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2018-2019 International F-1 Visa Program Student Admissions Process – 2018-2019 Welcome to the Chino Valley Unified School District International Program admission process. In order to be considered for admission into the program, the completion of District forms A-H and the submission of the documentation listed on the International Enrollment Checklist are required. With the submission of this application students are applying for acceptance into the District’s F-1 visa program for a full course of study in which you will be majoring in High School/Secondary Diploma Program for a period of 12 months. During this time students may complete some or all of the District graduation requirements, dependent upon the transcript evaluation and ability to complete California state and Chino Valley Unified School District high school diploma requirements. English proficiency is a requirement for enrollment. The estimated cost for a 12-month program will be: Non-refundable application fee - due upon submission of completed application. $350 Tuition fees - I-20 will be issued after tuition is received. $15,000 Estimated Overseas I-20 delivery fee (if applicable). $80 Health insurance - coverage for the full school year is required and may be provided by the parent/guardian and/or the host guardian. varies Estimated living expenses including room, board and transportation. $10,000 Extra and co-curricular school activities, school supplies, tutoring, college counseling and applications, test preparation and any other school- related expenses (if applicable). varies Applicants must provide evidence of their ability to fund the total 12-month expense through bank certification. This information is reported to the U.S. Department of Justice in order to process the I-20. Please note that the totals listed above do not include fees charged by agencies or agents assisting students with the application, enrollment, homestay and other services.

International F-1 Visa Program Student Admissions Process ... · International F-1 Visa Program Student Admissions Process – 2018 ... you will be majoring in High School/Secondary

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2018-2019

International F-1 Visa Program

Student Admissions Process – 2018-2019

Welcome to the Chino Valley Unified School District International Program admission process. In order to be considered for admission into the program, the completion of District forms A-H and the submission of the documentation listed on the International Enrollment Checklist are required.

With the submission of this application students are applying for acceptance into the District’s F-1 visa program for a full course of study in which you will be majoring in High School/Secondary Diploma Program for a period of 12 months. During this time students may complete some or all of the District graduation requirements, dependent upon the transcript evaluation and ability to complete California state and Chino Valley Unified School District high school diploma requirements.

English proficiency is a requirement for enrollment.

The estimated cost for a 12-month program will be:

Non-refundable application fee - due upon submission of completed application. $350

Tuition fees - I-20 will be issued after tuition is received. $15,000

Estimated Overseas I-20 delivery fee (if applicable). $80

Health insurance - coverage for the full school year is required and may be provided by the parent/guardian and/or the host guardian.

varies

Estimated living expenses including room, board and transportation. $10,000

Extra and co-curricular school activities, school supplies, tutoring, college counseling and applications, test preparation and any other school-related expenses (if applicable).

varies

Applicants must provide evidence of their ability to fund the total 12-month expense through bank certification. This information is reported to the U.S. Department of Justice in order to process the I-20.

Please note that the totals listed above do not include fees charged by agencies or agents assisting students with the application, enrollment, homestay and other services.

2018-2019

International Program Application Checklist

Applicants must provide ALL the following documents to be considered for admission:

Typed student information (form A) Typed contact information (form B) Typed student background questionnaire (form C) Student Conduct Agreement (form D) Student Health and Immunization Record with English translation

o Refer to appendix 1/2 for detailed information (attachment #1) Tuition Policy and I-20 Delivery (form E)

o Attach a copy of the parent/guardian’s bank certification confirming the student’s ability to fund the total 12-month expense reported to the U.S. Department of Justice to process the I-20 (attachment #2)

Copy of the student’s current passport (attachment #3) Official school transcripts with English translation (attachment #4)

o *Students applying for grade 12 must also include the following: The number of hours spent in each course each term The numerical score and/or letter grade earned in each course Courses descriptions, explaining the topics that the student studied.

