SANTA FE INDEPENDENT S(;HOOL DISTBIO

Required Documents for Enrollment

• Proof of Identification- Any of the following documents are acceptable for proof of identification andage (TEA:SAAH3.3):

Birth certificateDriver's LicensePassportSchoollD card, records or report cardMilitary ID

Hospital birth recordAdoption recordsChurch baptismal record orAny other legal document that establishesidentity

Fora student wha is under 11years of age and enrollinfl_in school for the first time, per the TexasCode of Criminal Procedure, Article 63.019, certain additional requirements related todocumentation of identity and age apply.

The district is required to notify you that you willhave up to 30 dC!¥.sfrom enrollment or up to 90 daysif your child is born outside o/the United States, to provide a certified copy of a child's birth certificateor other acceptable proof of the child's identity and age. Forproof other than the birth certificate, youwill also need to enclose a signed note explaining why you are unable to produce a certified copy oJthe birth certificate.

• Social Security Card - If not provided, your child will be assigned a state identification number.

• Proof of Residence - A mortgage or leaseagreement or a current utility bill (within 2 months ofenrollment date), with the parent/guardian's name and service address (not mailing address) listed onthe light, water, gas or cable bill. No phone bills or disconnect notices will be accepted. If you live in ahousehold with someone else, you and that person will need to bring one of their current utility billsstating the service address of the property where you and your child are living along with their driver'slicense and complete a proof of residency form that will be notarized at that time.

• Up -To-Date Immunization Record- See list of immunizations, in this packet, that are needed for yourchild based on their age.

• Driver's License- The person enrolling the child must present their driver's license.

Parents will also need to proviceWithdrawal Paperwork from Previous

SchoolandReport Card and/or Transcript

in order to complete the registration process.

**Enrollment is provisional based on receipt of all required documents within 30 days of attendance.Your child will be withdrawn if documentation is not provided within this time limit.

revised 6/16

Santa Fe ISO

New Student Enrolhnent Pa~ket

2017 -18 Checklist

_Required Documentsfor Enrollment (Copyfor Parents)

_Application for Admission

_Home LanguageSurvey

_ Ethnicity and RaceDataQuestionnaire

_Immigrant Status

_Migrant Survey

_Immunization Status (Copyfor Parents)

revised 6/16

REGISTRAR'SINFORMATION

Sonto Fe High School ..Special Services/Extra Curricular Activities

Please putc .check in the blank if-your child was enrolled in oneof the flowing proqrorns this-or last yecr..

Lost Name First Name Middle Initial

. .

__ _:___Does Not Receive any services 1-6 .___ ESL/Bilingual___ Special Educotion

Section 504_;___-

Signature of Parent/Legal Guardian Date

Signature of Registrar Date·

0 Schultze0 D. Brown0 Counselor0 Band Director0 Athletic Secretary

Office Use OnlyErnailed:

Registrar'sOffice 2

SANTA FE INDEPENDENT SCHOOL DISTRICTApPLICA TION FOR ADMISSION

1) Parent/Guardian Name: _ Relationship: oFather oMother oStep-ParentoGuardian oOther _

Home Phone: Work Phone: Cell Phone: _Address: City: State: --'Zip:, _Mailing Address: City: State: Zip: _

E-Mail Address: Parent's Birth date:_I __I__

Family Access: I am requesting Family Access: DYes 0 No ifyes, email address and date of birth are required above.

2) Parent/Guardian Name: _ Relationship: oFather oMother oStep-ParentoGuardian oOther _

Cell Phone: _Home Phone: _E-Mail Address: _

Address: City: State: Zip: _Mailing Address: City: State: Zip: _

E-Mail Address: Parent's Birth date: __ 1__ 1__

Work Phone: _

Family Access: I am requesting Family Access: 0 Yes 0 No ifyes, email address and date of birth are required above.

Emergency Contact Name: _Emergency Contact Name:

Phone#: _Phone#: _

I understand that my student is conditionally enrolled until all necessary documentation is received. My signature signifies all theinformation provided on this form is correct.

(Signature of Parent, Legal Guardian, Person Having Lawful Control) (Date)

Approvedby: _ Date Enrolled: _(Administrator/Registrar) rev. 6/16

Campus: _

Emergency Care Card2017-2018 Alert

Dot

Srudem: ~--------~~~~------------~~~~==~---Legal Last Name First Name Middle Name

- Grade Bus # SSN ~ Birth Date: I 1 _

Primary Parent Contact Name: _ (Parent/Step-Parent/Guardian)-~----------~-------- (CircleOne)

2nd Parent Contact Name: (Parent/Step-Parent/Guardian)------------------------------ (CircleOne)

Student lives with: _,..-- _ Home Phone: (~__ ~) _

Physical Address of Student: Mailing Address (if different from physical address):

