Upload
others
View
5
Download
0
Embed Size (px)
Citation preview
Twin Falls School District 201 Main Ave. W. Twin Falls, ID 83301 (208) 733-6900 www.tfsd.org
NEW STUDENT ENROLLMENT PACKET Welcome to the Twin Falls School District! Enclosed are the registration forms that are required for your child to be enrolled in one of our schools. In addition to these forms, the following documents are mandatory:
• Certified Birth Certificateo www.vitalrecords.dhw.idaho.govo www.vitalchek.com (if outside of Idaho)
• Complete Immunization Recordso 5 DTaPo 2 MMRo 4 Polioo 3 Hepatitis Bo 2 Varicellao 2 Hepatitis Ao 7th graders only: TDaP Booster and Meningoccalo Children must be in compliance with Idaho Immunization Laws in
order to attend school. You can ask you school’s secretary formore information.
• Proof of Residenceo Utility bill, lease, or rental contracts
Hii ni muhimu sana. Tafadhali tafuta mtu
wa kutafsiri. C
'est important. S
'il vous plait, trouvez un traducteur.
Student Enrollment FormTwin Falls School District #411201 Main Ave W.Twin Falls , ID 83301 Immunizations
Phone: 208-733-6900 Proof of ResidencyFax: 208-733-6987 Birth Certificatewww.tfsd.org
Student Last Name Student First Name Student Middle Name
Name Child Will Use at School Date of Birth
Male
Primary Contact Phone Number
Grade Level This Academic Year
Female
Home Address Street, Apt/Suite
City, State, Zip Code
Street, Apt/Suite
City, State, Zip Code
Yes No
Mailing Address (if different from home address)
Is the student Hispanic or Latino?
What is the student's race?
Has the student previously been enrolled in the Twin Falls School District? If so, where?
AM
PM
Offical Use Only
If Kindergarten, AM or PM
preference?
Gender
American Indian or Alaska Native
Students must be registered in the elementary school zone where they reside. If you wish to enroll in a school outside the zone in which you reside or from outside the district, you must follow the transfer policy.
Within which elementary school zone is the student's home address?
Ethn
icity
School:
AsianBlack or African American
WhiteNative Hawaiian/ Other Pacific Islander
The most recent copy of this form should be kept in the student cumulative file Form Updated March 2018
Father's Name (Last, First)Father's Day PhoneFather's EmployerFather's Home PhoneFather's Email
Mother's Name (Last, First)Mother's Day PhoneMother's EmployerMother's Home PhoneMother's Email
Other Legal Guardian's Name (Last, First)Relationship to StudentsGuardian's Day PhoneGuardian's EmployerGuardian's Home PhoneGuardian's Email
Both ParentsWho does the student reside with?
Yes No Number of BrothersNumber of Sisters
Does the student have siblings in the Twin Falls School District
List siblings first and last names
Who has guardianship of this student? Father Only
Pare
nt/G
uard
ian
Info
rmat
ion
This means the student has a parent, step-parent or sibling serving in the active or resere components of the Army, Navy, Air Force, Marine Corps, Coast Guard, or National Guard. The TFSD is required to collect
this information under the federall education law ESSA.
Is the student a military connected student?
National Guard or Reserve
Unable to Provide
Active Duty
Not Military Connected
Guardian OnlyMother Only
The most recent copy of this form should be kept in the student cumulative file Form Updated March 2018
Name (Last, First)PhoneRelationshipPhone Type
Name (Last, First)PhoneRelationshipPhone Type
Name (Last, First)PhoneRelationshipPhone Type
Address of Last School AttendedPhone Number of Last School Attended
Health and Emergency Information
Name of Last School Attended
Dentist's NameDentist's Phone Number
List any medications prescribed by a licensed medical practitioner. This includes inhalers. (if medication is administered at school, proper documentation is required.)
Emergency Contact #1
Emergency Contact #2
Parents are always the first contact but please provide information for individuals (other than
parent/guardian) the school may contact in case of student illness or injury and parents cannot be
reached.