$350 application fee o *Must be submitted by applicant’s parent/legal guardian – no third-party payment

Video chat interview

After acceptance:

Caregiver Authorization Affidavit (form F) Authorization for Adult to Act as Custodial Parent (form G) Copy of the student’s proof of health insurance (attachment #5)

o *Must be U.S. based health insurance $15,000 tuition payment

o *Must be submitted by applicant’s parent/legal guardian – no third-party payment

The International Program Office will inform parent/guardians when the student application has been approved. Before the I-20 can be issued, the District must receive the tuition fee of $15,000 in full, payable to Chino Valley Unified School District. Payment must be submitted by applicant’s parent/legal guardian – no third-party payment. Accepted forms of payment:

• U.S. bank personal check • Cashier’s check/money order • Wire transfer (request instructions)

Receipt of this application does not automatically imply acceptance. For admission consideration, submit the completed application, attachments, and the $350 non-refundable application fee to:

Chino Valley Unified School District Alternative Education Center

Sangeeta Morar, International Program Counselor/PDSO 15650 Pipeline Ave. Chino Hills, CA 91709

909-591-3682 x5354 [email protected]

2018-2019

Date: __________________

Family/Last Name: _____________________________ Given/First Name: _______________________________ English Name: ________________________ Birthdate: ____________ Current Age: _____ Male Female Email Address: ________________________________ WeChat/WhatsApp ID: ___________________________ Country of Birth: _______________________________ Country of Citizenship: ___________________________ Foreign Address: _________________________________________ City: ________________________________ Province/Territory: ____________________________________ Country, Postal Code: _____________________ Passport Number: ______________________________________ Passport Expiration Date: _________________ Student is Proficient in English (required): Yes No New Student Transfer Student Current Grade: 8 9 10 11 Grade Entering: 9 10 11 12

Student has completed a high school program or equivalent? Yes No *International students are not permitted to repeat grade levels in CVUSD. Additionally, international students must complete the entire year/two

semesters in their current grade level prior to arrival in CVUSD.

Current School: _______________________________________________________________________________ School Address: _______________________________________________________________________________ School Phone: ___________________________ School Website: _______________________________________ Student has special physical or academic needs? Yes No

If yes, please explain: __________________________________________________________________

Chino Valley Unified School District is home to four comprehensive high schools. Placement at a high school is based upon the date of the completed application, as well as, enrollment availability.

Please rank the schools in order of PREFERENCE (#1-4).

Chino HS____ Chino Hills HS____ Don Antonio Lugo HS____ Ruben S. Ayala HS____

Form A

Student Information

TYPE THIS FORM

2018-2019

Name of Agency (if applicable): __________________________________________________________

Name of Agent: _______________________________________________________________________

Address: ____________________________________ City: ____________________________________

State, Zip Code: ________________________ Email Address: __________________________________

Office Phone: ______________________________ Mobile phone: ______________________________

WeChat/WhatsApp ID: _________________________________________________________________

Father/Legal Guardian: _________________________________________________________________

Home Address: ____________________________________ City: _______________________________

Province/Territory: ________________________ Country, Postal Code: _________________________

Home Phone: ______________________________ Mobile phone: ______________________________

Work Phone: _______________________________WeChat/WhatsApp ID:_______________________

Email Address: ______________________________ Occupation: ______________________________

Mother/Legal Guardian: ________________________________________________________________

Home Address: ____________________________________ City: _______________________________

Province/Territory: ________________________ Country, Postal Code: _________________________

Home Phone: _______________________________ Mobile phone: _____________________________

Work Phone: _______________________________WeChat/WhatsApp ID:_______________________

Email Address: ______________________________ Occupation: ______________________________

Form B

Contact Information

TYPE THIS FORM

2018-2019

>>To be completed by the student applicant<<

Briefly describe your academic and social goals (friends, clubs, sports) as a student in Chino Valley Unified

School District:

List the languages you speak or have studied:

Years of study: _____________ Proficiency: Average Good Excellent

Briefly describe your hobbies, interests (sports, music, art) that you enjoy as a participant or spectator:

