Kindergarten Registration

Transcription

1 Kindergarten Registration Findlay City Schools is now enrolling kindergarteners for the school year. All children must turn 5 years of age by August 1, Parent may go to their home elementary building to register between 8:00 a.m. and 4:00 p.m. Your child does not need to accompany you for enrollment. If you are unsure which building your child will be attending, please call Jacobs Primary 600 Jacobs Avenue Jefferson Primary 204 Fairlawn Place Lincoln Elementary 200 West Lincoln Street Northview Primary 133 Lexington Avenue Whittier Primary 733 Wyandot Avenue After May 31, you will go to the Welcome Center to register your kindergartener. The Welcome Center is located at 2019 Broad Avenue in the Great Scot plaza. Office hours are 7:30 4:00 p.m. on school days. (Summer/holiday hours may vary.) You also need to go to and sign up for kindergarten screening. Screenings will be held in May. The building secretary can help you with this process or you may call In order to enroll your child, you will need to provide the following items: Proof of Residency in one of these forms (must be current and have parent name): Lease or Rental Agreement Real Estate Tax Bill or Mortgage Statement Bank Statement Utility Bill (not a cell phone, medical, or credit card bill) OR notarized affidavit if residing with someone else and none of the above documents are in the parent s name (forms available at FCS Welcome Center) Child s Birth Certificate Ohio law requires we see an original or attested copy Child s Immunization Record Child s Social Security Card Driver s License (or other parent photo identification) Child custody papers and/or divorce decree, or guardianship documents if child is court-placed Please call if you have questions. We look forward to meeting you and your child! Welcome Center 2019 Broad Avenue, Findlay, Ohio Phone: Fax: welcome@fcs.org

2 Findlay City Schools Immunization Requirements K-12 Ohio Law requires all student have a minimum of the immunizations listed below to attend school. A record of these immunizations must be on file with the school by the 14 th DAY AFTER THE STUDENT BEGINS SCHOOL OR THE STUDENT WILL BE EXCLUDED. VACCINES DTaP/DT Tdap/Td Diphtheria, Tetanus, Pertussis POLIO MMR Measles, Mumps, Rubella HEP B Hepatitis B Varicella (Chickenpox) MCV4 Meningococcal IMMUNIZATIONS FOR SCHOOL ATTENDANCE Grade K Four (4) or more of DTaP or DT, or any combination. If all four doses were given before the 4th birthday, a fifth (5) dose is required. If the fourth dose was administered at least six months after the third dose, and on or after the 4th birthday, a fifth (5) dose is not required.* Grades 1-12 Four (4) or more of DTaP or DT, or any combination. Three doses of Td or a combination of Td and Tdap is the minimum acceptable for children age seven (7) and up. Grades 7-12 One (1) dose of Tdap vaccine must be administered prior to entry.** Grades K-6 Three (3) or more doses of IPV. The FINAL dose must be administered on or after the 4th birthday regardless of the number of previous doses. If a combination of OPV and IPV was received, four (4) doses of either vaccine are required.*** Grades 7-12 Three (3) or more doses of IPV or OPV. If the third dose of either series was received prior to the fourth birthday, a fourth (4) dose is required; If a combination of OPV and IPV was received, four (4) doses of either vaccine are required. Grades K-12 Two (2) doses of MMR. Dose 1 must be administered on or after the first birthday. The second dose must be administered at least 28 days after dose 1. Grades K-12 Three (3) doses of Hepatitis B. The second dose must be administered at least 28 days after the first dose. The third dose must be given at least 16 weeks after the first dose and at least 8 weeks after the second dose. The last dose in the series (third or fourth dose), must not be administered before age 24 weeks. Grades K-6 Two (2) doses of varicella vaccine must be administered prior to entry. Dose 1 must be administered on or after the first birthday. The second dose should be administered at least three (3) months after dose one (1); however, if the second dose is administered at least 28 days after first dose, it is considered valid. Grades 7-10 One (1) dose of varicella vaccine must be administered on or after the first birthday. Grade 7 One (1) dose of meningococcal (serogroup A, C, W, and Y) vaccine must be administered prior to entry. Grade 12 Two (2) doses of meningococcal (serogroup A, C, W, and Y) vaccine must be administered prior to entry. NOTES: Recommended Immunization Schedules for Persons Aged 0 Through 18 Years or the Catchup Immunization Schedule for Persons Aged 4 Months Through 18 Years Who Start Late or Who Are More Than 1 Month Behind, as published by the Advisory Committee on Immunization Practices. Schedules are available for print or download at terval or age are valid (grace period). Doses administered 5 days earlier than the minimum interval or age are not valid doses and should be repeated as age-appropriate. If MMR and Varicella are not given on the same day, the doses must be separated by at least 28 days with no grace period. ector s Journal Entry (available at Immunization: Required Vaccines for Childcare and School). These documents list required and recommended immunizations and indicate exemptions to immunizations or (614) with questions or concerns. *Recommended DTaP or DT minimum intervals for kindergarten students four (4) weeks between doses 1-2 and 2-3; six (6) month minimum intervals between doses 3-4 and 4-5. If a fifth dose is administered prior to the 4th birthday, a sixth dose is recommended but not required. ** Pupils who received one dose of Tdap as part of the initial series are not required to receive another dose. For students in 12th grade, one dose of Td (Tetanus and diphtheria) is acceptable. Tdap can be given regardless of the interval since the last Tetanus or diphtheria- toxoid containing vaccine. DTaP given to patients age 7 or older can be counted as valid for the one-time Tdap dose. *** The final polio dose in the IPV series must be administered at age 4 or older with at least six months between the final and previous dose. **** Recommended MCV4 minimum interval of at least eight (8) weeks between dose one (1) and dose two (2). If the first (1st) dose of MCV4 was administered on or after the 16th birthday, a second (2nd) dose is not required. If a pupil is in 12th grade and is 15 years of age or younger, only 1 dose is required. Currently there are no school entry requirements for meningococcal B vaccine.

