Combined Common Enrollment Forms 2017-2018

Parents/Guardians,

The following document is provided to assist you in enrolling your student in the Wichita Public

Schools. It includes enrollment forms that are common to all schools in the district. Please read

and complete the following forms:

Agreement to Pay School Fees

Asbestos Letter

Authorization for Release of Immunization Records

Authorized Student Data Disclosures

Communities that Care Letter Grades 6, 8, 10, 12

Consent for Disclosure for Reduction of School Fees

Enrollment Residency Questionnaire

Migrant Survey

Military Opt Out Form Grades 11-12

Military Service Parent Form

Human Growth & Development Form Elementary Grades 4-5

Human Growth & Development Form Secondary Grades 6-12

Student Expectations on the Bus CHAMPS K-8 Grades K-8

Student Expectations on the Bus ACHIEVE High School Grades 9-12

Textbook Acknowledgement Form

You cannot save data typed into this document. After you have typed your information, hit the “Click Here to Print” button on the last page. Then sign each form in the designated space and submit them all to the school office. Each school may have additional forms that it requires as a part of the enrollment process.

Also note that one document should be completed for each student in the district.

THANKS!

Agreement To Pay School Fees

School

WICHITA PUBLIC SCHOOLS

Student Name ID Grade Date

Obligation Description Amount Due

Textbook Rental

Locker

Photo ID

Agenda

Total

Parent Information (Print Clearly) Name

Address

City/State/Zip

Home Phone

Work Phone

I am unable to pay textbook rental fees/obligations for the pupil named above at this time. I hereby agree to pay the fees according to the schedule below. I do request that my child be issued/have access to the adopted textbooks. I understand that all unpaid textbook rental fees/obligations may be reported to an agency for collection.

Date Signature of Parent/Lawful Custodian

Date Signature of School Official

Schedule of Payment: Date Amount

051521S Revised 4-03

(For School Use) Record of Payment: Date Amount

White Copy -for School Canary Copy - for Parent

Environmental Services Timothy Phares, Director of Environmental Services 316-973-2006 FAX: 316-973-2005 3850 N. Hydraulic e-mail: tphares@usd259.net Wichita, Kansas 67219 Date: August 1, 2017 To: Parent/Guardian From: Tim Phares, Director of Environmental Services Dear Parent: In 1988, the Wichita Public Schools completed a survey of all school buildings in the district as required by 40 CFR Part 763, Asbestos-Containing Materials in Schools Rule. This rule, which was enacted by Congress in 1987, requires all local education agencies to identify the location and condition of all asbestos-containing materials in the schools, and to develop plans to minimize the hazard of airborne asbestos fibers to building occupants. Accredited asbestos inspectors inspected each of our facilities. The inspectors located, sampled, and rated the condition and the potential hazard of all material suspected to contain, or assumed to contain asbestos.

The inspection reports and laboratory analysis records were turned over to an accredited asbestos management planner who developed an Asbestos Management Plan for each of our facilities. The plans include the inspection report, hazard assessment, and procedures for controlling any hazard that may exist.

The asbestos management plan of your child’s school is available for your inspection at no cost or restriction. Copies of the plan, which are located in the administrative office of each school and at the School Service Center, can be reviewed during regular school hours. A copy of the plan will be made available upon request for a reasonable fee. Implementation of the asbestos management plan is now in progress. We are committed to comply with all federal, state, and local regulations; including, but not limited to, periodic surveillance, operations and maintenance, and implementation of all response actions as listed in the Management Plan for each school. We plan to take all steps deemed necessary to ensure that your child and our employees have a healthy, safe environment in which to learn and work. If you should have any questions or comments regarding the Asbestos Management Plan for your school building, please contact the Environmental Services office at 973-2006.