Doctor's NameDoctor's Phone Number
Emergency Contact # 3
Previous School Attended (outside
the TFSD)
List any allergies and/or health conditions the student may have. This includes asthma.
Fax Number of Last School Attended
The most recent copy of this form should be kept in the student cumulative file Form Updated March 2018
No
Special EducationResource ProgramsSelf Contained
Yes No
Will the student ride a school bus to or from school? Yes
Adapted Physical EducationLimited English Proficient504Gifted and TalentedMigrant
Speech TherapyHomelessProbationTitle 1 MathTitle 1 Reading
If yes, please fill out the bus transportation services form included in this packet.
Who is filling out this form?
How will your student be getting to and from school?
Special Programs
Please check any special programs or services in which the student has
participated.
Has this student ever been suspended or expelled?
If yes, describe the circumstances including dates and duration
Twin Falls School District
Family Mobility Survey
Student Name: Date:
School: Grade:
Migratory Workers and their families move from place to place for the purpose of finding seasonal or temporary work in
agriculture or fishing. They can be of any race or culture and speak any language. Students who move often face
academic difficulties. As a direct result of frequent educational interruptions, the migrant program was established by
Congress in 1966 and is designed to help migratory children overcome barriers and succeed in school. Please fill out this
survey completely to see if your children may qualify for these additional services
Please answer all questions completely:
1. Did your child participate in the Migrant Education Program in the past? Yes No
2. Have you moved in the last two years? Yes No
If you answered yes to questions 2, was the move from one school district to another
Yes No
3. Was the move made to look for work in agriculture or fishing? (Thisincludes work in the fields, sorting sheds, nurseries, orchards feedlots,dairies, and initial processing, such as work in Simplot, or the cheese orsugar factories)
Yes No
If you answered yes to question 3, what agricultural work did you do in your previous place of residence?
If currently working in agriculture or fishing, what type of work do you do now?
If seeking work in agriculture or fishing, what type of work are you looking for?
Signature of Parent/Legal Guardian_________________________________________ Date _________________
Idaho Migrant Education Program Parent Employment Survey
Versión en español en el otro lado de la hoja
The information provided below is used to identify students who may qualify to receive additional educational services. A program employee may contact you for further information if needed. All information is kept confidential. The Idaho Migrant Education Program is a Title I, Part C program of the Idaho Department of Education.
Child’s Name: District: Date:
Birthdate: School: Grade:
1. In the past three years, has your family lived in another school district? This includes other school districts in Idaho,or another state or country.
Yes (continue to #2) No (stop here)
2. In the past three years, has anyone in your household had a job working with any of these products (not including onyour own property) on a farm, in a field, in a greenhouse, in a nursery or in a factory? Please check any that apply.
Livestock (cattle, pigs, sheep, dairy, etc/)
Hops
Crops (corn, potatoes, beans, wheat, sugar beets)
Sorting or packing (onions, potatoes, etc.)
Processing (meat, fruit, trees, etc.)
Trees &timber Fruits Alfalfa Nursery, sod,
greenhouse Field preparation
If you circled one or more, continue to #3. If none of these (stop here)
3. Parents’ Names: Phone:
Address: City:
Please list all other children in the household less than 22 years of age:Name Birthdate School Grade
This form should be completed once per student and kept in their cumulative file unless the form indicates they do not qualify for services. If they do qualify for services, a copy should be sent to the Migrant Liaison. Forms that indicate students don’t qualify for services should be kept in a separate file for three years for audit purposes. Form Updated: Feb., 2018
TFSD #411
Idaho Migrant Education Program Encuesta de Empleo de Padres
English version on the other side
La información abajo es para identificar a estudiantes que puedan calificar para recibir servicios adicionales de educación. Es posible que un empleado del programa le contacte a usted para más información. Toda la información es confidencial. El Programa de Educación para Migrantes de Idaho es un programa de Título I, Parte C del Departamento de Educación de Idaho.
