June 2015 CISD Summer School Calendar 2014-2015

Transcription

June 2015 CISD Summer School Calendar 2014-2015
June 2015
CISD Summer School Calendar 2014-2015
Monday
Tuesday
Wednesday
1
May STAAR SSI Reading Grades 5, 8 Results
(Parents notified of Summer School)
2
Thursday
3
Last Day for Students
Early Release
All Students and Staff
Teacher Workday
(2014-2015 Contract
Year)
Friday
4
5
Spring STAAR EOC
Results
(Parents notified of
Summer School)
Workday for
Summer Teachers
(Elem 8am-3pm,
MS 8am-noon)
8
9
ESY: FES, JRES & SVHS
(8:00am-12:00pm)
10
11
SACC Open
Elementary: FES & JRES (SSI 5th, 1st-5th) (8:15-11:15am)
Middle: CHMS & SBMS (8th SSI, 8th Math, Cred Rec) (8:30-11:30am)
CDC (All Students) (8:30-11:30am)
ACMECH (Credit Recovery) (8:30-11:30am)
NO Summer
School on
Fridays
Workday for High School
Summer School Teachers
(8am-1:00pm)
15
ESY: FES, JRES & SVHS
(8:00am-12:00pm)
ACMECHS (EOC)
(8:30-11:30am)
Workday for PK/K
Bil/ESL Summer
Teachers
(8am – 3pm)
High School (EOC, TAKS,
Credit Recovery)
(8:30am – 12:30pm)
16
17
18
Bilingual/ESL: FES & JRES (PK & K) (8:15am -3:15pm)
Elementary: FES & JRES (SSI 5th, 1st – 5th) (8:15-11:15am)
Middle: CHMS & SBMS (8th SSI, 8th Math, Cred Rec) (8:30-11:30am)
CDC (All Students) (8:30-11:30am)
ACMECH (EOC Academy & Credit Recovery) (8:30-11:30am)
High School (EOC, TAKS, Credit Recovery) (8:30am-12:30pm)
19
SACC Open
Bilingual/ESL: FES & JRES (PK & K) (8:15am -3:15pm)
Elementary: FES & JRES (SSI 5th, 1st – 5th) (8:15-11:15am)
Middle: CHMS & SBMS (8th SSI, 8th Math, Cred Rec) (8:30-11:30am)
CDC (All Students) (8:30-11:30am)
ACMECH (EOC Academy & Credit Recovery) (8:30-11:30am)
High School (EOC, TAKS, Credit Recovery) (8:30am-12:30pm)
22
12
NO Summer
School on
Fridays
STAAR Rdg 5th & 8th
ESY: FES, JRES & SVHS
(8:00am-12:00pm)
23
Elem: (8:15am-3:15pm)
Middle: (8:30am-3:00pm)
CDC: (8:30am-3:00pm)
ACME: (8:30am-3:00pm)
STAAR Make-ups
24
STAAR Make-ups25
26
SACC Open
Elem: (8:15am-3:15pm)
Middle: (8:30am-3:00pm)
CDC: (8:30am-3:00pm)
ACME: (8:30am-3:00pm)
Elem: (8:15-11:15am)
Middle: (8:30-11:30am)
CDC: (8:30-11:30am)
ACME: (8:30-11:30am)
NO Summer
School on
Fridays
1/21/2015
July 2015
CISD Summer School Calendar 2014-2015
Monday
Tuesday
June 29
Wednesday
June 30
Thursday
Friday
July 1
2
3
SACC Open
SACC Open
SACC Open
SACC Open
SACC Closed
NO Summer School
NO Summer School
NO Summer School
NO Summer School
NO Summer School
6
ESY: FES, JRES & SVHS
(8:00am-12:00pm)
7
8
9
10
Last day for EOC make ups
Bilingual/ESL: FES & JRES (PK & K)
(8:15am-3:15pm)
High School
ACMECH EOC Testers at CHS
(EOC/TAKS: 8:30am-3:00pm)
(Credit Recovery 8:30am-12:30pm)
SACC Open
NO Summer School on
Fridays
English I EOC
Algebra I EOC
US History EOC
English II EOC
Biology EOC
Exit TAKS ELA Retest
Exit TAKS Math Retest
Exit TAKS Science Retest
Exit TAKS Social Studies
Retest
13
14
15
June STAAR SSI grades 5, 8
results
16
17
SACC Open
ESY: FES, JRES & SVHS
(8:00am-12:00pm)
NO Summer School on
Fridays
Bilingual/ESL: FES & JRES (PK & K)
(8:15am-3:15pm)
Notify parents of June
STAAR SSI gr 5, 8 results
20
ESY: FES, JRES & SVHS
(8:00am-12:00pm)
21
22
23
Bilingual/ESL: FES & JRES (PK & K)
(8:15am-3:15pm)
28
24
SACC Open
(SACC Ends August 15th)
29
30
31
1/21/2015
SEMESTRE DE VERANO 2015
Información para matriculación
Instrucción acelerada SSI
(FES & JRES)
(Iniciativa del éxito del estudiante)
para 5to grado
8 de junio – 25 de junio
8:15 am a 11:15 am*
*horas extendidas el 23 de junio: 8:15 am – 3:15 pm*
NO HAY CLASES los viernes
Tabla de contenido
Manual para padres y estudiantes .................................................................. Página 2
Información sobre el semestre de verano para instrucción acelerada SSI. Página 3
Formulario para matriculación al semestre de verano para instrucción
acelerada SSI .................................................................................................... Página 4
Recibo del manual para alumnos y padres para el semestre de verano ..... Página 5
Acuerdo del uso aceptable de la política de CISD ........................................ Página 5
Petición para transportación ..................................................................... Páginas 6-7
Tarjeta de emergencia del estudiante ............................................................. Página 8
Coordinadores del semestre de verano
Coordinadora de escuela de verano John Montelongo (830) 221-2064
Coordinadora de escuela de verano Joni Coker
(830) 221-2036
Director para el verano en FES
Susan Thetford
(830) 221-2814
Directora para el verano en JRES
Wendy Moore
(830) 885-9505
SEMESTRE DE VERANO PARA LA PRIMARIA
MANUAL PARA PADRES Y ALUMNOS
PROCEDIMIENTOS PARA MATRICULACIÓN:
• Estudiantes deberán ser registrados mediante un comité basado en colocación por grado escolar
(GPCs).
Estudiantes fuera del Distrito Escolar
• Si el estudiante asiste normalmente a otro distrito escolar que no sea CISD, pero se está
quedando/viviendo con un padre/guardián que reside dentro de los limites de CISD, el estudiante
será tratado como en-distrito para la escuela de verano SSI.
• El paquete de información para matriculación deberá ser llenado y el plan de instrucción
acelerada del estudiante (AIP) debe ser incluido en los documentos para matriculación
• Estudiantes que residen fuera de los límites de CISD serán puesto en una lista de espera. Una
vez que todos los estudiantes de CISD hayan sido matriculados en clases, los estudiantes de
fuera del distrito serán colocados en los espacios disponibles.
to
• Estudiantes de 5 grado que asistan a la escuela de verano SSI también podrán tomar el tercer
prueba de STAAR de lectura en CISD.
PAQUETE PAR LA MATRICULACIÓN: FORMULARIOS REQUERIDOS
Se requiere que los estudiantes completen y regresen los siguientes documentos:
• La forma para la matriculación para el semestre de verano para instrucción acelerada SSI
(página 4)
• Recibo para el semestre de verano 2015 Manual para padres y alumnos (página 5)
• CISD Acuerdo del uso aceptable del sistema de comunicaciones: (página 5)
• Petición para transportación (si requieren transportación) (páginas 6-7)
• Tarjeta de emergencia del estudiante (página 8)
ASISTENCIA:
La asistencia constante es muy importante para que su estudiante se beneficie del programa de verano.
Si por alguna razón su hijo no puede asistir a clases, es muy importante que se comunique con el
personal del programa de verano.
DESAYUNO Y ALMUERZO:
El desayuno y almuerzo se proveerá GRATIS para todos los alumnos del semestre de verano.
MANEJO DE LA DISCIPLINA:
Todos los estudiantes que asisten a la escuela de verano en CISD se sostienen al CÓDIGO DE
CONDUCTA ESTUDIANTIL DE CISD. Las infracciones del código de conducta estudiantil de CISD
pueden causar el retiro de la escuela de verano sin un reembolso.
Infracción menor:
• Se le dará dos advertencias por teléfono ó por escrito a los padres y estudiantes.
• La tercera infracción menor causará el retiro del programa de verano.
Infracción mayor:
• Cualquier infracción mayor, incluyendo, pero no limitado a drogas, alcohol, armas y otras que se
determinarán por la administración, constituirá a un retiro inmediato de la escuela de verano y
hará conforme a la acción disciplinaria determinada por el código de conducta estudiantil de
CISD.
CISD CÓDIGO DE CONDUCTA ESTUDIANTIL se encuentra en
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TRANSPORTACIÓN:
• Los padres pueden proveer la transportación o pueden pedir transportación del distrito sin costo
en las rutas designadas. Para pedir transportación, llene el formulario en las páginas 6-7.
Información sobre el semestre de verano de
instrucción acelerada SSI
Director para el verano en FES – Susan Thetford
Directora para el verano en JRES – Wendy Moore
DESCRIPCIÓN DEL PROGRAMA: El programa de verano es disponible a todos los estudiantes en
5to grado que no pasaron el 2do prueba administrado STAAR de lectura en mayo de 2015. El comité
basado en colocación por grado escolar (GPCs) de la escuela desarrollará un plan de instrucción
acelerada (AIP) concentrado en los conceptos y habilidades que el estudiante no ha dominado.
Estudiantes recibirán ayuda intensiva para completar el curso intensivo requerido durante la escuela
de verano en preparación para el 3er prueba administrada STAAR lectura el 23 de junio. Los
maestros de la escuela de verano monitorearán el progreso de los estudiantes y se mantendrán en
contacto con el comité basado en colocación por grado escolar. Los estudiantes recibirán instrucción
acelerada mediante clases pequeñas con proporción de un maestro por cada 10 estudiantes.
Horario
Escuelas
Fechas para el semestre de verano y
prueba STAAR
Estudiantes
Estudiantes
8:15 – 11:15
7:45 – 11:45
(Horas
extendidas en
los días
mencionados
abajo)
(Horas
extendidas en
los días
mencionados
abajo)
Fechas de prueba STAAR:
23 de junio
23 de junio
• STAAR lectura: jueves, 23 de junio
8:15 – 3:15
7:45 – 3:45
lunes, 8 de junio hasta jueves, 25 de junio
(¡No clases los viernes!)
Escuela
Primaria
Freiheit
Escuela
Primaria
Johnson
Ranch
PROPORCIÓN DE MAESTRO A ESTUDIANTES: 1:10
PLAN DE ESTUDIOS:
• Ayuda intensiva en lectura basada en las necesidades individuales del estudiante.
• Los maestros seguirán el plan de instrucción acelerado (AIP) de cada estudiante
desarrollado por el comité basado en colocación por grado escolar de la escuela (GPC)
Formulario para matriculación para el semestre
de verano para instrucción acelerada SSI
El formulario se necesita entregar con el paquete de matriculación para el verano
Nombre del estudiante: ___________________________________________________
ID #: ____________________________________________ (llenado por el/la maestro)
Fecha de nacimiento: ____________________________________________________
Domicilio: _____________________________________________________________
______________________________________________________________
______________________________________________________________
Nombre del padre/tutor: __________________________________________________
Teléfono de la casa: ________________ Correo electrónico:
_____________________
Celular: _____________________________ Contacto por texto: c Sí c No
Escuela actual: ________________________________________________________
Nombre de maestro/a: __________________________________________________
Instrucción acelerada SSI y prueba STAAR en:
! 5to grado LECTURA
Mi hijo/a asistirá a la escuela de verano para instrucción acelerada SSI:
!
Freiheit Escuela Primaria
!
Johnson Ranch Escuela Primaria
Firma del padre: _______________________________________________________
Padres,
Por favor regresen el paquete completo al maestro/a:
•
Formulario para matriculación para el semestre de verano para instrucción acelerada
SSI (página 4)
•
•
•
•
Recibo del manual 2015 para padres y estudiantes (página 5)
Acuerdo del uso aceptable de la política de CISD (página 5)
Petición para la transportación (si se necesita) (páginas 6-7)
Tarjeta de emergencia del estudiante (página 8)
CISD Teachers: Please forward the Accelerated Instruction Registration forms to:
FES: Susan Thetford
JRES: Wendy Moore
Recibo para el semestre de verano
Manual para padres y estudiantes de primaria
El formulario se necesita entregar con el paquete de matriculación para el verano.
Al firmar abajo estoy indicando que he recibido una copia del manual para padres y estudiantes para el
semestre de verano 2015.
___________________________________
Nombre del estudiante
____________________________
Grado actual 2013-14
___________________________________
Firma del padre
____________________________
Fecha
----------------------------------------------------------------------------------------------------------------------------
Uso aceptable de la política de CISD
ACUERDO DEL ESTUDIANTE DEL USO ACEPTABLE DEL
SISTEMA ELECTRÓNICO DE COMUNICACIONES
ACUERDO DEL ESTUDIANTE:
Grado actual __________
Nombre de la escuela_______________________________
Yo entiendo que el uso de mi computadora no es privado y que el distrito cuida la actividad en el sistema de la
computación. Yo he leído la política del sistema de comunicación del distrito y las regulaciones administrativas y
estoy de acuerdo de obedecer con las reglas. Yo entiendo que las violaciones a estas reglas pueden resultar en
suspensión o revocación al acceso al sistema y otras acciones disciplinarias consistentes con la política del
distrito.
Nombre del estudiante (en letra de molde) _________________________________________________________
Firma del estudiante___________________________________________________________
Fecha______________________________________________________________________
ACUERDO DE LOS PADRES:
Yo he leído la política del los recursos de tecnología del distrito, y este de acuerdo. En consideración para que mi
hijo/a tenga el privilegio de usar el sistema de comunicaciones del distrito y para tener acceso a la red del distrito,
yo libero al distrito, sus operadores e instituciones afiliadas de cualquier y todos los reclamos y daños de cualquier
naturaleza que puedan surgir por el uso de mi niño/a, o de Ia inhabilidad de usar el sistema incluyendo sin
limitación el tipo de daño identificado en la política del distrito y en las regulaciones administrativas.
Nombre del padre (en letra de molde) ____________________________________________________________
Firma del padre__________________________________________________________
Fecha__________________________________________________________________
Petición para transportación:
Estudiantes de instrucción acelerada SSI en la primaria
El formulario se necesita entregar con el paquete de matriculación para el verano.
Transportación para el semestre de verano es provista sin ningún costo para los alumnos. Los padres deben de
completar la siguiente información.
Letra de molde:
Nombre del estudiante
Grado:
ID #:
¿A qué escuela y programa asistió su estudiante durante el año escolar 2014-2015?
Nombre de padre/tutor:
Domicilio:
Ciudad:
Código postal:
Teléfono del domicilio: _____________________ E-mail:
Teléfono del trabajo:
Otro:
Celular:
Contactar por texto al celular: ! Sí ! No
Información para una emergencia (alguien que no es padre/mamá):
Nombre de persona para contactar en caso de una emergencia:
Relación con el alumno:
Número para una emergencia:
Celular: ________________________________ Contactar por texto: ! Sí ! No
Marque una:
_______Mi hijo/a no irá en el camión.
_______Mi hijo/a sí irá en el camión. Las paradas del camión se encuentran en la siguiente página. Por favor
marque en la columna la parada que usará su hijo/a.
