STUDENT AND PARENT/GUARDIAN MUST SIGN IN ALL SECTIONS AND RETURN TO SCHOOL OFFICE

POWAY UNIFIED SCHOOL DISTRICT 2017-2018 Signature Verification of Receipt of Documents/Release of Information

Student Last Name (Please PRINT) Student First Name (Please PRINT) Parent Name (Please PRINT) Grade

Address City/State/Zip Code Primary Phone

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RULES OF STUDENT DISCIPLINE IN THE POWAY UNIFIED SCHOOL DISTRICT – FORM PUSD PP-3 (Gr. TK-5) and PP-3A (Gr. 6-12) I have received a copy of the Rules of Student Discipline in the Poway Unified School District and School Bus Safety Rules. I understand it is my responsibility to read and follow these

rules. ANNUAL NOTIFICAT ION O F PARE NTS’/STUDENTS’ R IGHTS & UN IF ORM C OMPLAINT PROCEDURES – Form PUSD PP-109 (State law requires signed acknowledgment of your receipt of this notification.) I hereby acknowledge receipt of the Annual Notification of Parents’/Students’ Rights and Uniform Complaint Procedures which contains information regarding the rights, responsibilities, and protections regarding the above-named student. ACADEMIC HONESTY POLICY AND PROCEDURES I have reviewed and discussed Poway Unified School District’s Academic Honesty Policy and Procedures with my student. HARASSMENT PROCEDURE I have reviewed and discussed Poway Unified School District’s Student Guide to Understanding and Avoiding Harassment with my student. I have reviewed and discussed Poway Unified School District’s Hate Harassment and Hate Behavior Policy and Administrative Procedure with my student. PLEDGE OF ALLEGIANCE – I have reviewed and discussed the information regarding the Pledge of Allegiance (Ed. Code 52720-52730) with my student. Pledge Documents (Gr. TK-5) and (Gr. 6-12).

Student Signature (Required GR. 4-12)

Parent/Guardian Signature

6. Computer/Internet Safety and Responsible Use • I understand my child will use the PUSD Learning platforms, access information through the Internet and utilize educationally relevant digital content under direction of school staff. • I understand that access to the Internet is designed for educational purposes and Poway Unified has employed a secure and filtered Internet browser for students to eliminate

controversial materials. • I have reviewed and discussed PUSD Board Policy 3.39 Student Use of Technology and Administrative Procedure 3.39.1 Student Internet Safety and Responsible Use. Parent/Guardian Signature

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FAMILY EDUCATIONAL RIGHTS & PRIVACY ACT (FERPA), RELEASE OF PUSD DIRECTORY INFORMATION – I permit the release of PUSD’s directory information regarding my student. PUSD directory information may include my student’s name, parent’s name, address, e-mail address, telephone number, major course of study, participation in officially recognized activities and sports, awards, and school most recently attended. This information may be released to requesting agencies with a legitimate educational interest, universities, other school districts, and the school’s PTA and Foundation. P.U.S.D. Administrative Procedure, Section 5.5.3.

MILITARY - I permit the Poway Unified School District to release directory information for the above-named 11th grade student to military recruiters.

WEB PAGES - I permit the Poway Unified School District to print photographs, student work, and identification of the above-named student on the school District’s web sites. I also permit photographs of the above named student to appear on social media web sites authorized and monitored by the student’s teacher. Identification of students on web pages will be limited to first name only at elementary, first name and last initial at middle school, or full name at high school level. NEWS MEDIA - I permit the news media to print photographs and identification of the above-named student in newspapers, television, and news media web sites.

YES � NO � Directory Information

YES � NO � Military

YES � NO � Web Pages

YES � NO � Newspaper/Television

Parent/Guardian Signature (Student if 18 or Older)

11. STUDENT ACCIDENT AND HEALTH INSURANCE - As parent/guardian of the named student, I understand that Poway Unified School District does not provide medical or dental insurance for student injuries but does make voluntary student insurance available for purchase. I also understand that State law requires my student to have health insurance in order to participate in school sports. I have read the Superi ntend en t’ s lett er regarding accident insurance.