Number and Street Number and Street

City Zip Code City Zip Code

Primary Parent Contact Work Phone: ('-__ ~) Cell Phone: ('---__ ~) _

Email Address:

2nd Parent Contact Work Phone: ('--- ) Cell Phone: ('---__ ~) _

Email Address:

I give my permission for the following person (s) to pick up my child from school. All persons must present aphoto illin the front office before the student will be released. Please list as many numbers as possible to helpus get in touch with you in a timely manner, if your child gets sick or injured

Name: Relationship to Student:Phone: ( ) Phone: ( )Name: Relationship to Student:Phone: ( ) Phone: ( )Name: R~lationship 'to Student:Phone: ( ) Phone: ( )Name: Relationship to Student:Phone: ( ) Phone: ( )

List name and grade of other children who attend SFISD:

*Alert Information: Please identify any person(s) not allowed to pick up student from school for any reason. Documentation

must be on file at the school in the student's permanent school folder: _

SANTA FE INDEPENDENT S(;nOOL DISTHI(;T

HOME LANGUAGE SURVEY-19TAC Chapter89, Subchapter BB §89.1215

TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texasrequires that the following informationbe completed for each student that enrolls for the first time inTexas public schools. This survey shall be kept in each student's permanent record folder.

NAME OF STUDENT STUDENT 10# _

ADDRESS, TELEPHONE# _

CAMPUS _

1. What language is spoken in your homemost of the time? _

2. What languagedoes your child speak most of the time?

Signatureof Parent/Guardian Date

Signatureof Student if Grades9-12 Date

---........ __ ....._------- ......._------------............._------- ..........._-------- ......._--_ .._----------------_ .._-------------------....._----------------

Cuestionario del idioma gue se habla en la hogar

DEBE DE COMPLETARSE POR EL PADRE/MADRE/ 0 REPRESENTANTE LEGAL: (0 POR EL ESTUDIANTE SIESTA EN LOS GRADOS 9-12): EI estado de Texas requiereque la siguiente informacionse completepara cada estudiante que se matricula por primera vez en unaescuela publica de Texas. Estecuestionario se archivara en el expedientedel estudiante.

NOMBRE DEL ESTUDIANTE ,#ID _

DIRECCION TELEFONO _

1. LQue idioma se habla en su hogar la mayoria del tiempo? _

ESCUELA _

2. LQue idioma habla su hijo/a (usted) la mayoria del tiempo?

Firmadel Padre/Madrel0 RepresentanteLegal Fecha

Firmadel estudiante si esta en los grados 9-12 Fecha

SANTA FE INDEPENDENT S(;HOOL DISTBI(;T

Texas Education AgencyTexas Public School Student/Staff Ethnicity and Race Data Questionnaire

The United States Department of Education (USDE) requires all state and local education institutions tocollect data on ethnicity and race for students and staff. This information is used for state and federalaccountability reporting as well as for reporting to the Office of Civil Rights (OCR) and the EqualEmployment Opportunity Commission (EEOC).

School district staff and parents or guardians of students enrolling in school are requested to provide thisinformation. If you decline to provide this information, please be aware that the USDE requires schooldistricts to use observer identification as a last resort for collecting the data for federal reporting.

Please answer both parts of the following questions on the student's or staff member's ethnicity and race.United States Federa/ Register (71 FR 44866)

Part 1. Ethnjcjtv: Is the person Hispanic/Latino? (Choose on/yone)

D Hispanic/Latino - A person of Cuban, Mexican, PuertoRican, South or Central American, or otherSpanish culture or origin, regardless of race.

D Not Hispanic/LatinoPart 2. Race: What is the person's race? (Choose one or more)

D American Indian or Alaska Native - A person havingorigins in any of the original peoplesof Northand SouthAmerica (includingCentral America), andwho maintainsa tribal affiliation or communityattachment.

D Asian - A person having origins in any of the original peoples of the Far East, SoutheastAsia, or theIndian subcontinent including, for example, Cambodia,China, India,Japan, Korea, Malaysia, Pakistan,the Philippine Islands, Thailand, and Vietnam.

D Black or African American - A person havingorigins in any of the black racial groups of Africa.

D Native Hawaiian or Other Pacific Islander - A person havingorigins in any of the original peoples ofHawaii, Guam, Samoa, or other Pacific Islands.

D White - A person having origins in any of the original peoplesof Europe, the Middle East, or NorthAfrica.