3 Enrollment Questionnaire Rev. 09/19/17 Office Use: Student ID Adm. Date Student Information Has your child ever attended Findlay City Schools? No Yes PLEASE PRINT LEGIBLY If so, which building / year Student First Name Student Middle Name Student Last Name Student Called Name Street Address City State Zip Code Contact Phone Number with Area Code Date of Birth Birth City Social Security Number Entering Grade School Year Male Female Which language(s) are spoken in the home? Resident Status please check one: Resident Open Enrollment Foster (Court-placed) Citizenship Status please check one: U.S. Citizen Exchange Student Years in U.S. Non-U.S. Citizen Years in U.S. Is the student of Hispanic/Latino origin, regardless of race? Yes No Ethnicity: (Please select one or more) White Black or African American Hispanic Asian Pacific Islander or Native Hawaiian Am. Indian or Alaskan Native Please indicate if this child has an Individual Education Plan (IEP) YES Has been in Special Education classes NO Has NOT been in Special Education classes If YES was checked, what is the child s identified condition? 504 Plan Emotionally Disturbed Other Health Impairment-Minor Autism Hearing Impairment Specific Learning Disability Cognitive Disability Multi-handicapped Speech Language Impairment Deaf-Blindness Orthopedic Impairment Traumatic Brain Injury Developmental Delay Other Health Impairment-Major Visual Impairment *** Continue to second page ***

4 Enrollment Questionnaire continued Is your child identified as Gifted? Yes No If YES was checked, in what area(s)? For incoming Kindergarten only: Did your child attend preschool? If yes, where? (Please include city/state if outside Findlay) Parent Information Marital status of BIOLOGICAL parents: Married Divorced Separated Widowed Never Married Who has legal custody of this child? Both Parents Mother only Father only Grandparents Foster family Mother/stepfather Father/stepmother Other If foster/guardian, what district did the natural parent(s) reside in at the time you received custody? Name of school district Do you have court papers regarding custody of this child? N/A No Yes (court papers must be provided) WHO DOES THE STUDENT LIVE WITH? Check all that apply: Print First / Last Name Cell Phone Military Status, if applicable Mother Stepmother Active Duty National Guard Father Stepfather Active Duty National Guard Legal Guardian Grandparent Foster Parent Active Duty National Guard Please list any school-age children in the household: Name Grade School Bldg (if known) Name Grade School Bldg (if known) Name Grade School Bldg (if known) Name Grade School Bldg (if known) Proof of residency, original birth certificate, social security card (optional), immunization records, parent identification, and if applicable, custody papers must accompany this form to complete registration. I certify to the best of my ability, that the information provided is true and accurate. Signature of parent or legal guardian Date

