Registration Introduction Letter - Sycamore Elementary School

SYCAMORE ELEMENTARY SCHOOL
Dear New Family,
We are so excited that you’ll be joining us at Sycamore Elementary School!
Attached are some of the documents that you will need to complete before your child
can begin classes at Sycamore. Please read each document carefully and fill out each
one completely. If you have any questions about any of the forms, our front office staff
will be happy to help you. You can contact them by dialing 520-879-2502.
When you arrive at school to register your child, there will be additional documents
that need to be completed before the enrollment process can be completed. We’ll also
ask that you bring in some items so we can verify who you are and where you reside.
We will need:
! The original or a certified copy of the child’s birth certificate.
! Current immunization record. (You can find the Arizona School
Immunization Requirements on the Vail School District Web Site:
www.vail.k12.az.us)
! Proof of Residency showing you reside within the District’s boundaries.
You will also need to show proof of residence in the name and current
residing address from each section below.
List 1
List 2
• Valid Arizona driver’s license, AZ
identification card or motor vehicle
registration
• W-2 wage statement (recent)
• Current payroll stub with address (P.O.
Box is not acceptable)
• Documentation from a state, tribal or
federal government agency which
displays your current residence
•
•
•
•
•
Real estate deed or mortgage documents
Property tax bill
Residential lease or rental agreement
Water, electric, gas, cable or phone bill
Bank or credit card statement
Please contact our front office if these items
are not available to you.
Please do not hesitate to contact us if you need assistance or have any questions while
you are completing the forms. We look forward to meeting you!
In the Vail Schools We:
Are Respectful and Trustworthy ‣ Care about each other ‣ Take Responsibility
16701 S. Houghton Road • Corona de Tucson, AZ 85641 • (520) 879-2500 • (520) 879-2501
Enrollment Requirements
All students must have the following information in order to register in the Vail School District
•
Immunization Records - Upon enrollment, Vail District schools require current
immunization records. Pursuant to A.R.S. 15-843, a student shall not attend school
unless documented proof of immunizations have been provided.
•
Birth Certificate - The 1987 Legislature passed a law designated to help trace the
location of any child who is reported missing. So that schools may assist in this
effort, A.R.S. Sec. 15-828 requires that you, the parent or guardian of the child you
are enrolling in our District provide one of the following documents:
1. A certified copy of the pupil's birth certificate.
2. Other reliable proof of the pupil's identity and age, including the pupil's
baptismal certificate, an application for a Social Security number, or original
school registration records and an affidavit explaining the inability to
provide a copy of the birth certificate.
3. A letter from the authorized representative of an agency having custody of
the pupil certifying that the pupil has been placed in the custody of the
agency as prescribed by law.
Birth Certificate Information must be provided no later than 30 days from the
enrollment date.
•
Proof of Legal Guardianship/Custody - If divorced, legal documentation of custody
agreement must be provided upon enrollment. If a guardian other than a natural
parent will be registering the student, a court document showing current
guardianship must be provided upon enrollment.
•
Residence Verification Form - A.R.S. 15-802(B) requires school districts and charter
schools to obtain and maintain verifiable documentation of Arizona residency upon
enrollment in an Arizona public school. Parent/Legal Guardian must provide at least
two (2) forms of current verification upon enrollment. Documents presented must
be in your name and legal residence.
•
Withdrawal Form – If student has been enrolled in another Arizona school during the
current school year, withdrawal form must be presented upon enrollment.
Rev. 4/3/12
State of Arizona
Department of Education
Office of English Language Acquisition Services
Primary Home Language Other Than English (PHLOTE)
Home Language Survey
(Effective April 4, 2011)
These questions are in compliance with Arizona Administrative Code, R7-2-306(B)(1), (2)(a-c).
Responses to these statements will be used to determine whether the student will be assessed for
English Language Proficiency.
1. What is the primary language used in the home regardless of the language spoken
by the student? __________________________________________________________
2. What is the language most often spoken by the student? _______________________
3. What is the language that the student first acquired? __________________________
Student Name ______________________________________ Student ID __________________
Date of Birth _____________________________________ SAIS ID ______________________
Parent/Guardian Signature __________________________________ Date _________________
District or Charter ______________________________________________________________
School _______________________________________________________________________
-------------------------------------------------------------------------------------------------------------------------------------------Please provide a copy of the Home Language Survey to the ELL Coordinator/Main Contact on site.
In SAIS, please indicate the student’s home or primary language.
