitory staff and supervisors may take appropriate action.
9. Consent to dormitory infection control and disease prevention policies – In case of a diagnosis of an infectious disease, I agree to isolation procedures and the use of a single room as required.
10. Consent to personal belongings inspection policy – I understand that dormitory supervisors may inspect students' belongings when necessary and, depending on the situation, may do so without prior notice.
11. Restrictions on off-campus outings and overnight stays may be implemented to maintain order and ensure student safety.
12. I understand that records and confirmations of off-campus outings and overnight stays may be kept for student safety and dormitory management.
13. I understand that dormitory behavior guidance and counseling records may be maintained to address and resolve issues that arise in the dormitory.

※ Until the consent form is submitted, educational services provided by the school (such as account access, grade viewing, etc.) may not be available.

※ This consent form must be completed and signed by both the student and the parent/legal guardian. Please note that the school bears no responsibility for any disadvantages that may arise if the form is not completed and submitted by the individuals themselves.

※ In accordance with the Electronic Signature Act, if this form is submitted online, an electronic signature may be used in place of a handwritten signature. Such an electronic signature is considered to have the same legal effect as a handwritten signature on a physical document.