Student/Staff Name (please print) (ParentlGuardian)/(Staff)Signature

DateStudentlStaff IdentificationNumber

This space reservedfor Local school observer - upon completionand entering data in student softwaresystem, file this form in student's permanentfolder.Ethnicity - choose only one: Race - choose one or more:

__ American Indian or Alaska Native__ Asian__ Black or African American__ NativeHawaiianor Other Pacific Islander__ White

__ Hispanic / Latino

__ Not Hispanic/Latino

Observer signature: Campus and Date:

~------------------------------~--------------------------------~~Texas Education Agency - March 2010

Migrant Education ProgramEmployment Survey

School District School Year _

Campus: _

Your child may be eligible for supplemental services if he/she qualifies as a migratory student.

!pleasefill out this survey and return to your child's school.Student Name Grade !Dateof Birth

r

lNameof Parenti Guardian lHomeAddress/Apt. Name City izip

[TelephoneNumber: lMailing Address City ~ipHome: ( )

Work: ( )

Has your family moved from school district, city or state to look for work in the last 3 years?

D YES (GO to the next questions.) D NO (STOP here and return survey to your child's school.)

~fyes, from to ?(City, State) (City, State)

lDid you seek or obtain employment in any of the following activities?

o YES (place an X on those that apply.) o NO

Agriculture Livestock ChickensPreparing the soil Horses/deer/cowslhogs/goats BUilding/cleaning coopsPlanting fruits/vegetables Herding Feeding chicksIrrigating fruits or vegetables Feeding Gathering eggsHarvesting fruit or vegetables Branding/tagging Processing chickens/turkeyslhens/ ducksPicking fruits or vegetables Processing Packing and icing partsPacking fruits or vegetables Packing Meat Other:Canning fruits or vegetables Other:Other:

Fishing Cows (Dairy)NurseryWashing nets Calving Irrigation at a ranchSorting and cleaning fish Feeding calves CultivatingFilleting fish Milking Planting trees at a tree formMarinating, canning, labeling Building/repairing fences Cutting trees (for Christmas)Fish farms Other: Other:Other:

Santa Fe Independent School DistrictReturn form to campus office or Fax to: (409) 925-4002

SANTA FE INDEPENDENT S(;DOOL DISTBI(;T

Immigrant Status

Student Information - PleasePrint Legibly

Student's Name _Last First Middle Generation

Pleaseanswer the following questions about the student?

1) Is the student age 3-21? 0 Yes 0 No

2) Was he/she born outside of the United States? 0 Yes 0 No

3) Hasthe student attended a USSchool for 3 full academic years? 0 Yes 0 No

Note: The three years do not have to be consecutive.

Note: A USDepartment of Defense school that is not located within the fifty states orI the District af r. ia i« nnt . ,a USSchaal.

If the answer to question 3 is No:When did the student first enter a U.S.school? ____ --J_---I/ _

Month Day Year

Signature of Parent/Guardian Date

Rev. 6/16

SANTA FE INDEPENDENT SCHOOL DISTRICT

P.O. BOX370SANTA FE, TEXAS 77510-0370

PHONE: (409) 925-3526FAX: (409) 925-4002

www.sflsd.orq

LEIGHWALL, Ph.D.Superintend~nt

.Dear Parent(s)/Legal Guardian(s)/Caregiver(s )/Unaccompanied Youth:

Please find on the back, a copy of our Annual Student Residency Questionnaire,

The No Child Left Behind Act now requires Santa Fe lSD, along with other Local Education Agencies, to filean annual report with the federal government indicatingthe number of students who "lack a fixed, regular, andadequate nighttime residence."

We also must indicate those students who are classified as unaccompanied youth (youth who are not in thephysical custody of a parent or court-appointed guardian).

Under Title I. the district receives limitedfederal funds, to helpprovide services to these eligible students underthe McKinney;_Vento Act. Additional information regarding this act and how it might apply to' your family maybe obtained by contacting Kathleen Terwil1iger at (4Q9)?25-9075 or Kathy Oliver ~ (409)925-9050~ .

Qnc~McJqnney-Vento students have beenidentified, SFl$D can offer them.optional services (including freemeals without the need of an application, ease in enrolling.referrals to community resources, varioustransportation options, etc.). .

Thank you for taking the time to make each child's school experience more successful,

Sincerely,

~~&Kathy OliverDirector of Special Programs

SANTA FE INDEPENDENT SCHOOL,DISTRICT ~.'

~.