April 18, 2017

WICHITA PUBLIC SCHOOLS Division of Student Support Services

DEPARTMENT OF HEALTH SERVICES

Authorization for the Release of Immunization Records and Information

Student Name – ______________________

Date of Birth – _______________

School – ______________________

Please return this form to the school office. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

I do hereby authorize any entity subject to HIPAA laws and regulations to release records and information regarding immunizations received by the above-named student to Unified School District No. 259, Sedgwick County, Kansas, to permit the student’s enrollment and attendance at school. This authorization continues until such time as the student reaches eighteen (18) years of age or until I exercise our right to revoke this authorization in writing and present it to the party in possession of the records and/or information.

Yes No ~~May we access the immunization record from the Kansas Immunization Registry (KSWebIZ)?

Yes No ~~May we share the immunization record with the Kansas Immunization

Registry (KSWebIZ)? Signed this ______ day of ____________________, 20____. (Date) (Month) (Year) Parent/Guardian Name (Print) Parent/Guardian Signature

PARENTS: PLEASE SIGN BELOW AND RETURN THIS DOCUMENT TO THE OFFICE AT: _____________________ SCHOOL.

ANNUAL NOTICE TO PARENTS AUTHORIZED STUDENT DATA DISCLOSURES

Certain student data of Unified School District No. 259 students is stored and maintained in statewide longitudinal data systems. A law was passed in 2014 that requires school districts to provide annual notice to parents concerning when a school district is allowed to disclose student data maintained in a statewide longitudinal data system to third parties. Under the 2014 law, a school district may disclose student data that is maintained in a statewide longitudinal data system to:

Authorized personnel of an educational agency or the state board of regents who require disclosure to perform assigned duties, and

The student and the parent or legal guardian of the student, provided the data pertains solely to the student.

In addition, student data maintained in a statewide longitudinal data system may be disclosed to authorized personnel of any state agency or to a service provider of a state agency, educational agency, or school performing instructions, assessment or longitudinal reporting, provided a data-sharing agreement between the educational agency and other state agency or service provider provides the following:

Purpose, scope and duration of data-sharing agreement

Recipient of student data uses such information solely for the purposes specified in the agreement

Student data will be destroyed when no longer necessary for purposes of the data-sharing agreement or upon expiration of the agreement, whichever occurs first.

A service provider engaged to perform a function of instruction may be allowed to retain student transcripts maintained in a statewide longitudinal data system as required by applicable laws and rules and regulations. Unless an adult student or parent or guardian of a minor student provides written consent to disclose personally identifiable student data maintained in a statewide longitudinal data system, such student data may only be disclosed to a governmental entity not specified above or any public or private audit and evaluation or research organization if the data is aggregate data. “Aggregate data” means data collected or reported at the group, cohort or institutional level and which contains no personally identifiable student data. The district may disclose:

Student directory information maintained in a statewide longitudinal data system when necessary and the student’s parent or legal guardian has consented in writing

Directory information maintained in a statewide longitudinal data system to an enhancement vendor providing photography services, class ring services, yearbook publishing services, memorabilia services or similar services

Any student data information from a statewide longitudinal data system requiring disclosure pursuant to state statutes

Student data maintained in a statewide longitudinal data system pursuant to any lawful subpoena or court order directing such disclosure

Student data maintained in a statewide longitudinal data system to a public or private postsecondary educational institution for purposes of application or admission of a student to such postsecondary educational institution with the student’s written consent.

AS THE PARENT OR LEGAL GUARDIAN OF __________________________________ (printed name of student), I ACKNOWLEDGE THAT I HAVE BEEN PROVIDED WITH NOTICE OF AUTHORIZED STUDENT DATA DISCLOSURES UNDER THE STUDENT DATA PRIVACY ACT. ________________________________________________ _________________________ Parent signature Date

WICHITAPUBLIC SCHOOLS®

Dear Parents:

Our schools will be administering the Kansas Communities That Care Student Survey during the 2017-2018 school year.This survey is taken by 6"', 8"', 10'*^ and 12"^ grade students statewide. This survey is a valuable tool to help us understandhow students perceive things like substance use and bullying. It gives us insight into the problems students face and showswhat we can do to help them succeed. The information is essential to planning effective prevention programs in ourschools and community.