Notas especiales ó consideraciones:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Tarjeta de emergencia del alumno
2015 Semestre de verano
El formulario se necesita entregar con el paquete de matriculación para el verano
Nombre del Alumno____________________________________
Apellido
Nombre
Inicial
Niño o Niña
Fecha de nacimiento_________________________
(Circule uno)
Teléfono de la casa: (______) _______ - _____________ Email: _____________________________ Estudiante vive con: _________________
Mamá/Tutor Legal: _______________________________Celular: (______) _______ - ___________ Trabajo: (______) _______ - _________
Papá/Tutor Legal: ________________________________Celular: (______) _______ - _____________ Trabajo: (______) _______ - _________
Nombre: ________________________________Teléfono#1: (______) _______ - _____________ Teléfono#2: (______) _______ - ____________
para una emergencia
Médico: _____________________________Teléfono: (______) _______ - _____________ Hospital de preferencia: _______________________
Información de Seguro Médico:
□ Sin seguro
□ Medicaid/CHIPS
□ Seguro personal
Por favor indique cualquier condición que su niño/a tenga que pueda requerir de atención en la escuela: (marque todas las que apliquen)
(Las formas de autorización son requeridas para la atención médica - por favor visite la enfermera de la escuela antes del primer día de clases)
□ Diabetes □ Asma
□ Ataques □ Historial de reacciones alérgicas severas (desde) ____________________________________________
□ Requiere medicamentos en la escuela (enumere) ____________________________________________________________________________
□ Requiere tratamientos/procedimientos médicos en la escuela (especifique) ______________________________________________________
□ Otra: __________________________________________________________________________________
La información médica se puede compartir con los maestros del estudiante, según sea necesario, para promover atención médica inmediata en una emergencia. Doy
consentimiento a los oficiales de la escuela que autoricen tratamiento médico de emergencia en caso que los padres no puedan ser contactados.
Firma de Padres/Tutor Legal: ____________________________________________________ Fecha: _______________________________
SUMMER SEMESTER 2015
Registration Packet
5th Grade SSI Accelerated Instruction (FES & JRES)
June 8 – June 25
8:15 am to 11:15 am*
*Extended hours on test day June 23rd: 8:15am – 3:15pm*
NO CLASSES on Fridays
Table of Contents
Student and Parent Handbook ............................................................................. Page 2
SSI Accelerated Instruction Summer Semester Information ............................ Page 3
SSI Accelerated Instruction Summer Semester Registration Form ................. Page 4
Receipt of Summer Semester Student and Parent Handbook ......................... Page 5
CISD Acceptable Use Policy: Student and Parent Agreement ......................... Page 5
Transportation Request Form ......................................................................... Pages 6-7 Student Emergency Card ..................................................................................... Page 8 Summer Semester Coordinators
Summer School Coordinator
John Montelongo
(830) 221-2064
Summer School Coordinator
Joni Coker
(830) 221-2036
Summer Principal at FES
Susan Thetford
(830) 221-2814
Summer Principal at JRES
Wendy Moore
(830) 885-9505
SUMMER SEMESTER ELEMENTARY
STUDENT AND PARENT HANDBOOK
REGISTRATION:
• Students will register through campus-based Grade Placement Committees (GPCs).
Out of District Students
• If a student normally attends a school in a district other than CISD, but is staying/living
with a parent/guardian who resides within the CISD district boundaries, this student will
be treated as an in-district student for SSI summer school.
• This registration packet must be completed and the student’s Accelerated Instruction
Plan (AIP) must be included in the registration documents submitted.
• Students who reside outside the district will be placed on a waiting list. Once all CISD
students are enrolled in classes, out of district students will be placed in available slots.
• 5th graders who attend SSI summer school may also take the 3rd STAAR administration
of reading in CISD.
REGISTRATION PACKET: REQUIRED FORMS
Students will be required to complete and return the following documents:
• SSI Accelerated Instruction Summer Semester Registration Form (page 4)
• Receipt of Summer Semester 2015 Student and Parent Handbook (page 5)
• CISD Acceptable Use Policy: Student Agreement (page 5)
• Completed Transportation Request Form (if requesting transportation) (pages 6-7)
• Student Emergency Card (page 8)
ATTENDANCE:
Consistent attendance is important in order for your child to benefit from summer programming.
If for any reason your child is not able to attend, it is important that you communicate with
summer program staff.
BREAKFAST AND LUNCH:
Breakfast and lunch will be provided FREE to all students attending elementary summer school.
DISCIPLINE MANAGEMENT:
Students attending the CISD Summer Semester are held to the STUDENT CODE OF
CONDUCT and Discipline Management System of CISD. Infractions of the CISD Code of
Conduct may cause withdrawal from the Summer Semester.
Minor Infraction:
• Student and Parents will be given two warnings by phone and/or in writing.
• The third minor infraction will constitute removal from the Summer Program.
Major Infraction:
• Any major infraction, including, but not limited to, drugs, alcohol, weapons, and other to
be determined by administration, will constitute an immediate removal from Summer
Program and will be subject to disciplinary action determined by the CISD Student Code
of Conduct.
The CISD CODE OF CONDUCT may be accessed at
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TRANSPORTATION:
• Parents can provide transportation or request district transportation at no cost from
designated locations. To request transportation, complete the form on pages 6-7.
SSI Accelerated Instruction
Summer Semester Information
FES Summer School Principal – Susan Thetford
JRES Summer School Principal – Wendy Moore
PROGRAM DESCRIPTION: This summer program is available to all students in 5th grade who did
not pass the 2nd administration retest of STAAR reading in May 2015. The student’s home campus
Grade Placement Committee (GPC) will develop an Accelerated Instruction Plan (AIP) focused on the
concepts and skills that have not been mastered. Students will receive intensive remediation to
complete their required accelerated instruction during summer school in preparation for the 3rd
administration retest of STAAR reading on June 23rd. Summer school teachers will monitor the
progress of students and communicate this with the student’s Grade Placement Committee.
Students will receive accelerated instruction through small classroom arrangements with a ratio of
one teacher for every 10 students.
Time
Campus Locations
Summer School & STAAR Testing Dates
Monday, June 8 to Thursday, June 25
NO CLASSES on Fridays
STAAR Testing Dates:
• STAAR Reading: Tuesday, June 23
rd
Student
Staff
8:15 – 11:15
7:45 – 11:45
(Extended
hours on test
day below)
(Extended
hours on test
day below)
June 23
June 23
8:15 – 3:15
7:45 – 3:45
Freiheit
Elementary
Johnson
Ranch
Elementary
TEACHER TO STUDENT RATIO: 1:10
CURRICULUM:
• Intensive remediation in reading based on the individual student needs.
• Teachers will follow each student’s Accelerated Instruction Plan (AIP) developed by the
campus Grade Placement Committee (GPC)
SSI Accelerated Instruction Summer Semester
Registration Form
This form must be turned in with the summer semester registration packet.
Student Name: _________________________________________________________
Student ID #: __________________________________________(filled out by teacher)
Date of Birth: ___________________________________________________________
Address: ______________________________________________________________
______________________________________________________________
______________________________________________________________
Parent/Guardian Name: __________________________________________________
Home Phone:_____________________ E-mail Address: _______________________
Cell Phone: ________________________ Contact by text message:
! Yes ! No
Current School: _________________________________________________________
Teacher’s Name: _______________________________________________________
SSI Accelerated Instruction & STAAR Retesting in:
! 5th Grade READING
My child will attend SSI Accelerated Instruction Summer School at:
!
Freiheit Elementary School
!
Johnson Ranch Elementary School
Parent Signature: _______________________________________________________
Parents,
Please return the completed forms to your child’s teacher:
•
•
•
•
•
SSI Accelerated Instruction Summer Semester Registration Form (page 4)
Receipt of Summer Semester 2015 Student and Parent Handbook (page 5)
CISD Acceptable Use Policy: Student Agreement (page 5)
Completed Transportation Request Form (if requesting transportation) (pages 6-7)
Student Emergency Card (page 8)
CISD Teachers: Please forward the Accelerated Instruction Registration forms to:
FES: Susan Thetford
JRES: Wendy Moore
SUMMER SEMESTER 2015
Registration Packet
Summer Math Enrichment Academy
Available to the following:
• Students Entering 7th or 8th Grade Math
• Students Currently in 8th Grade Math
• Students Completing Algebra I in 8th Grade
Middle School (CHMS & SBMS)
CHMS will host summer school for CHMS & CMS students
SBMS will host summer school for SBMS, SVMS & MVMS students
June 8 – June 25
8:30am to 11:30am*
*Extended hours on June 23rd :8:30am – 3:00pm*
NO CLASSES on Fridays
Table of Contents
Student and Parent Handbook ............................................................................. Page 2
Summer Math Enrichment Academy Information .............................................. Page 3
Summer Math Enrichment Academy Registration Form ................................... Page 4
Receipt of Summer Semester Student and Parent Handbook ......................... Page 5
CISD Acceptable Use Policy: Student and Parent Agreement ........................ Page 5
Transportation Request Form......................................................................... Pages 6-7 Student Emergency Card ..................................................................................... Page 8 Summer Semester Principals
Church Hill Middle School
Mark Oberholtzer
(830) 221-2312
Spring Branch Middle School
Kristy Castilleja
(830) 885-1736
MIDDLE SCHOOL
STUDENT AND PARENT HANDBOOK
REGISTRATION:
• Registration is May 1, 2015 through May 29, 2015. Students will register at their home
campuses in the counseling offices.
TUITION:
• There is no fee for attending the Summer Math Enrichment Academy.
ATTENDANCE:
• Acceptance into the Summer Math Enrichment Academy is based on teacher
recommendations. As there are a limited number of slots at each summer school site,
daily attendance is an expectation for all students accepted into the program. If your
student is unable to make a commitment to attend for all three weeks, please do not
submit your application so that another student can be considered for any available
slots.
BREAKFAST WILL NOT BE SERVED:
• Breakfast will not be served on campus during the Summer Semester. Students are
encouraged to eat a healthy breakfast at home.
DISCIPLINE MANAGEMENT:
Students attending Summer Semester in CISD are held to the STUDENT CODE OF CONDUCT
and Discipline Management System of CISD. Infractions of the CISD Code of Conduct may
cause withdrawal from Summer Semester without a refund.
Minor Infraction:
• Student and Parents will be given two warnings by phone and/or in writing.
• The third minor infraction will constitute removal from the Summer Semester program.
Major Infraction:
• Any major infraction, including, but not limited to, drugs, alcohol, weapons, and other to
be determined by administration, will constitute an immediate removal from Summer
Semester and will be subject to disciplinary action determined by the CISD Student
Code of Conduct.
The CISD CODE OF CONDUCT may be accessed at
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TRANSPORTATION:
• Parents can provide transportation or request district transportation at no cost from
designated locations. To request transportation, complete the form on pages 6-7.
Summer Math Enrichment Academy 2015 Information
Summer Semester Site: SBMS, SVMS & MVMS will attend SBMS Site
CHMS & CMS will attend CHMS Site
PROGRAM DESCRIPTION: This summer program is available to selected students who will be
entering 7th or 8th grade math, students currently taking 8th grade math, and students who completed
Algebra I at 8th grade.
8th grade math for students who have completed Algebra I: This summer opportunity is available
to students who have completed Algebra I and are looking to strengthen their math abilities prior to
entering high school. Upon completion of the academy, students will have a solid mathematic
foundation to prepare them for high school success.
Time
Campus Locations
Summer School Dates
Monday, June 8 to Thursday, June 25*
8:30am – 11:30am*
*Extended Hours on Days Below
NO CLASSES on Fridays
Extended Day
• Tuesday, June 23rd
Student
Staff
8:30 – 11:30
8:00 – 12:00
(Extended
hours on test
day below)
(Extended
hours on test
day below)
June 23
June 23
8:30 – 3:00
8:00 – 3:30
Church Hill
Middle
School
CURRICULUM:
• Introduction to 7th grade math
• Introduction to 8th grade math
• Accelerated Instruction (intensive remediation) for 8th grade math
• 8th grade math standards for students who completed Algebra I in the 8th grade
Spring
Branch
Middle
School
Summer Math Enrichment Academy 2015 Registration Form
Student Name:
Student ID: ________________________
Date of Birth:
Gender:
Ethnicity: _________________________
Parent/Guardian Name:____________________________________________________________
Address: _______________________________________________________________________
Home Phone:
Cell Phone: ______________________________
Student Cell Phone:
E-mail: __________________________________
CISD Home Campus:
Grade level 2014-2015: _______________
!
!
Entering 7th Grade Math Academy
!
!
8th Grade Math Academy for students who completed Algebra I
Entering 8th Grade Math Academy
Accelerated Instruction (intensive remediation) for current 8th Graders
___
Student’s printed name
Student’s signature
Date
___
Parent/Guardian’s printed name
Parent/Guardian’s signature
Date
Student: ASK YOUR CURRENT MATH TEACHER TO WRITE A BRIEF EVALUATION
OF YOUR ACADEMIC ABILITY IN MATH IN THE SPACE BELOW.
Teacher: Identifying SPECIFIC STRENGTHS of the applicant will be helpful in reviewing
this application.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
___
Teacher’s printed name
Teacher’s signature
Date
*CISD Campus Counselors/Staff: Please forward Registration packets to:
Mark Oberholtzer for: CHMS and CMS students
Kristy Castilleja for: SBMS, SVMS and MVMS students
Receipt of Summer Semester
Middle School Student and Parent Handbook
This form must be turned in with the summer semester registration packet.
By signing below, I am indicating that I have received a copy of the Summer Semester Middle
School Student and Parent Handbook (page 2 of this packet).
___________________________________
Student Name
____________________________
Current Grade
___________________________________
Parent Signature
____________________________
Date
----------------------------------------------------------------------------------------------------------------------------
CISD Acceptable Use Policy
STUDENT AND PARENT AGREEMENT FOR ACCEPTABLE USE OF THE
ELECTRONIC COMMUNICATIONS SYSTEM
STUDENT AGREEMENT:
Current Grade_______________
Campus Name_______________________________
I understand that my computer use is not private and that the District will monitor my activity on
the computer system. I have read the District’s electronic communications system policy and
administrative regulations and agree to abide by their provisions. I understand that violation of
these provisions may result in suspension or revocation of system access and other disciplinary
action consistent with District policies.
Student Name (please print)______________________________________________________
Student Signature______________________________________________________________
Date________________________________________________________________________
PARENT AGREEMENT:
I have read the District’s Guidelines for Acceptable Use of Comal Independent School District
Technology Resources, and this agreement form. In consideration for the privilege of my child
using the District’s electronic communications system, and in consideration for having access to
the public networks, I hereby release the District, its operators, and any institutions with which
they are affiliated from any and all claims and damages of any nature arising from child’s use of,
District’s policy, and administrative regulations.
Parent’s Name (please print)_____________________________________________________
Parent’s Signature_____________________________________________________________
Date________________________________________________________________________
Transportation Request Form:
Middle School Students
This form must be turned in with the summer semester registration packet.
Summer program transportation is provided at no cost. Parents must complete the following
information to request transportation.
Print:
Student Name:
_________
Grade:
Student ID #:
Which campus did your child attend in the 2014-2015 school year?
Parent / Guardian’s Name: _
_
Home Address:
City:
Zip Code:
_____
_____
Home Phone:_____________________ E-mail Address: ______________________________
Parent’s Work Phone:
_
_____ Other:
____
_____
Cell Phone: ________________________ Contact by text message: ! Yes ! No
Emergency Contact Information (someone other than parent/guardian):
Name of emergency contact:
Relationship to student:
Emergency contact’s phone number:
Cell Phone: ________________________________ Contact by text message: ! Yes ! No
Check One:
_______My student will not ride the bus.
_______My student will ride the bus. Times and pick up/drop off locations are listed on the
next page. Please indicate which stop your child will be accessing by placing a check mark next
to the stop.