Annual Student Residency Questionnaire'- .The iilformat'jon on this form is required to meet the law known as th.c MC1(inney~Vento Act 42V.S.C. 11431a(2). IUs also,known as Title X, Part C, of the No Child Left Behind Act •.Tb~ answers you give ~'Villhelp lIS determine'wilich opti£)nalservices may-apply to your student(s)~ .This information. is consic:Jcn:d cPllfi<Jential, and ..Dumbers D()t names are submitted tothe federal government each year, (!Vote: Presenting a false record or falsifoi'ng records is an offense under Sec/ion 37.10. PenalCode, and enrollmen; of the child under false documents subjeas [he person-to liability for tuition or other costs. TEe Sec.25. 002(3)(dJ-) .Name of Student: School; _

First MidtlleAddress: ~ _

Birth Date: _~___!_I __ .!....i-_..,.. Grade: Gender; 0Male a Female~fQ11IhI Day I feu

1. Homeissues such as lack of'utllities/inadeqaate homerepalrs due to lack ofmoriey;overcrowding, tnofd, etc.

2. Is your c~nt addfess a,tempor;a.ryliving arrangement?IW,w longlhere_?

3. Is this temporary i$virrg arrangementdne to loss.orho!iSingi economic har~shlp,etc, 7-4. lsthestudenf!iving on tlielr owri ohvjth'som~heollieriha:n fue1rpar¢ni(s) pf

court-appointed guardili.n(s)7Check the box thatbeSt deSCribe~with :vhOffithe student lives: D.p~titm D{.egal qUardUins(s) DCsfI:giver(s} (Ex(Intp/e;'!fiends, ielaliiles. p.arent·s frIends.: etc.,)0 q.thei

Telephone: ---,._---'- __ -,-_

(U) ---- Yes No

Yes No

Yes No

(UY) Yes No

.~~_,.~~~~=~•• ~~~~j,il\"~ ••~(W<tr~. ~.=

Irrthe. horne of ir'@en.d ~r f<?latjye he~lIS(! r tost,my JjO~tDg (~"<amp(es:jV'e. jIo0/. tdstjob; iNot.e!:, d.othe,~liCviolence;kicked out byparenls, paren; i!1military andwas.dep/oyed, P(tl'ent(s) "'jad, etr;.}{D} .In a shelter,b~~,au:>~i cil), ,il()t hll~; peJ1l1an~nthou~rng (exCilnp'es: living in a family sh~lter, dO}nes(ic'violeirce sMtret,chlldre1'1!ypulh :shelter,F?lJ.1:hous{l'Ig) (S)In transitional ho;u~ing(hous/ng th{1/.4- CNa~hlbfefor (l ;rpec/fic length t;;ftlille only ({fll!is p(Jtily ar r,:ompielely pgtd_jQr by {l

church, a nonprofit orga}'r1~C1/.~o",or O1}other o,rgan~ai~onj:($)In a hotel or mOteJ (examples: beci:niSe Q/ecol7omic hardShip, eviction. lacjc oTdeposiisjor permanent home, jloo;d, fire,hurricane, et¢;}(HM)' . - .. .. '.. ..... .... - ..., , ...

In a tent,. car. ~~ abandon~d Q)1ilding.on the stre~. at~ ca:tl1P.gro~nd,[n_ ti1e'park" or (}therun~hettered IQcatiQn (U)Norie of the .above.descrioe my present Hy.ingsifuation Desdibe·Yoiifsltuaiion: _

0 1.

0 2.

0 ";).

0 4.

0 5.

0 6,

Please provide the foUowine fuformation for school;'ae:e siblinas [brothers andfor sisters) ofthe stUdent:DiStrict'Name Grade Level School

(Please note: legal giiardialrship iliay only be granted by d court.: students living on thefr owrror with friends cr relathtes who do nothave 'egaI~a;'di.anship are allowed to'enroll in and atfendschiJoI, The schooicai1J10t requireproajoj.guardians/itp,()T resideJlcyof j~>fcKjnney-VeJlto Students for I!11Toliment or continued attendance_purposes;,) .... .

Signature ofParentJL~g:JI GuardianiCaregiyer/Uuaccompanied Youth TelcphQRt> Date

I certify the. abQve n3lDed student qulllifics for the Child Nutri~jon Program under the pro\'isions oftlie McKitmey~VeDto Act.

---_._ .._--------------------Effective Start DateMcKinney-Vento L.iaison Signature or Designated Repres~ntatjve Date Signed

l)Cop.}' 10 Kim. Wu/f-CN. Kafb}' Terwilliger-FBIAnnex, NeRa Robinson- Ai/min. l)Ftle in Cil11l11UltiveFolder 3)EIIlI!r in Skyward will!n_11J1PTow!tL ,.~'V.9/14

:. ' ," . '".

_.': ." ~-:. '.'

" :"". ."' '-~. , • '_. z".:

'. . ...... ' ..

.NOTICE TO PARENTS

Pleasebe cdvised lh~t unlesswe have a certified copy oflegal documentation signed by a judge; either pcrent retains'Iegal rights for checking out or withdrowinq.vour child from.' school. Theymoy also hove information about thechild's ....

'} ". . .... .

school prcqress .. If there are restrictions to custody-or- ,records, you must providethe relevcnt legal docorrientotion inorder for .school staff to follow legal orders.

'Student's Name: .

Parent's Name

Po rent' s Signature Date

. " Refilistrar'5Office.. ..... ".'

