san antonio independent school district student ... · san antonio independent school district does...

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Student ID: School Year: 2017-2018 SSN or State ID: Grade: Student Legal Name: Gender: Date Of Birth: Physical Address: City: State: Zip: Apt #: Home Phone: State: Zip: City: Apt #: Address: Home Phone: Work Phone: ext: Cell Phone: Parent/Guardian 2 Name: Relationship: Driver License #: State: Date Of Birth: Student Lives with Parent 2: Yes Yes No No Parent Employed on Federal Property: Custody Orders: If Yes, Provide Copy Child has Medical Insurance: Yes No If yes, Please check one of the following: C - Chip L-Carelink M-Medicaid T-Military (CHAMPUS/Tricare) P-Private Ins. I authorize school officials to release my child during school hours to the following persons indicated below unless otherwise instructed: In case of an emergency please contact: 2-Member TX National Guard 1-Member of US Military 3-Member of US Reserves Parent Military: 4-PK Elig. Military Dependent 1 2 Contact order Emergency Contact Name Phone Miscellaneous Data: 3 4 5 Work Phone Cell Phone Driver License Can Pickup Student? Medical/Emergency Data: I hereby give my permission for the authorized officials of the San Antonio Independent School District to manage in a manner consistent with District policy any emergency that involves, who is my son/ daughter/ or is under my legal guardianship. Such emergency shall include treatment by a school official, transportation to a hospital emergency room or other appropriate facility. I understand that such permission shall be valid when the principal, after reasonable effort, cannot contact me by telephone. I also understand that there may be occasions such as during football games, out-of-town trips, etc., where the principal or his designate may not be able to contact me. The principal, or his designate, has authorization in those cases to act on my child's behalf. I further understand that I will assume financial responsibility connected with this emergency. Must be completed by person enrolling the student: I hereby certify that the above is true and correct: Signature of parent or legal guardian Date Print Name of parent or legal guardian School Use Only Entry Date: Enrollment Code: 0-Not Enrolled 1-Enrolled 0-Not in Membership 1-Eligible - Full Day 2-Eligible Half Day 4-Ineligible - Full Day 5-Ineligible - Half Day 3-Eligible Transfer - Full Day 6-Eligible Transfer - Half Day ADA Eligibility Code Withdrawal Date: Withdrawal Code: To (School/District): San Antonio Independent School district does not discriminate on the basis of race, religion, color, national origin, gender, or disability in providing education services, activities and programs, including vocation programs, in accordance with Title IV of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; Section 504 of the Rehabilitation Act of 1973, as amended. San Antonio Independent School District Student Registration Data E-Mail: F-1A Yes No Parent/Guardian 1 Name: State: Zip: City: Apt #: Address: Home Phone: Work Phone: ext: Cell Phone: Relationship: Driver License #: State: Date Of Birth: Student Lives with Parent 1: E-Mail: Yes No Middle First Last Birth City: Birth State: (Jr, Sr, III) Control #: Campus: Bus Route/ Zone: Previous District: Previous School: Relationship 7-Eligible OFSDP School/Grade Age Name School/Grade Age Name Name of Other Children in the household:

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Page 1: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

Student ID:

School Year: 2017 - 2018

SSN or State ID:Grade:

Student Legal Name:

Gender:Date Of Birth:Physical Address: City: State: Zip:Apt #:

Home Phone:

State: Zip:City:Apt #:Address:

Home Phone:

Work Phone: ext:

Cell Phone:

Parent/Guardian 2 Name:

Relationship:Driver License #: State: Date Of Birth:

Student Lives with Parent 2:

Yes YesNo No

Parent Employed on Federal Property:

Custody Orders: If Yes, Provide Copy

Child has Medical Insurance:Yes No

If yes, Please checkone of the following: C - Chip L-Carelink M-Medicaid T-Military

(CHAMPUS/Tricare)P-Private

Ins.