Special notes or considerations:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Student Emergency Card
Summer Semester 2015
This form must be turned in with the summer semester registration packet.
Student Name: _____________________________________________________ Male/Female Birthdate: ___________
Last,
First
Middle
(Circle )
Home Address: _____________________________________ City:___________________________ Zip: _____________
Home Phone: _______________ Email:________________________ Student lives with: ___________________________
Mother/Guardian: _____________________________________Cell: (
) _____-________ Work: (
) _____-_________
Father/Guardian: _____________________________________Cell:(
) _____-________ Work: (
) _____-_________
Emergency Contact (other than parent):________________ Phone 1: (
) _____-_______ Phone 2: (
Primary Physician: ________________________ Phone: (
Medical Insurance: □ Uninsured
□ Medicaid/CHIPS
) _____-________
) _____-________ Preferred Hospital: __________________
□ Private Insurance
Please check any conditions your child has which may require attention at school: (check all that apply)
(Authorization forms are required for all medical care- please visit the school nurse before the first day of school)
□ Diabetes □Asthma □Seizures □History of severe allergic reactions (from) _________________________________
□ Requires medications at school (list) __________________________________________________________________
□ Requires medical treatments/procedures at school (list) ___________________________________________________
□ Other: __________________________________________________________________________________________
Health information may be shared with your student’s teachers, as needed, to promote immediate medical care in an emergency.
I consent to school officials authorizing emergency medical treatments if parents/guardians cannot be contacted.
Signature of Parent or Guardian: ________________________________________________ Date: __________________
SUMMER SEMESTER 2015
Registration Packet
High School (CHS, CLHS, SVHS)
Credit Recovery/Acceleration & EOC/TAKS Academies
June 10 – July 9
8:30 am to 12:30 pm*
*Extended hours for EOC/TAKS Academies from July 6th – 9th: 8:30am-3:00pm*
NO CLASSES on Fridays
NO CLASSES Monday, June 29th – Friday, July 3rd
Table of Contents
Student and Parent Handbook ............................................................................. Page 2
Tuition Waiver Form ............................................................................................. Page 3
Credit Recovery/Acceleration Registration Form .............................................. Page 4
EOC & TAKS Academy Information .................................................................... Page 5
EOC & TAKS Academy Registration Form ......................................................... Page 6
Receipt of Summer Semester Student and Parent Handbook ......................... Page 7
CISD Acceptable Use Policy: Student and Parent Agreement ......................... Page 7
Student Emergency Card ..................................................................................... Page 8 Summer Semester Principals
Canyon High School
Brad Brown
(830) 221-2450
Canyon Lake High School
Corbee Wunderlich
(830) 885-1734
Smithson Valley High School
Michael Wahl
(830) 885-1014
HIGH SCHOOL
STUDENT AND PARENT HANDBOOK
REGISTRATION:
• Registration is May 1, 2015 through June 8, 2015. Students will register at their home
campuses in the counseling offices.
• Students attending Summer Semester for both credit recovery and an EOC/TAKS
Academy may need to continue their day into the afternoon from 1:00-3:00 depending
on the number of classes needed. The campus counselor will advise students who may
need to stay on campus for afternoon classes.
ATTENDANCE:
There are no excused absences during Summer Semester.
• Missing one day in Summer Semester is equivalent to missing two weeks during the
regular term.
• A maximum of 1 absence is permitted during Summer Semester.
• Students with more than 1 absence may be withdrawn from class and lose their credit.
There are no refunds.
TARDINESS:
• Because of the short length of class sessions and academic intensity, prompt and
consistent attendance is required.
• Students who are tardy (more than 10 minutes late) three times are subject to
withdrawal from class without refund or credit. Note: 3 tardies = 1 absence.
BREAKFAST WILL NOT BE SERVED:
• Breakfast will not be served on campus during the Summer Semester. Students are
encouraged to eat a healthy breakfast at home.
DISCIPLINE MANAGEMENT:
Students attending Summer Semester in CISD are held to the STUDENT CODE OF CONDUCT
and Discipline Management System of CISD. Infractions of the CISD Code of Conduct may
cause withdrawal from Summer Semester without a refund.
Minor Infraction:
• Student and Parents will be given two warnings by phone and/or in writing.
• The third minor infraction will constitute removal from the Summer Semester program.
Major Infraction:
• Any major infraction, including, but not limited to, drugs, alcohol, weapons, and other to
be determined by administration, will constitute an immediate removal from Summer
Semester and will be subject to disciplinary action determined by the CISD Student
Code of Conduct.
The CISD CODE OF CONDUCT may be accessed at
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TRANSPORTATION:
• Students are responsible for their own transportation
CDC:
Students enrolled in CDC at the end of the school year will complete their hours during summer
at the CDC campus. If you have any questions or for more information, please contact Karen
Stevens at (830) 221-2950.
Tuition Waiver Form - Summer Semester 2015
Student Name:________________________ Grade:______Campus:___________________
Waiver of tuition for CISD Summer Semester 2015 is being requested for the following
reason(s):
__ Resides in a residential placement facility
__ Migrant program
__ Homeless
__ Attended DAEP/CDC during 2014-2015 school year
__ Free lunch (student pays $15.00)
__ Reduced lunch (student pays $30.00)
__ Other (explain below)
Office Use Only:
___ Tuition waiver approved
___ Tuition waiver not approved
Reason:_________________________________________________________________
____________________________________________________________________________
Counselor’s Signature __________________________________________________________
(Home Campus)
Principal’s Signature ___________________________________________________________
(Home Campus)
Credit Recovery/Acceleration 2015 Registration Form
Summer Semester Site: Student’s Current High School Campus
*2014-2015 DAEP/CDC students will attend at CDC site*
--------Also complete the Student Emergency Card on page 8-------Student Name:
Student ID: _______________________
Date of Birth:
Gender:
Ethnicity: _______________________
Parent/Guardian Name:____________________________________________________________
Address: _______________________________________________________________________
Home Phone:
Cell Phone: ______________________________
Student Cell Phone:
E-mail: _________________________________
CISD Home Campus:
Grade level 2014-2015: ______________
Out of District Campus Name and Address:____________________________________________
_______________________________________________________________________________
Summer School Dates & Times
Courses – Student is limited to taking two
e2020 Courses
Tuition - $75.00
(or see attached waiver)
June 10 – July 9
8:30 am to 12:30 pm
Counselor
Signature
NO CLASSES on Fridays
th
rd
NO CLASSES Monday, June 29 – Friday, July 3
Course 1:_____________________________________
Course 2:____________________________________
Student’s printed name
Student’s signature
Date
Parent/Guardian’s printed name
Parent/Guardian’s signature
Date
Home Campus Office Use Only:
Amount Owed
Amount Paid
Payment Information
PAYABLE TO: COMAL ISD
Cash ______ Cashiers Check ______
Personal Check #________________
Received by:
(Registrar’s signature)
Date Received
High School EOC and Exit-Level TAKS Academy
Information
•
June 10 – June 25: 8:30am to 12:30pm
•
NO CLASSES Monday, June 29th – Friday, July 3rd
•
July 6 – July 9: 8:30am to 3:00pm (EOC & TAKS Testing Week)
NO CLASSES on Fridays
TESTING COORDINATORS:
•
•
•
Theresa Ricker (CHS)
Stephanie Melton (CLHS)
Shauna Abrego (SVHS)
TUITION: No fee - eligibility is based on EOC/TAKS scores. Parents must complete the High
School EOC & Exit Level TAKS Academy 2015 Registration Form (page 6) to apply for this academy.
Approval of registration is determined by the campus counselor.
PROGRAM DESCRIPTION: Intensive accelerated instruction will be provided in the areas of
ELA, Mathematics, Science and Social Studies for students who have failed an EOC exam or a
TAKS Exit-Level assessment.
ACADEMY INFO:
• June 10 – June 25: 8:30am – 12:30pm
• July 6 – July 9: 8:30am – 3:00pm (TAKS and EOC testing week)
• No Academies on Fridays
• No Academies Monday, June 29 – Friday, July 3
• EOC & TAKS Academies will be held at the student’s home campus
TRANSPORTATION: Students are responsible for their own transportation.
EOC & TAKS TESTING DATES: Times & Locations determined by your students’ home
campus testing coordinator.
Times: 8:30am – 3:00pm
•
•
•
•
Monday, July 6: EOC English I & TAKS Exit-Level ELA
Tuesday, July 7: EOC Algebra I & EOC US History & TAKS Exit-Level Math
Wednesday, July 8: EOC English II & TAKS Exit-Level Science
Thursday, July 9: EOC Biology & TAKS Exit-Level Social Studies
High School EOC & TAKS Academy 2015 Registration Form
Academy Site: Student’s Current High School Campus
Student Name:
Student ID: _______________________
Date of Birth:
Gender:
Ethnicity: _______________________
Parent/Guardian Name: ___________________________________________________________
Address: _______________________________________________________________________
Home Phone:
Cell Phone: ______________________________
Student Cell Phone:
E-mail: _________________________________
CISD Home Campus:
Grade level 2013-2014: ______________
Out of District Campus Name and Address: ____________________________________________
Home Campus Office Use Only:
EOC & TAKS
Academies
TAKS Exit-Level Needed:
Counselor
Signature/Approval
ELA / Math / Science / Social Studies
June 10 – July 9
EOC Needed:
No Fees
English I / English II
Algebra I / Biology / US History
Student’s printed name
Student’s signature
Date
Parent/Guardian’s printed name
Parent/Guardian’s signature
Date
High School Counselors: Please forward EOC & TAKS Academy Registration Forms to:
•
•
•
Theresa Ricker (CHS)
Stephanie Melton (CLHS)
Shauna Abrego (SVHS)
Receipt of Summer Semester
High School Student and Parent Handbook
This form must be turned in with the summer semester registration packet.
By signing below, I am indicating that I have received a copy of the Summer Semester High
School Student and Parent Handbook (page 2 of this packet).
___________________________________
Student Name
____________________________
Current Grade
___________________________________
Parent Signature
____________________________
Date
----------------------------------------------------------------------------------------------------------------------------
CISD Acceptable Use Policy
STUDENT AND PARENT AGREEMENT FOR ACCEPTABLE USE OF THE
ELECTRONIC COMMUNICATIONS SYSTEM
STUDENT AGREEMENT:
Current Grade_______________
Campus Name_______________________________
I understand that my computer use is not private and that the District will monitor my activity on
the computer system. I have read the District’s electronic communications system policy and
administrative regulations and agree to abide by their provisions. I understand that violation of
these provisions may result in suspension or revocation of system access and other disciplinary
action consistent with District policies.
Student Name (please print)______________________________________________________
Student Signature______________________________________________________________
Date________________________________________________________________________
PARENT AGREEMENT:
I have read the District’s Guidelines for Acceptable Use of Comal Independent School District
Technology Resources, and this agreement form. In consideration for the privilege of my child
using the District’s electronic communications system, and in consideration for having access to
the public networks, I hereby release the District, its operators, and any institutions with which
they are affiliated from any and all claims and damages of any nature arising from child’s use of,
District’s policy, and administrative regulations.
Parent’s Name (please print)_____________________________________________________
Parent’s Signature_____________________________________________________________
Date________________________________________________________________________
Student Emergency Card
Summer Semester 2015
This form must be turned in with the summer semester registration packet.
Student Name: _____________________________________________________ Male/Female Birthdate: ___________
Last,
First
Middle
( Circle )
Home Address: _____________________________________ City:___________________________ Zip: _____________
Home Phone: _______________ Email:________________________ Student lives with: ___________________________
Mother/Guardian: _____________________________________Cell: (
) _____-________ Work: (
) _____-_________
Father/Guardian: _____________________________________Cell:(
) _____-________ Work: (
) _____-_________
Emergency Contact (other than parent):________________ Phone 1: (
) _____-_______ Phone 2: (
Primary Physician: ________________________ Phone: (
Medical Insurance: □ Uninsured
□ Medicaid/CHIPS
) _____-________
) _____-________ Preferred Hospital: __________________
□ Private Insurance
Please check any conditions your child has which may require attention at school: (check all that apply)
(Authorization forms are required for all medical care- please visit the school nurse before the first day of school)
□ Diabetes □Asthma □Seizures □History of severe allergic reactions (from) _________________________________
□ Requires medications at school (list) __________________________________________________________________
□ Requires medical treatments/procedures at school (list) ___________________________________________________
□ Other: __________________________________________________________________________________________
Health information may be shared with your student’s teachers, as needed, to promote immediate medical care in an emergency.
I consent to school officials authorizing emergency medical treatments if parents/guardians cannot be contacted.
Signature of Parent or Guardian: ________________________________________________ Date: __________________
SUMMER SEMESTER 2015
Registration Packet
CDC
5th & 8th Grade SSI Accelerated Instruction &
Credit Recovery
June 8 – June 25
8:30 am to 11:30 am*
*Extended hours on test day June 23rd:8:30am – 3:00pm*
NO CLASSES on Fridays
Table of Contents
Student and Parent Handbook ............................................................................. Page 2
Credit Recovery Registration Form ..................................................................... Page 3
SSI Accelerated Instruction Summer Semester Information ............................ Page 4
SSI Accelerated Instruction Summer Semester Registration Form ................. Page 5
Receipt of Summer Semester Student and Parent Handbook ......................... Page 6
CISD Acceptable Use Policy: Student and Parent Agreement ......................... Page 6
Transportation Request Form.............................................................................. Page 7 Student Emergency Card ..................................................................................... Page 8 Summer Semester Principal
CDC
Karen Stevens
(830) 221-2954
CDC
STUDENT AND PARENT HANDBOOK
REGISTRATION:
• Students enrolled in CDC at the end of the school year will complete their hours during
summer at the CDC campus. If you have any questions or for more information, please
contact Karen Stevens at (830) 221-2950.
• Registration is May 1, 2015 through June 8, 2014. Students will register at the CDC front
office.
ATTENDANCE:
There are no excused absences during Summer Semester.
• Missing one day in Summer Semester is equivalent to missing two weeks during the
regular term.
• A maximum of 1 absence is permitted during Summer Semester.
• Students with more than 1 absence may be withdrawn from class and lose their credit.
There are no refunds.
TARDINESS:
• Because of the short length of class sessions and academic intensity, prompt and
consistent attendance is required.
• Students who are tardy (more than 10 minutes late) three times are subject to
withdrawal from class without refund or credit. Note: 3 tardies = 1 absence.
BREAKFAST WILL NOT BE SERVED:
• Breakfast will not be served on campus during the Summer Semester. Students are
encouraged to eat a healthy breakfast at home.
DISCIPLINE MANAGEMENT:
Students attending Summer Semester in CISD are held to the STUDENT CODE OF CONDUCT
and Discipline Management System of CISD. Infractions of the CISD Code of Conduct may
cause withdrawal from Summer Semester without a refund.
Minor Infraction:
• Student and Parents will be given two warnings by phone and/or in writing.
• The third minor infraction will constitute removal from the Summer Semester program.
Major Infraction:
• Any major infraction, including, but not limited to, drugs, alcohol, weapons, and other to
be determined by administration, will constitute an immediate removal from Summer
Semester and will be subject to disciplinary action determined by the CISD Student
Code of Conduct.
The CISD CODE OF CONDUCT may be accessed at
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TUITION:
• There is no cost for CDC students to attend summer school.
TRANSPORTATION:
• Parents can provide transportation or request district transportation at no cost from
designated locations. To request transportation, complete the form on pages 6-7.