.. .- ."". - . "

11

District Name: Santa Fe ISD Date:------------------------------ ------------

Dear parents,

In order to better serve your children, the _S_a_n_ta__ F_e _school district would like to identify students who may qualify to receive additionaleducational services. The information provided will be kept confidential. Please answerthe following questions and return this survey form to your child's school.

If you would like more information, call _4_0_9_-9_2_5_-_3_5_2_6 _1. Have you moved within the last 3 years?

YesD N0D

2. If yes, have you done agricultural or fishing-related work since your move (e.g., fieldwork, canneries, lumbering, dairy work, meat processing)?YesD NoD

3. Do you have a child who is under the age of 22 and lacks a US-issued high schooldiploma or General Education Development (GED)certificate? If so, your child maybe eligible to receive a free public education in Texas if he or she meets the criteriaof "Out of School Youth."YesD No D

Age Grade _

If you answered "yes" to the questions above, an education representative will contactyou to provide additional information. Please provide the following information:

Parent/guardian name _

Telephone number _

SANTA FE INDEPENDENT SCHOOL DISTHIft

Military Connected Student Data Collection

Military connected student is a student enrolled in a school district or open-enrollmentcharter school who is a dependent of a member of the United States military service in theArmy, Navy, Air Force, Marine Corps, or Coast Guard on active duty, the Texas NationalGuard, or a reserve force of the United States military.

Please select only one box below which best describes your child's military connection:

DO-Not a military-connected student

o 1-Student is a dependent of a member of the Army, Navy, Air Force, Marine Corps, or CoastGuard on Active Duty

o 2-Student is a dependent of a member of the Texas National Guard (Army, Air Guard, or StateGuard)

o 3-Student is a dependent of a member of a reserve force in the United States military (Army,Navy, Air Force, Marine Corps, or Coast Guard)

o 4-Pre-kindergarten student is a dependent of an active duty uniformed member of the Army,Navy, Air Force, Marine Corps, or Coast Guard, or activated/mobilized uniformed memberof the Texas National Guard (Army, Air Guard, or State Guard) who was injured or killed whileserving on active duty.

Child's Name:---------------------------- Grade: _

Parent's Signatu re: __ Date: _

SANTAFE INDEPENDENT SCHOOL DISTRICT

Foster Care Status

Foster Care Status indicates whether a student is in the conservatorship of theDepartment of Family and Protective Services (DFPS) currently, or for certainstudents that were previously in the conservatorship of DFPS.

Please select only one box below which best describes your child's foster care status:

DO-Student is not currently in the conservatorship ofthe Department of Family and ProtectiveServices

D l-Student is currently in the conservatorship of the Department of Family and ProtectiveServices

D 2-Pre-kindergarten student was previously in the conservatorship of the Department ofFamily and Protective Services following an adversary hearing held as provided by Section262.201, Family Code.

Child's Name: _ Grade: _

Parent's Signature: _ Date: _

SANTA FE INDEPENDENT SCHOOL DISTRICTACKNOWLEDGEMENT OF RECEIPT FOR HARD COPYIELECTRONIC DISTRIBUTION of

STUDENT HANDBOOK, CODE OF CONDUCT, DRESS CODE& TRANSPORTATION HANDBOOK

2014-15

My child and I have received a copy of the SFISD Student Handbook, Student Code of Conduct, and Dress

Code & Transportation Handbook for 2014-15. I understand that the handbook(s) contain information that my

child and I may need during the school year and that all students will be held accountable for their behavior and

will be subject to the disciplinary consequences outlined in the Student Code of Conduct. If I have any

questions regarding this handbook or the code of conduct, I should direct those questions to the campus

principal.

My child and I have been offered the option to receive a paper copy of or to electronically access the SFISD

Student Handbook, Student Code of Conduct, and Dress Code & Transportation Handbook for 2014-15 online.

I have chosen to:

D Receive a paper copy of the Santa Fe ISD Student Handbook and the Santa Fe ISD Student Codeof Conduct.

D Accept responsibility for accessing the SFISD Student Handbook, Student Code of Conduct, andDress Code & Transportation Handbook for 2014-15 at http://www.sfisd.org/enrollment

Printed name of student: ----------------------------------- Grade: _

Signature of student: _ Date: _

Signature of parent/guardian: ----------- Date: _

*Please return to campus within ten (10) days:

SANTA FE INDEPENDENT SCHOOL DISTRICTNOTICE REGARDING DIRECTORY INFORMATION in theSTUDENT HANDBOOK, CODE OF CONDUCT, DRESS CODE

& TRANSPORTATION HANDBOOK2014-2015

FAMILY EDUCATIONAL RIGHTS & PRIVACY ACT (FERPA)

Certain information about district students is considered directory information and will be released to anyone.who follows the procedures for requesting the information unless the parent or guardian objects to the release ofthe directory information about the student. If you do not want SFISD to disclose directory information fromyour child's education records without your prior written consent, you must notify the district in writing withinten school days of your child's first day of instruction for this school year.