A state law provides written permission of a parent or guardian must be obtained before a student takes a survey thatcontains questions about a student's personal beliefs and practices on issues such as family life or morality. The KansasCommunities that Care Student Survey contains questions on issues such as family life and morality.

The Kansas Communities that Care Student Survey is available to view at www.kctcdata.org/Documents/ctc survev .pdfQuestions 115-140 (Family Domain) of the online survey will not be included on the survey that is taken by WichitaPublic Schools students. You may also be interested to know the following:

1. It is completely anonymous. Students will not be asked for their names on the questionnaire, nor will anyone be ableto connect any individual student with his/her responses.

2. Participation is entirely voluntary. Your child may skip any particular question they do not wish to answer.3. Annual participation is important. Even if your child has participated in previous surveys, annual data is extremely

helpful in determining the effectiveness of previous efforts and changes in program areas.

I hope you will allow your child to participate in this statewide effort. Please check the appropriate box below. If you haveany questions regarding this survey contact our Safety Services Department at 973-2260. Thank you in advance for yourcooperation.

Sincerely,

Yr. Alicia ThompsonSuperintendent of Schools

Please check one:

□ Yes, I give permission for my child(ren) to participate in the 2018 Kansas Communities That CareStudent Survey.

□ No, I do not give my permission for my child(ren) to participate in the 2018 Kansas CommunitiesThat Care Student Survey.

Student Name(s)

Parent Printed Name Parent Signature

Form 3E - Consent for Disclosure USD 259 – updated 6/13/2017

Consent for Disclosure for Reduction of School Fees USD 259 - Wichita Public Schools

2017-2018 School Name __________________________________ Dear Parent/Guardian:

You do not have to sign or send in this form to get reduced price or free Child Nutrition Program benefits for your children. If you do not sign the Consent for Disclosure it will not affect eligibility for or participation in the Child Nutrition Programs.

To save you time and effort, information about your children’s eligibility for reduced price or free Child Nutrition Program benefits may be shared with other programs for which your child may qualify. For the programs listed below, we must have your permission to share your information:

No, I DO NOT want information about my children’s eligibility for Child Nutrition Program benefits shared with any of these programs.

Yes, I DO want school officials to share information about my children’s eligibility for Child Nutrition Program benefits with only the programs I have checked below. Elementary K-5 Middle 6-8 High 9-12

Textbook Rental Fees (Grades K-12)

Textbook Rental Fees (Grades K-12)

Textbook Rental Fees (Grades K-12)

Course Specific Workbooks (Grades K-12)

Standardized Student Materials Fees (Grades 6-8)

Course Specific Workbooks (Grades K-12)

Musical Instrument Rental Fees (Grades 5-12)

Musical Instrument Rental Fees (Grades 5-12)

Musical Instrument Rental Fees (Grades 5-12)

Latchkey Fees (SAP) (Grades K-5)

Art Project Fees (Grades 6-12)

Athletic Fees (Grades 9-12)

Testing Fees (Grades 9-12) Career and Technical Education Fees:

Technical Education Student Project/Shop Fees (Grades 9-12) CAD/Drafting; Cabinetmaking; Graphic Design; Metals/Welding/Machining; Photo Imaging; PLTW Pre-Engineering; AV Communication; Automotive/Motorcycle/Small Engine

Business Lab Fees (Grades 9-12) Accounting, Business, Computer

Family & Consumer Science (Grades 9-12) Foods, Culinary, Interior & Textile.

