NEW STUDENT REGISTRATION PACKET...new student registration packet fountain hills high school fountain.hills online 16100 e. palisades blvd. fountain hills, az 85268 registrar: carmen

fhusd enroll form rev. 02/04/2020

NEW STUDENT REGISTRATION PACKET

FOUNTAIN HILLS HIGH SCHOOL

FOUNTAIN.HILLS ONLINE

16100 E. PALISADES BLVD.

FOUNTAIN HILLS, AZ 85268

REGISTRAR: CARMEN ONTIVEROS

[email protected]

FAX: 480-664-5597

FOUNTAIN HILLS MIDDLE SCHOOL

15414 N. MCDOWELL MOUNTAIN RD.


REGISTRAR: KRISTINE HILEMAN

[email protected]

FAX:480-664-5499

MCDOWELL MOUNTAIN ELEMENTARY

14825 N. FAYETTE DR.


REGISTRAR: LISA CARTAGINE [email protected]

FAX: 480-664-5299

The following items must accompany the completed enrollment packet in order to enroll your child.

Certified copy of the child’s birth certificate

Up-to-date immunization record

Proof of residency showing you reside within the district boundaries. Acceptable items are identified on the state of Arizona residency form found in this packet

If transferring from an Arizona public or charter school, we require a copy of the withdrawal form from the previous school

You may find additional information online on our website’s enrollment page at www.fhusd.org

Please complete this packet in its entirety and return it to your child’s enrolling school.

mailto:[email protected]



http://www.fhusd.org/


ENROLLMENT PACKET CHECKLIST

Welcome to Fountain Hills Unified School District where we “Achieve and Celebrate Excellence.”

Please ensure all necessary paperwork documents are present at the time of enrollment. Incomplete packets will not be accepted.

Enrolling your student at one of our schools will require the following documents:

Proof of Residency: In order to register your student, the parent/guardian must provide the school with one piece of documentation, noted on the Arizona Residency form, indicating your current residence.

Immunization Records: Proof of immunizations are required at the time of enrollment.

Official State Issued Birth Certificate: This MUST be an original document

Withdrawal Form: Please have the withdrawal form from the Arizona school where your child was most recently enrolled.

Legal Guardianship or Custody Papers are needed for the following:

An adoption has taken place. This is recognized with an amended birth certificate and student lives with the adoptive parent(s).

The student lives with one custodial parent as the result of a divorce.

The student lives with someone other than their parents. We must have court papers granting guardianship on file at the school.

Individualized Learning Plans, Evaluations and Other Related Documents: Students who are presently receiving special services (special education, gifted, ELL, 504) are encouraged to provide documentation for services at the time of enrollment.

PARENT GUARDIAN CHECKLIST

All forms have been signed and dated by the enrolling parent/guardian

Any form not pertaining to my child has been marked NA, signed and dated

Arizona Residency documentation and form

Affidavit of Shared Residence has been signed in the presence of a notary (when applicable)

Home Language Survey (HLS) form has been completed

All required original documents from the previous column are present

Emergency Health Card has been completed

All Required documents are present with completed enrollment packet

FOUNTAIN HILLS UNIFIED SCHOOL DISTRICT STUDENT REGISTRATION PACKET Part A


ENROLLING SCHOOL: _________________________________________ GRADE LEVEL: _____________ ENROLLMENT YEAR: ___________

LEGAL NAME AS ON THE BIRTH CERTIFICATE, LAST: __________________________ FIRST: _____________________ MIDDLE: _________

ADDRESS: _______________________________________________ CITY: _________________________ STATE: _______ ZIP: _____________

MAILING ADDRESS:________________________________________ CITY: _________________________ STATE: _______ ZIP: _____________

PRIMARY PHONE FOR AUTOMATED ATTENDANCE CALLS: ___________________________________________

GENDER: MALE FEMALE BIRTHDATE: _____________ STATE OF BIRTH: _____ COUNTRY OF BIRTH: __________________

DO YOU HAVE CUSTODY PAPERS? YES NO, IF YES PROVIDE COURT DOCUMENTS TO THE SCHOOL OFFICE

ETHNICITY:(choose one) HISPANIC/LATINO NOT HISPANIC/LATINO

RACE:(choose one or more regardless of ethnicity) WHITE ASIAN HISPANIC

BLACK/AFRICAN AMERICAN NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER AMERICAN INDIAN OR ALASKAN NATIVE

PARENT/GUARDIAN CONTACT INFORMATION – SEE PRIMARY PARENT CONTACT DEFINITION IN PART A The school will honor the non-custodial parent’s requests for information unless copies of custody papers or copies of court orders restricting the non-custodial parent’s access to such information is on file at the school. Legal Guardians, a copy of the court order indicating custody must be on file.