This means that the district must give certain personal information (called "directory information") about yourchild to any person who requests it, unless you have told the district in writing not to do so. In addition, youhave the right to tell the district that it may, or may not, use certain personal information about your child forspecific school-sponsored purposes. The district is providing you this form so you can communicate yourwishes about these issues. For the following school-sponsored purposes, SFISD has designated the followinginformation as directory iriformation:

• Student's name• Address• Telephone listing• E-mail address• . Photograph• Date and place of birth

Major field of studyDegrees, honors, and awards receivedDates of attendanceGrade levelMost recent school previously attendedParticipation in officially recognized activities and sportsWeight and height; if a member of an athletic teamEnrollment status•

• Student identification numbers or identifiers that cannot be used alone to gain access to electroniceducation records

Directory information identified only for limited school-sponsored purposes remains otherwise confidential andwill not bereleased to the public without the consent of the parent or eligible student.Parent: Please check one of the choices below:

I, parent of (student's name), D DO GIVE DDO NOT GIVE thedistrict permission to use the information in the above list for the specified school-sponsored purposes.

Parent/Guardian signature: --------'- Date: ------------

*Please return to campus within ten (10) days.

SANTA FE INDEPENDENT SCHOOL DISTRICTPARENT'S OBJECTION TO THE RELEASE OF STUDENT INFORMATION TO MILITARY

RECRUITERS & INSTITUTIONS OF IDGHER EDUCATION in theSTUDENT HANDBOOK, CODE OF CONDUCT, DRESS CODE

& TRANSPORTATION HANDBOOK

2014-2015 .

Federal law requires that the district release to military recruiters and institutions of higher education, upon

request, the name, address, and phone number of secondary school students enrolled in the district, unless the

parent or eligible student directs the district not to release information to these types of requestors without prior

written consent.

Parent/Guardian: Please check the appropriate box (es) below and return this form ONLY if you DO NOT

WANT your child's information released to a military recruiter and/or an institution of higher education

without your prior consent.

D DO NOT release my child's information to military recruiters without my prior written consent.

D DO NOT release my child's information to an institution of higher education without my priorwritten consent. .

Printed name of student: _ Grade: _

Signature of parent/guardian: _ Date: _

*Please return to campus within ten (10) days.

SANTA FE INDEPENDENT SCHOOL DISTRICTPARENT/STUDENTffEACHER CONTRACT

2014-2015

NO CHILD LEFT BEHIND ACT OF 2001As members of the Santa Fe Independent School District community, we are partners together in your child'seducation as we uphold the intent of this compact.

As teachers/instructional staff, we will strive to:• believe that each child can learn;• respect and value the uniqueness of each child and his or her family;• provide an environment that promotes active learning;

enforce expectations in the classroom and throughout the school in a fair and consistent manner;• assist each child in achieving the Texas Essential Knowledge and Skills;• document ongoing assessment of each child's academic progress;• seek ways to involve parents in the school program; and• demonstrate professional behavior and a positive attitude.

As a parent/guardian, I (signature/date), willstrive to

• believe that my child can learn;show respect and support for my child, the staff, and the school;see that my child attends school regularly and is on time;provide a quiet place for my child to study at home; .encourage my child to complete all homework assignments;attend parent-teacher conferences;support the school in developing positive behaviors in my child;talk with my child about his or her school activities each day; and,encourage my child to read at home and apply this learningto daily life.

••••••••

As a student, I (signature/date), willstrive to

• believe that I can learn;show respect for myself, my school, and other people;always try to do my best in my work and my behavior;work cooperatively with students and staff;obey rules in the classroom and throughout the school; andcome to school prepared with my homework and supplies.

•••••

As patrons of the Santa Fe Independent School District, we affirm this contract:

Dr. Leigh Wall, SFISD Superintendent

SANTA FE INDEPENDENT SCHOOL DISTRICTNETWORK ACCEPTABLE USE POLICY &

STUDENT AGREEMENT FORM for SCHOOL USAGE

2014-2015

Use of the network is a privilege, not a right!

• . I will use the network for educational purposes;

• I understand network use shall be legal, ethical and educationally appropriate;

I agree to follow all copyright laws;

I agree to follow network etiquette standards;

• I agree to protect my personal information and network login information;

• I agree to publications of my work on the district's website;

I will not try to hide or disguise my identity or pretend to be someone else;

• I will not change network configurations;

• I will not add non-authorized (personal devices) to the network;

• I will not use technology for commercial purposes [according to Policy GKD (Local], product

advertisement purposes or political lobbying;

• I will not damage, delete, or modify district, staff or student files, programs, or disks;

• I understand student use shall be monitored at all times by SFISD staff;

• I will not participate in chat rooms, blogs, message boards, and forums (unless it is for

educational purposes and under teacher supervision);

• I understand non-compliance or misuse of network privileges may result in disciplinary action or

criminal prosecution.