Have you participated in a long-term (semester/year) study abroad program before? Yes No

If yes, list the dates and school(s):

Have you ever spent an extended time away from your family? If so, briefly describe the experience:

List any school-related academic or extracurricular awards and honors you have received:

Form C

Student Background

TYPE THIS FORM

2018-2019

The Chino Valley Unified School District Board of Education believes all students have a right to be educated in a positive learning environment free of disruptions. Students shall be expected to exhibit appropriate conduct that does not infringe upon the rights of others or interfere with the school program while on school grounds, while going to or coming from school, while at school activities, and while on district transportation. A student may be withdrawn from Chino Valley Unified School District if there is:

• Lack of regular attendance • Continued school failure after appropriate counseling • Failure to comply with additional requirements for the students • Continued actions contrary to the accepted practice of the school • Failure to meet financial obligations • Possession of firearms or weapons • Theft, vandalism, possession or use of alcoholic beverages or narcotics on or off campus or at a school

function • Fighting and physical altercations • Seriously endangering fellow students or the reputation of the school on or off campus • Any action, by the student and/or parent, considered serious enough as determined by Administration

Students are expected to be safe, respectful and responsible at all times. This includes:

• Using appropriate language at all times • Following directions of teachers and staff • Keeping electronic devices turned off and put away during school hours • Being honest and maintaining academic integrity • Being an active participant in classes • Maintaining at least a 2.0 GPA • Refraining from using translation devices on tests and quizzes

I understand the student expectations on this Student Conduct Agreement and failure to abide may result in the loss of school admission. Tuition is non-refundable in cases of transfer, drop out, return to home country of origin or dismissal due to student conduct or poor academic performance.

Print Student Name: ________________________________________________________________

Student Signature: __________________________________________ Date: _________________

Form D

Student Conduct Agreement

2018-2019

• Federal law requires that F-1 visa students must pay the full unsubsidized cost of tuition. The amount of

tuition is determined annually, and covers the duration of the traditional school year. Programs and services offered outside of the general school semesters and academic program will be priced accordingly.

• Tuition must be submitted by applicant’s parent/legal guardian – no third-party payment. • The entire cost of tuition and any associated fees must be paid to Chino Valley Unified School District

prior to the issuance of the I-20. Wiring instructions will be sent by the International Program Office upon request to the applicant. The tuition is $15,000 for the 2018-2019 school year.

• If a student is unable to attain the F-1 visa, the full amount of tuition will be refunded. If the student enters the country using the F-1 visa, then fails to enroll, terminates or transfers from Chino Valley Unified School District prior to the end of the 2018-2019 school year, tuition will not be refunded.

• Tuition will only be refunded to the individual that submitted payment. • The I-20 will only be released to the applicant and/or the applicant’s parent/legal guardian – no third-

party I-20 recipients are permitted.

The applicant and/or the applicant’s parent guardian will collect said I-20 in-person by appointment with

the International Program Office.

-OR-

I would like Chino Valley Unified School District to ship the I-20 directly to the applicant at the applicant’s cost using eShipGlobal. Provide the email address to send the shipping link:

_____________________________________________________________________________________

Applicants are required to submit current evidence that the student will have financial support for one academic year. Please fill out the information below and submit financial documentation of available funds translated into English (attachment #2). Financial support must be liquid assets such as savings or checking accounts. Investment accounts are not acceptable.

Name of Financial Institution: _________________________________________________________

I certify that the information and documentation provided is complete and accurate. Furthermore, I take responsibility for the student’s financial, travel and living arrangements. I read and understand the tuition policy. I also understand that providing false or misleading information can result in the denial of the student’s application, or if admitted, in the student’s dismissal from Chino Valley Unified School District and/or deportation from the U.S.