Credit Recovery 2015 Registration Form
Summer Semester Site: CDC
*2014-2015 DAEP/CDC students will attend at CDC site*
--------Also complete the Student Emergency Card on page 8--------
Student Name:
Student ID: _______________________
Date of Birth:
Gender:
Ethnicity: _______________________
Parent/Guardian Name:____________________________________________________________
Address: _______________________________________________________________________
Home Phone:
Cell Phone: ______________________________
Student Cell Phone:
E-mail: _________________________________
CISD Home Campus:
Grade level 2013-2014: ______________
Out of District Campus Name and Address:____________________________________________
_______________________________________________________________________________
Summer School Dates & Times
Courses – No Cost to Students
June 8 – June 25: 8:30am – 11:30am
Extended Hours on June 23: 8:30am – 3:00pm
NO CLASSES on Fridays
Counselor Signature
Course 1:_________________________________________
Course 2:_________________________________________
Student’s printed name
Student’s signature
Date
Parent/Guardian’s printed name
Parent/Guardian’s signature
Date
SSI Accelerated Instruction
Summer Semester Information
PROGRAM DESCRIPTION: This summer program is available to all students in 5th & 8th grade who
did not pass the 2nd administration retest of STAAR reading in May 2015. The student’s home
campus Grade Placement Committee (GPC) will develop an Accelerated Instruction Plan (AIP)
focused on the concepts and skills that have not been mastered. Students will receive intensive
remediation to complete their required accelerated instruction during summer school in preparation
for the 3rd administration retest of STAAR reading on June 23rd. Summer school teachers will monitor
the progress of students and communicate this with the student’s Grade Placement Committee.
Students will receive accelerated instruction through small classroom arrangements with a ratio of
one teacher for every 10 students.
Time
Summer School & STAAR Testing Dates
June 8 – June 25
NO CLASSES on Fridays
STAAR Testing Dates:
• STAAR Reading: Tuesday, June 23rd
Student
Staff
8:30am – 11:30am
8:00am – 12:00pm
(Extended hours on
test day below)
(Extended hours on
test day below)
June 23
June 23
8:30am – 3:00pm
8:00am – 3:30pm
TEACHER TO STUDENT RATIO: 1:10
CURRICULUM:
• Intensive remediation in reading based on the individual student needs.
• Teachers will follow each student’s Accelerated Instruction Plan (AIP) developed by the
campus Grade Placement Committee (GPC)
SSI Accelerated Instruction Summer Semester
Registration Form
This form must be turned in with the summer semester registration packet.
Student Name: _________________________________________________________
Student ID #: __________________________________________(filled out by teacher)
Date of Birth: ___________________________________________________________
Address: ______________________________________________________________
______________________________________________________________
______________________________________________________________
Parent/Guardian Name: __________________________________________________
Home Phone:_____________________ E-mail Address: _______________________
Cell Phone: ________________________ Contact by text message:
! Yes ! No
Current School: _________________________________________________________
Teacher’s Name: _______________________________________________________
SSI Accelerated Instruction & STAAR Retesting in:
! 5th Grade READING
! 8th Grade READING
Parent Signature: _______________________________________________________
Receipt of Summer Semester
CDC Student and Parent Handbook
This form must be turned in with the summer semester registration packet.
By signing below, I am indicating that I have received a copy of the Summer Semester CDC
Student and Parent Handbook (page 2 of this packet).
___________________________________
Student Name
____________________________
Current Grade
___________________________________
Parent Signature
____________________________
Date
----------------------------------------------------------------------------------------------------------------------------
CISD Acceptable Use Policy
STUDENT AND PARENT AGREEMENT FOR ACCEPTABLE USE OF THE
ELECTRONIC COMMUNICATIONS SYSTEM
STUDENT AGREEMENT:
Current Grade_______________
Campus Name_______________________________
I understand that my computer use is not private and that the District will monitor my activity on
the computer system. I have read the District’s electronic communications system policy and
administrative regulations and agree to abide by their provisions. I understand that violation of
these provisions may result in suspension or revocation of system access and other disciplinary
action consistent with District policies.
Student Name (please print)______________________________________________________
Student Signature______________________________________________________________
Date________________________________________________________________________
PARENT AGREEMENT:
I have read the District’s Guidelines for Acceptable Use of Comal Independent School District
Technology Resources, and this agreement form. In consideration for the privilege of my child
using the District’s electronic communications system, and in consideration for having access to
the public networks, I hereby release the District, its operators, and any institutions with which
they are affiliated from any and all claims and damages of any nature arising from child’s use of,
District’s policy, and administrative regulations.
Parent’s Name (please print)_____________________________________________________
Parent’s Signature_____________________________________________________________
Date________________________________________________________________________
Transportation Request Form:
CDC Students
This form must be turned in with the summer semester registration packet.
Summer program transportation is provided at no cost. Parents must complete the following
information to request transportation.
Print:
Student Name:
_________
Grade:
Student ID #:
Which campus did your child attend in the 2014-2015 school year?
Parent / Guardian’s Name: _
_
Home Address:
City:
Zip Code:
_____
_____
Home Phone:_____________________ E-mail Address: ______________________________
Parent’s Work Phone:
_
_____ Other:
____
_____
Cell Phone: ________________________________ Contact by text message: ! Yes ! No
Emergency Contact Information (someone other than parent/guardian):
Name of emergency contact:
Relationship to student:
Emergency contact’s phone number:
Cell Phone: ________________________________ Contact by text message: ! Yes ! No
Check One:
_______My student will not ride the bus.
_______My student will ride the bus. Times and pick up/drop off locations are listed below.
Please indicate which stop your child will be accessing by placing a check mark next to the stop.
CDC / ACME 1
Pick up
JOHNSON RANCH ES
7:35 AM
SPECHT ES
7:21 AM
TIMBERWOOD PARK ES 7:07 AM
Drop off
12:13 PM
12:27 PM
12:39 PM
CDC / ACME 3
Pick up
CANYON LAKE HS
7:18 AM
HOFFMANN LANE ES
7:54 AM
MOUNTAIN VALLEY MS
7:38 AM
OAK CREEK ES
8:06 AM
REBECCA CREEK ES
7:02 AM
Drop off
12:29 PM
11:53 AM
12:10 PM
11:41 AM
12:45 PM
CDC / ACME 2
Pick up
ARLON SEAY ES
7:15 AM
SMITHSON VALLEY MS 6:55 AM
STARTZVILLE ES
7:35 AM
Drop off
12:40 PM
12:56 PM
12:13 PM
CDC / ACME 4
Pick up
CLEAR SPRING ES
8:05 AM
GARDEN RIDGE ES
7:16 AM
MORNINGSIDE ELEM
7:40 AM
Drop off
11:42 AM
12:22 PM
12:01 PM
Special notes or considerations:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Student Emergency Card
Summer Semester 2015
This form must be turned in with the summer semester registration packet.
Student Name: _____________________________________________________ Male/Female Birthdate: ___________
Last,
First
Middle
( Circle )
Home Address: _____________________________________ City:___________________________ Zip: _____________
Home Phone: _______________ Email:________________________ Student lives with: ___________________________
Mother/Guardian: _____________________________________Cell: (
) _____-________ Work: (
) _____-_________
Father/Guardian: _____________________________________Cell:(
) _____-________ Work: (
) _____-_________
Emergency Contact (other than parent):________________ Phone 1: (
) _____-_______ Phone 2: (
Primary Physician: ________________________ Phone: (
Medical Insurance: □ Uninsured
□ Medicaid/CHIPS
) _____-________
) _____-________ Preferred Hospital: __________________
□ Private Insurance
Please check any conditions your child has which may require attention at school: (check all that apply)
(Authorization forms are required for all medical care- please visit the school nurse before the first day of school)
□ Diabetes □Asthma □Seizures □History of severe allergic reactions (from) _________________________________
□ Requires medications at school (list) __________________________________________________________________
□ Requires medical treatments/procedures at school (list) ___________________________________________________
□ Other: __________________________________________________________________________________________
Health information may be shared with your student’s teachers, as needed, to promote immediate medical care in an emergency.
I consent to school officials authorizing emergency medical treatments if parents/guardians cannot be contacted.
Signature of Parent or Guardian: ________________________________________________ Date: __________________
SUMMER SEMESTER 2015
Registration Packet
Memorial Early College High School
Credit Recovery/Acceleration: June 8 – July 9
June 8 – 22, 24 & 25: 8:30am to 11:30am
Extended Day: Tuesday, June 23: 8:30am to 3:00pm
Extended Days: July 6 - 9: 8:30am to 3:00pm
EOC Academy: June 10 – June 25 with Testing July 6 - 9
June 10 – 22, 24 & 25: 8:30am to 11:30am
Extended Day: Tuesday, June 23: 8:30am to 3:00pm
Extended Days: EOC Testing: July 6 – 9: 8:30am to 3:00pm at Canyon High
School
NO CLASSES on Fridays
NO CLASSES Monday, June 29th – Friday, July 3rd
Table of Contents
Student and Parent Handbook ............................................................................. Page 2
Credit Recovery Registration Form ..................................................................... Page 3
EOC Academy Information ................................................................................... Page 4
EOC Academy Registration Form ....................................................................... Page 5
Receipt of Summer Semester Student and Parent Handbook ......................... Page 6
CISD Acceptable Use Policy: Student and Parent Agreement ......................... Page 6
Transportation Request Form.............................................................................. Page 7 Student Emergency Card ..................................................................................... Page 8 Summer Semester Principal
ACMECHS
Chrysta Carlin
(830) 221-2912
HIGH SCHOOL
STUDENT AND PARENT HANDBOOK
REGISTRATION:
• Registration is May 1, 2015 through June 8, 2014. Students will register at the
ACMECHS front office.
ATTENDANCE:
There are no excused absences during Summer Semester.
• Missing one day in Summer Semester is equivalent to missing two weeks during the
regular term.
• A maximum of 1 absence is permitted during Summer Semester.
• Students with more than 1 absence may be withdrawn from class and lose their credit.
There are no refunds.
TARDINESS:
• Because of the short length of class sessions and academic intensity, prompt and
consistent attendance is required.
• Students who are tardy (more than 10 minutes late) three times are subject to
withdrawal from class without refund or credit. Note: 3 tardies = 1 absence.
BREAKFAST WILL NOT BE SERVED:
• Breakfast will not be served on campus during the Summer Semester. Students are
encouraged to eat a healthy breakfast at home.
DISCIPLINE MANAGEMENT:
Students attending Summer Semester in CISD are held to the STUDENT CODE OF CONDUCT
and Discipline Management System of CISD. Infractions of the CISD Code of Conduct may
cause withdrawal from Summer Semester without a refund.
Minor Infraction:
• Student and Parents will be given two warnings by phone and/or in writing.
• The third minor infraction will constitute removal from the Summer Semester program.
Major Infraction:
• Any major infraction, including, but not limited to, drugs, alcohol, weapons, and other to
be determined by administration, will constitute an immediate removal from Summer
Semester and will be subject to disciplinary action determined by the CISD Student
Code of Conduct.
The CISD CODE OF CONDUCT may be accessed at
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TUITION:
• There is no cost for ACMECHS students to attend summer school.
TRANSPORTATION:
• Parents can provide transportation or request district transportation at no cost from
designated locations. To request transportation, complete the form on page 7.
CDC:
Students enrolled in CDC at the end of the school year will complete their hours during summer
at the CDC campus. If you have any questions or for more information, please contact Karen
Stevens at (830) 221-2950.
Credit Recovery 2015 Registration Form
Summer Semester Site: ACMECHS
*2014-2015 DAEP/CDC students will attend at CDC site*
Student Name:
Student ID: _______________________
Date of Birth:
Gender:
Ethnicity: _______________________
Parent/Guardian Name:____________________________________________________________
Address: _______________________________________________________________________
Home Phone:
Cell Phone: ______________________________
Student Cell Phone:
E-mail: _________________________________
CISD Home Campus:
Grade level 2014-2015: ______________
Out of District Campus Name and Address:____________________________________________
_______________________________________________________________________________
Summer School Dates & Times
Courses – No Cost to Students
June 8 – July 9: See school times below
June 8 – June 22, 24 & 25: 8:30am to 11:30am
Extended Day: Tuesday, June 23: 8:30am – 3:00pm
Extended Days: July 6 – July 9: 8:30am to 3:00pm
Location: ACM Early College High School
NO CLASSES on Fridays
th
rd
NO CLASSES Monday, June 29 – Friday, July 3
Counselor Signature:
Course 1:_________________________________________
Course 2:_________________________________________
Student’s printed name
Student’s signature
Date
Parent/Guardian’s printed name
Parent/Guardian’s signature
Date
ACMECHS EOC Academy Information
• June 10 – June 22, 24 & 25: 8:30am to 11:30am
• Extended Day: June 23: 8:30am – 3:00pm
• EOC Testing Week Held at Canyon High School: July 6 – July 9: 8:30am to 3:00pm
NO CLASSES on Fridays
NO CLASSES Monday, June 29th – Friday, July 3rd
TUITION: No fee - eligibility is based on EOC scores. Parents must complete the ACMECHS EOC
Academy 2015 Registration Form (page 5) to apply for this academy. Approval of registration is
determined by the campus counselor.
PROGRAM DESCRIPTION: Intensive accelerated instruction will be provided in the areas of
English I, English II, Algebra I, Biology and US History for students who have failed an EOC.
Students will retest during the week of July 6 - 9 at Canyon High School (transportation
provided).
ACADEMY INFO:
• June 10 – June 22, 24 & 25: 8:30am – 11:30am
• June 23: 8:30am – 3:00pm (extended hours)
• July 6 – July 9: 8:30am – 3:00pm (extended hours)
EOC Testing Week at Canyon High School
•
•
No Academy on Fridays
No Academy Monday, June 29 – Friday, July 3
TRANSPORTATION: Parents can provide transportation or request district transportation at
no cost from designated locations. To request transportation, complete the form on page 7.
EOC TESTING INFORMATION: Held at Canyon High School
Monday, July 6 – Thursday, July 9
Times: 8:30am – 3:00pm
•
•
•
•
Monday, July 6: EOC English I
Tuesday, July 7: EOC Algebra I & EOC US History
Wednesday, July 8: EOC English II
Thursday, July 9: EOC Biology
ACMECHS EOC Academy 2015 Registration Form
Academy Site: ACMECHS
Student Name:
Student ID: _______________________
Date of Birth:
Gender:
Ethnicity: _______________________
Parent/Guardian Name: ___________________________________________________________
Address: _______________________________________________________________________
Home Phone:
Cell Phone: ______________________________
Student Cell Phone:
E-mail: _________________________________
CISD Home Campus:
Grade level 2014-2015: ______________
Out of District Campus Name and Address: ____________________________________________
Home Campus Office Use Only:
Counselor
Signature/Approval
EOC Academy
EOC Needed:
June 10 – June 25
English I / English II
Testing July 6-9
(at CHS)
Algebra I / Biology / US History
No Fees
Student’s printed name
Student’s signature
Date
Parent/Guardian’s printed name
Parent/Guardian’s signature
Date
Receipt of Summer Semester
High School Student and Parent Handbook
This form must be turned in with the summer semester registration packet.
By signing below, I am indicating that I have received a copy of the Summer Semester High
School Student and Parent Handbook (page 2 of this packet).