Nombre del niño: Distrito: Fecha:
Fecha de Nacimiento: Escuela: Nivel:
1. ¿En los últimos tres años, ha vivido su familia en otro distrito escolar en Idaho, en otro estado, ó en otro país? Sí (siga al #2) No (pare aquí)
2. ¿En los últimos tres años, ha trabajado alguien en su familia en cualquiera de los trabajos dibujos abajo, en unagranja, en el campo, en un invernadero, en un vivero, o en una fábrica? Por favor marque todos que se aplican:
Ganados, ovejas, cerdos, vaquerías
Lúpulo (hops) Cultivos (maíz, papas, frijoles, trigo, remolacha)
Ordenando o embolsando (papas o cebollas)
Procesando (carne, frutas, arboles, etc.)
Árboles ymadera Frutas Pasto seco
Semillero, césped, invernadero
Preparación de suelo
Si tiene uno o mas circulos, siga al #3. Ninguno de estos (pare aquí)
3. Nombre de padres: Teléfono:
Dirección: Ciudad:
Por favor liste a todos los niños menores de 22 años en la casa:Nombre Fecha de
Nacimiento Escuela Nivel
This form should be completed once per student and kept in their cumulative file unless the form indicates they do not qualify for services. If they do qualify for services, a copy should be sent to the Migrant Liaison. Forms that indicate students don’t qualify for services should be kept in a separate file for three years for audit purposes. Form Updated: Feb., 2018
TFSD #411
Student Residency Questionnaire
This questionnaire is intended to address the McKinney-Vento Act. Your responses will help determine whether or not additional support and services may be available to the student under this Federal Act.
1. Currently, where does the student stay at night? Check ONE box in either section A or B.
SECTION A SECTION B
In an Emergency or temporary shelter.
You or your family lives with another person/family due to loss of housing or economic hardship.
In a travel trailer, motor home, camper, bus, car, at a campground, park, or parking lot.
In a hotel or motel.
Choices in Section A do not apply; Rent/Own Single Family Home/Apartment.
2. The student lives with:
a parent/legal guardian a relative or friend(s) independently
Name of Student ___________________________________School _____________________________Grade____
Name of Parent(s)/Legal Guardian(s) _______________________________________________________________
Address _____________________________________ Zip ___________ Phone ___________________________
Signature of Parent/Legal Guardian_________________________________________ Date _________________
School Use Only – _________________________________________________________________________________________
If the parent/guardian has checked any choices in Section A, this original form must be immediately routed to the JoAnn Gemar, McKinney-Vento Liaison. For choices in Section B, this original form must be kept in a separate file from the cumulative file at the school of attendance for three year for audit purposes.
______________________________________________________ Date Distributed: ____________________
Updated February 2018
Twin Falls School District
Statewide Home Language Survey
Our school district along with the Idaho State Department of Education and the Office for Civil Rights
require that students’ language(s) are identified. This survey’s purpose is to determine whether they are
potentially eligible for language services.
Student Name:
Date:
Birthdate:
Gender: Male Female
School:
Grade:
1. What language(s) are spoken in the home?
____________________________________________________________________________________________________
2. What language(s) does your student speak most often?
___________________________________________________________________________________________________
3. Which language(s) did your student first learn?
___________________________________________________________________________________________________
4. Which language does your child speak with you? ____________________________________________
5. Which language do you use when speaking with your child? _______________________________
6. Which language do you want phone calls and letters? _______________________________________
7. What is your relationship to the child? ☐ Mother ☐ Father ☐ Guardian
☐ Other (specify) ___________________________________
8. Is there any additional information you would like the school to know about your
child? _____________________________________________________________________________________________
__________________________________________________ ______________________________ Signature of person filling out the form Date
Form Updated: October, 2017 This form should be signed when the student is enrolled in a TFSD school and should be maintained for the time that the student is enrolled at that school. If a student transfers to another TFSD school, the form should be sent to the school in which the student is now enrolled.
Twin Falls School District
School Costs Agreement
The Twin Falls School District provides an education free of costs to our students. Aside from
the District’s free educational program however, there are some costs which students/parents
are responsible for over the course of the school year. These costs are not associated with an
academic credit.
