new student enrollment packet - amazon s3 · new student enrollment packet . ... o 3 hepatitis b o...

Twin Falls School District 201 Main Ave. W. Twin Falls, ID 83301 (208) 733-6900 www.tfsd.org

NEW STUDENT ENROLLMENT PACKET Welcome to the Twin Falls School District! Enclosed are the registration forms that are required for your child to be enrolled in one of our schools. In addition to these forms, the following documents are mandatory:

• Certified Birth Certificate o www.vitalrecords.dhw.idaho.gov o www.vitalchek.com (if outside of Idaho)

• Complete Immunization Records o 5 DTaP o 2 MMR o 4 Polio o 3 Hepatitis B o 2 Vericella o 2 Hepatitis A o 7th graders only: TDaP Booster and Meningoccal o Children must be in compliance with Idaho Immunization Laws in

order to attend school. You can ask you school’s secretary for more information.

• Proof of Residence o Utility bill, lease, or rental contracts

Hii ni muhimu sana. Tafadhali tafuta mtu

wa kutafsiri.

C'est im

portant. S'il vous plait,

trouvez un traducteur.

http://www.tfsd.org/

http://www.vitalrecords.dhw.idaho.gov/

http://www.vitalchek.com/

Student Enrollment FormTwin Falls School District #411201 Main Ave W.Twin Falls , ID 83301 Immunizations

Phone: 208-733-6900 Proof of ResidencyFax: 208-733-6987 Birth Certificatewww.tfsd.org

Student Last Name Student First Name Student Middle Name

Name Child Will Use at School Date of Birth

Male

Primary Contact Phone Number

Grade Level This Academic Year

Female

Home Address Street, Apt/Suite

City, State, Zip Code

Street, Apt/Suite

City, State, Zip Code

Yes No

Mailing Address (if different from home address)

Is the student Hipanic or Latino?

What is the student's race?

Has the student previously been enrolled in the Twin Falls School District? If so, where?

AM

PM

Offical Use Only

If Kindergarten, AM or PM

preference?

Gender

American Indian or Alaska Native

Students must be registered in the elementary school zone where they reside. If you wish to enroll in a school outside the zone in which you reside or from outside the district, you must follow the transfer policy.

Within which elementary school zone is the student's home address?

Ethn

icity

School:

AsianBlack or African American

WhiteNative Hawaiian/ Other Pacific Islander

http://www.tfsd.org/

The most recent copy of this form should be kept in the student cumulative file Form Updated October 2017

Father's Name (Last, First)Father's Day PhoneFather's EmployerFather's Home PhoneFather's Email

Mother's Name (Last, First)Mother's Day PhoneMother's EmployerMother's Home PhoneMother's Email

Other Legal Guardian's Name (Last, First)Relationship to StudentsGuardian's Day PhoneGuardian's EmployerGuardian's Home PhoneGuardian's Email

Both ParentsWho does the student reside with?

Yes No Number of BrothersNumber of Sisters

Does the student have siblings in the Twin Falls School District

List siblings first and last names

Who has guardianship of this student? Father Only

Pare

nt/G

uard

ian

Info

rmat

ion

This means the student has a parent, step-parent or sibling serving in the active or resere components of the Army, Navy, Air Force, Marine Corps, Coast Guard, or National Guard. The TFSD is required to collect

this information under the federall education law ESSA.

Is the student a military connected student?

National Guard or Reserve

Unable to Provide

Active Duty

Not Military Connected

Guardian OnlyMother Only


Name (Last, First)PhoneRelationshipPhone Type



No

No

Address of Last School AttendedPhone Number of Last School Attended

Health and Emergency Information

Name of Last School Attended

Dentist's NameDentist's Phone Number

List any medications prescribed by a licensed medical practitioner. This includes inhalers. (if medication is administered at school, proper documentation is required.)

Emergency Contact #1

Emergency Contact #2

Parents are always the first contact but please provide information for individuals (other than

parent/guardian) the school may contact in case of student illness or injury and parents cannot be

reached.