Print Parent/Legal Guardian Name: _____________________________________________________

Signature: ____________________________________________ Date: _______________________

Form E

Tuition Policy and I-20 Delivery

TYPE THIS FORM

Caregiver Affidavit Guidelines Rev.7.27.2017

Chino Valley Unified School District Student Support Services

CAREGIVER AUTHORIZATION

AFFIDAVIT GUIDELINES

Student Information Student Name Date of Birth

School

Mother/Guardian Name Father/Guardian Name

Caregiver Name

School site personnel must explain the following five (5) items to caregiver and initial each item upon completion.

Guidelines

School Staff Initial Below:

1. Explain and verify the Caregiver Authorization Affidavit (Family Code 6550) information listed in sections one through eight.

Note: Caregiver must fill out a separate affidavit for each student enrolling into the school district.

2. Review and explain the “Warning” information and the penalty for perjury under the laws of the State of California for information that is incorrect or untrue listed on the Caregiver Authorization Affidavit.

3. Explain to the caregiver that the Caregiver Authorization Affidavit only allows the caregiver to the following: School enrollment Work permit request Emergency medical treatment Access to student records by the caregiver

4. The caregiver must sign and date the bottom of this form acknowledging school site personnel has explained and reviewed the Caregiver Authorization Affidavit.

5. Make three (3) photocopies of the Caregiver Authorization Affidavit:

a. Original copy will be placed in the student’s cumulative folder.

b. Second copy is returned to the caregiver to keep for his/her records.

c. Third copy, including this form, will be submitted to the Chino Valley Unified School District’s Custodian of Records in Student Support Services and placed in the District’s Caregiver Authorization Affidavit Notebook.

___________________________________________ ____________________ Caregiver’s Signature Date

Suzanne Swezey
Typewritten Text
sangeeta morar
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Caregiver Authorization Affidavit Rev. 7.27.17

Chino Valley Unified School District Student Support Services

CAREGIVER'S AUTHORIZATION AFFIDAVIT (Family Code 6550)

NOTICES:

1. This declaration does not affect the rights of the minor's parents or legal guardian regarding the care, custody, and control of the minor, and does not mean that the caregiver has legal custody of the minor.

2. A person who relies on this affidavit has no obligation to make any further inquiry or investigation.

3. The caregiver may request enrollment of a minor in school, authorize school related medical care, request work permit, and have access to student records.

4. This affidavit addresses school residency only.

Additional Information

TO CAREGIVERS:

1. "Qualified relative," for purposes of item 5, means a spouse, parent, stepparent, brother, sister, stepbrother, stepsister, half-brother, half-sister, uncle, aunt, niece, nephew, first cousin, or any person denoted by the prefix "grand" or "great," the spouse of any of the persons specified in this definition, even after the marriage has been terminated by death or dissolution.

2. The law may require you, if you are not a relative or a currently licensed, certified, or approved foster parent, to obtain resource family approval pursuant to Section 1517 of the Health and Safety Code or Section 16519.5 of the Welfare and Institutions Code in order to care for a minor. If you have any questions, please contact your local department of social services.

3. If the minor stops living with you, you are required to notify any school, health care provider, or health care service plan to which you have given this affidavit. The affidavit is invalid after the school, health care provider, or health care service plan receives notice that the minor no longer lives with you.

4. If you do not have the information requested in item 8 (California driver's license or I.D.), provide another form of identification such as your social security number or Medi-Cal number.

TO SCHOOL OFFICIALS:

1. Section 48204 of the Education Code provides that this affidavit constitutes a sufficient basis for a determination of residency of the minor, without the requirement of a guardianship or other custody order, unless the school district determines from actual facts that the minor is not living with the caregiver.

2. The school district may require additional reasonable evidence that the caregiver lives at the address provided in item 4.

TO HEALTH CARE PROVIDERS AND HEALTH CARE SERVICE PLANS:

1. A person who acts in good faith reliance upon a caregiver's authorization affidavit to provide medical or dental care, without actual knowledge of facts contrary to those stated on the affidavit, is not subject to criminal liability or to civil liability to any person, and is not subject to professional disciplinary action, for that reliance if the applicable portions of the form are completed.