If you checked yes to any or all of the boxes above, list all your children attending the school named above. Your information will be shared only with the programs you checked: Child’s Name: ______________________________________________________________ Student ID#_____________

Child’s Name: ______________________________________________________________ Student ID#_____________

Child’s Name: ______________________________________________________________ Student ID#_____________

Child’s Name: ______________________________________________________________ Student ID#_____________ Signature of Parent/Guardian: ______________________________________ Date: _______________________ Printed Name: ________________________________________________________________________________ For more information, you may call: School Official’s Name: ___________________________________________ Phone: ______________________________________ Address: _____________________________________________________________________________________________________

If you have any questions regarding free/reduced, please call the Nutrition Services office at (316) 973-2160

This institution is an equal opportunity provider.

Nutrition Services Department 316-973-2160

Wichita Public Schools ENROLLMENT RESIDENCY QUESTIONNAIRE

This form is intended to address the McKinney-Vento Act 42 U.S.C 11436, and must be completed for each Family. The information is confidential. Please complete the following questions regarding student’s housing in order to help determine if the student qualifies for services under the McKinney-Vento Act.

If one of the above is marked, Do Not complete the remainder of this form.)

Parent/Guardian:________________________________ Phone:____________ Email:__________________

Temporary Address: __________________________________ City:_______________ Zip Code: ________ Language Spoken in the Home: English:____________ Spanish________ Vietnamese________ Other_______________

Other Contact:_________________________________ Phone:_____________ Family:_____ Friend:______

1. Is your current address a temporary living arrangement? Yes____ No___ (see examples below) 2. Have you recently lost your housing due to economic hardship or eviction? Yes ____ No____ 3. Do you or your children lack a regular, fixed or inadequate nighttime residence? Yes ___ No ___ 4. How long have you lived in a temporary situation at your current address?_________________

If you answered YES to the above questions please fill out the remainder of the form. Living Arrangement: (Must select One) Living with another person or family temporarily due to loss of housing or economic hardship

Living in a motel or campground temporarily due to lack of an alternative housing

Living in a shelter, or transitional housing

Living in a parked car, abandoned building, or other inadequate housing

Student not in the physical custody of a parent or living on their own without parent or guardian support

I declare under penalty of perjury/fraud under the laws of the United States and the State of Kansas that the foregoing information is true and correct. I accept responsibility for repayment of all funds if found fraudulent.

Signature of Parent, Guardian, or Student:__________________________________ Date:_________

Student Name (First Name, Last Name) School Grade M/F Date of Birth ID#

2017-2018

***Please admit student immediately while documentation is being obtained***

Instructions for office staff – Please make sure all information is completed on the form and fax or email to the McKinney-

Vento Office. Keep a copy of the completed form. Fax to 973-4699 or email the Liaison at cmartinez@usd259.net

(Please have the parent fill out the waiver of confidentiality form and the child nutrition benefit form.)

Please list your children 0-18 years of age living with you in the same residence:

Are you renting, contributing to the rent or own your own home? If so

Are you living in a Foster home or in JJA Custody? If so

Staff name submitting form: ________________________ Phone #:_____________________

English / Migrant Survey Revised 02/22/2017

MIGRANT EDUCATION PROGRAM SURVEY (Non immigration related)

Have you ever worked, are currently working, or have looked for work in the activities listed below, or any other related activities as a principal means of livelihood?

_______Yes (Please circle the activity you have worked/are working in.) ______No

Feed Cattle Dairy Poultry Cultivation Fishing Harvest Milling Cotton Trees Greenhouses Processing Preparation Planting Nursery Packing of soil Sod

If yes, your child may be eligible for extra assistance and support. Please complete the following information. You can also call 866-8032 for additional information. Father’s Name: _______ Mother’s Name: _______________________ Address: _____ _____ Zip Code: __________ Telephone(s) Number(s):______________________________ Today’s date: ___________

Child’s Name First Last

Birthdate

School

Student ID Number

We would appreciate your cooperation in answering the following questions: How long have you lived in Wichita? ____Years ____Months ____ I don’t live in Wichita.