Doctor's NameDoctor's Phone Number

Will the student ride a school bus to or from school? YesIf yes, please fill out the bus transportation services form included in this packet.

Emergency Contact # 3

Previous School Attended (outside

the TFSD)

List any allergies and/or health conditions the student may have. This includes asthma.

Will the student ride a bike to or from school? Yes

Fax Number of Last School Attended


Special EducationResource ProgramsSelf Contained

Adapted Physical EducationLimited English Proficient504Gifted and TalentedMigrant

Speech TherapyHomelessProbationTitle 1 MathTitle 1 Reading

Who is filling out this form?

Special Programs

Please check any special programs or services in which the student has

participated.

Twin Falls School District Family Mobility Survey

Student Name:

Date:

School:

Grade:

Migratory Workers and their families move from place to place for the purpose of finding seasonal or temporary work in agriculture or fishing. They can be of any race or culture and speak any language. Students who move often face academic difficulties. As a direct result of frequent educational interruptions, the migrant program was established by Congress in 1966 and is designed to help migratory children overcome barriers and succeed in school. Please fill out this survey completely to see if your children may qualify for these additional services

Please answer all questions completely: 1. Did your child participate in the Migrant Education Program in the past? Yes No 2. Have you moved in the last two years? Yes No

If you answered yes to questions 2, was the move from one school district to another

Yes No

3. Was the move made to look for work in agriculture or fishing? (This includes work in the fields, sorting sheds, nurseries, orchards feedlots, dairies, and initial processing, such as work in Simplot, or the cheese or sugar factories)

Yes No

If you answered yes to question 3, what agricultural work did you do in your previous place of residence?

If currently working in agriculture or fishing, what type of work do you do now?

If seeking work in agriculture or fishing, what type of work are you looking for?

Signature of Parent/Legal Guardian_________________________________________ Date _________________

Form Updated: October, 2017

This form should be completed once per student and kept in their cumulative file unless the form indicates they do not qualify for services. If they do qualify for services, a copy should be sent to the Migrant Liaison. Forms that indicate students don’t qualify for services should be kept in a separate file for three years for audit purposes.

Student Residency Questionnaire

This questionnaire is intended to address the McKinney-Vento Act. Your responses will help determine whether or not additional support and services may be available to the student under this Federal Act.

1. Currently, where does the student stay at night? Check ONE box in either section A or B.

SECTION A SECTION B In an Emergency or temporary shelter. You or your family lives with another person/family due to loss of housing or economic hardship. In a travel trailer, motor home, camper, bus, car, at a campground, park, or parking lot. In a hotel or motel.

CONTINUE: completing the remainder of this form if you checked a box in Section A.

Choices in Section A do not apply; Rent/Own Single Family Home/Apartment.

STOP: If you checked this section, you do not need to complete the remainder of this form. Submit to school personnel. Thank you.

2. The student lives with:

a parent/legal guardian a relative or friend(s) independently

Name of Student ___________________________________School _____________________________Grade____

Name of Parent(s)/Legal Guardian(s) _______________________________________________________________ Address _____________________________________ Zip ___________ Phone ___________________________

Signature of Parent/Legal Guardian_________________________________________ Date _________________

School Use Only – __________________________________________________________________________________ If the parent/guardian has checked Section B above, completion of form is not required. For any choices in Section A, this form must be immediately routed to the JoAnn Gemar, McKinney-Vento Liaison. The original form must be kept separately from the Student Permanent Record for audit purposes during the year. ______________________________________________________ Date Distributed: _______________

Updated 5/12/15 This form should be completed twice per student per year and kept in their cumulative file unless the form indicates they do not qualify for services. If they do qualify for services, a copy should be sent to JoAnn Gemar. Forms that indicate students don’t qualify for services should be kept for three years in a separate file for audit purposes.

Twin Falls School District Statewide Home Language Survey

Our school district along with the Idaho State Department of Education and the Office for Civil Rights require that students’ language(s) are identified. This survey’s purpose is to determine whether they are potentially eligible for language services.