2. This affidavit does not confer dependency for health care coverage purposes.

Caregiver Authorization Affidavit Rev. 7.27.17

Chino Valley Unified School District Student Support Services

CAREGIVER'S AUTHORIZATION AFFIDAVIT (Family Code 6550)

Use of this affidavit is authorized by Part 1.5 (commencing with Section 6550) of Division 11 of the California Family Code.

Instructions: Completion of items 1-4 and the signing of this affidavit is sufficient to authorize enrollment of a minor in school and authorize school-related medical care, request work permit, and access to student records. Completion of items 5-8 is additionally required to authorize any other medical care.

PRINT CLEARLY

The minor named below lives in my home and I am 18 years of age or older.

1. Name of Minor _______________________________________________________

2. Minor's Date of Birth _______________________________________________________

3. My name (adult giving authorization)

_______________________________________________________

4. My home address is _______________________________________________________

5. ☐ I am a grandparent, aunt, uncle, or other qualified relative of the minor (see back of this form for a definition of "qualified relative")

6. Check one or both (for example, if one parent was advised and the other cannot be located):

☐ I have advised the parent(s) or other person(s) having legal custody of the minor of my intent to authorize medical care, and have received no objection.

☐ I am unable to contact the parent(s) or other person(s) having legal custody of the minor at this time, to notify them of my intended authorization.

7. My Date of Birth _______________________________________________________

8. My California driver's license or identification card number _______________________________________________________

WARNING Do not sign this form if any of the statements above are incorrect, or you will be committing a crime punishable by a fine, imprisonment, or both.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day , 20 , in the city of , California. Printed Name Signature

Authorization for Adult to Act as Custodial Parent Rev.7.26.17

Chino Valley Unified School District Student Support Services

AUTHORIZATION FOR ADULT TO ACT AS CUSTODIAL PARENT

TEMPORARY CUSTODIAL RESPONSIBILITY

Student Information

Student's Name Date of Birth

School

Doctor Name Doctor Phone No.

Choice of Specialists

List Allergies, if any List medications student is currently taking

Parent/Guardian InformationMother/Guardian Name Father/Guardian Name Address City, State, Zip County

Primary Telephone Alternate Telephone

Caregiver's Information

Caregiver Name

Address City, State, Zip County

Primary Telephone Alternate Telephone

Temporary Care Time Period

Beginning Date Expiration Date

I hereby state that I am the natural parent/legal guardian of the above-stated child, and authorize the above-named caregiver, to act on my behalf for the time period specified above, in all school matters such as, but not limited to, signing absence verifications, approving field trips, acknowledging notifications, and signing other authorizations, including, but not limited to, medical decisions and/or treatment while attending school or participating in school-related activities. Executed this day , 20 , in the city of , California. Signature of Parent/Guardian Witnessed by: Printed Name Signature

sangeeta morar
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Vaccine 4-6 Years OldElementary School at Transitional-Kindergarten/Kindergarten and Above

7-17 Years OldElementary or Secondary School

7th Grade*

Polio (OPV or IPV)

4 doses(3 doses OK if one was given on or after 4th birthday)

4 doses(3 doses OK if one was given on or after 2nd birthday)

Diphtheria, Tetanus, and Pertussis

5 doses of DTaP, DTP, or DT(4 doses OK if one was given on or after 4th birthday)

4 doses of DTaP, DTP, DT, Tdap, or Td

(3 doses OK if last dose was given on or after 2nd birthday. At least one dose must be Tdap or DTaP/DTP given on or after 7th birthday for all 7th-12th graders.)

1 dose of Tdap(Or DTP/DTaP given on or after the 7th birthday.)

Measles, Mumps, and Rubella(MMR or MMR-V)

2 doses(Both given on or after 1st birthday. Only one dose of mumps and rubella vaccines are required if given separately.)