(Please use numbers in your answer) If you have lived in Wichita more than 3 years, have you or your family made a move out of Wichita and back again in the last 3 years?

_______ Yes ________No Please return this form to your child’s school. For additional information, please call 866-8032.

Wichita Public School - Title I Multilingual Education Services 923 Cleveland St - Wichita, KS 67214

Opt-Out Notification for Military Recruiters

2017-2018 school year Two federal laws require the school district to provide military recruiters, upon request, the name, address and telephone number of each secondary school student unless the student or student’s parent has advised the district that this information is not to be disclosed. In order to have your directory information withheld, please note the following:

A request to withhold directory information must be in writing. You may use this form or appropriate forms from other sources. A request may also be hand-written.

This request will apply only to the release of directory information to military recruiters. Requests to suppress directory information used for other purposes (such as student publications, colleges and universities, class rings, and yearbooks) are not covered by this notification. Such requests must be filed directly with the school.

Requests for suppression of directory information are for one year, and must be renewed annually.

Both parents and students may sign this form. The parent signature must be on requests for students who are under the age of 18. For students who are 18 years of age or older, the student must sign the request.

Written requests to be excluded from directory lists provided to military recruiters must be completed and returned to the school by September 20, 2017.

I hereby request USD 259 not release directory information to military recruiters for this student: Name of student ________________________________________________________________ Date of birth ______________________ School attending ______________________________ mm/dd/yy Parent signature __________________________________________ Date signed ____________ (Not required if student is 18 years of age)

Student signature _________________________________________ Date signed ____________ …………………………………………………………………………………………………………………. Date Received Date entered to At School Date stamp Synergy _______________ These laws are: Section 9528 of the ESEA (20 U.S.C. 7908), as amended by the No Child Left Behind Act of 2001 (P.L. 107-110), the education bill, and 10 U.S.C. 503, as amended by Section 544, the National Defense Authorization Act for Fiscal Year 2002 (P.L. 107-107), the legislation that provides funding for the Nation’s armed forces.

Board Counsel has approved this form as to legal form and content. Date: July 2, 2005

WICHITA PUBLIC SCHOOLS

Military Service – Parent Information Form

Parents that are serving in the military are asked to please complete and return the form to the school office where it will be kept on file for the current school year. Collection of the information below is required for state reporting. Student Name: Student School: Student Grade: Student Date of Birth: Today’s Date: Parent/Guardian Name: Parent/Guardian Signature Military Service: Parent/Guardian Name: Parent/Guardian Signature Military Service:

Please complete and return to the school by September 8th, 2017.

Military Service

Please check applicable

box Active Reserve

Military Service

Please check applicable

box Active Reserve

Office Use Only Date received at School Date Stamp Date entered to Synergy

Human Growth and Development (HGD) Opt-In Form 2017-18

Student Name: ___________________________________ Student ID: ____________

Elementary School:_________________________________ Grade: ____________

As a parent/guardian, you have the option of whether or not your student receives education about Human Growth and Development in the Wichita Public Schools. The curriculum that your student would receive at each grade level is described in the following table:

Elementary Curriculum Research shows that many 4th and 5th grade boys and girls are beginning to experience the physical and emotional changes that occur during puberty. The Wichita Public Schools’ HGD curriculum includes a lesson to help students understand this normal part of growth and development.

4th Grade Girls and boys are separated for this lesson that includes a video and discussion of the following topics. The girls watch the video Puberty for Girls: Top Ten Things to Expect and the boys watch the video Puberty for Boys: Top Ten Things to Expect.

*A Time to Change *A Different Body, A Different Look *Organs & Glands *Top Ten Things to Expect

5th Grade Girls and boys are separated for this lesson that includes a video and discussion of the following topics. Both groups will watch the video, “Always Changing and Growing Up.”