Printed name of student: ------------------------------------ Grade: ------~--------

Signature of student: _ Date: -----------------Signature of parent/guardian: _ Date: _

*Please return to campus within ten (10) days.

NURSEINFORMATION

GAVLESTONCOUNTYDEPARTMENTOF HEALTH

TB Questionnaire

Tuberculosis (TB) is a disease caused by TB germs and is transmitted by an adult person with active t lung disease. It isspread to another person by coughing or sneezing TB germs in to the air. These germs may be breathedin by the child.

Adults who have active TB disease usually have many of the following symptoms: cough for more than two weeks

duration, loss of appetite, weight loss of ten or more pounds over a short period of time, fever, chills, and night sweats.

A person can have TB germs in his/her body but not have active TB disease. This is called latent TB infection or LTBI.

Turberculosis is preventable and treatable. TB skin testing (often called the PPDor Mantoux test) is used to see if yourchild has been infected with TB germs. No vaccine is available to use in the United States to prevent tuberculosis. The

skin test is not a vaccin~tion against TB.

The Galveston County Department of Health, requests your completion of this form for safety purposes to determine if

your child has been exposed to TB.

YES/NOTB can cause fever of long duration, unexplained weight loss, a bad cough (lasting over two weeks),or coughing up blood. As far as you know:

• Has your child been around any adult with these symptoms or problems?

• Has your child had any of these symptoms or problems?

• Has your child ben around anyone sick with TB?

Was your child born in or has your child traveled in the past year to Mexico or any other countryIn Latin America, the Caribbean, Africa, Eastern Europe or Asia for longer than 3 weeksIf so, which country/countries

To your knowledge, had your child spent time (longer than 3 weeks) with anyone who is/has been anintravenous (IV) drug user, HIV-infected, in jail or prison or recently came to the United States fromanother country?

Has your child been recently tested for TB? (If yes, specifiy date:Has your child ever had a positive TB skin test? (if yes, specifiy date:

. Typing your name below as a parent or legal guardian represents your digital signature that you have reviewed thecompleted the TB Screening:

ParentSignature -'- Date ---,_

NURSE-------------- -- - - --

- .

!:lOUSE BILL742wFOOO ALLERGY INFORMATION

HB742' passed by the T~xasLegIslature in the 20~1 Laglslatlve ses;}~nbecomes effectiveSeptember 1, 2.011. The Sm relates to students required to be provided a~the time ?f a .student's enrollment In publlc schools. - ,

", ,

Section 25.0022, FOODALLERGYlNFORMAT10N REQU~S1ED UPON ENROllMENT.

, (b} On enrollment of-a child In public schools, a school dlstrlct sball request; by providinga form' or .~therWise}that a'parent or other person with legal control of'tfle child under a courtorder: ' '

(1) dIsclose whether the chlld has a food aiiergy or a severe food allergy that, In the.'- '4 , - , " • -' -

judgme nt of the parent or other perscnwlth legal control, should be dl~~losedto the dlsufct-to-enable thsdlstrlct to take any necessary 'preca-utlpns regardlng the chUrl's~afety;and .~.. . . . ~, .

(2)specify the food to whlch the chlld-Is allerglc and the natura ofthe allerglc reaction.

You can finq,more informatIon regardfngHOUSE BILL 742011 ourwebsite., .' '

Please provIde the following Informatlon regarding your chUd." '

S~udent.Name ~ __ Grade_-~C,amp.us.!_'_----,.....- '

,- ., , My chRd has a food allergy or severe food allergy that is in my judgment should be , .dlsclosed to the dlstrlct to enable the dlstrlct to take any necessary precautions regardlngth.e

. child!5 ~fety. SpecIfy the food to'which th~ child is a_llerglcand the nature bf the aljerg~creaction, (Please provlde Doctors ?rder regarding allergy precautions and lnstructlon.) ,

,.. "

...--_My child does not have a food alIergy~ - ,

Please l1otlfY~Y9ur chUd1sschool nurse If th~e are any -sIgrilficant changes 1nthe chndJs-f~od. ' ... ". " . . ......anergy JnformatJbn. , ..'., ' , ' " .' '. .

..'(P.arentSignature),_- .!.-----phone where you can-be reached,_'_-------- "

,- .