___________________________________
Student Name
____________________________
Current Grade
___________________________________
Parent Signature
____________________________
Date
----------------------------------------------------------------------------------------------------------------------------
CISD Acceptable Use Policy
STUDENT AND PARENT AGREEMENT FOR ACCEPTABLE USE OF THE
ELECTRONIC COMMUNICATIONS SYSTEM
STUDENT AGREEMENT:
Current Grade_______________
Campus Name_______________________________
I understand that my computer use is not private and that the District will monitor my activity on
the computer system. I have read the District’s electronic communications system policy and
administrative regulations and agree to abide by their provisions. I understand that violation of
these provisions may result in suspension or revocation of system access and other disciplinary
action consistent with District policies.
Student Name (please print)______________________________________________________
Student Signature______________________________________________________________
Date________________________________________________________________________
PARENT AGREEMENT:
I have read the District’s Guidelines for Acceptable Use of Comal Independent School District
Technology Resources, and this agreement form. In consideration for the privilege of my child
using the District’s electronic communications system, and in consideration for having access to
the public networks, I hereby release the District, its operators, and any institutions with which
they are affiliated from any and all claims and damages of any nature arising from child’s use of,
District’s policy, and administrative regulations.
Parent’s Name (please print)_____________________________________________________
Parent’s Signature_____________________________________________________________
Date________________________________________________________________________
Transportation Request Form:
ACMECHS Students
This form must be turned in with the summer semester registration packet.
Summer program transportation is provided at no cost. Parents must complete the following
information to request transportation.
Print:
Student Name:
_________
Grade:
Student ID #:
Which campus did your child attend in the 2014-2015 school year?
Parent / Guardian’s Name: _
_
Home Address:
City:
Zip Code:
_____
_____
Home Phone:_____________________ E-mail Address: ______________________________
Parent’s Work Phone:
_
_____ Other:
____
_____
Cell Phone: ________________________________ Contact by text message: ! Yes ! No
Emergency Contact Information (someone other than parent/guardian):
Name of emergency contact:
Relationship to student:
Emergency contact’s phone number:
Cell Phone: ________________________________ Contact by text message: ! Yes ! No
Check One:
_______My student will not ride the bus.
_______My student will ride the bus. Times and pick up/drop off locations are listed below.
Please indicate which stop your child will be accessing by placing a check mark next to the stop.
CDC / ACME 1
Pick up
JOHNSON RANCH ES
7:35 AM
SPECHT ES
7:21 AM
TIMBERWOOD PARK ES 7:07 AM
Drop off
12:13 PM
12:27 PM
12:39 PM
CDC / ACME 3
Pick up
CANYON LAKE HS
7:18 AM
HOFFMANN LANE ES
7:54 AM
MOUNTAIN VALLEY MS
7:38 AM
OAK CREEK ES
8:06 AM
REBECCA CREEK ES
7:02 AM
Drop off
12:29 PM
11:53 AM
12:10 PM
11:41 AM
12:45 PM
CDC / ACME 2
Pick up
ARLON SEAY ES
7:15 AM
SMITHSON VALLEY MS 6:55 AM
STARTZVILLE ES
7:35 AM
Drop off
12:40 PM
12:56 PM
12:13 PM
CDC / ACME 4
Pick up
CLEAR SPRING ES
8:05 AM
GARDEN RIDGE ES
7:16 AM
MORNINGSIDE ELEM
7:40 AM
Drop off
11:42 AM
12:22 PM
12:01 PM
Special notes or considerations:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Student Emergency Card
Summer Semester 2015
This form must be turned in with the summer semester registration packet.
Student Name: _____________________________________________________ Male/Female Birthdate: ___________
Last,
First
Middle
( Circle )
Home Address: _____________________________________ City:___________________________ Zip: _____________
Home Phone: _______________ Email:________________________ Student lives with: ___________________________
Mother/Guardian: _____________________________________Cell: (
) _____-________ Work: (
) _____-_________
Father/Guardian: _____________________________________Cell:(
) _____-________ Work: (
) _____-_________
Emergency Contact (other than parent):________________ Phone 1: (
) _____-_______ Phone 2: (
Primary Physician: ________________________ Phone: (
Medical Insurance: □ Uninsured
□ Medicaid/CHIPS
) _____-________
) _____-________ Preferred Hospital: __________________
□ Private Insurance
Please check any conditions your child has which may require attention at school: (check all that apply)
(Authorization forms are required for all medical care- please visit the school nurse before the first day of school)
□ Diabetes □Asthma □Seizures □History of severe allergic reactions (from) _________________________________
□ Requires medications at school (list) __________________________________________________________________
□ Requires medical treatments/procedures at school (list) ___________________________________________________
□ Other: __________________________________________________________________________________________
Health information may be shared with your student’s teachers, as needed, to promote immediate medical care in an emergency.
I consent to school officials authorizing emergency medical treatments if parents/guardians cannot be contacted.
Signature of Parent or Guardian: ________________________________________________ Date: __________________
SUMMER SEMESTER 2015
Registration Packet
SSI and Course Recovery: Middle School (CHMS & SBMS)
There will be two middle school locations:
CHMS will host summer school for CHMS & CMS students
SBMS will host summer school for SBMS, SVMS & MVMS students
June 8 – June 25
8:30am to 11:30am*
*Extended hours on June 23rd: 8:30am – 3:00pm*
NO CLASSES on Fridays
Table of Contents
Student and Parent Handbook ............................................................................. Page 2
Tuition Waiver Form ............................................................................................. Page 3
Course Recovery Registration Form ................................................................... Page 4
SSI Accelerated Instruction Summer Semester Information ........................... Page 5
SSI Accelerated Instruction Summer Semester Registration Form ................. Page 6
Receipt of Summer Semester Student and Parent Handbook ......................... Page 7
CISD Acceptable Use Policy: Student and Parent Agreement ......................... Page 7
Transportation Request Form......................................................................... Pages 8-9 Student Emergency Card ................................................................................... Page 10 Summer Semester Principals
Church Hill Middle School
Mark Oberholtzer
(830) 221-2312
Spring Branch Middle School
Kristy Castilleja
(830) 885-1736
MIDDLE SCHOOL
STUDENT AND PARENT HANDBOOK
REGISTRATION:
• Registration is May 1, 2015 through June 5, 2015. Students will register at their home
campuses in the counseling offices.
ATTENDANCE:
There are no excused absences during Summer Semester.
• Missing one day in Summer Semester is equivalent to missing two weeks during the
regular term.
• A maximum of 1 absence is permitted during Summer Semester.
• Students with more than 1 absence may be withdrawn from class and lose their credit.
There are no refunds.
TARDINESS:
• Because of the short length of class sessions and academic intensity, prompt and
consistent attendance is required.
• Students who are tardy (more than 10 minutes late) three times are subject to
withdrawal from class without refund or credit. Note: 3 tardies = 1 absence.
BREAKFAST WILL NOT BE SERVED:
• Breakfast will not be served on campus during the Summer Semester. Students are
encouraged to eat a healthy breakfast at home.
DISCIPLINE MANAGEMENT:
Students attending Summer Semester in CISD are held to the STUDENT CODE OF CONDUCT
and Discipline Management System of CISD. Infractions of the CISD Code of Conduct may
cause withdrawal from Summer Semester without a refund.
Minor Infraction:
• Student and Parents will be given two warnings by phone and/or in writing.
• The third minor infraction will constitute removal from the Summer Semester program.
Major Infraction:
• Any major infraction, including, but not limited to, drugs, alcohol, weapons, and other to
be determined by administration, will constitute an immediate removal from Summer
Semester and will be subject to disciplinary action determined by the CISD Student
Code of Conduct.
The CISD CODE OF CONDUCT may be accessed at
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TRANSPORTATION:
• Parents can provide transportation or request district transportation at no cost from
designated locations. To request transportation, complete the form on pages 6-7.
CDC:
Students enrolled in CDC at the end of the school year will complete their hours during summer
at the CDC campus. If you have any questions or for more information, please contact Karen
Stevens at (830) 221-2950.
Tuition Waiver Form - Summer Semester 2015
Student Name:________________________ Grade:______Campus:___________________
Waiver of tuition for CISD Summer Semester 2015 is being requested for the following
reason(s):
__ Resides in a residential placement facility
__ Migrant program
__ Homeless
__ Attended DAEP/CDC during 2013/2014 school year
__ SSI 8th Grade
__ Free lunch (student pays $25.00 per course)
__ Reduced lunch (student pays $50.00 per course)
__ Other (explain below)
Office Use Only:
___ Tuition waiver approved
___ Tuition waiver not approved
Reason:_________________________________________________________________
____________________________________________________________________________
Counselor’s Signature ____________________________
(Home Campus)
Principal’s Signature ______________________________
(Home Campus)
Course Recovery 2015 Registration Form
Summer Semester Site: SBMS, SVMS & MVMS will attend SBMS Site
CHMS & CMS will attend CHMS Site
Student Name:
Student ID: ________________________
Date of Birth:
Gender:
Ethnicity: _________________________
Parent/Guardian Name:____________________________________________________________
Address: _______________________________________________________________________
Home Phone:
Cell Phone: ______________________________
Student Cell Phone:
E-mail: __________________________________
CISD Home Campus:
Grade level 2014-2015: _______________
Summer School Dates & Times
Tuition
Monday, June 8 to Thursday, June 25
$150.00 – Summer Semester Rate
$50.00 - Rate for students on reduced lunch
$25.00 - Rate for students on free lunch
th
$0.00 - SSI 8 Grade
$0.00 - Homeless or DAEP for
2014/2015 school year
8:30am – 11:30am
Extended Day:
Tuesday, June 23rd
8:30am – 3:00pm
Counselor
Signature
NO CLASSES on Fridays
Course 1:_________________________________
Course 2:_______________________________
Alternate:_______________________________
___
Student’s printed name
Student’s signature
Date
___
Parent/Guardian’s printed name
Parent/Guardian’s signature
Date
Home Campus Office Use Only:
Amount Owed
Amount Paid
Payment Information
PAYABLE TO: COMAL ISD
Received by:
(Registrar’s signature)
Date Received
Cash ____ Cashiers Check ____
Personal Check #_________
*CISD Campus Counselors/Staff: Please forward Middle School Registration packets (including
accommodations page and/or STAAR accommodations from IEP or 504 Plan) to:
Mark Oberholtzer for: CHMS and CMS students
Kristy Castilleja for: SBMS, SVMS and MVMS students
SSI Accelerated Instruction: 8th Grade Reading
Summer Semester Information
Summer Semester Site: SBMS, SVMS & MVMS will attend SBMS Site
CHMS & CMS will attend CHMS Site
PROGRAM DESCRIPTION: This summer program is available to all students in 8th grade who did
not pass the 2nd administration retest of STAAR reading in May 2015. The student’s home campus
Grade Placement Committee (GPC) will develop an Accelerated Instruction Plan (AIP) focused on the
concepts and skills that have not been mastered. Students will receive intensive remediation to
complete their required accelerated instruction during summer school in preparation for the 3rd
administration retest of STAAR reading on June 23rd. Summer school teachers will monitor the
progress of students and communicate this with the student’s Grade Placement Committee.
Students will receive accelerated instruction through small classroom arrangements with a ratio of
one teacher for every 10 students.
Time
Campus Locations
Summer School & STAAR Testing Dates
Monday, June 8 to Thursday, June 25*
8:30am – 11:30am*
*Extended Hours on Test Day Below
NO CLASSES on Fridays
STAAR Testing Dates:
• STAAR Reading: Tuesday, June 23rd
Student
Staff
8:30 – 11:30
8:00 – 12:00
(Extended
hours on test
day below)
(Extended
hours on test
day below)
June 23
June 23
8:30 – 3:00
8:00 – 3:30
Church Hill
Middle
School
Spring
Branch
Middle
School
TEACHER TO STUDENT RATIO: 1:10
CURRICULUM:
• Intensive remediation in reading based on the individual student needs.
• Teachers will follow each student’s Accelerated Instruction Plan (AIP) developed by the
campus Grade Placement Committee (GPC)
SSI Accelerated Instruction: 8th Grade Reading
Summer Semester Registration Form
Student Name: _________________________________________________________
Student ID #: __________________________________________(filled out by teacher)
Date of Birth: ___________________________________________________________
Address: ______________________________________________________________
______________________________________________________________
______________________________________________________________
Parent/Guardian Name: __________________________________________________
Home Phone:_____________________ E-mail Address: _______________________
Cell Phone: ________________________ Contact by text message:
! Yes ! No
Current School: _________________________________________________________
Teacher’s Name: _______________________________________________________
SSI Accelerated Instruction & STAAR Retesting in:
! 8th Grade READING
My child will attend SSI Accelerated Instruction Summer School at:
!
Church Hill Middle School
!
Spring Branch Middle School
Parent Signature: _______________________________________________________
*CISD Campus Counselors/Staff: Please forward Middle School Registration packets (including
accommodations page and/or STAAR accommodations from IEP or 504 Plan) to:
Mark Oberholtzer for: CHMS and CMS students
Kristy Castilleja for: SBMS, SVMS and MVMS students
Receipt of Summer Semester
Middle School Student and Parent Handbook
This form must be turned in with the summer semester registration packet.
By signing below, I am indicating that I have received a copy of the Summer Semester Middle
School Student and Parent Handbook (page 2 of this packet).
___________________________________
Student Name
____________________________
Current Grade
___________________________________
Parent Signature
____________________________
Date
----------------------------------------------------------------------------------------------------------------------------
CISD Acceptable Use Policy
STUDENT AND PARENT AGREEMENT FOR ACCEPTABLE USE OF THE
ELECTRONIC COMMUNICATIONS SYSTEM
STUDENT AGREEMENT:
Current Grade_______________
Campus Name_______________________________
I understand that my computer use is not private and that the District will monitor my activity on
the computer system. I have read the District’s electronic communications system policy and
administrative regulations and agree to abide by their provisions. I understand that violation of
these provisions may result in suspension or revocation of system access and other disciplinary
action consistent with District policies.
Student Name (please print)______________________________________________________
Student Signature______________________________________________________________
Date________________________________________________________________________
PARENT AGREEMENT:
I have read the District’s Guidelines for Acceptable Use of Comal Independent School District
Technology Resources, and this agreement form. In consideration for the privilege of my child
using the District’s electronic communications system, and in consideration for having access to
the public networks, I hereby release the District, its operators, and any institutions with which
they are affiliated from any and all claims and damages of any nature arising from child’s use of,
District’s policy, and administrative regulations.
Parent’s Name (please print)_____________________________________________________
Parent’s Signature_____________________________________________________________
Date________________________________________________________________________
Transportation Request Form:
Middle School Students
This form must be turned in with the summer semester registration packet.
Summer program transportation is provided at no cost. Parents must complete the following
information to request transportation.
Print:
Student Name:
_________
Grade:
Student ID #:
Which campus did your child attend in the 2014-2015 school year?
Parent / Guardian’s Name: _
_
Home Address:
City:
Zip Code:
_____
_____
Home Phone:_____________________ E-mail Address: ______________________________
Parent’s Work Phone:
_
_____ Other:
____
_____
Cell Phone: ________________________ Contact by text message: ! Yes ! No
Emergency Contact Information (someone other than parent/guardian):
Name of emergency contact:
Relationship to student:
Emergency contact’s phone number:
Cell Phone: ________________________________ Contact by text message: ! Yes ! No
Check One:
_______My student will not ride the bus.
_______My student will ride the bus. Times and pick up/drop off locations are listed on the
next page. Please indicate which stop your child will be accessing by placing a check mark next
to the stop.
Special notes or considerations:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Student Emergency Card
Summer Semester 2015
This form must be turned in with the summer semester registration packet.