School lunch is one example of a cost you may need to pay (see policy 8245). As the district
educates students from many different socio-economic levels, the district participates in
programs to work with families in need. At some of our schools we utilize the Community
Eligibility Program to provide free lunch to all students. At other schools we offer lunch at a
cost and provide free or reduced lunches to families that qualify. In order to qualify for the
Free and Reduced Lunch program, parents must fill out a form found on our website.
We encourage parents/families who do not qualify for free/reduced lunches and whose
students do not attend a CEP school to pre-pay for expected lunch expenses. The district will
continue to provide lunch for students even if they do not have funds in their lunch account.
This means your student has the ability to “charge” meals to their account. You, as a parent are
ultimately responsible for the cost of any meals your student charges to his/her account over
the course of the school year. We have a program through which you will be notified if your
student’s lunch account is delinquent.
Other charges you may be responsible for include, but are not limited to, replacement locks for
a gym locker if the original lock is lost, costs associated with participation in an extracurricular
activity, and/or a parking pass if your student drives to school.
In the event that you do not pay outstanding charges within the school year in which they are
incurred, the TFSD will proceed with a collections process.
By signing this form, I acknowledge that I am responsible for any costs incurred by my student
at the Twin Falls School District.
Student Name_________________________________________________________________
Student Signature (if over 18)___________________________________ Date _____________
Parent Signature ________________________________________ Date _____________
Twin Falls School District #411 2960F1 Computing Device and Network Acceptable Use Agreement
School district computing device and network users are expected to act in a responsible, ethical, and legal manner, in accordance with district policy and the laws of the State of Idaho and the United States. The computing devices and network are provided to further the district’s stated educational goals only, and they are to be used by authorized individuals only. Individuals using these systems are subject to having all activities monitored by IT or other security personnel. Anyone using these systems expressly consents to such monitoring. It is possible for all users of the Internet, including your child, to access information that is not intended for minors. Although the district has taken reasonable steps to ensure that the Internet connection is used only for purposes consistent with the curriculum and that inappropriate sites as defined by the Children’s Internet Protection Act are filtered, the district or school cannot entirely prevent the availability of inappropriate material on the Internet. Further, it is possible that a determined user may make use of computing device or network resources for inappropriate purposes. Deliberate misuse of the computing devices, the network, or the Internet may result in disciplinary action as outlined in the Computing Device and Network Acceptable Use Policy. Curriculum for students will include instruction on Internet safety topics, including appropriate online social interaction. I understand that my child is expected to use good judgment and follow the guidelines of the Computing Device and Network Acceptable Use Policy. With school administration and teacher approval, your child may be allowed to use, but will not be required to use, his or her own electronic devices during class time for educational purposes. The school district cannot be responsible for the content accessed via a student’s own voice, messaging, or data services. The district will not pay for or reimburse for any voice, messaging, or data charges incurred by a student’s use of his or her own device. The school district does not assume liability in the event of lost, stolen, or damaged devices. Please Check One
Yes, my child may use his or her own electronic devices at school.
No, my child may not use his or her own electronic devices at school. I have discussed the information contained in the Computing Device and Network Acceptable Use Policy with my child. Should my child breach the policy guidelines, I understand that my child may lose privileges relating to the use of computing devices and the Internet or be subject to other disciplinary action. I agree to indemnify and hold harmless the school district, the trustees, administrators, teachers and other staff against all claims, damages, losses, and costs, of whatever kind, that may result from my child’s use of his or her access to such networks or his or her violation of district policy. Further, I accept full responsibility for supervision of my child’s use of his or her access account(s) and/or use of district-owned devices, if and when such use is not in the school setting. I give my child permission to use a district provided account(s) to access the district’s computer network, the Internet, and Internet sites. _________________________________ _________________________________ Parent Name (please print) Student Name (please print) _________________________________ _________________________________ Parent Signature Student Signature _________________________________ _________________________________ Date Date
201 Main Avenue WestTwin Falls, Idaho 83301
Telephone: 208-733-6900Fax: 208-733-6987
2960F1-1 This form should be filled out when a student enrolls in a TFSD School and should be kept in the student cumulative file.