The information about a voluntary insurance program will be available to your student at the school’s front office, on or before the first day of school. You may also access this voluntary insurance information beginning May 27, 2017, online at www.peinsurance.com or (800) 722-3365.

I have received information on the availability of school accident insurance.

Parent/Guardian Signature

12. I have read and discussed all the forms available on the PUSD Enrollment/Registration website and/or the school packet with my student. Your signature is required per Education Codes 48981 and 48982.

PUSD LSS Signature Verification Form (Revised 2/2017)

Student Signature (Required GR. 4-12)

Parent/Guardian Signature

Date

The Poway Unified School District (PUSD) is an equal opportunity employer/program and is committed to an active Nondiscrimination Program. PUSD prohibits discrimination, harassment, intimidation, and bullying based on actual or perceived ancestry, age, color, disability, gender, gender identity, gender expression, nationality, race or ethnicity, religion, sex, sexual orientation, or association with a person or a group with one or more of these actual or perceived characteristics. For more information, please contact the Title IX/Equity Compliance Officer, Associate Superintendent of Personnel Support Services, Poway Unified School District, 15250 Avenue of Science, San Diego, CA 92128-3406, 858-521-2800, extension 2761.

, CA

_____________________________________________ _______________ __________ __________ Student Name (print clearly) ID # Grade Date

Mt. Carmel High School STUDENT HANDBOOK ACKNOWLEDGEMENT – 2017 - 2018

The student handbook is a document regarding the attendance and discipline rules, and policies of Mt. Carmel High School. Prior notification will be given if any of these policies require modification.

By signing this page you agree to access the handbook, read it in its entirety, and become familiar with school and district policies and procedures.

The following violations are considered extremely serious and have been included on this page as an additional caution to students and parents/guardians. Suspensions, transfers, or expulsions will result on the FIRST OFFENSE and are not limited to the following acts:

1. Possessing, selling, or furnishing to others any firearms, knives, explosives (including firecrackers), or other dangerous objects such as, but not limited to, brass knuckles, razor blades, any pellet or pellet-type guns, paintball guns, lasers, pepper spray, or instruments expelling projectiles.

2. Possession of an imitation firearm.

3. Transferring, selling, distributing, offering, arranging, or negotiating to sell, or possessing quantities sufficient to suggest the intent to provide, give, or sell to other students substances which are, or are purported to be, alcohol, narcotics, dangerous drugs, unauthorized prescription medications, other controlled substances, or intoxicants of any kind, including over-the-counter medications which create an intoxicating effect.

4. Possessing, using, having consumed, or being under the influence of alcohol, narcotics, dangerous drugs, or other controlled substances or intoxicants of any kind.

5. Committing or attempting to commit a sexual assault, as defined in Section 261, 266, 286, 288, 288a, 243.4 of the Penal Code, or any successor statute.

6. Committing or attempting to commit robbery or extortion.

7. Actual, attempted, or threatened injury to another person.

The following sections of the handbook are especially useful to parents and students. Please initial that you have read and understand them.

I have accessed a copy of the Mt. Carmel High School 2017-2018 Student Handbook. I have read and understand that I am responsible for following all school rules as outlined in the Student Handbook.

_________________________ ______ Name of Student (Print Clearly) Grade __________________________ ______ Student Signature Date __________________________ ______ Parent/Guardian Signature Date

Parent Initial

Student Initial

Academic Honesty

Attendance

Cell Phones/Electronics

Dance Policy

Dress Code

Hate/Harassment Policy

School Rules & Disciplinary Actions as Outlined in the Handbook

POWAY UNIFIED SCHOOL DISTRICT MT. CARMEL HIGH SCHOOL

Parent/Guardian Authorization for Release of Student Transcript

STUDENT NAME:

Last First Middle

CLASS OF: ________________ DATE OF BIRTH: _______________

As students prepare to transition from high school, it is necessary for them to send their official

high school transcript to the military, selected schools, colleges, universities and/or institutions as

part of the entrance requirements. However, student transcripts are confidential and may be

released only with the consent of the student, 18 years of age or older, or their parent/guardian.