Student Name: _____________________________________________________ Male/Female Birthdate: ___________
Last,
First
Middle
( Circle )
Home Address: _____________________________________ City:___________________________ Zip: _____________
Home Phone: _______________ Email:________________________ Student lives with: ___________________________
Mother/Guardian: _____________________________________Cell: (
) _____-________ Work: (
) _____-_________
Father/Guardian: _____________________________________Cell:(
) _____-________ Work: (
) _____-_________
Emergency Contact (other than parent):________________ Phone 1: (
) _____-_______ Phone 2: (
Primary Physician: ________________________ Phone: (
Medical Insurance: □ Uninsured
□ Medicaid/CHIPS
) _____-________
) _____-________ Preferred Hospital: __________________
□ Private Insurance
Please check any conditions your child has which may require attention at school: (check all that apply)
(Authorization forms are required for all medical care- please visit the school nurse before the first day of school)
□ Diabetes □Asthma □Seizures □History of severe allergic reactions (from) _________________________________
□ Requires medications at school (list) __________________________________________________________________
□ Requires medical treatments/procedures at school (list) ___________________________________________________
□ Other: __________________________________________________________________________________________
Health information may be shared with your student’s teachers, as needed, to promote immediate medical care in an emergency.
I consent to school officials authorizing emergency medical treatments if parents/guardians cannot be contacted.
Signature of Parent or Guardian: ________________________________________________ Date: __________________
SEMESTRE DE VERANO 2015
Información para la matriculación
Para los estudiantes de Pre-Kínder y Kínder en los
programas bilingües y de inglés como segundo
idioma (FES & JRES)
15 de junio – 23 de julio
8:15 de la mañana hasta 3:15 de la tarde
¡NO HAY CLASES los viernes!
NO HAY CLASES el lunes, 29 de junio – viernes, 3 de julio
Tabla de contenido
Manual para padres y estudiantes ................................................................... Página 2
Información sobre el semestre de verano para ESL y bilingüe .................... Página 3
Formulario para la matriculación para el programa de verano de ESL y bil.Página 4
Recibo del manual para los alumnos y los padres ........................................ Página 5
Acuerdo del uso aceptable de la política de CISD .......................................... Página 5
Petición para la transportación ................................................................... Páginas 6-7 Tarjeta de emergencia ..................................................................................... Páginas 8 Coordinadores para el semestre de verano
Coordinadora Bilingüe/ESL
Dr. Karon Henderson
(830) 221-2632
Directora de Integridad
John Montelongo
(830) 221-2064
Director para el verano de FES
Susan Thetford
(830) 221-2814
Directora para el verano de JRES
Wendy Moore
(830) 885-9505
SEMESTRE DE VERANO PARA LA PRIMARIA
MANUAL PARA LOS PADRES Y LOS ALUMNOS
PROCEDIMIENTOS PARA LA MATRICULACIÓN:
• Los estudiantes podrán matricularse en su escuela.
• Los estudiantes tendrán que llenar los documentos para el semestre de verano y
obtener las firmas necesarias.
PAQUETE PAR LA MATRICULACIÓN: MATERIALES
Se requiere que los estudiantes completen y regresen los siguientes documentos:
• La forma para la matriculación para el semestre de verano para Bilingüe/ESL(página 4)
• Recibo para el semestre de verano 2015 Manual para padres y alumnos (página 5)
• CISD Acuerdo del uso aceptable del sistema de comunicaciones: (página 5)
• Petición para la transportación (si requieren la transportación) (páginas 6-7)
• Tarjeta de emergencia (página 8)
ASISTENCIA:
La asistencia constante es muy importante para que su estudiante se beneficie del programa
de verano. Si por alguna razón su hijo no puede asistir a clases, es muy importante que se
comunique con el personal del programa de verano.
DESAYUNO Y ALMUERZO:
El desayuno y almuerzo se proveerá GRATIS para todos los alumnos del semestre de verano.
MANEJO DE LA DICIPLINA:
Todos los estudiantes que asisten a la escuela de verano en CISD se sostienen al CÓDIGO DE
CONDUCTA ESTUDIANTIL DE CISD. Las infracciones del código de conducta estudiantil de
CISD pueden causar el retiro de la escuela de verano sin un reembolso.
Infracción menor:
• Se le dará dos advertencias por teléfono ó por escrito a los padres y estudiantes.
• La tercera infracción menor causará el retiro del programa de verano.
Infracción mayor:
• Cualquier infracción mayor, incluyendo, pero no limitado a drogas, alcohol, armas y
otras que se determinarán por la administración, constituirá a un retiro inmediato de la
escuela de verano y hará conforme a la acción disciplinaria determinada por el código
de conducta estudiantil de CISD.
CISD CÓDIGO DE CONDUCTA ESTUDIANTIL se encuentra en:
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TRANSPORTACIÓN:
• Los padres pueden proveer la transportación o pueden pedir transportación del distrito
sin costo en las rutas designadas. Para pedir la transportación, llene el formulario en
las páginas 6-7.
Información sobre el semestre de verano Bilingüe y ESL
Coordinadora Bilingüe/ESL– Dr. Karon Henderson
El último día para la matriculación es el 8 de mayo
DESCRIPCIÓN DEL PROGRAMA: Para los estudiantes identificados con inglés limitado que
entrarán al kínder y al 1er grado para el año escolar 2015-2016. La escuela de verano bilingüe y
para ESL es opcional para los estudiantes. El programa requiere de un mínimo 120 horas de
instrucción.
Fechas para el semestre de verano
•
lunes, 15 de junio hasta jueves, 18 de
junio
•
lunes, 22 de junio hasta jueves, 25 de
junio
•
NO HABRÁ CLASES: lunes, 29 de junio
hasta jueves, 2 de julio
Horario
Estudiantes
8:15 – 3:15
•
lunes, 6 de julio hasta jueves, 9 de julio
•
lunes, 13 de julio hasta jueves, 16 de julio
•
lunes, 20 de julio hasta jueves, 23 de julio
Escuelas
Maestros
7:45 – 3:45
Escuela
Primaria
Freiheit
Escuela
Primaria
Johnson
Ranch
(¡No habrá clases los viernes!)
PROPORCIÓN DE MAESTRO A ESTUDIANTES: 1:18
PLAN DE ESTUDIOS:
• Enfoque en el desarrollo del lenguaje y en el nivel de grado de TEKS
• Continuar matemáticas y ciencias para los estudiantes de kínder
• Empezar con matemáticas y ciencias para los estudiantes de Pre-Kínder
• Cumplir con las necesidades afectivas, lingüísticas y cognitivas de los estudiantes con
inglés limitado
Formulario para la matriculación para el semestre de
verano para los programas bilingües y ESL
El formulario se necesita entregar con el paquete de matriculación para el verano.
Nombre del estudiante: ___________________________________________________
ID #: ____________________________________________(llenado por el/la maestro)
Fecha de nacimiento: ____________________________________________________
Domicilio: _____________________________________________________________
______________________________________________________________
______________________________________________________________
Nombre del padre/tutor: __________________________________________________
Teléfono de la casa:________________ Correo electrónico: _____________________
Celular: _____________________________ Contacto por texto:
! Sí ! No
Escuela actual: ________________________________________________________
Nombre de maestro/a: __________________________________________________
Grado actual:
Programa actual:
! Pre-K
! Bilingüe
! Kínder
! ESL
Mi hijo/a asistirá a la escuela de verano bilingüe/ESL:
!
Freiheit Escuela Primaria
!
Johnson Ranch Escuela Primaria
Firma del padre: _______________________________________________________
Padres,
Por favor regresen el paquete completo al maestro/a:
•
•
•
•
•
Formulario para la matriculación para Bilingüe/ESL (página 4)
Recibo del manual 2015 para padres y estudiantes (página 5)
Acuerdo del uso aceptable de la política de CISD (página 5)
Petición para la transportación (si se necesita) (páginas 6-7)
Tarjeta de emergencia (página 8)
CISD Teachers: Please forward the Bilingual/ESL Registration forms to:
Aida Klepinger at Support Services by May 8, 2015. (830) 221-2019
Recibo para el semestre de verano
Manual para padres y estudiantes de primaria
El formulario se necesita entregar con el paquete de matriculación para el verano.
Al firmar abajo estoy indicando que he recibido una copia del manual para padres y
estudiantes para el semestre de verano 2015.
___________________________________
Nombre del estudiante
____________________________
Grado actual 2014-15
___________________________________
Firma del padre
____________________________
Fecha
----------------------------------------------------------------------------------------------------------------------------
Uso aceptable de la política de CISD
ACUERDO DEL ESTUDIANTE DEL USO ACEPTABLE DEL
SISTEMA ELECTRÓNICO DE COMUNICACIONES
ACUERDO DEL ESTUDIANTE:
Grado actual __________
Nombre de la escuela_______________________________
Yo entiendo que el uso de mi computadora no es privado y que el distrito cuida la actividad en
el sistema de la computación. Yo he leído la política del sistema de comunicación del distrito y
las regulaciones administrativas y estoy de acuerdo de obedecer con las reglas. Yo entiendo
que las violaciones a estas reglas pueden resultar en suspensión o revocación al acceso al
sistema y otras acciones disciplinarias consistentes con la política del distrito.
Nombre del estudiante (en letra de molde)_________________________________________
Firma del estudiante___________________________________________________________
Fecha______________________________________________________________________
ACUERDO DE LOS PADRES:
Yo he leído la política del los recursos de tecnología del distrito, y este de acuerdo. En
consideración para que mi hijo/a tenga el privilegio de usar el sistema de comunicaciones del
distrito y para tener acceso a la red del distrito, yo libero al distrito, sus operadores e
instituciones afiliadas de cualquier y todos los reclamos y daños de cualquier naturaleza que
puedan surgir por el uso de mi niño/a, o de Ia inhabilidad de usar el sistema incluyendo sin
limitación el tipo de daño identificado en la política del distrito y en las regulaciones
administrativas.
Nombre del padre (en letra de molde)_________________________________________
Firma del padre__________________________________________________________
Fecha__________________________________________________________________
Petición para la transportación:
Estudiantes bilingües o ESL de PK y Kínder
El formulario se necesita entregar con el paquete de matriculación para el verano.
Transportación para el semestre de verano es provista sin ningún costo para los alumnos. Los
padres deben de completar la siguiente información.
Letra de molde:
Nombre del estudiante
_________
__Grado:
ID #:
¿A qué escuela y programa asistió su estudiante durante el año escolar 2014-2015?
Nombre de padre/tutor: _
_
Domicilio:
Ciudad:
Código postal:
_____
_____
Teléfono del domicilio:_____________________ E-mail : ______________________________
Teléfono del trabajo:
_
_____ Otro:
____
_____
Celular: ________________________ Contactar por texto al celular: ! Sí ! No
Información para una emergencia (alguien que no es padre/mamá):
Nombre de persona para contactar en caso de una emergencia:
_______
Relación con el alumno:
Número para una emergencia:
Celular: ________________________________ Contactar por texto: ! Sí ! No
Marque una:
_______Mi hijo/a no irá en el camión.
_______Mi hijo/a sí irá en el camión. Las paradas del camión se encuentran en la siguiente
página. Por favor marque en la columna la parada que usará su hijo/a.
Notas especiales ó consideraciones:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Tarjeta de emergencia del alumno
2015 Semestre de verano
El formulario se necesita entregar con el paquete de matriculación para el verano.
Nombre del Alumno____________________________________
Apellido
Nombre
Inicial
Niño o Niña
Fecha de nacimiento_________________________
(Circule uno)
Teléfono de la casa: (______) _______ - _____________ Email: _____________________________ Estudiante vive con: _________________
Mamá/Tutor Legal: _______________________________Celular: (______) _______ - ___________ Trabajo: (______) _______ - _________
Papá/Tutor Legal: ________________________________Celular: (______) _______ - _____________ Trabajo: (______) _______ - _________
Nombre: ________________________________Teléfono#1: (______) _______ - _____________ Teléfono#2: (______) _______ - ____________
para una emergencia
Médico: _____________________________Teléfono: (______) _______ - _____________ Hospital de preferencia: _______________________
Información de Seguro Médico:
□ Sin seguro
□ Medicaid/CHIPS
□ Seguro personal
Por favor indique cualquier condición que su niño/a tenga que pueda requerir de atención en la escuela: (marque todas las que apliquen)
(Las formas de autorización son requeridas para la atención médica - por favor visite la enfermera de la escuela antes del primer día de clases)
□ Diabetes □ Asma
□ Ataques □ Historial de reacciones alérgicas severas (desde) ____________________________________________
□ Requiere medicamentos en la escuela (enumere) ____________________________________________________________________________
□ Requiere tratamientos/procedimientos médicos en la escuela (especifique) ______________________________________________________
□ Otra: __________________________________________________________________________________
La información médica se puede compartir con los maestros del estudiante, según sea necesario, para promover atención médica inmediata en una emergencia. Doy
consentimiento a los oficiales de la escuela que autoricen tratamiento médico de emergencia en caso que los padres no puedan ser contactados.
Firma de Padres/Tutor Legal: ____________________________________________________ Fecha: _______________________________
SUMMER SEMESTER 2015
Registration Packet
PK and Kinder Bilingual & ESL (FES & JRES)
June 15 – July 23
8:15 am to 3:15 pm
NO CLASSES on Fridays
NO CLASSES Monday, June 29th – Friday, July 3rd
Table of Contents
Student and Parent Handbook ............................................................................. Page 2
Bilingual and ESL Summer Semester Information ............................................ Page 3
Bilingual and ESL Summer Semester Registration Form ................................. Page 4
Receipt of Summer Semester Student and Parent Handbook ......................... Page 5
CISD Acceptable Use Policy: Student and Parent Agreement ......................... Page 5
Transportation Request Form ......................................................................... Pages 6-7 Student Emergency Card ..................................................................................... Page 8 Summer Semester Coordinators
Bilingual/ESL Coordinator
Dr. Karon Henderson
(830) 221-2632
Summer School Coordinator
John Montelongo
(830) 221-2064
Summer Principal at FES
Susan Thetford
(830) 221-2814
Summer Principal at JRES
Wendy Moore
(830) 885-9505
SUMMER SEMESTER ELEMENTARY
STUDENT AND PARENT HANDBOOK
REGISTRATION:
• Students will be able to register at their home campuses.
• Students must fill out the required Summer Semester documents and receive the
appropriate signatures in order to register for the summer classes.
REGISTRATION PACKET: REQUIRED FORMS
Students will be required to complete and return the following documents:
• Bilingual/ESL Summer Semester Registration Form (page 4)
• Receipt of Summer Semester 2015 Student and Parent Handbook (page 5)
• CISD Acceptable Use Policy: Student Agreement (page 5)
• Completed Transportation Request Form (if requesting transportation) (pages 6-7)
• Student Emergency Card (page 8)
ATTENDANCE:
Consistent attendance is important in order for your child to benefit from summer programming.
If for any reason your child is not able to attend, it is important that you communicate with
summer program staff.
BREAKFAST AND LUNCH:
Breakfast and lunch will be provided FREE to all students attending elementary summer school.
DISCIPLINE MANAGEMENT:
Students attending the CISD Summer Semester are held to the STUDENT CODE OF
CONDUCT and Discipline Management System of CISD. Infractions of the CISD Code of
Conduct may cause withdrawal from the Summer Semester.
Minor Infraction:
• Student and Parents will be given two warnings by phone and/or in writing.
• The third minor infraction will constitute removal from the Summer Program.
Major Infraction:
• Any major infraction, including, but not limited to, drugs, alcohol, weapons, and other to
be determined by administration, will constitute an immediate removal from Summer
Program and will be subject to disciplinary action determined by the CISD Student Code
of Conduct.
The CISD CODE OF CONDUCT may be accessed at
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TRANSPORTATION:
• Parents can provide transportation or request district transportation at no cost from
designated locations. To request transportation, complete the form on pages 6-7.