• Physical, emotional and social changes that take place during puberty • Physical growth specific to females and males • Ideas to care for the body through hygiene, sleep, exercise and diet • Mature discussion with family members and peers

If you have any questions about this curriculum, please contact your child’s teacher or school nurse for a review of the curriculum. If further questions arise, contact the Human Growth and Development Curriculum Coach at 973-5123 or 973-4431. Please check one: Your choice is in effect for this school year unless you request a change.

Yes, I want my student to receive instruction on Human Growth and Development.

No, I do not want my student to receive instruction on Human Growth and Development.

If I’ve chosen “No” from the above choices and my child does not participate in the puberty lesson provided in the Wichita Public School classroom, I accept responsibility for the puberty education of my child. ______________________________________ ______________________________________ Parent/Guardian Printed Name Parent/Guardian Signature

Human Growth and Development (HGD) Opt–In Form 2017-18

Student Name: ___________________________________ Student ID: ____________

Secondary School: _________________________________ Grade: ____________

As a parent/guardian, you have the option of whether or not your student receives education about Human Growth and Development and HIV/AIDS in the Wichita Public Schools. The curriculum that your student would receive at each grade level is described in the following table:

Secondary Curriculum The 6th through 12th grade HGD curriculum emphasizes abstinence and making healthy choices. Major topics include physical and emotional changes in puberty, pregnancy, child birth, STD and HIV/AIDS, protection methods, relationships, and sexual assault issues. The HGD curriculum is taught in specific classes based on USD 259 policy. Not all topics listed above are taught at each grade level. 6th Grade Science in all middle schools 7th Grade Science in all middle schools 8th Grade Science in all middle schools 9th Grade Physical Education Foundations in all high schools 9th – 12th Grade Family and Consumer Science in specific high school classes

If you have any questions about this curriculum, please contact the teacher who will be teaching this curriculum. If further questions arise contact the Human Growth and Development Curriculum Coach at 973-5123 or 973-4431. Please check one: Your choice is in effect for this school year unless you request a change.

Yes, I want my student to receive instruction on Human Growth and Development and HIV/AIDS.

No, I do not want my student to receive instruction on Human Growth and Development and HIV/AIDS. I

understand that my child will work independently on alternative assignments during the Human Growth and Development and HIV/AIDS instruction.

If I’ve chosen “No” from the above choices and my child does not participate in the Human Growth and Development and HIV/AIDS lessons provided in the Wichita Public School classroom, I accept responsibility for this education of my child.

______________________________________ ______________________________________ Parent/Guardian Printed Name Parent/Guardian Signature

K-8 STUDENT EXPECTATIONS ON THE BUS Transportation Services Department

It is the right of every student being transported on a bus to receive this service in the safest possible manner. In order to insure this, it is necessary for all students to know, and to follow the rules and regulations set forth by the State and the local Board of Education. Below is a copy of the CHAMPS poster that will be posted on each bus with additional student expectations following. Parents are urged to help their children understand the importance of these rules as they relate to their personal safety. Remember the bus ride is an extension of the school day and that school and classroom conduct is expected at the bus stop as well as on the bus.

• Be on time to your assigned bus stop.

• Bring only school appropriate items on the bus.

• Obey the driver and/or aide at all times.

• The use of Personal Electronic Devices such as cell phones and iPods may be allowed on the bus when used quietly and appropriately. Students are personally responsible for the security of any Personal Electronic Devices.

• A student with transportation as a related service who rides on a Special Education bus needs to be received by a parent/guardian. Pre-K students must be received hand-to-hand at the bus.

• A Kindergarten student riding a regular education bus needs to be received by a parent/guardian.

Violation of the bus rules could result in suspension or revocation of the privilege to ride the bus.

The undersigned persons acknowledge receiving a copy of Student Expectations on the Bus and understand that based on Board of Education Policy 7311 a student’s riding privilege may be suspended or revoked for unsafe and/or inappropriate conduct on the bus. (See back for additional Transportation information.)