Student Name:

Date:

Birthdate:

Gender: Male Female

School:

Grade:

1. What language(s) are spoken in the home?

____________________________________________________________________________________________________

2. What language(s) does your student speak most often?

___________________________________________________________________________________________________

3. Which language(s) did your student first learn?

___________________________________________________________________________________________________

4. Which language does your child speak with you? ____________________________________________

5. Which language do you use when speaking with your child? _______________________________

6. Which language do you want phone calls and letters? _______________________________________

7. What is your relationship to the child? ☐Mother ☐Father ☐Guardian

☐Other (specify) ___________________________________

8. Is there any additional information you would like the school to know about your

child? _____________________________________________________________________________________________

__________________________________________________ ______________________________ Signature of person filling out the form Date

Updated: October, 2017

This form should be completed once per student and kept in their cumulative file unless the form indicates they do not qualify for services. If they do qualify for services, a copy should be sent to your school’s ELL teacher of Bill Brulotte.

Twin Falls School District #411 2960F1 Computing Device and Network Acceptable Use Agreement

School district computing device and network users are expected to act in a responsible, ethical, and legal manner, in accordance with district policy and the laws of the State of Idaho and the United States. The computing devices and network are provided to further the district’s stated educational goals only, and they are to be used by authorized individuals only. Individuals using these systems are subject to having all activities monitored by IT or other security personnel. Anyone using these systems expressly consents to such monitoring. It is possible for all users of the Internet, including your child, to access information that is not intended for minors. Although the district has taken reasonable steps to ensure that the Internet connection is used only for purposes consistent with the curriculum and that inappropriate sites as defined by the Children’s Internet Protection Act are filtered, the district or school cannot entirely prevent the availability of inappropriate material on the Internet. Further, it is possible that a determined user may make use of computing device or network resources for inappropriate purposes. Deliberate misuse of the computing devices, the network, or the Internet may result in disciplinary action as outlined in the Computing Device and Network Acceptable Use Policy. Curriculum for students will include instruction on Internet safety topics, including appropriate online social interaction. I understand that my child is expected to use good judgment and follow the guidelines of the Computing Device and Network Acceptable Use Policy. With school administration and teacher approval, your child may be allowed to use, but will not be required to use, his or her own electronic devices during class time for educational purposes. The school district cannot be responsible for the content accessed via a student’s own voice, messaging, or data services. The district will not pay for or reimburse for any voice, messaging, or data charges incurred by a student’s use of his or her own device. The school district does not assume liability in the event of lost, stolen, or damaged devices. Please Check One

Yes, my child may use his or her own electronic devices at school.

No, my child may not use his or her own electronic devices at school. I have discussed the information contained in the Computing Device and Network Acceptable Use Policy with my child. Should my child breach the policy guidelines, I understand that my child may lose privileges relating to the use of computing devices and the Internet or be subject to other disciplinary action. I agree to indemnify and hold harmless the school district, the trustees, administrators, teachers and other staff against all claims, damages, losses, and costs, of whatever kind, that may result from my child’s use of his or her access to such networks or his or her violation of district policy. Further, I accept full responsibility for supervision of my child’s use of his or her access account(s) and/or use of district-owned devices, if and when such use is not in the school setting. I give my child permission to use a district provided account(s) to access the district’s computer network, the Internet, and Internet sites. _________________________________ _________________________________ Parent Name (please print) Student Name (please print) _________________________________ _________________________________ Parent Signature Student Signature _________________________________ _________________________________ Date Date

201 Main Avenue WestTwin Falls, Idaho 83301

Telephone: 208-733-6900Fax: 208-733-6987

2960F1-1 This form should be filled out when a student enrolls in a TFSD School and should be kept in the student cumulative file.

Twin Falls School District 2017-18

Notification of Rights under FERPA

The Family Educational Rights and Privacy Act (FERPA)

affords parents and students who are 18 years of age or older

("eligible students") certain rights with respect to the student's

education records. These rights are:

1. The right to inspect and review the student's education

records within 45 days after the day the school receives a

request for access.