I authorize school officials to release my child during school hours to the following persons indicated below unless otherwise instructed:In case of an emergency please contact:

2-Member TX National Guard1-Member of US Military

3-Member of US Reserves

Parent Military:

4-PK Elig. Military Dependent

12

Contact order Emergency Contact Name Phone

Miscellaneous Data:

345

Work Phone Cell Phone Driver LicenseCan Pickup Student?

Medical/Emergency Data:I hereby give my permission for the authorized officials of the San Antonio Independent School District to manage in a manner consistent with District policy any emergency that involves, who is my son/ daughter/ or is under my legal guardianship. Such emergency shall include treatment by a school official, transportation to a hospital emergency room or other appropriate facility. I understand that such permission shall be valid when the principal, after reasonable effort, cannot contact me by telephone. I also understand that there may be occasions such as during football games, out-of-town trips, etc., where the principal or his designate may not be able to contact me. The principal, or his designate, has authorization in those cases to act on my child's behalf. I further understand that I will assume financial responsibility connected with this emergency.

Must be completed by person enrolling the student: I hereby certify that the above is true and correct:

Signature of parent or legal guardian DatePrint Name of parent or legal guardian

School Use OnlyEntry Date: Enrollment Code:

0-Not Enrolled1-Enrolled

0-Not in Membership1-Eligible - Full Day2-Eligible Half Day

4-Ineligible - Full Day5-Ineligible - Half Day

3-Eligible Transfer - Full Day 6-Eligible Transfer -Half Day

ADA Eligibility Code

Withdrawal Date: Withdrawal Code: To (School/District):

San Antonio Independent School district does not discriminate on the basis of race, religion, color, national origin, gender, or disability in providing education services, activities and programs, including vocation programs, in accordance with Title IV of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; Section 504 of the Rehabilitation Act of 1973, as amended.

San Antonio Independent School District Student Registration Data

E-Mail:

F-1A

YesNo

Parent/Guardian 1 Name:

State: Zip:City:Apt #:Address:

Home Phone:

Work Phone: ext:

Cell Phone:

Relationship:Driver License #: State: Date Of Birth:

Student Lives with Parent 1:

E-Mail:

YesNo

MiddleFirstLast

Birth City:

Birth State:

(Jr, Sr, III)

Control #: Campus:

Bus Route/ Zone:

Previous District: Previous School:

Relationship

7-Eligible OFSDP

School/GradeAgeName School/GradeAgeNameName of Other Children in the household:

Page 2: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender, or disability in providing education services, activities, and programs, including vocational programs, in accordance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; Section 504 of the Rehabilitation Act of 1973, as amended.

Revised April 2014 FORM F1-C

SAN ANTONIO INDEPENDENT SCHOOL DISTRICT

STUDENT RESIDENCY QUESTIONNAIRE

(Required for all Students)

This questionnaire is intended to address the actions required for McKinney-Vento Education Act, 42 U.S.C. 11435 and Fostering Connections 110-351. Your answers will help determine if your student is eligible for services through the Transitions Program. Eligible student status remains active for one academic year. Please print.

Name of School:

Name of Student: Grade: Last First Middle

SSN: Date of Birth: / / Age: Gender: Male Female

Name of Parent/Guardian:

Home Address: City/State: Zip:

Home Phone: Mobile: Work:

Emergency Contact: Relationship: Phone:

How many children do you have enrolled in SAISD? How long has the student lived at this address?

Does the student live in a temporary address or in a foster or kinship care setting Yes No If “Yes”, please continue by checking any box that applies:

In a home with a friend/relative due to loss of housing? (examples; eviction, foreclosure, unemployment, fire, domestic violence, utilities disconnected etc.)