Bilingual and ESL Summer Semester Information
Bilingual/ESL Coordinator – Dr. Karon Henderson
Last Day to Register is May 8th
PROGRAM DESCRIPTION: This summer program is available to students identified as limited
English proficient, participating in a bilingual or ESL program, and eligible to enter Kindergarten and
1st grades in the 2015-2016 school year. Bilingual and ESL summer school is optional for bilingual
and ESL students. The program requires a minimum of 120 instructional hours.
Summer School Dates
•
Monday, June 15 to Thursday, June 18
•
Monday, June 22 to Thursday, June 25
•
NO CLASSES: Monday, June 29 to
Thursday, July 2
•
Monday, July 6 to Thursday, July 9
•
Monday, July 13 to Thursday, July 16
•
Monday, July 20 to Thursday, July 23
Time
Student
8:15 – 3:15
Campus Locations
Staff
7:45 – 3:45
Freiheit
Elementary
Johnson
Ranch
Elementary
(No classes on Fridays!)
TEACHER TO STUDENT RATIO: 1:18
CURRICULUM:
• Focus on the development of language and grade level TEKS
• Continuation of math and science for kindergarten students
• Start on the math and science curriculum for Pre-K students
• Address the affective, linguistic, and cognitive needs of ELL students through the use of
effective classroom strategies
Bilingual and ESL Summer Semester
Registration Form
This form must be turned in with the summer semester registration packet.
Student Name: _________________________________________________________
Student ID #: __________________________________________(filled out by teacher)
Date of Birth: ___________________________________________________________
Address: ______________________________________________________________
______________________________________________________________
______________________________________________________________
Parent/Guardian Name: __________________________________________________
Home Phone:_____________________ E-mail Address: _______________________
Cell Phone: ________________________ Contact by text message:
! Yes ! No
Current School: _________________________________________________________
Teacher’s Name: _______________________________________________________
Current Grade:
Current Program:
! Pre-K
! Kindergarten
! Bilingual ! ESL
My child will attend Bilingual/ESL Summer School at:
!
Freiheit Elementary School
!
Johnson Ranch Elementary School
Parent Signature: _______________________________________________________
Parents,
Please return the completed forms to your child’s teacher:
•
•
•
•
•
Bilingual/ESL Summer Semester Registration Form (page 4)
Receipt of Summer Semester 2015 Student and Parent Handbook (page 5)
CISD Acceptable Use Policy: Student Agreement (page 5)
Completed Transportation Request Form (if requesting transportation) (pages 6-7)
Student Emergency Card (page 8)
CISD Teachers: Please forward the Bilingual/ESL Registration forms to:
Aida Klepinger at Support Services by May 8, 2015. (830) 221-2019
Receipt of Summer Semester
Elementary Student and Parent Handbook
This form must be turned in with the summer semester registration packet.
By signing below, I am indicating that I have received a copy of the Summer Semester
Elementary Student and Parent Handbook (page 2 of this packet).
___________________________________
Student Name
____________________________
Current Grade
___________________________________
Parent Signature
____________________________
Date
----------------------------------------------------------------------------------------------------------------------------
CISD Acceptable Use Policy
STUDENT AND PARENT AGREEMENT FOR ACCEPTABLE USE OF THE
ELECTRONIC COMMUNICATIONS SYSTEM
STUDENT AGREEMENT:
Current Grade_______________
Campus Name_______________________________
I understand that my computer use is not private and that the District will monitor my activity on
the computer system. I have read the District’s electronic communications system policy and
administrative regulations and agree to abide by their provisions. I understand that violation of
these provisions may result in suspension or revocation of system access and other disciplinary
action consistent with District policies.
Student Name (please print)______________________________________________________
Student Signature______________________________________________________________
Date________________________________________________________________________
PARENT AGREEMENT:
I have read the District’s Guidelines for Acceptable Use of Comal Independent School District
Technology Resources, and this agreement form. In consideration for the privilege of my child
using the District’s electronic communications system, and in consideration for having access to
the public networks, I hereby release the District, its operators, and any institutions with which
they are affiliated from any and all claims and damages of any nature arising from child’s use of,
District’s policy, and administrative regulations.
Parent’s Name (please print)_____________________________________________________
Parent’s Signature_____________________________________________________________
Date________________________________________________________________________
Transportation Request Form:
PK & K Bilingual and ESL Students
This form must be turned in with the summer semester registration packet.
Summer program transportation is provided at no cost. Parents must complete the following
information to request transportation.
Print:
Student Name:
_________
Grade:
Student ID #:
Which campus did your child attend in the 2014-2015 school year?
Parent / Guardian’s Name: _
_
Home Address:
City:
Zip Code:
_____
_____
Home Phone:_____________________ E-mail Address: ______________________________
Parent’s Work Phone:
_
_____ Other:
____
_____
Cell Phone: ________________________ Contact by text message: ! Yes ! No
Emergency Contact Information (someone other than parent/guardian):
Name of emergency contact:
Relationship to student:
Emergency contact’s phone number:
Cell Phone: ________________________________ Contact by text message: ! Yes ! No
Check One:
_______My student will not ride the bus.
_______My student will ride the bus. Times and pick up/drop off locations are listed on the
next page. Please indicate which stop your child will be accessing by placing a check mark next
to the stop.
Special notes or considerations:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Student Emergency Card
Summer Semester 2015
This form must be turned in with the summer semester registration packet.
Student Name: _____________________________________________________ Male/Female Birthdate: ___________
Last,
First
Middle
( Circle )
Home Address: _____________________________________ City:___________________________ Zip: _____________
Home Phone: _______________ Email:________________________ Student lives with: ___________________________
Mother/Guardian: _____________________________________Cell: (
) _____-________ Work: (
) _____-_________
Father/Guardian: _____________________________________Cell:(
) _____-________ Work: (
) _____-_________
Emergency Contact (other than parent):________________ Phone 1: (
) _____-_______ Phone 2: (
Primary Physician: ________________________ Phone: (
Medical Insurance: □ Uninsured
□ Medicaid/CHIPS
) _____-________
) _____-________ Preferred Hospital: __________________
□ Private Insurance
Please check any conditions your child has which may require attention at school: (check all that apply)
(Authorization forms are required for all medical care- please visit the school nurse before the first day of school)
□ Diabetes □Asthma □Seizures □History of severe allergic reactions (from) _________________________________
□ Requires medications at school (list) __________________________________________________________________
□ Requires medical treatments/procedures at school (list) ___________________________________________________
□ Other: __________________________________________________________________________________________
Health information may be shared with your student’s teachers, as needed, to promote immediate medical care in an emergency.
I consent to school officials authorizing emergency medical treatments if parents/guardians cannot be contacted.
Signature of Parent or Guardian: ________________________________________________ Date: __________________
SEMESTRE DE VERANO 2015
Información para la matriculación
Instrucción acelerada para K – 5to grados (FES & JRES)
8 de junio – 25 de junio
8:15 am a 11:15 am*
*horas extendidas el 23 de junio 8:15 am – 3:15 pm*
NO HAY CLASES los viernes
Tabla de contenido
Manual para padres y estudiantes .................................................................. Página 2
Información sobre el semestre de verano para instrucción acelerada ....... Página 3
Formulario para matriculación al semestre de verano para instrucción
acelerada .......................................................................................................... Página 4
Recibo del manual para alumnos y padres para el semestre de verano ..... Página 5
Acuerdo del uso aceptable de la política de CISD ........................................ Página 5
Peticion para transporacion ....................................................................... Páginas 6-7
Tarjeta de emergencia del estudiante ............................................................. Página 8
Summer Semester Coordinators
Coordinadora de escuela de verano John Montelongo (830) 221-2064
Coordinadora de escuela de verano Joni Coker
(830) 221-2036
Director para el verano en FES
Susan Thetford
(830) 221-2814
Directora para el verano en JRES
Wendy Moore
(830) 885-9505
SEMESTRE DE VERANO PARA LA PRIMARIA
MANUAL PARA PADRES Y ALUMNOS
PROCEDIMIENTOS PARA MATRICULACIÓN:
• Estudiantes podrán matricularse en su escuela
• Estudiantes tendrán que llenar los documentos necesarios para el semestre de verano y
obtener las firmas necesarias.
PAQUETE PAR LA MATRICULACIÓN: FORMULARIOS REQUERIDOS
Se requiere que los estudiantes completen y regresen los siguientes documentos:
• La forma para la matriculación para el semestre de verano para instrucción acelerada
(página 4)
• Recibo para el semestre de verano 2015 Manual para padres y alumnos (página 5)
• CISD Acuerdo del uso aceptable del sistema de comunicaciones: (página 5)
• Petición para transportación (si requieren transportación) (páginas 6-7)
• Tarjeta de emergencia del estudiante (página 8)
ASISTENCIA:
La asistencia constante es muy importante para que su estudiante se beneficie del programa
de verano. Si por alguna razón su hijo no puede asistir a clases, es muy importante que se
comunique con el personal del programa de verano.
DESAYUNO Y ALMUERZO:
El desayuno y almuerzo se proveerá GRATIS para todos los alumnos del semestre de verano.
MANEJO DE LA DISCIPLINA:
Todos los estudiantes que asisten a la escuela de verano en CISD se sostienen al CÓDIGO DE
CONDUCTA ESTUDIANTIL DE CISD. Las infracciones del código de conducta estudiantil de
CISD pueden causar el retiro de la escuela de verano sin un reembolso.
Infracción menor:
• Se le dará dos advertencias por teléfono ó por escrito a los padres y estudiantes.
• La tercera infracción menor causará el retiro del programa de verano.
Infracción mayor:
• Cualquier infracción mayor, incluyendo, pero no limitado a drogas, alcohol, armas y
otras que se determinarán por la administración, constituirá a un retiro inmediato de la
escuela de verano y hará conforme a la acción disciplinaria determinada por el código
de conducta estudiantil de CISD.
CISD CÓDIGO DE CONDUCTA ESTUDIANTIL se encuentra en
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TRANSPORTACIÓN:
• Los padres pueden proveer la transportación o pueden pedir transportación del distrito
sin costo en las rutas designadas. Para pedir transportación, llene el formulario en las
páginas 6-7.
Información sobre el semestre de verano de
instrucción acelerada
Director para el verano en FES – Susan Thetford
Directora para el verano en JRES – Wendy Moore
El último día para la matriculación es el 8 de mayo
DESCRIPCIÓN DEL PROGRAMA: El programa de verano está disponible a estudiantes de kínder a
5to grado por invitación solamente. Los estudiantes son escogidos por un comité de la escuela
después de considerar cierta información como nivel de lectura, calificaciones y resultados de
evaluación en lectura y matemáticas. Estudiantes recibirán instrucción acelerada mediante clases
pequeñas.
Horario
Escuelas
Fechas para el semestre de verano
lunes, 8 de junio hasta jueves, 25 de
junio
(No clases los viernes!)
Dias extendidos:
•
Martes, 23 de junio
Estudiantes
Maestros
8:15 – 11:15
7:45 – 11:45
(Horas
extendidas en
los días
mencionados
abajo)
(Horas
extendidas
en los días
mencionados
abajo)
23 de junio
23 de junio
8:15 – 3:15
7:45 – 3:45
PROPORCIÓN DE MAESTRO A ESTUDIANTES:
Varían – se determina por la necesidad del estudiante
PLAN DE ESTUDIOS:
• Lectura guiada
• Matematicas
• Basada en las necesidades individuales del estudiante
Escuela
Primaria
Freiheit
Escuela
Primaria
Johnson
Ranch
Formulario para matriculación para el semestre
de verano para instrucción acelerada
El formulario se necesita entregar con el paquete de matriculación para el verano
Nombre del estudiante: ___________________________________________________
ID #: ____________________________________________(llenado por el/la maestro)
Fecha de nacimiento: ____________________________________________________
Domicilio: _____________________________________________________________
______________________________________________________________
______________________________________________________________
Nombre del padre/tutor: __________________________________________________
Teléfono de la casa:________________ Correo electrónico: _____________________
Celular: _____________________________ Contacto por texto: c Sí c No
Escuela actual: ________________________________________________________
Nombre de maestro/a: __________________________________________________
Current Grade:
! Kinder
! 1ro
! 2do
! 3ro ! 4to
! 5to
Mi hijo/a asistirá a la escuela de verano bilingüe/ESL:
!
Freiheit Escuela Primaria
!
Johnson Ranch Escuela Primaria
Firma del padre: _______________________________________________________
Padres,
Por favor regresen el paquete completo al maestro/a:
•
•
•
•
•
Formulario para matriculación para el semestre de verano para instrucción acelerada
(página 4)
Recibo del manual 2015 para padres y estudiantes (página 5)
Acuerdo del uso aceptable de la política de CISD (página 5)
Petición para la transportación (si se necesita) (páginas 6-7)
Tarjeta de emergencia del estudiante (página 8)
CISD Teachers: Please forward the Accelerated Instruction Registration forms to:
FES: Susan Thetford
JRES: Wendy Moore
Recibo para el semestre de verano
Manual para padres y estudiantes de primaria
El formulario se necesita entregar con el paquete de matriculación para el verano.
Al firmar abajo estoy indicando que he recibido una copia del manual para padres y estudiantes para el
semestre de verano 2015.
___________________________________
Nombre del estudiante
____________________________
Grado actual 2014-2015
___________________________________
Firma del padre
____________________________
Fecha
----------------------------------------------------------------------------------------------------------------------------
Uso aceptable de la política de CISD
ACUERDO DEL ESTUDIANTE DEL USO ACEPTABLE DEL
SISTEMA ELECTRÓNICO DE COMUNICACIONES
ACUERDO DEL ESTUDIANTE:
Grado actual __________
Nombre de la escuela_______________________________
Yo entiendo que el uso de mi computadora no es privado y que el distrito cuida la actividad en el sistema de la
computación. Yo he leído la política del sistema de comunicación del distrito y las regulaciones administrativas y
estoy de acuerdo de obedecer con las reglas. Yo entiendo que las violaciones a estas reglas pueden resultar en
suspensión o revocación al acceso al sistema y otras acciones disciplinarias consistentes con la política del
distrito.
Nombre del estudiante (en letra de molde)_________________________________________
Firma del estudiante___________________________________________________________
Fecha______________________________________________________________________
ACUERDO DE LOS PADRES:
Yo he leído la política del los recursos de tecnología del distrito, y este de acuerdo. En consideración para que mi
hijo/a tenga el privilegio de usar el sistema de comunicaciones del distrito y para tener acceso a la red del distrito,
yo libero al distrito, sus operadores e instituciones afiliadas de cualquier y todos los reclamos y daños de cualquier
naturaleza que puedan surgir por el uso de mi niño/a, o de Ia inhabilidad de usar el sistema incluyendo sin
limitación el tipo de daño identificado en la política del distrito y en las regulaciones administrativas.
Nombre del padre (en letra de molde)_________________________________________
Firma del padre__________________________________________________________
Fecha__________________________________________________________________
Petición para transportación:
Estudiantes de instrucción acelerada en la primaria
El formulario se necesita entregar con el paquete de matriculación para el verano.
Transportación para el semestre de verano es provista sin ningún costo para los alumnos. Los padres deben de
completar la siguiente información.
Letra de molde:
Nombre del estudiante
_________
__Grado:
ID #:
¿A qué escuela y programa asistió su estudiante durante el año escolar 2014-2015?