1535 West Jefferson Street, Phoenix, Arizona 85007 • 602-542-0753 • www.azed.gov/oelas
Estado de Arizona
Departamento de Educación
Servicios de Aprendizaje del Inglés
Idioma Principal en el Hogar excluyendo el inglés (PHLOTE)
Encuesta sobre el Idioma en el Hogar
(Efectivo el 4 de abril de 2011)
Preguntas en conformidad con R7-2-306(B)(1), (2)(a-c) del Reglamento de la Junta Directiva.
Las respuestas que proporcione a las preguntas siguientes serán usadas para determinar si se
evaluará la competencia en el idioma inglés de su hijo(a).
1. ¿Cuál idioma se habla principalmente en su hogar sin considerar el idioma que habla el
estudiante? ________________________________________________________________
2. ¿Cuál idioma habla el estudiante con mayor frecuencia? __________________________
3. ¿Cuál fue el primer idioma que aprendió el estudiante? ___________________________
Nombre del estudiante ___________________________ Núm. de identificación _____________
Fecha de nacimiento __________________________ Núm. de SAIS ______________________
Firma del padre o tutor ____________________________________ Fecha _________________
Distrito o Charter _______________________________________________________________
Escuela _______________________________________________________________________
-------------------------------------------------------------------------------------------------------------------------------------------Please provide a copy of the Home Language Survey to the ELL Coordinator/Main Contact on site.
In SAIS, please indicate the student’s home or primary language.
1535 West Jefferson Street, Phoenix, Arizona 85007 • 602-542-0753 • www.azed.gov/oelas
New Student – Classroom Placement Form
Student’s Name: __________________________________________ Grade: _______________
Date of Entry: _________________________ Age: _______________ Gender:
M
F
Previous School: _______________________ City: _____________________ State: _________
Home Phone: __________________________ Parent Work Phone: _______________________
Academic Standing: Please inform us as to how your child performs academically so that we
may place him/her in the best learning environment possible.
Above Average
Average
Below Average
The student’s IEP, 504 Plan and/or other special education documentation must be
provided.
Is your child currently enrolled in a special education program or have a 504 Plan?____________
If yes, please explain.
______________________________________________________________________________
______________________________________________________________________________
Is your child currently enrolled in a gifted program? __________ If yes, please explain.
______________________________________________________________________________
______________________________________________________________________________
Does your child have any physical restrictions, medical needs, or special concerns, which might
affect their classroom performance?
Glasses _____ Vision _____ Hearing _____ Allergies _____ Other______
Explain:
______________________________________________________________________________
______________________________________________________________________________
Has your child been diagnosed with ADD/ADHD?
Yes
No
Explain: _______________________________________________________________________
______________________________________________________________________________
Does your child take any medications regularly?
Yes
No
Explain: _______________________________________________________________________
______________________________________________________________________________
Office Use Only:
Copies and given to Dept: ____________________________________ Date: ______________________
Rev. 11/3/11
VAIL UNIFIED SCHOOL DISTRICT
FERPA Designation of Directory Information
The Family Educational Rights and Privacy Act (FERPA), a federal law, requires that school districts, with certain
exceptions, obtain a parent’s written consent prior to the disclosure of identifiable information from your child’s educational
records. However, the district may disclose appropriately designated “directory information” without written consent, unless
you have advised the District to the contrary. The primary purpose of directory information is to allow school districts to
include this type of information from your child’s education records in certain district publications (ie, drama or music
programs, school newspaper, graduation programs, sports statistics listed in programs), newsletters, broadcasts, yearbook,
website. A written explanation of the provisions of the Family Educational Rights and Privacy Act of 1974 (20 U.S.C.
Section 1232g) can be found at the Arizona Department of Education website www.azed.gov/wpcontent/uploads/PDF/SA09.pdf
Certain information about district students is considered “directory information” and will be released in order to promote
school programs and student achievement, unless the parent or guardian objects to the release of the directory information
about the student. If you do not want Vail Unified School District to disclose directory information from your child’s
education records for the purposes identified herein without your prior written consent, you must notify the district in writing
through this registration/annual re-enrollment process. You can change your election at other times by submitting your
wishes in writing to the school.
Vail Unified School District has designated the following information as “directory information”:
Name
Address
Telephone Listing
Electronic mail address
Date of Birth
Place of Birth
Photograph
Grade Level
Dates of Attendance
Honors & Awards Received
Enrollment Status (part or full time)
Major field of Study
Participation in officially
Weight & Height of members of
Most recent educational agency
recognized activities & sports
athletic teams
or institution attended
Example of how this information would be used: Jane Doe, a 14-year old (DOB) freshman at Cienega High School (enrollment status),
recently had her artwork chosen to be displayed at the Youth Art Month State Capitol Exhibition (awards and honors received). Originally
from India (place of birth), Doe joined the VSD in first grade (dates of attendance); she attended Acacia Elementary and Old Vail Middle
School (most recent educational institution attended). Doe is also involved in Student Council and is on the tennis team (participation in
officially recognized activities and sports). Congratulations Jane!