In a shelter or a shelter sponsored transitional housing? Where?___________________ In a hotel/motel due to financial hardship, or loss of housing? Which hotel or motel?_________________ In a car or campsite? Moving from place to place? Unaccompanied youth living with friend or relative? Safety Plan with Child Protective Services? Foster Care (CPS Foster or Kinship placement? Other: __________________________________________________

Signature of Parent/Legal Guardian: ___________________________________________ Date: _________________

Presenting a false record or falsifying records is an offense under Section 37.10, Penal Code, and enrollment of the child under false documents subjects the person to liability for tuition or other costs. TEC Sec 25.002(3)(d).

CAMPUS USE ONLY (File the completed form in the student’s permanent record folder):

Campus #: ______________ Student ID#:_________________

MCkinney-Vento Act: Administrator Determination: Yes No Is family situation urgent? Yes No

Provide additional information to support determination:_________________________________________________

_____________________________________________________________________________________________

Fostering Connections Act: If identified, please fax to the Transitions Program

If student is determined to be eligible, fax completed form to Transitions Program at 228-3193.

Administrator Signature: ____________________________ Printed name:_______________________________

Date Faxed: __________________

Parents may call Transitions Program at 210-554-2635 for further assistance.

Page 3: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

Revised Feb. 14, 2017 FORM F1-G

SAN ANTONIO INDEPENDENT SCHOOL DISTRICT

STUDENT HEALTH INVENTORY

(Required Each Year)

STUDENT ID:

Name of School: School Year 2017-2018

The school nurse must have this information to ensure that your child is carefully attended in an emergency. Be sure that the facts are accurate and

complete, and return this form to the school nurse as soon as possible. Please notify us immediately of any changes in your child’s condition.

Thank you.

Please print.

Name of Student:

Last First Middle

Grade: DOB: Age: Gender: Male Female

The School Nurse may need to contact you during the school day. Please provide the best phone numbers to reach Parent/Guardian #1:

Name: __________________________________ Home:_______________________ Cell:___________________ Business:________________________

The best phone numbers to reach Parent/Guardian #2:

Name:__________________________________ Home:_______________________ Cell:___________________ Business:_______________________

The official record of your child’s contact information is the Student Registration Data Form. Please notify the office

IMMEDIATELY of any changes to your child’s address, phone numbers, or emergency contacts.

ILLNESSES/ HEALTH CONDITIONS: Please check if your child has had or presently has any of the following:

Asthma

Diabetes

Frequent Ear Infections

Epilepsy or Seizures

Heart Problems

Hearing Problem

Wears Hearing Aid

Rheumatic Fever

Kidney Conditions/Infections

Physical Handicap

Major Surgery

Vision Problem

Wears Glasses/Contact Lenses

Behavioral/Emotional Issues

ALLERGIES:

Drug: specify____________________________ Symptoms:________________________________________________________________

Food: specify___________________________ Symptoms:______________________________________________________________

Insect: specify____________________________ Symptoms:________________________________________________________________

Other:__________________________________ Symptoms:________________________________________________________________

_______________________________________ Symptoms:________________________________________________________________

PLEASE INDICATE IF THERE ARE NO KNOWN ALLERGIES

MEDICATIONS:

Taking Medication at School Taking Medication at home

Name of Medication: ______________________________________________________________________________________________________

Reason for Medication: _____________________________________________________________________________________________________

If any of the above conditions are checked, please explain:

Are there any treatments or physical activity restrictions necessary at school? YES NO

If “Yes”, please explain:

Other health problems or instructions not listed above:

Please notify the school nurse to discuss other health issues concerning your child.

Name of Doctor: Address: Phone:

Signature of Parent/Guardian: Date:

San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender, or disability in providing education services, activities, and programs, including vocational

programs, in accordance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; Section 504 of the Rehabilitation Act of 1973, as amended.

Page 4: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender or disability in providing education services, activities, and programs, including vocational programs, in accordance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; Section 504 of the Rehabilitation Act of 1973, as amended.