CONTACT ONE: PRIMARY PARENT/GUARDIAN: RELATIONSHIP: PARENT STEP PARENT GRANDPARENT FOSTER PARENT LEGAL GUARDIAN OTHER: ________________

LEGAL LAST NAME: _________________________________ LEGAL FIRST NAME: ___________________________ MIDDLE INT: _____________

HOME PHONE: __________________ CELL WORK PHONE: __________________ EMAIL ADDRESS: ________________________________

ADDRESS: SAME AS STUDENT, IF NOT: ___________________________________________________________________________________

CONTACT TWO: PARENT/GUARDIAN: RELATIONSHIP: PARENT STEP PARENT GRANDPARENT FOSTER PARENT LEGAL GUARDIAN OTHER: _______________

LEGAL LAST NAME: _________________________________ LEGAL FIRST NAME: __________________________ MIDDLE INT: _____________



CONTACT THREE: PARENT/GUARDIAN: RELATIONSHIP: PARENT STEP PARENT GRANDPARENT FOSTER PARENT LEGAL GUARDIAN OTHER: ________________

LEGAL LAST NAME: _________________________________ LEGAL FIRST NAME: ___________________________ MIDDLE INT: _____________



CONTACT FOUR: PARENT/GUARDIAN: RELATIONSHIP: PARENT STEP PARENT GRANDPARENT FOSTER PARENT LEGAL GUARDIAN OTHER: ________________

LEGAL LAST NAME: _________________________________ LEGAL FIRST NAME: __________________________ MIDDLE INT: _____________



EMERGENCY OR STUDENT BEING SENT HOME: If my child must leave school and I am unavailable, I authorize the following to take temporary custody

of my child for any circumstance. I understand it is my responsibility to notify the school in advance who will pick up my child and when my child will be leaving.

EMERGENCY CONTACT 1: _____________________________________ RELATIONSHIP TO STUDENT: ___________________________________

PRIMARY PHONE: ____________________________________________ ALTERNATE PHONE: ______________________________________





SIGNATURE: _____________________________________________________________________________ DATE:________ __________

I understand my responsibility to notify the school, in writing, of any changes. I have read and understand the information provided to me in this registration packet.

FOUNTAIN HILLS UNIFIED SCHOOL DISTRICT STUDENT REGISTRATION PACKET Part A


PRIMARY PARENT CONTACT DEFINITION The primary parent contact is ordinarily the natural parent, adoptive parent or legal guardian with whom the student lives most of the school week and who signs school registration forms. In the event of an emergency, school staff members will attempt to contact the primary parent first, unless a different order is indicated. If the primary parent cannot be reached, the school staff will then call the other parents/guardians listed. If the primary parent or other parents/guardians cannot be reached, school staff will call the individuals listed as emergency contacts.

STUDENT HANDBOOKS AND BEHAVIOR GUIDELINES

During the first week of school, your child will be given classroom rules provided by teachers and a student handbook concerning student behavior expectations, to bring home and share with you. If you do not receive this from your child within the first two weeks of school, or if you need more information, please contact the school office.

OPT OUT OPTIONS STUDENT INTERNET Fountain Hills Unified School District provides students Internet access and student accounts, which may include email, calendars, documents and file storage to support academic activities. Teachers provide guidance and direction on the appropriate use of the Internet in accordance with the federal Child Internet Protection Act (CIPA), the district uses filters to block access to web content that is inappropriate. Student and Parent sign the Use of Technology agreement upon enrollment. Unless you opt out your child is provided school Internet access and an FHUSD student account accessible from school or home. Home web content filtering and monitoring is the responsibility of the parent/guardian.

DISTRICT AND NEWS MEDIA COVERAGE Your child may be interviewed, photographed, audio- or video-recorded by the news media or district staff for print, radio, television, Internet content or other medium.

DIRECTORY INFORMATION In limited situations, the district may disclose “directory information,” which is the student’s name, address, email address and telephone number; the parents’ names, addresses and telephone numbers; the student’s photograph; date and place of birth; class/grade level; enrollment dates; weight and height if the student is a member of an

athletic team; awards received; and extracurricular participation. Unless the parent opts out of directory information releases, the district will disclose such information only if the request is from (i) a post-secondary institution such as a college or university; (ii) a law enforcement agency or the Department of Child Safety; or (iii) a vendor selected by the school to provide a school-related service, such as class photos and yearbooks. Under no circumstance will the district provide directory information to a person or entity for a mass marketing purpose.

REQUESTS BY MILITARY RECRUITERS The district must release a high school student’s name, address and telephone number to military recruiters, unless you direct otherwise.