Parents or eligible students should submit to the school

principal a written request that identifies the records they

wish to inspect. The school official will make

arrangements for access and notify the parent or eligible

student of the time and place where the records may be

inspected.

2. The right to request the amendment of the student’s

education records that the parent or eligible student

believes are inaccurate, misleading, or otherwise in

violation of the student’s privacy rights under FERPA.

Parents or eligible students who wish to ask the school to

amend a record should write to the school principal,

clearly identify the part of the record they want changed,

and specify why it should be changed. If the school

decides not to amend the record as requested by the parent

or eligible student, the school will notify the parent or

eligible student of the decision and of their right to a

hearing regarding the request for amendment. Additional

information regarding the hearing procedures will be

provided to the parent or eligible student when notified of

the right to a hearing.

3. The right to provide written consent before the school

discloses personally identifiable information (PII) from

the student's education records, except to the extent that

FERPA authorizes disclosure without consent.

One exception, which permits disclosure without consent,

is disclosure to school officials with legitimate

educational interests. A school official is a person

employed by the school as an administrator, supervisor,

instructor, or support staff member (including health or

medical staff and law enforcement unit personnel) or a

person serving on the school board. A school official also

may include a volunteer or contractor outside of the

school who performs an institutional service or function

for which the school would otherwise use its own

employees and who is under the direct control of the

school with respect to the use and maintenance of PII

from education records, such as an attorney, auditor,

medical consultant, or therapist; a parent or student

volunteering to serve on an official committee, such as a

disciplinary or grievance committee; or a parent, student,

or other volunteer assisting another school official in

performing his or her tasks. A school official has a

legitimate educational interest if the official needs to

review an education record in order to fulfill his or her

professional responsibility.

Upon request, the school discloses education records

without consent to officials of another school district in

which a student seeks or intends to enroll, or is already

enrolled if the disclosure is for purposes of the student’s

enrollment or transfer.

4. The right to file a complaint with the U.S. Department of

Education concerning alleged failures by the Twin Falls

School District to comply with the requirements of

FERPA. The name and address of the Office that

administers FERPA are:

Family Policy Compliance Office

U.S. Department of Education

400 Maryland Avenue, SW

Washington, DC 20202

FERPA Notice for Directory Information

The Family Educational Rights and Privacy Act (FERPA), a

Federal law, requires that the Twin Falls School District, with

certain exceptions, obtain your written consent prior to the

disclosure of personally identifiable information from your

child’s education records. However, the Twin Falls School

District may disclose appropriately designated “directory

information” without written consent, unless you have advised

the District to the contrary in accordance with District

procedures. The primary purpose of directory information is

to allow the Twin Falls School District to include this type of

information from your child’s education records in certain

school publications. Examples include:

A playbill, showing your student’s role in a drama

production;

The annual yearbook;

Honor roll or other recognition lists;

Graduation programs; and

Sports activity sheets, such as for wrestling, showing

weight and height of team members.

Directory information, which is information that is generally

not considered harmful or an invasion of privacy if released,

can also be disclosed to outside organizations without a

parent’s prior written consent. Outside organizations include,

but are not limited to, companies that manufacture class rings

or publish yearbooks. In addition, two federal laws require

local educational agencies (LEAs) receiving assistance under

the Elementary and Secondary Education Act of 1965 (ESEA)

to provide military recruiters, upon request, with the following

information – names, addresses and telephone listings – unless

parents have advised the LEA that they do not want their

student’s information disclosed without their prior written

consent.