__________________________________________ _________________________________________

Print Student Name Student Signature (when applicable) __________________________________________ Date ______________ Parent/Guardian Signature

Conversation Voice Level 1 or 2 – Whisper or quiet conversation (Level 0 – No talking at railroad tracks)

Help Raise your hand and ask bus driver for help.

Activity Be a respectful rider in your words and actions.

Movement Stay seated in assigned seat unless otherwise directed. (Exit and enter safely using handrails,

walk, feet on floor, face forward, keep body parts and objects inside the bus)

Participation Follow directions (No food, drink or gum, backpacks in appropriate place)

Success in school Safety for all riders

Other Transportation Information for Parents

1. Students are encouraged to arrive at their assigned bus stop 5 minutes prior to the scheduled stop time.

2. For your student’s safety he or she may only use the assigned bus stop.

3. The following items will not be allowed on the bus: skateboards, balls not secured in a backpack, water guns or toy replicas of weapons, animals/pets, scooters, balloons, flower bouquets, or any object that is prohibited by district policy, may cause a distraction, or is a safety hazard on the bus.

4. In case of an emergency while the bus is in transport, the driver will follow the bus contractor’s protocol. The appropriate responders will be contacted and sent to assist. Depending on the nature of the incident, the school will be contacted and will notify parents if appropriate and possible.

5. If buses are in transit when a tornado warning is issued, bus drivers will be directed to follow their severe weather plan and when appropriate to proceed to the nearest USD 259 secondary school in the morning and elementary school in the afternoon to seek shelter. Bus drivers will remain with students at that location until released to resume the bus run.

6. A parent, guardian, or emergency contact person (listed at the school) must receive any student receiving Special Education transportation. The adult must be visible to the driver. Pre-K students must be received hand-to-hand at the bus.

7. A parent, guardian, or emergency contact person (listed at the school) must receive a Kindergarten student transported on a regular education bus. The adult must be visible to the driver. Exception: A regular education Kindergarten student who has an older sibling riding the bus may exit the bus with the older sibling or be met at the bus by a sibling who is in middle or high school. On a day when the older elementary age sibling does not attend school or ride the bus, the Kindergarten student must be received.

The following information identifies who to contact when certain situations arise:

Revised 2016

QUESTION WHO TO CALL PHONE NUMBER Lost Child First Student

Transportation Services 832-9231 973-2190

Stop or Address Change School Driver Problems School

Transportation Services 973-2190

Student Not Picked Up First Student 832-9231 Eligibility for Bus School Lost Items on Bus First Student 832-9231 Parent Emergency School School Closings USD 259 Hotline 973-4259 Discipline School Bus Stop Information School Late Bus First Student

If no answer call Transportation Services

832-9231 973-2190

Attendance Boundary Pupil Accounting 973-4498

HIGH SCHOOL STUDENT EXPECTATIONS ON THE BUS Transportation Services Department

It is the right of every student being transported on a bus to receive this service in the safest possible manner. In order to insure this, it is necessary for all students to know, and to follow the rules and regulations set forth by the State and the local Board of Education. Below is a copy of the ACHIEVE poster that will be posted on each bus with additional student expectations following. Parents are urged to help their children understand the importance of these rules as they relate to their personal safety. Remember the bus ride is an extension of the school day and that school and classroom conduct is expected at the bus stop as well as on the bus.

• Be on time to your assigned bus stop.

• Bring only school appropriate items on the bus.

• Obey the driver and/or aide at all times.

• The use of Personal Electronic Devices such as cell phones and iPods may be allowed on the bus when used quietly and appropriately. Students are personally responsible for the security of any Personal Electronic Devices.

• A student with transportation as a related service who rides on a Special Education bus needs to be received by a parent/guardian.

Violation of the bus rules could result in suspension or revocation of the privilege to ride the bus.