Since students and parents sometimes make multiple requests as they consider options, the

process can be delayed while parent/guardian signatures are obtained. For your convenience, the

Registrar will keep this signed authorization on file. Subsequent requests for transcripts can be

handled without the need for the school to acquire parental authorization for each request.

The official high school transcript contains the following information:

Personal Information: social security number, grade level, gender, birth date, enrollment date.

Course Information: courses completed, grades earned, cumulative GPA, date of course

completion, credits earned, notations if courses were Honors/AP/College prep.

Transcripts contain confidential information that can only be released with the permission of an

adult, 18 years of age or older. Students younger than 18 require the permission of a

parent/guardian. Signature below will be kept on file and authorizes the school to release the

student’s transcript to any schools, colleges or universities the student or parent requests.

Parent/Guardian name: __________________________________

(Please print)

Relationship to Student: ________________________

Parent/guardian signature authorizes the Registrar to forward the transcript of the student whose

name appears above to schools or institutions later designated by the student or parent guardian.

______________________________________________ _________________

Signature of Parent or Guardian of Student (if 18 or older) Date

THIS FORM WILL BE KEPT ON FILE IN THE RECORDS OFFICE. Rev. June 2017

Cal Grant OPT OUT Form

Cal Grant Awards are free money provided by the State of California to help pay for the cost of college. If you are a graduating high school senior, meet academic, financial and eligibility requirements, you may qualify to receive a Cal Grant.

To be considered for a Cal Grant award, both of the following requirements must be completed:

1) A 2016-2017 Free Application for Federal Student Aid (FAFSA) must be completed by parent/guardian with the Federal processor at www.fafsa.ed.gov by the October 1, 2017 deadline.

2) High school must submit a certified Grade Point Average (GPA) to the California Student Aid Commission by October 1, 2017.

Cal Grant GPAs will be accepted only if certified by a school electronically. The fastest and most secure way for a student to submit a Cal Grant GPA is to have Mt. Carmel High School electronically upload the GPA directly to the California Student Aid Commission’s system.

If you wish to OPT OUT from your child’s electronic submission please fill out

the following and return it to Mrs. Meyer in the Records Office (located in the

Administration Building) during Registration. If not received, your information

will be uploaded.

For more information on Cal Grants, please log onto www.calgrants.org.

____________________________________________________________________________

_____As a parent/guardian, I am exercising the right to “opt-out” and request that you DO NOT electronically submit my student’s information to the California Student Aid Commission for Cal Grant consideration. I realize that by opting out, my child will not be considered for a Cal Grant award.

Student Name (Print): _______________________________ STUDENT ID #: _______________ Parent Name (Print): ________________________________ Date: ______________________ Parent Signature: ______________________________________________________

DIPLOMA ORDER FORM

Please return this form to Mrs. Meyer during Registration in the Records Office (located in the Administration Building)

(858) 484-1180 x3130 lmeyer@powayusd.com

Please PRINT the information requested below so that a diploma for June 2018 can be ordered. THE NAME THAT IS PRINTED ON YOUR DIPLOMA IS YOUR FULL LEGAL NAME (found on documents such as your birth certificate and social security card).

PRINT STUDENT’S FULL LEGAL NAME BELOW – NO INITIALS OR NICKNAMES

_______________________ _______________________ ________________________ __________ FIRST MIDDLE LAST SUFFIX

Student’s Date of Birth: _________________ _______ ____________

MONTH DAY YEAR

Parent/Guardian Permission for Off-Roll

Dear Parent/Guardian,

You and your student have requested a shortened schedule during one or more terms for the 2017-18

school year. A shortened schedule is one that has your student enrolled in fewer than five courses.

Only students who are on track to graduate may request a reduction in their school schedule.

Not having a 5th period will result in a release from school prior to the scheduled end time.

Not having a 1st period will result in a start time that is later than the scheduled start time.

Not having period 2, 3 or 4, will result in students being unassigned to a class during the school day.

Students are required to stay on campus during this time in the designated space.

Your signature below indicates that you understand and grant permission for your student’s request for

a shortened schedule .

Parent/Guardian Permission for Off-Roll

_______________________________________ Student Name

_______________________________________ _____________ Student Signature Date

_______________________________________ Parent Name _______________________________________ _____________ Parent Signature Date