Revised February 18, 2016 FORM F1-H

SAN ANTONIO INDEPENDENT SCHOOL DISTRICT

PK-12 HOME LANGUAGE SURVEY

(Required for New SAISD Students)

Dear Parent or Guardian:

We are surveying home language to help determine the best instructional program for your child. With this information, our teachers will do their best to meet the needs of each student and provide a quality educational program. Please answer this survey for each child who is new to the District. Mark only one language for each question. Thank you for your assistance.

STUDENT INFORMATION (please print) School:

Name of Student: Grade: Last First Middle

SSN: Date of Birth: Age: Gender: Male Female

Name of Parent/Guardian:

Home Address: City/Zip:

Home: Mobile: Work:

Emergency Contact: Relationship: Phone:

LANGUAGE SURVEY (MARK ONLY ONE LANGUAGE FOR EACH QUESTION):

1. What language is spoken in your home most of the time?

2. What language does your child speak most of the time?

3. Has your child attended a U.S. school?

4. Has your child attended a Texas school?

5. (If applicable) When your child lived outside the U.S., did he or she attend school regularly? (Check one)

Yes, my child attended school regularly in all previous grades outside the U.S.

No, my child missed significant portions of one or more school years, as specified:

____________________________________________________________________________ Specify grade and time period, including month and year (For example: Grade 2, Jan. 2000 through May 2000).

Signature of Parent/Guardian:________________________________________________

Date: ______________________________

SCHOOL USE ONLY:

Issue this survey only to students new to the District.

Ensure that only one answer has been marked for each question.

If the parents indicated English in questions 1 and 2, input “98” in the Home Language Field Category and a “9" in Category field on screen WST1175.

If the parents indicated Spanish or another language in either question, give the language survey to the LPAC Coordinator for testing. After testing, input all appropriate coding into screen WST1175.

Page 5: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

San Antonio ISD does not discriminate on the basis of race, religion, color, age, national origin, sex, or disability in providing education services, activities, and programs, including vocational programs, in accordance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; section 504 of the Rehabilitation Act of 1973, as amended.

Revised 2/19/2016 Form F1-L

District: Campus:

Student Name: Age: Grade Level:

Dear Parents, In order to better serve your children, our school district is helping the State of Texas identify students who may qualify to receive additional educational services. The information provided below will be kept confidential. Please answer the following questions and return this form to your child’s school.

1. Within the past 3 years have you, or your child, moved from one school district, city or state toanother? YES or NO

2. If yes, did you, or your child, move so you could work or look for work in agriculture or fishing?

NO (STOP here and return survey to your child’s school.) YES (Please check all that apply below)

Working in a cannery Working on a dairy farm

or ranch

Working in a fishery

Working on a poultry farm Working in a plant nursery,

orchard, tree growing or harvesting

Working in a slaughterhouse Other similar work, please explain:

__________________________________________________

Please complete the following information: (Please print) Best time to contact you: _____________

Parent/Guardian Name: Home Address/Apt Name: City: Zip Code:

Telephone Number: Mailing Address: City: Zip Code:

Please list any children who reside in the home who are under age 22 and NOT enrolled in school:

Family Survey

Fruit, vegetables, sunflower, cotton, wheat, grain, farms or ranches,

fields & vineyards

For School Use Only: Please fax survey with two YES responses to SAISD @ 210-228-4604

1st Attempt: 2nd Attempt: 3rd Attempt:For Migrant

Use Only:

Page 6: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

SAN ANTONIO INDEPENDENT SCHOOL DISTRICT

DIRECTORY INFORMATION and FERPA NOTICE School Year 2017-2018(Required Annually)

Parent's Signature:________________________________________________ Date:___________________

Failure to return this form within 10 days will be automatic permission to release the above information. Note to Schools: Data Clerks must enter restric on codes in student iTCCS database annually. File and retain completed forms in the student CRF un l replaced. 

San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender, or disability in providing education services, activities, and programs, including vocational programs, in accordance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; Section 504 of the Rehabilitat ion Act of 1973, as amended.