The undersigned persons acknowledge receiving a copy of Student Expectations on the Bus and understand that based on Board of Education Policy 7311 a student’s riding privilege may be suspended or revoked for unsafe and/or inappropriate conduct on the bus. (See back for additional Transportation information.)

__________________________________________ _________________________________________

Print Student Name Student Signature (when applicable)

__________________________________________ Date ______________ Parent/Guardian Signature

Activity Ride the bus

Conversation Voice Level 1 or 2 – Whisper or quiet conversation (Level 0 – No talking at railroad tracks)

Help Raise hand; Ask bus driver at stops

Integrity Be respectful to everyone in your words and actions

Effort Lead by example: Stay seated properly, No food, drink, or gum

Value Safety for all riders

Efficiency Enter and exit safely at your assigned stop; Be prompt;

Engage in acceptable activities such as homework, reading, or visiting quietly

Other Transportation Information for Parents

1. Students are encouraged to arrive at their assigned bus stop 5 minutes prior to the scheduled stop time.

2. For your student’s safety he or she may only use the assigned bus stop.

3. The following items will not be allowed on the bus: skateboards, balls not secured in a backpack, water

guns or toy replicas of weapons, animals/pets, scooters, balloons, flower bouquets, or any object that is prohibited by district policy, may cause a distraction, or is a safety hazard on the bus.

4. In case of an emergency while the bus is in transport, the driver will follow the bus contractor’s protocol. The appropriate responders will be contacted and sent to assist. Depending on the nature of the incident, the school will be contacted and will notify parents if appropriate and possible.

5. If buses are in transit when a tornado warning is issued, bus drivers will be directed to follow their severe weather plan and when appropriate to proceed to the nearest USD 259 secondary school in the morning and elementary school in the afternoon to seek shelter. Bus drivers will remain with students at that location until released to resume the bus run.

6. A parent, guardian, or emergency contact person (listed at the school) must receive any student receiving Special Education transportation. The adult must be visible to the driver.

The following information identifies who to contact when certain situations arise:

Revised 2016

QUESTION WHO TO CALL PHONE NUMBER Lost Child First Student

Transportation Services 832-9231 973-2190

Stop or Address Change School Driver Problems School

Transportation Services 973-2190

Student Not Picked Up First Student 832-9231 Eligibility for Bus School Lost Items on Bus First Student 832-9231 Parent Emergency School School Closings USD 259 Hotline 973-4259 Discipline School Bus Stop Information School Late Bus First Student

If no answer call Transportation Services

832-9231 973-2190

Attendance Boundary Pupil Accounting 973-4498

Textbook Acknowledgement Form

Student Name: ___________________________________ Student ID: ____________

School: _________________________________________

The form below must be signed by you and your student. Please return the form to the school office where it will be kept on file for the current school year.

Textbooks and other instructional materials are the property of USD 259, Wichita Public Schools. They are provided for the use of students who are enrolled in district schools and centers with the expectation they will be returned in the condition they were issued less reasonable wear and tear. Students who lose or damage instructional materials will be charged the replacement cost of the lost or damaged item(s).

Each student shall return all textbooks issued to the student at the time they withdraw from the school, at the end of the first semester for all classes that do not continue, or at the end of the school year. Students shall write their names inside in the appropriate place, and properly use and care for the textbooks. Each student or their parent or legal guardian shall be responsible for textbooks not returned or damaged by the students. Any student failing to return textbooks or who fails to pay for lost or damaged items may as a result have holds placed on progress reports, report cards and diplomas, be excluded from participation in graduation ceremonies, extracurricular activities, sports and special programs/events. All fines must be paid by no later than the last instructional day of the school year.

Students are required to pay the replacement cost for damaged textbooks and instructional materials. The costs of books and materials are available in the district’s Textbook Manager System.

________________________________ ________________________________

Parent/Guardian Name (Print) Parent/Guardian Signature

________________________________ ________________________________

Student Name (Print) Student Signature

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Student Grade Student Date of Birth Today’s Date