1 dose(Dose given on or after 1st birthday. Mumps vaccine is not required if given separately.)

2 doses of MMR or any measles-contain-ing vaccine

(Both doses given on or after 1st birthday.)

Hepatitis B (Hep B or HBV)

3 doses

Varicella (chickenpox, VAR, MMR-V, or VZV)

1 dose 1 dose for ages 7-12 years.

2 doses for ages 13-17 years.

*New admissions to 7th grade should also meet the requirements for ages 7-17 years.

Requirements by Age and Grade Before Entering:

GUIDE TO IMMUNIZATIONS REQUIRED FOR SCHOOL ENTRY

GR ADES TK/K–12

INSTRUCTIONS:

California schools are required to check immunization records for all new student admissions at TK /Kindergarten through 12th grade and all students advancing to 7th grade before entry.

1. Notify parents of required immunizations and collect immunization records.

2. Copy the date of each vaccine from the child’s immunization record to the California School Immunization Record (Blue Card, CDPH-286) and/or supplemental Tdap sticker [PM 286 S (01/11)] or enter into an approved electronic system that prints a Blue Card.

3. Compare number of doses on the Blue Card to the requirements above.

4. Determine whether child can be admitted.

Continued on next page.

IMM-231 (3/16) California Department of Public Health • Immunization Branch • ShotsForSchool.org

Questions? Visit ShotsForSchool.org

or

Contact your local health department

(bit.do/immunization)

sangeeta morar
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ADMIT A CHILD UNCONDITIONALLY WHO: • Has all immunizations required for their age or grade, or

• Entered Transitional Kindergarten with o a valid personal beliefs exemption (PBE) for missing shot(s) that was signed within 6 months prior to entry and filed before January 1, 2016 and o immunization records with dates for all required shots not exempted, or

• Is entering 1st-6th grade or 8th-12th grade and submits a valid PBE filed at a prior California school for missing shot(s) and immunization records with dates for all required shots not exempted. The PBE must have been filed before January 1, 2016 and is only valid for the current grade span (TK/K through 6th or 7th through 12th grade). For complete details, visit ShotsforSchool.org, or

• Submits a licensed physician’s written statement of a permanent medical exemption for missing shot(s) and immunization records with dates for all required shots not exempted.

The immunization requirements do not prohibit pupils from accessing special education and related services required by their individualized education programs.

A CHILD WHO IS MISSING REQUIRED SHOTS MAY BE ADMITTED CONDITIONALLY IF HE/SHE:

• Is missing a dose(s) in a series, but the next dose is not due yet. This means the child has received at least one dose in a series and the deadline for the next dose has not passed, according to the table below.

• Has a temporary medical exemption to certain vaccine(s) and has submitted immunization records for vaccines not exempted. The statement must indicate which immunization(s) must be postponed and when the child can be immunized.

SCHOOLS NEED TO FOLLOW UP AFTER ADMISSION IF:

• Child was admitted conditionally. Notify parents of the deadline for missing doses. Review records every 30 days until all required doses are received.

• Awaiting records for transfers from within California or another state. School may allow up to 30 school days before exclusion.

When Missing Doses Can Be Given:

Vaccine Age (Years)

Missing Dose

Earliest Date After Previous Dose

DeadlineAfter Previous Dose

Polio 2nd 6 weeks 10 weeks

3rd 6 weeks 12 months

4–6 4th If the 3rd dose was given before the 4th birthday, one more dose is required before admission.

7–17 4th If the 3rd dose was given before the 2nd birthday, one more dose is required before admission.

DTaP, DTP, or DT Under 7 2nd or 3rd 4 weeks 8 weeks

4th 6 months 12 months

5th If the 4th dose was given before the 4th birthday, one more dose is required before admission.

DTaP, DTP, DT, Tdap, or Td

7 & Older 2nd 4 weeks 8 weeks

3rd 6 months 12 months

4th If the 3rd dose was given before the 2nd birthday, one more dose is required before admission.