Student's Name:

Certain information about district students is considered directory information and will be released to anyone who follows the procedures for requesting the information unless the parent or guardian objects to the release of the directory information about the student. If you do not want San Antonio ISD to disclose directory information from your child's education records without your prior written consent, you must notify the district in writing within 10 days of your child’s first day of instruction.

Release for School Purposes: SAISD has designated the following information as directory information for school-sponsored purposes only: your child’s name, address, telephone number, photograph, honors and awards received, date and place of birth, dates of attendance, grade level, most recent school attended, participation in officially recognized activities and sports, and the weight and height of members of athletic teams. Also, the names, addresses and dates of birth of entering seniors may be disclosed to the Department of Education only, in order for SAISD to participate in the Free Application for Federal Student Aid (FAFSA) Completion Project, which allows SAISD to provide valuable support to senior students seeking financial aid for college.

ID#:

I do NOT give the district permission to use information in the list above for school-sponsored purposes.

I do NOT give the district permission to release my child’s information to a military recruiter or institution of higher education upon their request, without my prior written consent.

The District often needs to use student directory information for publication in the district yearbook, campus and district newsletters, a student directory and other school-sponsored publications. This information will not be used for other purposes without the consent of the parent or eligible student. Unless you object to the use of your child’s information for these limited purposes, the school will not need to ask your permission each time the district wishes to use this information for the school-sponsored purposes listed above. Please complete the following if you do not want your child’s information used for school-sponsored purposes.

Release to Military Recruiter or Universities: Federal law requires Districts receiving assistance under the Elementary and Secondary Education Act of 1965 (20 U.S.C. Section 6301 et. seq.) to provide a military recruiter or an institution of higher education, on request, with the name, address, and telephone number of a secondary student enrolled in the district, unless the parent or eligible student directs the District not to release information to these types of requestors without prior written consent. Please complete the following if you do not want your child’s information released to a military recruiter or an institution of higher education without your prior written consent:

F1-M and R

Permission for Photographs, Videotapes, and Audio Records - In order to shine a spotlight on all of the great events happening in SAISD, school staff or the media will sometimes need to take photographs, videotapes, or audio records of students for promotional purposes. Photos, videos or audio records produced by school staff may be used in school publications or promotions, or they may be posted on district or campus websites or social media. Please complete the following if you would NOT like to grant permission to the district, campus and the media to photograph, videotape or audio record your child at school/student events and activities located at the campus or District/school-sponsored forums, for use in District or Campus communications and/or by the media, solely for the purpose of promoting campus and District activities and programs.

I do NOT give the district permission for photographs, videotapes and audio records as described above.

Page 7: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

SAN ANTONIO INDEPENDENT SCHOOL DISTRICT

Parent-Student Handbook Acknowledgment

Dear Students and Parents:

The SAISD Parent-Student Handbook contains the Student Code of Conduct, the Acceptable Use Policy for Electronic Communications, and other District policies and procedures.

The SAISD Board of Education officially adopted the Student Code of Conduct in order to promote a safe and orderly learning environment for every student. Please review the Student Code of Conduct thoroughly. If you have any questions, we encourage you to ask for an explanation from the student’s teacher or campus administrator.

The student and a parent or guardian should complete the information below, sign in the spaces provided, and then return this document to the student's school.

We acknowledge that we have been offered the option to receive a paper copy or to electronically access the 2017-2018 Parent-Student Handbook at www.saisd.net. We are responsible for reading and understanding the information contained in this publication. The handbook is the same for high school, middle school, and elementary school.

We have chosen to (CHECK ONE BOX):

Access the Parent-Student Handbook on the District web site at www.saisd.net.

or

Receive a paper copy of the Parent-Student Handbook. (Limit one per family.)

Printed Name of Student: ___________________________________ ID #________________

Signature of Student: ___________________________________ Date: __________________

School: ____________________________________________ Grade Level: ______________

Printed Name of Parent/Guardian: ________________________________________________

Signature of Parent/Guardian: _______________________________ Date: ______________

Please sign this page and return it to your student's school.