Nombre de padre/tutor: _
_
Domicilio:
Ciudad:
Código postal:
_____
_____
Teléfono del domicilio:_____________________ E-mail : ______________________________
Teléfono del trabajo:
_
_____ Otro:
____
_____
Celular: ________________________ Contactar por texto al celular: ! Sí ! No
Información para una emergencia (alguien que no es padre/mamá):
Nombre de persona para contactar en caso de una emergencia:
_______
Relación con el
alumno:
Número para una emergencia:
Celular: ________________________________ Contactar por texto: ! Sí ! No
Marque una:
_______Mi hijo/a no irá en el camión.
_______Mi hijo/a sí irá en el camión. Las paradas del camión se encuentran en la siguiente página. Por favor
marque en la columna la parada que usará su hijo/a.
Notas especiales ó consideraciones:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Tarjeta de emergencia del alumno
2015 Semestre de verano
El formulario se necesita entregar con el paquete de matriculación para el verano.
Nombre del Alumno____________________________________
Apellido
Nombre
Inicial
Niño o Niña
Fecha de nacimiento_________________________
(Circule uno)
Teléfono de la casa: (______) _______ - _____________ Email: _____________________________ Estudiante vive con: _________________
Mamá/Tutor Legal: _______________________________Celular: (______) _______ - ___________ Trabajo: (______) _______ - _________
Papá/Tutor Legal: ________________________________Celular: (______) _______ - _____________ Trabajo: (______) _______ - _________
Nombre: ________________________________Teléfono#1: (______) _______ - _____________ Teléfono#2: (______) _______ - ____________
para una emergencia
Médico: _____________________________Teléfono: (______) _______ - _____________ Hospital de preferencia: _______________________
Información de Seguro Médico:
□ Sin seguro
□ Medicaid/CHIPS
□ Seguro personal
Por favor indique cualquier condición que su niño/a tenga que pueda requerir de atención en la escuela: (marque todas las que apliquen)
(Las formas de autorización son requeridas para la atención médica - por favor visite la enfermera de la escuela antes del primer día de clases)
□ Diabetes □ Asma
□ Ataques □ Historial de reacciones alérgicas severas (desde) ____________________________________________
□ Requiere medicamentos en la escuela (enumere) ____________________________________________________________________________
□ Requiere tratamientos/procedimientos médicos en la escuela (especifique) ______________________________________________________
□ Otra: __________________________________________________________________________________
La información médica se puede compartir con los maestros del estudiante, según sea necesario, para promover atención médica inmediata en una emergencia. Doy
consentimiento a los oficiales de la escuela que autoricen tratamiento médico de emergencia en caso que los padres no puedan ser contactados.
Firma de Padres/Tutor Legal: ____________________________________________________ Fecha: _______________________________
SUMMER SEMESTER 2015
Registration Packet
K – 5th Grade Accelerated Instruction (FES & JRES)
June 8 – June 25
8:15 am to 11:15 am*
*Extended hours on June 23rd: 8:15am – 3:15pm*
NO CLASSES on Fridays
Table of Contents
Student and Parent Handbook ............................................................................. Page 2
Accelerated Instruction Summer Semester Information ................................... Page 3
Accelerated Instruction Summer Semester Registration Form ........................ Page 4
Receipt of Summer Semester Student and Parent Handbook ......................... Page 5
CISD Acceptable Use Policy: Student and Parent Agreement ......................... Page 5
Transportation Request Form ......................................................................... Pages 6-7 Student Emergency Card ..................................................................................... Page 8 Summer Semester Coordinators
Summer School Coordinator
John Montelongo
(830) 221-2064
Summer School Coordinator
Joni Coker
(830) 221-2036
Summer Principal at FES
Susan Thetford
(830) 221-2814
Summer Principal at JRES
Wendy Moore
(830) 885-9505
SUMMER SEMESTER ELEMENTARY
STUDENT AND PARENT HANDBOOK
REGISTRATION:
• Students will be able to register at their home campuses.
• Students must fill out the required Summer Semester documents and receive the
appropriate signatures in order to register for the summer classes.
REGISTRATION PACKET: REQUIRED FORMS
Students will be required to complete and return the following documents:
• Accelerated Instruction Summer Semester Registration Form (page 4)
• Receipt of Summer Semester 2015 Student and Parent Handbook (page 5)
• CISD Acceptable Use Policy: Student Agreement (page 5)
• Completed Transportation Request Form (if requesting transportation) (pages 6-7)
• Student Emergency Card (page 8)
ATTENDANCE:
Consistent attendance is important in order for your child to benefit from summer programming.
If for any reason your child is not able to attend, it is important that you communicate with
summer program staff.
BREAKFAST AND LUNCH:
Breakfast and lunch will be provided FREE to all students attending elementary summer school.
DISCIPLINE MANAGEMENT:
Students attending the CISD Summer Semester are held to the STUDENT CODE OF
CONDUCT and Discipline Management System of CISD. Infractions of the CISD Code of
Conduct may cause withdrawal from the Summer Semester.
Minor Infraction:
• Student and Parents will be given two warnings by phone and/or in writing.
• The third minor infraction will constitute removal from the Summer Program.
Major Infraction:
• Any major infraction, including, but not limited to, drugs, alcohol, weapons, and other to
be determined by administration, will constitute an immediate removal from Summer
Program and will be subject to disciplinary action determined by the CISD Student Code
of Conduct.
The CISD CODE OF CONDUCT may be accessed at
http://www.comalisd.org/Parents/Parent_Student_Handbook_Policies.asp
TRANSPORTATION:
• Parents can provide transportation or request district transportation at no cost from
designated locations. To request transportation, complete the form on pages 6-7.
Accelerated Instruction Summer Semester Information
FES Summer School Principal – Susan Thetford
JRES Summer School Principal – Wendy Moore
Last Day to Register is May 8th
PROGRAM DESCRIPTION: This summer program is available to students in grades K – 5 by
invitation only. Students are chosen by a campus selection committee after considering information
such as reading level, report card grades and assessment results in reading and math. Students will
receive accelerated instruction through small classroom arrangements.
Time
Campus Locations
Summer School Dates
Monday, June 8 to Thursday, June 25
(No classes on Fridays!)
Extended Day:
•
Tuesday, June 23rd
Student
Staff
8:15 – 11:15
7:45 – 11:45
(Extended
hours on day
below)
(Extended
hours on day
below)
June 23
June 23
8:15 – 3:15
7:45 – 3:45
TEACHER TO STUDENT RATIO: Varies – determined by student need
CURRICULUM:
• Guided Reading
• Math
• Based on individual student need
Freiheit
Elementary
Johnson
Ranch
Elementary
Accelerated Instruction Summer Semester
Registration Form
This form must be turned in with the summer semester registration packet.
Student Name: _________________________________________________________
Student ID #: __________________________________________(filled out by teacher)
Date of Birth: ___________________________________________________________
Address: ______________________________________________________________
______________________________________________________________
______________________________________________________________
Parent/Guardian Name: __________________________________________________
Home Phone:_____________________ E-mail Address: _______________________
Cell Phone: ________________________ Contact by text message:
! Yes ! No
Current School: _________________________________________________________
Teacher’s Name: _______________________________________________________
Current Grade:
! Kindergarten
! 1st
! 2nd
! 3rd ! 4th
! 5th
My child will attend Accelerated Instruction Summer School at:
!
Freiheit Elementary School
!
Johnson Ranch Elementary School
Parent Signature: _______________________________________________________
Parents,
Please return the completed forms to your child’s teacher:
•
•
•
•
•
Accelerated Instruction Summer Semester Registration Form (page 4)
Receipt of Summer Semester 2015 Student and Parent Handbook (page 5)
CISD Acceptable Use Policy: Student Agreement (page 5)
Completed Transportation Request Form (if requesting transportation) (pages 6-7)
Student Emergency Card (page 8)
CISD Teachers: Please forward the Accelerated Instruction Registration forms to:
FES: Susan Thetford
JRES: Wendy Moore
Receipt of Summer Semester
Elementary Student and Parent Handbook
This form must be turned in with the summer semester registration packet.
By signing below, I am indicating that I have received a copy of the Summer Semester
Elementary Student and Parent Handbook (page 2 of this packet).
___________________________________
Student Name
____________________________
Current Grade
___________________________________
Parent Signature
____________________________
Date
----------------------------------------------------------------------------------------------------------------------------
CISD Acceptable Use Policy
STUDENT AND PARENT AGREEMENT FOR ACCEPTABLE USE OF THE
ELECTRONIC COMMUNICATIONS SYSTEM
STUDENT AGREEMENT:
Current Grade_______________
Campus Name_______________________________
I understand that my computer use is not private and that the District will monitor my activity on
the computer system. I have read the District’s electronic communications system policy and
administrative regulations and agree to abide by their provisions. I understand that violation of
these provisions may result in suspension or revocation of system access and other disciplinary
action consistent with District policies.
Student Name (please print)______________________________________________________
Student Signature______________________________________________________________
Date________________________________________________________________________
PARENT AGREEMENT:
I have read the District’s Guidelines for Acceptable Use of Comal Independent School District
Technology Resources, and this agreement form. In consideration for the privilege of my child
using the District’s electronic communications system, and in consideration for having access to
the public networks, I hereby release the District, its operators, and any institutions with which
they are affiliated from any and all claims and damages of any nature arising from child’s use of,
District’s policy, and administrative regulations.
Parent’s Name (please print)_____________________________________________________
Parent’s Signature_____________________________________________________________
Date________________________________________________________________________
Transportation Request Form:
Accelerated Instruction Elementary Students
This form must be turned in with the summer semester registration packet.
Summer program transportation is provided at no cost. Parents must complete the following
information to request transportation.
Print:
Student Name:
_________
Grade:
Student ID #:
Which campus did your child attend in the 2014-2015 school year?
Parent / Guardian’s Name: _
_
Home Address:
City:
Zip Code:
_____
_____
Home Phone:_____________________ E-mail Address: ______________________________
Parent’s Work Phone:
_
_____ Other:
____
_____
Cell Phone: ________________________ Contact by text message: ! Yes ! No
Emergency Contact Information (someone other than parent/guardian):
Name of emergency contact:
Relationship to student:
Emergency contact’s phone number:
Cell Phone: ________________________________ Contact by text message: ! Yes ! No
Check One:
_______My student will not ride the bus.
_______My student will ride the bus. Times and pick up/drop off locations are listed on the
next page. Please indicate which stop your child will be accessing by placing a check mark next
to the stop.
Special notes or considerations:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Student Emergency Card
Summer Semester 2015
This form must be turned in with the summer semester registration packet.
Student Name: _____________________________________________________ Male/Female Birthdate: ___________
Last,
First
Middle
( Circle )
Home Address: _____________________________________ City:___________________________ Zip: _____________
Home Phone: _______________ Email:________________________ Student lives with: ___________________________
Mother/Guardian: _____________________________________Cell: (
) _____-________ Work: (
) _____-_________
Father/Guardian: _____________________________________Cell:(
) _____-________ Work: (
) _____-_________
Emergency Contact (other than parent):________________ Phone 1: (
) _____-_______ Phone 2: (
Primary Physician: ________________________ Phone: (
Medical Insurance: □ Uninsured
□ Medicaid/CHIPS
) _____-________
) _____-________ Preferred Hospital: __________________
□ Private Insurance
Please check any conditions your child has which may require attention at school: (check all that apply)
(Authorization forms are required for all medical care- please visit the school nurse before the first day of school)
□ Diabetes □Asthma □Seizures □History of severe allergic reactions (from) _________________________________
□ Requires medications at school (list) __________________________________________________________________
□ Requires medical treatments/procedures at school (list) ___________________________________________________
□ Other: __________________________________________________________________________________________
Health information may be shared with your student’s teachers, as needed, to promote immediate medical care in an emergency.
I consent to school officials authorizing emergency medical treatments if parents/guardians cannot be contacted.
Signature of Parent or Guardian: ________________________________________________ Date: __________________
Receipt of Summer Semester
Elementary Student and Parent Handbook
This form must be turned in with the summer semester registration packet.
By signing below, I am indicating that I have received a copy of the Summer Semester
Elementary Student and Parent Handbook (page 2 of this packet).
___________________________________
Student Name
____________________________
Current Grade
___________________________________
Parent Signature
____________________________
Date
----------------------------------------------------------------------------------------------------------------------------
CISD Acceptable Use Policy
STUDENT AND PARENT AGREEMENT FOR ACCEPTABLE USE OF THE
ELECTRONIC COMMUNICATIONS SYSTEM
STUDENT AGREEMENT:
Current Grade_______________
Campus Name_______________________________
I understand that my computer use is not private and that the District will monitor my activity on
the computer system. I have read the District’s electronic communications system policy and
administrative regulations and agree to abide by their provisions. I understand that violation of
these provisions may result in suspension or revocation of system access and other disciplinary
action consistent with District policies.
Student Name (please print)______________________________________________________
Student Signature______________________________________________________________
Date________________________________________________________________________
PARENT AGREEMENT:
I have read the District’s Guidelines for Acceptable Use of Comal Independent School District
Technology Resources, and this agreement form. In consideration for the privilege of my child
using the District’s electronic communications system, and in consideration for having access to
the public networks, I hereby release the District, its operators, and any institutions with which
they are affiliated from any and all claims and damages of any nature arising from child’s use of,
District’s policy, and administrative regulations.
Parent’s Name (please print)_____________________________________________________
Parent’s Signature_____________________________________________________________
Date________________________________________________________________________
Transportation Request Form:
SSI Accelerated Instruction Elementary Students
This form must be turned in with the summer semester registration packet.
Summer program transportation is provided at no cost. Parents must complete the following
information to request transportation.
Print:
Student Name:
_________
Grade:
Student ID #:
Which campus did your child attend in the 2014-2015 school year?
Parent / Guardian’s Name: _
_
Home Address:
City:
Zip Code:
_____
_____
Home Phone:_____________________ E-mail Address: ______________________________
Parent’s Work Phone:
_
_____ Other:
____
_____
Cell Phone: ________________________ Contact by text message: ! Yes ! No
Emergency Contact Information (someone other than parent/guardian):
Name of emergency contact:
Relationship to student:
Emergency contact’s phone number:
Cell Phone: ________________________________ Contact by text message: ! Yes ! No
Check One:
_______My student will not ride the bus.
_______My student will ride the bus. Times and pick up/drop off locations are listed on the
next page. Please indicate which stop your child will be accessing by placing a check mark next
to the stop.
Special notes or considerations:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Student Emergency Card
Summer Semester 2015
This form must be turned in with the summer semester registration packet.
Student Name: _____________________________________________________ Male/Female Birthdate: ___________
Last,
First
Middle
( Circle )
Home Address: _____________________________________ City:___________________________ Zip: _____________
Home Phone: _______________ Email:________________________ Student lives with: ___________________________
Mother/Guardian: _____________________________________Cell: (
) _____-________ Work: (
) _____-_________
Father/Guardian: _____________________________________Cell:(
) _____-________ Work: (
) _____-_________
Emergency Contact (other than parent):________________ Phone 1: (
) _____-_______ Phone 2: (
Primary Physician: ________________________ Phone: (
Medical Insurance: □ Uninsured
□ Medicaid/CHIPS
) _____-________
) _____-________ Preferred Hospital: __________________
□ Private Insurance
Please check any conditions your child has which may require attention at school: (check all that apply)
(Authorization forms are required for all medical care- please visit the school nurse before the first day of school)
□ Diabetes □Asthma □Seizures □History of severe allergic reactions (from) _________________________________
□ Requires medications at school (list) __________________________________________________________________
□ Requires medical treatments/procedures at school (list) ___________________________________________________
□ Other: __________________________________________________________________________________________
Health information may be shared with your student’s teachers, as needed, to promote immediate medical care in an emergency.
I consent to school officials authorizing emergency medical treatments if parents/guardians cannot be contacted.
Signature of Parent or Guardian: ________________________________________________ Date: __________________