Mid-Columbia Bus Company Twin Falls District School Bus Transportation Services
Complete if student is new to Twin Falls District or change of address or phone number
Student’s Name___________________________________________________ Grade__________
Address_________________________________________________________________________
Parent’s / Guardian’s Name___________________________________________________________
Home Phone #_____________________________ Cell Phone #_____________________________
Emergency Contact Name & Phone______________________________________________________
Email___________________________________________________________________________
School Attending__________________________________________________________________
________ New Student to Twin Falls School District ________ Information Change
Transportation Needed
________ Morning Only ________ Afternoon Only ________Both Ways
Additional Students at Listed Address (Full Legal Name)
1) Student Name _________________________ Grade _____ M / F
2) Student Name _________________________ Grade _____ M / F
3) Student Name _________________________ Grade _____ M / F
4) Student Name _________________________ Grade _____ M / F
5) Student Name _________________________ Grade _____ M / F
By signing below, I acknowledge that I have received The Safe Bus Riding Rules and Regulations. I agree to be responsible for following all the rules and expectations of the school and Mid-Columbia Bus Company. I understand the consequences for failure to follow the rules and regulations.
Student Signature _______________________________________ Date _____________
Parent Signature ________________________________________ Date _____________ Mid-Columbia Bus Company Revised 06/2017
Twin Falls School District 2018-19 Notification of Rights under FERPA
The Family Educational Rights and Privacy Act (FERPA) affords parents and students who are 18 years of age or older ("eligible students") certain rights with respect to the student's education records. These rights are:
1. The right to inspect and review the student's education records within 45 days after the day the school receives a request for access.
Parents or eligible students should submit to the school principal a written request that identifies the records they wish to inspect. The school official will make arrangements for access and notify the parent or eligible student of the time and place where the records may be inspected.
2. The right to request the amendment of the student’s education records that the parent or eligible student believes are inaccurate, misleading, or otherwise in violation of the student’s privacy rights under FERPA.
Parents or eligible students who wish to ask the school to amend a record should write to the school principal, clearly identify the part of the record they want changed, and specify why it should be changed. If the school decides not to amend the record as requested by the parent or eligible student, the school will notify the parent or eligible student of the decision and of their right to a hearing regarding the request for amendment. Additional information regarding the hearing procedures will be provided to the parent or eligible student when notified of the right to a hearing.
3. The right to provide written consent before the school discloses personally identifiable information (PII) from the student's education records, except to the extent that FERPA authorizes disclosure without consent.
One exception, which permits disclosure without consent, is disclosure to school officials with legitimate educational interests. A school official is a person employed by the school as an administrator, supervisor, instructor, or support staff member (including health or medical staff and law enforcement unit personnel) or a person serving on the school board. A school official also may include a volunteer or contractor outside of the school who performs an institutional service or function for which the school would otherwise use its own employees and who is under the direct control of the school with respect to the use and maintenance of PII from education records, such as an attorney, auditor, medical consultant, or therapist; a parent or student volunteering to serve on an official committee, such as a disciplinary or grievance committee; or a parent, student, or other volunteer assisting another school official in performing his or her tasks. A school official has a legitimate educational interest if the official needs to
review an education record in order to fulfill his or her professional responsibility.
Upon request, the school discloses education records without consent to officials of another school district in which a student seeks or intends to enroll, or is already enrolled if the disclosure is for purposes of the student’s enrollment or transfer.
4. The right to file a complaint with the U.S. Department of Education concerning alleged failures by the Twin Falls School District to comply with the requirements of FERPA. The name and address of the Office that administers FERPA are:
Family Policy Compliance Office U.S. Department of Education
400 Maryland Avenue, SW Washington, DC 20202
FERPA Notice for Directory Information
The Family Educational Rights and Privacy Act (FERPA), a Federal law, requires that the Twin Falls School District, with certain exceptions, obtain your written consent prior to the disclosure of personally identifiable information from your child’s education records. However, the Twin Falls School District may disclose appropriately designated “directory information” without written consent, unless you have advised the District to the contrary in accordance with District procedures. The primary purpose of directory information is to allow the Twin Falls School District to include this type of information from your child’s education records in certain school publications. Examples include: • A playbill, showing your student’s role in a drama
production; • The annual yearbook; • Honor roll or other recognition lists; • Graduation programs; and • Sports activity sheets, such as for wrestling, showing
weight and height of team members.