San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender, or disability in providing education services, activities, and programs, including vocational programs, in accordance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; Section 504 of the Rehabilitation Act of 1973, as amended.

July 24, 2015 FORM F1-N

Page 8: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

July 17, 2012 F1-O

SAN ANTONIO INDEPENDENT SCHOOL DISTRICT

ETHNICITY AND RACE DATA QUESTIONNAIRE

(Required for all new Students)

The United States Department of Education (USDE) requires all state and local education institutions to collect data on ethnicity and race for students and staff. This information is used for state and federal accountability reporting as well as for reporting to the Office of Civil Rights and the Equal Employment Opportunity Commission.

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

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

PART 1. ETHNICITY. Is the person Hispanic/Latino? (Choose only one)

Hispanic/Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Not Hispanic/Latino

PART 2. RACE. What is the person’s race? (Choose one or more)

American Indian or Alaska Native - A person having origins in any of the original peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.

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

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

Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

____________________________________ Name of Student (please print)

_______________________________________ Signature of Parent/Guardian

____________________________ Student ID Number

________________________ Date

This space is reserved for the local school observer (if necessary). Upon completion of form and after entering data in student software system, file this form in student’s permanent folder.

Ethnicity – choose only one: _____ Hispanic / Latino _____ Not Hispanic/Latino

Race – choose one or more: _____ American Indian or Alaska Native _____ Asian _____ Black or African American _____ Native Hawaiian or Other Pacific Islander _____ White

Observer signature: Campus: Date:

Page 9: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

Dear Parent and Student,

Mandatory School Attendance Rules School Year 2017 - 2018

Student Name

Student #

Campus

State law requires every child in school to attend school daily. You may be subject to Truancy Prevention Measures if your child is absent for:

10 days or parts of days within a 6 month period in the same school year, or

3 days or parts of days within a four week period.

The following Truancy Prevention Measures in accordance with TEC 25.0915 are the completion of:

Individual Attendance Plan/Behavior Improvement Plan/Implement Plan Contract

School Based Community Service

Student referred to counseling, mediation, mentoring, a teen court program, community based services, or other in schoolor out of school services aimed at addressing the student’s truancy.

In accordance with Texas Education Code Section 25.085, a child who is required to attend school shall attend school each

school day for the entire period the program of instruction is provided, to include students who are at least six years of age,or who have been previously enrolled in first grade, and who have not yet reached their 19th birthday. Additionally, uponvoluntary enrollment in pre-kindergarten or kindergarten, a child shall attend school for the entire period of instruction.

The only acceptable excuses from attending school are the following:

Religious holy day.

Appointment with a healthcare professional if student commences classes or returns to school on the same day.

Attending funeral services for a member of the student’s immediate family (includes parent or sibling).

Visiting a college or university during the student’s junior and senior years of high school.

Required court appearances.

Certain situations when a parent or guardian is on active military duty.

Special education assessment procedures and special education-related services.

Appearing at a government office to complete paperwork for the student’s application for U.S. citizenship.

Taking part in a U.S. naturalization oath ceremony.

Serving as an election clerk.

Sounding “Taps” at a military honors funeral held in this state for a deceased veteran.

A temporary absence due to any reason that the teacher, principal, or Superintendent deems excused.

Tips on Doctor’s Visits:

Please schedule doctor’s appointments after school hours or on weekends whenever possible.

If an appointment is scheduled during school hours, please send your child to school before the appointment or return yourchild to school after the appointment. Otherwise the absence might be unexcused.

It is your responsibility to timely provide proper documentation for each excused absence request. Parent notes to request an unexcused absence must include:

1. Student’s name and ID#2. Date of the absence and reason for the absence;3. Current address and phone number; and4. Parent’s name and original signature.