5 Home Language Survey PLEASE PRINT LEGIBLY Student s Family Name (Last Name) Student s First Name Male/Female Grade Is English the only language spoken by all individuals in the home? MARK Yes If yes please sign & date the form at the bottom and you are done. ONE: No If no please complete the remainder of this form. Birth Date Month / Day / Year Place of Birth City / State / Country Name of Parent/Guardian (Family Name) First Name Street Address City State Zip Code ( ) ( ) Home or Cell Phone with Area Code Work Phone with Area Code Address: U.S. Entry Date (approx.) Nationality: Sponsor / Contact Person: Phone number: 1. Please mark/list all languages that are spoken in the home: Arabic Chinese English French German Japanese Korean Laotian Philippino Spanish Tagalog Tamil Vietnamese Other: 2. What language does your son/daughter use most frequently at home? 3. Which language did your child learn first? 4. What language do you use most frequently with your son/daughter? 5. What language do the adults at home most often speak? 6. How long has your son/daughter attended school in home country? in the U.S.A.? 7. Age when first attended school? 8. Date of last school attendance in home country: in the U.S.A. 9. In what language has your child received instruction? 10. In which language do you prefer to get written information from the school? 11. In which language do you want to receive oral or spoken information from school? Signature of parent or legal guardian Date Revised

6 OFFICE USE Copy of form sent to ESL teacher: Date sent: For School District Personnel: If the answer to any of the first four questions is a language other than English, indicate the student s native/home language in EMIS Student Data Element ( ), and proceed to assess the student s English language proficiency. ENGLISH LANGUAGE ASSESSMENT Communication Skill Proficiency Level Listening: Beginning Intermediate Advanced Proficient Speaking: Beginning Intermediate Advanced Proficient Reading: Beginning Intermediate Advanced Proficient Writing: Beginning Intermediate Advanced Proficient Assessment instrument(s) used: Student is LEP? Yes No Background information Date of Enrollment: Grade Level: Based on the discussion of the information provided through records, assessment, and consultations, the team has determined that this student is eligible for ESL services. Parent Parent ESL Teacher Regular Education Teacher District Representative Other I give consent to initiate ESL services as recommended above. I do not give consent to initiate ESL services as recommended above.

7 FINDLAY CITY SCHOOLS STUDENT TRANSPORTATION REGISTRATION In an effort to make our bus routes more efficient, we are now requiring parents/guardians to request transportation for their student(s). YOU MUST COMPLETE AND RETURN THIS FORM EACH SCHOOL YEAR IN ORDER FOR YOUR STUDENT TO BE PLACED ON A ROUTE. Please complete the form even if your child does not need to ride the school bus. (Please complete one form for each student) Current student: New student: Student withdrew: Student moved: Student s name: D.0.B: Student s Address: If student has moved, previous address: Phone #: Other #: Mother s Name: Father s Name: School Year: Building: Grade: Specify IEP Program: Special Equipment: TRANSPORTATION NEEDED: AM PM BOTH MY CHILD DOES NOT NEED TO RIDE THE SCHOOL BUS Please keep in mind that if your child lives in a designated walk area this form will not override bussing eligibility. To request bus service for a student residing in the designated walk area, to accommodate a sitter situation or to request a change in an eligible student s bus stop assignment, please complete a Bus Service Request Form. The form can be picked up at your child s school or can be found on the District s website at Click on District Information, Transportation, Bus Service Request Form. Parent/Guardian Signature: Please return this form to your student s school. You may also mail or fax this form to: Findlay City Schools Transportation Department 2019 Broad Ave Findlay, OH Fax: *This Section to be Completed by the Transportation Department* Bus Service for the above student has been established as follows and can begin on the date indicated: BUS STOP STOP TIME *Circle one: AM BUS# Crosser/Doorside PM BUS# NOON BUS# *Authorized Start Date: *School Secretary will notify parent of bus information Crosser/Doorside Crosser/Doorside