If you do not wish to have your child’s directory information released, please indicate so on the TFSD Student Opt-Out Form, located on our website at www.tfsd.org. Please understand that signing this form

would exclude your child’s directory information from any documents that are typically made public or relating to school-related organizations and activities such as:

Yearbooks Alumni Directories Graduation Programs Honor Roll and other recognition lists Sports activity programs Theatrical programs District productions/publications Classroom or student pictures

If you do not want the Twin Falls School District to disclose

directory information from your child’s education records

without your prior written consent, you must complete the Opt

Out form by August 20, 2017 or two weeks from the date you

receive this notice. If you do not have access to the internet, please contact the Twin Falls School District Office at 733-6900 and forms can be mailed to you. Please submit Opt-Out Forms to:

Twin Falls School District

Attn: Eva Craner 201 Main Ave. W

Twin Falls, ID 83301

The Twin Falls School District has designated the following

information as directory information:

Student’s name

Address

Telephone listing

Electronic mail address (e-mail)

Photograph of the student used by the district for

recognition of student achievement and community

relations, including, but not limited to, publication in

the district’s or school’s newsletters, in the school

setting and on the district’s or school’s web site;

Major field of study

Date and place of birth

Participation in officially recognized activities and

sports

Weight and height of members of athletic team

Dates of attendance, degrees and awards received

Most recent previous school or school district

MEDIA RELEASE

Throughout the course of the school year, the media may be in our schools or at school sanctioned events to cover our activities. The majority of the media coverage featuring students is considered human interest stories that do not contain sensitive subject matter or are not controversial in nature. Often, reporters are present at our request to showcase our students and teachers engaged in exciting educational activities.

The Twin Falls School District includes in its classification of directory information student names and photographic images of students participating in regular classroom or school-authorized events. This simply means that the media may publish and/or broadcast the names and photographs of students participating in school-related activities without prior parental consent. If you do not wish to have your child featured in any form of media, please sign the media portion of the FERPA Opt-Out Form, and we will exclude them from any media photos or publications. If you have not completed an Opt-Out Form, your student will be allowed to participate in human interest stories. The TFSD Student Opt-Out Form is located on the TFSD website at www.tfsd.org under enrolling your student. In instances where the building administrator has a concern about maintaining student confidentiality or the sensitive nature of media related stories, parental permission will be sought prior to allowing the student to participate.

PPRA

PPRA affords parents and eligible students certain rights regarding the district's conduct of surveys, collection and use of information for marketing purposes, and certain physical exams. These include the right to inspect and consent or opt out of: 1. The administration of surveys that contain questions from one or more of eight protected areas:

Political affiliations; Mental and psychological problems potentially

embarrassing to the student and his/her family; Sex behavior and attitudes; Illegal, antisocial, self-incriminating and

demeaning behavior; Critical appraisals of other individuals with whom

respondents have close family relationships; Legally recognized privileged or analogous

relationships, such as those of lawyers, physicians and ministers;

Religious practices, affiliations or beliefs; or Income (other than that required by law to

determine eligibility for participation in a program or for receiving financial assistance under such program).

2. Activities involving the collection, disclosure, or use of personal information collected from students for the purpose of marketing. 3. Any non-emergency, invasive physical examination or screening.

If you have any questions regarding the information provided in this notice, please contact Eva

Craner at 733-6900.

Thank you!

Mid-Columbia Bus Company Twin Falls District School Bus Transportation Services

Complete if student is new to Twin Falls District or change of address or phone number

Student’s Name___________________________________________________ Grade__________

Address_________________________________________________________________________

Parent’s / Guardian’s Name___________________________________________________________

Home Phone #_____________________________ Cell Phone #_____________________________

Emergency Contact Name & Phone______________________________________________________

Email___________________________________________________________________________

School Attending__________________________________________________________________

________ New Student to Twin Falls School District ________ Information Change

Transportation Needed

________ Morning Only ________ Afternoon Only ________Both Ways

Additional Students at Listed Address (Full Legal Name)

1) Student Name _________________________ Grade _____ M / F





By signing below, I acknowledge that I have received The Safe Bus Riding Rules and Regulations. I agree to be responsible for following all the rules and expectations of the school and Mid-Columbia Bus Company. I understand the consequences for failure to follow the rules and regulations.

Student Signature _______________________________________ Date _____________

Parent Signature ________________________________________ Date _____________ Mid-Columbia Bus Company Revised 06/2017

new student enrollment packet - amazon s3 · new student enrollment packet . ... o 3 hepatitis b o...

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