Option 1: YES, my student’s limited information as listed above can be used to promote school programs and
student achievements for school/district sponsored publications, websites and educational programming, such
as stated above.
Option 2: NO, I do not want ANY of my student’s limited information as listed above to be used to promote
programming, such as stated above. Please understand that this means your student will not be in the
yearbook, featured in any publications, newsletters, broadcasts, websites.
Student Name:
Grade Level:
Parent/Guardian Name (printed)
Teacher Name:
Parent/Guardian Signature:
Date:
For Office Use Only:
Entered into PowerSchool (initials):
Date Entered into PowerSchool:
Rev. 5/2013
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Vail School District
Residence Verification Form
A.R.S 15-802(B) requires school districts and charter schools to obtain and maintain
verifiable documentation of Arizona residency upon enrollment in an Arizona public
school. This policy is written to assist districts and charter schools in meeting the legal
requirements of the statute.
Student Name:
Parent/Legal Guardian Name:
Legal Residence Address:
Parent/Legal Guardian must provide at least two (2) forms of current verification at time
of enrollment. Documents presented must be in your name and legal residence.*
The information supplied, as a whole, must indicate clearly and reasonably that your
legal residence is within Vail/Arizona boundaries, unless Open Enrollment has been
granted. Falsification of information will be grounds for the immediate
withdrawal of the student(s) from school.
All verifications are subject to final approval by the District. The District reserves the
right to investigate the claim residency status and to require additional documentation
to prove residency within the District or State. Provide one proof of residence in the
name and address of the parent/guardian from each section.
Section I
____
____
____
____
____
____
____
Valid Arizona driver’s license, AZ identification card or motor vehicle registration.
Valid U.S. Passport
W-2 wage statement (recent)
Current payroll stub with address (PO Box not acceptable)
Certificate of tribal enrollment or other identification issued by a recognized Indian
tribe that contains an Arizona address
Documentation from a state, tribal or federal government agency (Social Security
Administration, Veteran’s Administration, Arizona Department of Economic
Security)
I am currently unable to provide any of the foregoing documents. Therefore, I
have provided an original affidavit signed and notarized by an Arizona resident
who attests that I have established residence in Arizona with the person signing
the affidavit.
Section II
____
____
____
____
____
Real estate deed or mortgage documents
Property tax bill
Residential lease or rental agreement
Water, electric, gas, cable, or phone bill
Bank or credit card statement
As the parent/legal guardian of the student, I attest that I am a resident of the State of
Arizona and submit in support of this attestation a current copy of the above documents
that display my name and residential address or physical description of the property
where the student resides.
Parent/Legal Guardian Signature:
Date:
*The residence of a student is the residence of the person having legal custody of the student, except as
provided in A.R.S. 15-824(B) and in A.R.S. 15-825. Residency of the parent/guardian or surrogate may
be determined by showing the individual’s presence and intent to remain in the District.
Vail Governing Board Policies, JF, JFAA and JFAB relate to the admission of the student.
Verified by:________________________ School:________________________ Date:__________________
Rev. 2/12
Sycamore Elementary School
Field Trip Permission Form
My child has my permission to attend school-sponsored field trips.
I understand that transportation will be by school bus and that the teacher will supervise
these trips.
Yes
No ________
Student Name:
Parent/Guardian Name:
Rev. 3/12
TRANSPORTATION RULES
Vail Unified School District Transportation Department
520-879-2475
Bus Stop Information
1. Students will use the assigned bus stop and arrive 5 minutes prior to leave time.
2. The studentʼs parent/guardian must email or call in requests for using a different
stop to their schoolʼs office before 1:30pm (early release days by 10:30am).
3. School buses and bus stops are school “safety zones” and misconduct will be
treated quickly and lawfully if necessary.
4. High School Students are required to present their current school ID to the driver
(everyday).
Arizona Transportation Regulations R17-0-104 (D)
1. Passengers shall comply with all instructions given by the School Bus Driver.
2. Passengers will sit with their backs against the seat backs, their legs facing
towards the front of the school bus and clear of all aisles when the bus is in
motion.
3. No animals, insects, or reptiles (the exception of service animals, as defined in
A.R.S.§ 11-1024(J)).