8 THE FOLLOWING 2 PROOF OF RESIDENCY FORMS ARE ONLY FOR FAMILIES RESIDING WITH FRIENDS OR RELATIVES. PLEASE DISREGARD IF YOU RENT OR OWN YOUR OWN HOME. Findlay City Schools requires proof of residency for attending students. If a family is residing with another family for any reason, the parent will complete the Residency Statement and the homeowner/renter will need to provide a NOTARIZED AFFIDAVIT before the child can attend school. Affidavit Guidelines: Affidavit must be signed in the presence of a notary public. A driver s license or other form of legal photo identification must be presented to the notary. One of the following documents will need to be provided as proof of residency: lease or rental agreement, utility bill, bank statement, mortgage statement, or real estate tax bill. The proof of residency document must be current and have the name and address of the person completing the form. Please attach a photocopy to the form. You may utilize a private notary, a notary at a banking institution (generally free of charge), or through Findlay City Schools. The notaries in the FCS Administrative offices are generally available 8:00 11:30 a.m. and 1:30-3:30 p.m. You are welcome to call ahead to assure a notary will be available to meet with you. Findlay City Schools Administration 2109 Broad Avenue Findlay City Schools 2019 Broad Avenue Findlay, Ohio

9 TO BE COMPLETED BY PARENT RESIDENCY STATEMENT I,, certify that I am the custodial parent/legal guardian of (child/children) and I have established residency at (address or description) as of (Month/Day/Year). This residency is: temporary (plan to move to own residence in near future) permanent / long-term (future plans may be unknown) So that we can determine if your child qualifies for benefits under the McKinney-Vento Act, please select your living description: Living with a friend, relative or someone else because of a relationship or a family arrangement (moving in with a fiancé, caring for an ill relative, paying rent, childcare, etc.); Living with a friend, relative or someone else because we have lost our home or we are having temporary financial problems; Living with a friend, relative or someone else due to relocation until we find local housing; Staying in a motel, hotel, trailer park, or campground because we have nowhere else to go; Staying in a motel/hotel provided by employer or while waiting on availability of new home purchase/rental; Living in a shelter, including emergency, transitional, domestic violence shelters; Staying in substandard housing that poses a risk to the health or safety of its occupants; Living in a place not ordinarily used for sleeping (cars, public places, or abandoned buildings) I further certify that the student(s) above does reside with me at this address. If my residency should change I shall notify Findlay City Schools within 14 days. I acknowledge and understand that if the above information is not true and correct, that knowingly swearing or affirming the truth thereof constitutes criminal falsification, a violation of Ohio Revised Code Section , a first degree misdemeanor, punishable by a maximum fine of $1,000 and/or a maximum term of imprisonment of six months. Furthermore, by signing this form you are accepting financial responsibility for tuition for the above named student(s) should the student live elsewhere. I agree that the Findlay City School District, if they deem necessary, has the right to investigate my residency. I agree to allow the release of rental information and also utility customer information to a representative of the Findlay City Schools. Signature Date

10 TO BE COMPLETED BY HOMEOWNER / RENTER AFFIDAVIT FOR FAMILIES RESIDING WITH FRIENDS OR RELATIVES I,, being first duly cautioned, do solemnly swear or affirm the following: 1. I am the owner or renter of the residence at:,, Ohio, located in the Findlay City School District. 2. The following individual(s): 3. Name of Parent/Guardian Name of student(s) are living with me due to 4. The above individual(s) are living at my above stated residence and have so since the day of,. 5. Proof of residency of owner/renter was verified via (ATTACH COPY). (Items accepted for proof of residency: mortgage statement, real estate tax bill, lease or rental agreement, bank statement, or utility bill,) 6. I acknowledge and understand that if the above information is not true and correct, that knowingly swearing or affirming the truth thereof constitutes criminal falsification, a violation of Ohio Revised Code Section , a first degree misdemeanor, punishable by a maximum fine of $1,000 and/or a maximum term of imprisonment of six months. Furthermore, by signing this form you are accepting financial responsibility for tuition for the above named student(s) should the student live elsewhere. 7. I agree that the Findlay City School District, if they deem necessary, has the right to investigate my residency. I agree to allow the release of rental information and also utility customer information to a representative of the Findlay City Schools. DO NOT SIGN UNTIL IN PRESENCE OF A NOTARY Signature Date *********************************************************************************************************************************** Notary Section Sworn to or affirmed and subscribed before me this day of,. By Notary Public Date Findlay City Schools 2019 Broad Avenue Findlay, Ohio