Directory information, which is information that is generally not considered harmful or an invasion of privacy if released, can also be disclosed to outside organizations without a parent’s prior written consent. Outside organizations include, but are not limited to, companies that manufacture class rings or publish yearbooks. In addition, two federal laws require local educational agencies (LEAs) receiving assistance under the Elementary and Secondary Education Act of 1965 (ESEA) to provide military recruiters, upon request, with the following information – names, addresses and telephone listings – unless parents have advised the LEA that they do not want their student’s information disclosed without their prior written consent. If you do not wish to have your child’s directory information released, please indicate so on the TFSD Student Opt-Out Form, located on our website at www.tfsd.org. Please understand that signing this form
would exclude your child’s directory information from any documents that are typically made public or relating to school-related organizations and activities such as:
• Yearbooks • Alumni Directories • Graduation Programs • Honor Roll and other recognition lists • Sports activity programs • Theatrical programs • District productions/publications • Classroom or student pictures
If you do not want the Twin Falls School District to disclose directory information from your child’s education records without your prior written consent, you must complete the Opt Out form by August 20, 2017 or two weeks from the date you receive this notice. If you do not have access to the internet, please contact the Twin Falls School District Office at 733-6900 and forms can be mailed to you. Please submit Opt-Out Forms to:
Twin Falls School District
Attn: Eva Craner 201 Main Ave. W
Twin Falls, ID 83301
The Twin Falls School District has designated the following information as directory information:
• Student’s name • Address • Telephone listing • Electronic mail address (e-mail) • Photograph of the student used by the district for
recognition of student achievement and community relations, including, but not limited to, publication in the district’s or school’s newsletters, in the school setting and on the district’s or school’s web site;
• Major field of study • Date and place of birth • Participation in officially recognized activities and
sports • Weight and height of members of athletic team • Dates of attendance, degrees and awards received • Most recent previous school or school district
MEDIA RELEASE
Throughout the course of the school year, the media may be in our schools or at school sanctioned events to cover our activities. The majority of the media coverage featuring students is considered human interest stories that do not contain sensitive subject matter or are not controversial in nature. Often, reporters are present at our request to showcase our students and teachers engaged in exciting educational activities.
The Twin Falls School District includes in its classification of directory information student names and photographic images of students participating in regular classroom or school-authorized events. This simply means that the media may publish and/or broadcast the names and photographs of students participating in school-related activities without prior parental consent. If you do not wish to have your child featured in any form of media, please sign the media portion of the FERPA Opt-Out Form, and we will exclude them from any media photos or publications. If you have not completed an Opt-Out Form, your student will be allowed to participate in human interest stories. The TFSD Student Opt-Out Form is located on the TFSD website at www.tfsd.org under enrolling your student. In instances where the building administrator has a concern about maintaining student confidentiality or the sensitive nature of media related stories, parental permission will be sought prior to allowing the student to participate.
PPRA
PPRA affords parents and eligible students certain rights regarding the district's conduct of surveys, collection and use of information for marketing purposes, and certain physical exams. These include the right to inspect and consent or opt out of: 1. The administration of surveys that contain questions from one or more of eight protected areas:
• Political affiliations; • Mental and psychological problems potentially
embarrassing to the student and his/her family; • Sex behavior and attitudes; • Illegal, antisocial, self-incriminating and
demeaning behavior; • Critical appraisals of other individuals with whom
respondents have close family relationships; • Legally recognized privileged or analogous
relationships, such as those of lawyers, physicians and ministers;
• Religious practices, affiliations or beliefs; or • Income (other than that required by law to
determine eligibility for participation in a program or for receiving financial assistance under such program).
2. Activities involving the collection, disclosure, or use of personal information collected from students for the purpose of marketing. 3. Any non-emergency, invasive physical examination or screening.
If you have any questions regarding the information provided in this notice, please contact Eva
Craner at 733-6900.
Thank you!