4. No glass objects.
5. No alcohol, tobacco, controlled substance, weapons including an explosive
device, gun, knife, scissors, or other weapons as defined by school district policy.
Passenger Conduct
1. Passengers shall not eat, drink, chew gum, or spit on a school bus.
2. Passengers are prohibited from obscene, threatening language or gestures.
3. Throwing of any objects in the bus or out the windows is prohibited and can lead
to suspension and possible apprehension by law enforcement.
4. Passengers engaging in physical conflicts will be detained until law enforcement
arrives.
Violations to the Rules, Regulations, and Passenger Conduct will have
consequences that correspond to the severity of the misconduct.
Consequences include written referrals to possible permanent
suspensions from the school bus.
Thank you for your cooperation in helping us to maintain a safe and
efficient environment for our students.
Parent Copy
1
Rev 4/3/12
Transportation Rules
Parent/Guardian and Student please sign and return this page only to
school.
I have read and agree to follow the established Rules, Regulations and
Passenger Conduct as outlined on page 1 of the Vail Unified School
District Transportation Rules document.
Parent/Guardian Name (print)
Parent/Guardian Signature
Student Name (print)
Date
Student Signature
Date
2
Rev 4/3/12
McKinney–Vento Eligibility Questionnaire
Name of School _________________________________________________________________
Male
Name of Student _____________________________________________
Female
Last
First
Middle
Date of Birth ___/___/___ Age: ___ Social Security # ______________________________
(or student identification number)
This questionnaire is intended to address the McKinney-Vento Act 42 U.S.C. 11435. The
answers to this residency information to help determine the services the student may be eligible
to receive.
1. Is your current address a temporary living arrangement? ___ Yes ___ No
2. Is this temporary living arrangement due to loss of housing or economic hardship?
___ Yes ___ No
If you answered YES to the above questions, please complete the remainder of this form.
If you answered NO, you may stop here.
Where is the student presently living (check one box)
o
o
o
o
o
In a motel
In a shelter
With more than one family in a house or apartment
Moving from place to place
In a place not designed for ordinary sleeping accommodations (re: car, park,
campsite)
Name of Parent(s) Legal Guardian (s) __________________________________________________
Address ______________________________________ Zip _______ Phone ___________________
Signature of Parent /Legal Guardian ________________________________ Date _____________
Please fax/send copy to John Carruth, Assistant Superintendent (520) 879-2036 at the District
Office.
I certify the above named student qualifies for the Child Nutrition Program under the provisions
of the McKinney-Vento Act.
___________________________
Date
McKinney-Vento / ADE 9/30/2004
________________________________________
McKinney-Vento Liaison Signature
To:
Parent of Sycamore Student(s)
Welcome to Sycamore! This letter is to outline our lunch program. First, and
foremost I want to let you now that we have a great lunch program. Each day the
students have a choice from the Main Event, hot or cold sandwiches and pizza. Each
lunch includes our made fresh daily salad and fruit bar and milk or juice. We stay as
close to the menu as supplies allow.
Pricing is as follows:
Breakfast
$1.10
Student lunch
$2.05
Adult lunch
$3.00
Milk only
.50
Reduced lunch
.40
* Pricing may be subject to change
A Free and Reduced lunch application can be picked up at either the front office
or the kitchen and should be filled out and turned in to the kitchen. It usually takes ten
days to process.
The students need to keep a positive balance in their accounts, but on the occasion
that lunch money is lost or forgotten the students may charge up to three lunches. If that
limit is surpassed, the student will receive a plain peanut butter sandwich and white milk
only (no salad bar items). A negative balance statement will be sent home and prompt
payment would be appreciated.
Payment Information
To view your child’s account via the internet go to www.MyMealtime.com,
create a user account and use your child’s first name and their six-digit student number.
Each child knows his number with the exception of Kindergarten and First grade. Please
call if that number is needed. Payments may be made via the internet, cash, cashier’s
check or personal check. When paying by check, make payable to Sodexho and please
reference your child’s name and student number to ensure proper credit.
We have available snack bar items and a complete list follows. Each item is $.50
and can be purchased on a cash only basis and only after the child has purchased lunch.
Snack Bar Items
Fruit Shape-up (Minute Maid frozen fruit bar)
Baked chips
Crackers with cheese
PB & J crackers
Bottle Water 8oz.
In the kitchen we have a great staff that take pride in their work and look forward
to serving your children. Please do not hesitate to call if you have any questions or
concerns. I can be reached at 879-2588 or email at [email protected]