All parent notes will be reviewed by the campus administrator in charge of attendance. If the cause for the absence is acceptable to the administrator, the absence will be excused. If the cause is not acceptable, the student will receive an unexcused absence. Excessive unexcused absences may lead to truancy prevention measures, as described above. X _ _ / /

PARENT/GUARDIAN SIGNATURE Date San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, sex, or disability in providing education services,

activities, and programs, including vocational programs, in accordance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; Section 504 of the Rehabilitation Act of 1973, as amended.

San Antonio ISD, 1700 Tampico Street ~ San Antonio, Texas 78207 ~ (210) 554-2585 ~ www.saisd.net

Page 10: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

San Antonio ISD is required by state law to collect the household income of all students enrolled at SAISD, therefore this worksheetmust be received from all students. Your informa on is con den al and will not be shared with anyone other than state educa ono cials, who will also maintain your con den ality. You can visit IncomeVeri ca on.SAISD.net for further instruc ons and help oncalcula ng annual household income.

Student ID: Campus Name:

Student Name:

Date of Birth:

SAN ANTONIO INDEPENDENT SCHOOL DISTRICTHOUSEHOLD INCOME VERIFICATION WORKSHEET

School Year 2017 - 2018

Completely ll in “YES” or “NO” for any programs your household is currently par cipa ng.

SNAP Eligible: YES NO TANF Eligible: YES NO

SNAP/TANF Eligibility Group #

Completely ll in your total combined annual (yearly) household income range. This will include all income earned from allmembers of your household. For combined household incomes over $107,374, please write in the amount.

0-22,311 22,312-30,044 30,045-37,777 37,778-45,510 45,511-53,243

53,244-60,976 60,977-68,709 68,710-76,442 76,443-84,175 84,176-91,908

91,909-99,641 99,642-107,374 Over 107,374, write in amount:

Completely ll in the total number of people living in your household, including parents and all children. For households over12 total people, please write in the number.

1 2 3 4 5 6 7 8 9 10 11 12

Over 12, write in number:

San Antonio ISD does not discriminate on the basis of race, religion, color, age, national origin, sex, or disability in providing education services, activities, and programs, including vocational programs, in accordance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; section 504 of the Rehabilitation Act of 1973, as amended.

Parent Name: ______________________________ Signature: _______________________________ Date:_____________

Address: _____________________________________________________________ Phone #: _______________________

Page 11: San Antonio Independent School District Student ... · San Antonio Independent School District does not discriminate on the basis of race, religion, color, national origin, gender,

San Antonio Independent School District 1700 Tampico, Ste. 114 • San Antonio, Texas 78207

Telephone (210) 554-2635 Office of the Family & Student Support Services

March 30, 2017

Dear SAISD Parents

The office of Family & Student Support Services has had the pleasure of serving SAISD families and students for many years. The staff have assisted families and students who are in

• Temporarily living situations with family or friends due to aloss of housing because of:

o Evictiono Foreclosureo Unemploymento Fireo Domestic violenceo Utility disconnection

• Residing in a shelter or transitional housing• Hotel / Motel• Vehicle or campground• Moving from place to place• Unaccompanied youth living with friends• Safety plan with Child Protective Services• Foster Care (CPS Foster or Kinship placement)• Or other types of temporary housing

The staff also assist children who are in foster care with the Department of Family & Protective Services.

If during the summer you and your children experience any of the above living situations or placements, please call our offices for the 2017-2018 school year. We will be ready to serve you and your children on August 1, 2017. Thank you.

At your service: Family & Student Support Services 1700 Tampico, Ste. 111 San Antonio - 78207 210-554-2635Office Hours: 8:00 AM to 4:30 PMwww.saisd.net/fsss

BOARD OF EDUCATION

PATTI RADLEPresident

ARTHUR V. VALDEZVice President

DEBRA A. GUERREROSecretary

ED GARZAMember

JAMES HOWARDMember

STEVE LECHOLOPMember

CHRISTINA MARTINEZMember

PEDRO MARTINEZSuperintendent

Parents, please keep this letter for your reference.