NURSE

PARENTINFORMATION

SANTA FE INDEPENDENT SCHOOL DISTRICI'

HEALTH INFORMATION

My name is Carol Nelson. I am the District's Lead Nurse. I would like to officially welcome allnew students to the district and returning students back to school for the 2014-2015 schoolyear. I would like for you to review some of the health policies we have in place to help keepour children healthy and successful for the coming year. You will be asked to sign andacknowledge that you have read the following information. Your acknowledgement of thisinformation acts as your notification of the yearly screenings which includes Hearing, Vision,Acanthosis Nigricans, and Scoliosis, which· is done for 5th and 8th graders, immunizationrequirements, and the 5th grade 'Always Changing Talk' for girls and boys, done in April. Ifyou do not want your child to participate in this talk you will need to notify the nurse at theKubacak campus in writing. If you do not want your child screened for any of the above staterequired screenings that I listed, then you must provide the district with the same screeningresults from your physician.

IMMUNIZATIONS: If you received a letter from Santa Fe ISD last spring or this summerindicating that your child needs immunizations for this school year, you must present a copy ofthese records to the Registrar or the Nurse during registration. Failure to provide appropriateimmunization documentation will result in exclusion from school, as specified in the Santa FeISD Handbook. The Texas Minimum State Vaccine Requirements for Students K-12 can befound on www.dshs.state.tx.us.

MEDICATIONS: All medications are to be kept in the clinic during the school day. Medicationsmust be presented to the nurse in the original container with a doctor's order to be given atschool. This applies to prescription medications, aswell asover-the counter medications.

The exception to the above is if a student needs to keep an inhaler with them at all times. Aprescription label must reflect the student's name for which the medication is prescribed. An"Asthma Action Plan" must be filled out by a parent and physician accompanied with theinhaler prescription, the purpose, dosage,- administration times, and parent .writtenauthorization for self-administration. A student will not be allowed to carry an unlabeled _inhaler. It is the responsibility of the parent to pick-up any medication at the end of the year.Medications are not kept from year to year.

FOODALLERGIES:If your child has a life-threatening food allergy, please contact the nurse attheir campus! A "Food Allergy Action Plan" must be filled out by the parent and physician. Ifyour child requires the use of an injectable Epinephrine, or an EpiPen, for use in the event of anemergency, a physician's order _isrequired,

DIABETICSTUDENT: If your child is a Diabetic, we must have a "PLAN OF CARE" FROMTHEPHYSICIANTHATWILL INCLUDEDIRECTIONSFORTHENURSINGSTAFF.

ILLNESS: Please keep your child home if they have any of the following conditions/symptomsincluding, but not limited to:

Temperature over 100FRashother than Poison Ivy .Vomiting, or vomiting during the nightDiarrheaConjunctivitis (pink eye)

If your child has any of the above symptoms or other signs of illness at school, theparent/guardian will be contacted to pick him/her up. Children with fever may not return toschool until they are fever free without medication for 24 hours. Please make sure that youupdate your phone numbers as they change throughout the year. This is very important ofcontact needs to be made at anv time.

If there are any health issues you would like to discuss, please feel free to call or stop by yourcampus clinic. Important health information will be shared with parents throughout the yearon the district web site and in the on-line Nurse's Corner Newsletter.

Sincerely,

Carol Nelson, RN,BSNCarol.nelson@sfisd.org409-927-3125

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Please note!!

You should be aware of the following requirements from Chapter 25 of the State Education Code,Section 125:

If a child is enrolled under a name other than the child's name as it appears in the identifyingdocuments or records, the school district shall notify the missing children and missing person'sinformation clearinghouse of the child's name on the identifying document or records and the nameunder which the child is enrolled. The information in the notice is confidential and may be releasedonly to a law enforcement agency.

If the information required by Subsection (a) is not furnished to the district within the period of timeprovided by that subsection, the district shall notify the police department of the municipality orsheriff's department of the county in which the district is located and request a determination ofwhether the child is reported missing.

When accepting a child for enrollment, the school district shall inform the parent or other personenrolling the child that presenting false documentation or false records under this section is an offenseunder Section 37.10 Penal Code, and that enrollment of the child under false documentation subjectsthe person to liability of tuition or costs under Section 25.001(b).

NOTICE TO PARENTS - PEST CONTROL INFORMATION

As part of our commitment to provide your child with a safe, pest-free learning environment, the SantaFe Independent School District may periodically apply pesticides to help manage insects, weeds, orpathogens. Pesticide applications are part of our integrated pest management (IPM) program, whichrelies largely on non-chemical forms of pest control. Pesticide applications on Santa Fe IndependentSchool District property are made only by trained and licensed technicians. Should you have questionsabout this district's pest management program or wish to be notified in advance of pesticide applications,you may contact our IPM coordinator:

Bob AtkinsDirector of Maintenance and Operations409-925-9200Bob.atkins(cV,sfisd.org