MMR 2nd 1 month 3 months

Hep B 4–6 2nd 1 month 2 months

3rd 2 months after 2nd dose and at least 4 months after 1st dose

6 months after 2nd dose

Varicella 13–17 2nd 4 weeks 3 months

DO NOT ADMIT A CHILD WHO: Does not fit one of the previous categories. Refer parents to their physician with a written notice indicating which doses are needed.

Maintain a list of unimmunized children (exempted or admitted conditionally), so they can be excluded quickly if an outbreak occurs.

GUIDE TO IMMUNIZATIONS REQUIRED FOR SCHOOL ENTRY GRADES TK/K–12 (continued)

IMM-231 (3/16) California Department of Public Health • Immunization Branch • ShotsForSchool.org

疫苗 4-6歲小學過渡期幼稚園/幼稚園及上述

7-17歲小學或中學

7年級*

脊髓灰質炎 (OPV或IPV)

4倍劑量(如果在4周歲或之後接種時,可給予3倍劑量)

4倍劑量(如果在2周歲或之後接種時,可給予3倍劑量)

白喉、破傷風和百日咳 (DTaP、DTP、DT或Tdap)

5倍劑量的DTaP、DTP或DT

(如果在4周歲或之後接種時,可給予4倍劑量)

4倍劑量的DTaP、TP、DT、Tdap或Td(如果兩周歲或更大時給予末次注射,可給予3倍劑量。對於所有7-12年級的學生,7周歲或更大時至少需要給予單劑量的Tdap或DTaP/DTP。)

單劑量Tdap(7周歲或更大時給予DTP/DTaP。)

麻疹、腮腺炎和風疹(MMR或MMR-V)

2倍劑量(1周歲或更大時可給予雙倍劑量。如果單獨接種,僅需給予單劑量的腮腺炎和風疹疫苗)

單劑量(1周歲或更大時給予注射。單獨注射時,無需注射腮腺炎疫苗。

2倍劑量的MMR或含麻疹疫苗(1周歲或更大時給予雙倍劑量。)

乙肝 (Hep B或HBV)

3倍劑量

水痘(水痘、VAR、MMR-V或VZV)

單劑量 7-12歲時給予單劑量。13-17歲時給予2倍劑量。

*新入學7年級兒童需滿足對7-17歲兒童的要求。

IMM-222 School (1/16) California Department of Public Health • Immunization Branch • ShotsForSchool.org

不同年齡和年級的入學要求:

家長免疫接種指南

入學要求

為什麼你的孩子需要注射疫苗? 加州學校免疫法要求,兒童入園時必須接受最新的疫苗接種(注射)。 麻疹等傳染病傳播較快,因此入園前需對兒童進行保護。加州學校要求,所有入幼稚園或過渡幼稚園直至12年級以及入園前所有達到7年級的新生必須接受免疫接種檢查。

法律:健康和安全法規,105區,第2部分,第1章,第120325-120380節;加州法典,標題17,1區,第4章,第8子章,第6000-6075節

如果參加,需要準備哪些東西: 入園時,您孩子的免疫接種記錄必須顯示所有必需接種的日期。如果您沒有免疫記錄證,或您的孩子未按要求接受所有的疫苗注射,請立即聯繫醫師預約接種。

如果有執照的醫師出於健康原因決定不給您的孩子接種疫苗,可由醫師提交一份書面申請,可醫學豁免該次免疫接種,包括醫學豁免的持續時間。

個人信念豁免不再是入園的選擇;然而,2016年1月1日之前入園的有效個人信念豁免的有效期直至下一個年級跨度(7至12年級)。有效個人信念豁免可在加利福尼亞各學校之間轉換。詳細資訊,請訪問ShotsforSchool.org。

你還需要提交一份免疫接種記錄,確保所有必需疫苗已接種。

是否有問題?請訪問ShotsForSchool.org或聯繫當地健康部門(bit.do/immunization)。

sangeeta morar
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