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San Antonio Independent School District 611 N. Main Avenue

Telephone (210) 554-2435 • Fax (210) 228-3122 Student Health Services Department

Dear Parents/Guardians of Pre-K students,

We want to take this opportunity to remind you of the Texas school immunization requirements for students entering Kindergarten for the 2017-2018 school year. It is possible that your child may need additional vaccines prior to entering school in August.

The following are required for entry into Kindergarten: • MMR (measles, mumps, rubella) – 2 doses

• Varicella (chickenpox) vaccine - 2 doses, or proof of chicken pox illness

• Hepatitis A – 2 doses

• DTap – 5 doses, one of which must have been received on or after the 4th

birthday. However, 4 doses meet the requirement if the 4th dose was received onor after the 4th birthday.

• Polio – 4 doses, one of which must have been received on or after the 4th

birthday. However, 3 doses meet the requirement if the 3rd dose was receivedon or after the 4th birthday.

Please do not wait until August to update your child’s shots. By law, children are not able to attend school until these requirements are met. We encourage you to make an appointment as soon as possible to avoid long lines in doctor’s offices and immunization clinics. Be sure to take your child’s shot record with you. If you have any questions, please contact your school nurse, your child’s primary care provider, or the San Antonio Metropolitan Health District (210-207-8894).

Once your child has the required immunizations, please bring the updated shot record to the school nurse so your child’s immunization status can be updated to avoid school exclusion at the beginning of the 2017-2018 school year.

Thank you for your cooperation. SAISD Student Health Services

H-711A February 2017

Parents, please keep this letter for your reference.

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Parents, please keep this document for your reference.

San Antonio Independent School District 611 N. Main Avenue

Telephone (210) 554-2435 • Fax (210) 228-3122

Student Health Services Department

Dear Parents/Guardians of 6th grade students,

We want to take this opportunity to remind you of the Texas school immunization

requirements for students entering 7th grade for the 2017-2018 school year. It is likely

that your child will need additional vaccines prior to entering school in August.

The following are required for entry into 7th grade:

Tdap booster - if it has been five years or more since the last dose of tetanus-

containing vaccine

Meningococcal vaccine (MCV4)

Varicella (chickenpox) vaccine - 2 doses, or proof of chicken pox illness

Please do not wait until August to update your child’s shots. By law, children are

not able to attend school until these requirements are met. We encourage you to make

an appointment as soon as possible to avoid long lines in doctor’s offices and

immunization clinics. Be sure to take your child’s shot record with you. If you have any

questions, please contact your school nurse, your child’s primary care provider, or the

San Antonio Metropolitan Health District (210-207-8894).

Once your child has the required immunizations, please bring the updated shot record

to the school nurse so your child’s immunization status can be updated to avoid school

exclusion at the beginning of the 2017-2018 school year.

Thank you for your cooperation.

SAISD Student Health Services

H-712A February 2017

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Two New Forms of Parent Communication Be in the know. On the go. In 2 simple steps.

❶Download the mySAISD Parent Access mobile app The mySAISD Parent Access mobile app is a resource that provides your child’s school information, including grades and attendance. It is available on Google Play and The Apple App Store. Once you have the app installed, begin the registration process by clicking the Register button on your login screen. You will need to get a mySAISD Parent Access key from your child’s campus. The campus receptionist will access your key from iDataPortal. There is one key per student so you will need to get the key for each of your children. After submitting your registration form in the app, you will receive an email notification informing you of your request status. Have questions? Please contact your Support Team at [email protected] or visit http://www.saisd.net/mySAISD.

❷Provide or update your email address with your child’s school On the Student Registration Data form (the first form in this registration packet), you will find that the parent/guardian sections request your email address. It is important to provide it! The SchoolMessenger system notifies parents via email for reasons including:

• Emergency broadcasts • Student attendance alerts • Upcoming school events such as statewide testing and parent meetings • Other communications for education

Parents, please keep this document for your reference.