HOW TO OPT OUT You may opt out of district and news media coverage or directory information releases by completing an Opt Out form and submitting it to the school office within the first two weeks of school or enrollment, whichever is later. • You may opt out of student Internet access or requests by military recruiters by completing an Opt Out form and submitting it to the school office anytime during the school year. This form must be resubmitted each school year. The Opt Out form is available in the school office or on FHUSD's website, choose enrollment.

ATTENDANCE We count on parents to ensure that children attend school and arrive on time. The following guidelines regarding absence reporting and responsibility have been set forth by the Arizona Department of Education. Students facing a chronic illness should seek guidance from Administrators. Board Policy regarding attendance can be found online at azsba.org

ADE GUIDELINE EX-1 ABSENCES Pursuant to A.R.S. §15-901(A)(1), “..excused absences shall be identified by the Department of Education..”. The Department of Education defines an excused absence as being an absence due to illness, doctor appointment, bereavement, family emergencies and out-of-school suspensions. The Department of Education delegates the decision of family vacations as an excused absence to individual school districts and charter holders. All absences in excess of a cumulative 10% of the instructional days for the school year shall be reported as unexcused. Statute does not prohibit the reenrollment of a student withdrawn after 10 consecutive unexcused absences. However, once a student crosses the 10% threshold, all absences shall be reported as unexcused regardless of multiple enrollments within the same

Local Educations Agency (LEA). For absences related to illness, doctor appointment, bereavement, family emergencies, or district approved family vacation to be counted as excused absences, the school must be notified of the absence prior to the absence or when the absence occurs by the parent or legal guardian who has custody of the student. If an absence occurs relating to any other term or condition that is not specifically designated herein, the absence shall be counted as unexcused. Students absent for ten (10) consecutive school days, except for excused absences identified herein, shall be withdrawn from the school, pursuant to A.R.S. §15-901(A)(2).

We will review prolonged illnesses and unusual circumstances. If we have not heard from parents after children miss 10 days in a row, they will be withdrawn from school.

TRUANCY Students must be in school until they successfully complete the 10th grade or reach the age of 16. Attendance officers may talk to students about legal consequences of truancy. If students are habitually truant or excessively absent, parents and students may be cited and referred.

AUTOMATED CALLS AND MESSAGES FHUSD utilizes software to notify parents of unverified absences, emergencies and other events related to your student’s school experience. Express consent for these calls and messages is given when phone numbers are provided to the school. You may opt out from some calls and messaging we send. However, unverified absence and emergency calls are not optional. Primary parent will be contacted for absences. It is the parent/guardian responsibility to ensure your students school has the most up to-date contact

information on file. All other notification preferences may be set-up from within the PowerSchool parent portal by clicking on the Alert Solutions link and selecting your choices. FYI when making these choices understand that optional calls and messages can be sent utilizing using any or all modalities of contact, home, cell, text, email, and that choice is made at the time a message is being constructed. If you need help with setting up the parent portal or you have questions, please contact your student’s school.

http://www.fountainhillsschools.org/

FOUNTAIN HILLS UNIFIED SCHOOL DISTRICT STUDENT REGISTRATION PACKET Part B


STUDENT NAME: _________________________________ GRADE: _______ PARENT/GUARDIAN NAME: ____________________________

PREVIOUS SCHOOLS ATTENDED

Last school attended: ___________________________________ Address: _____________________________________ Dates: _______________

Type: Public Private Charter Alternative Correctional Facility Other: __________________________________

Has this student ever attended a school in Fountain Hills Unified School District? Yes No, if yes indicate grades and years: _____________

SPECIAL CLASSES AND ACCOMMODATIONS

Has this student ever participated in special classes or programs? Yes No, if yes check the appropriate boxes below.

Honors/Gifted Advance Placement Band Title 1

SEI/English Language Development Speech Therapy

Special Education: ED Autism SLD MOID MMID SID OT SLI Other

Does this student have an IEP? Yes No, if yes, please provide a copy

Does this student have a MET? Yes No, if yes, please provide a copy

Does this student have a 504 plan? Yes No, if yes, please provide a copy

LEGAL DOCUMENTS

Please mark any items that apply to this student and provide the school with copies of related documents

Custody/parenting agreement Student is not living with his/her biological parents

Student is covered by a court order regarding school Letters of guardianship for court appointed guardian

Student has an injunction against harassment against/by another person Power of attorney

SUSPENSION/EXPULSION DISCIPLINE INFORMATION

Has this student ever been suspended from school? Yes No – Date(s): _________________________________________

Has this student ever been expelled from school? Yes No – Date(s): _________________________________________

Has either action ever been recommended for this student? Yes No – Date(s): _________________________________________

Is student currently being recommended for expulsion? Yes No

Was student going to lose credit for any classes at the time of withdrawal from previous school due to attendance or discipline? Yes No

Suspension/Expulsion incidents

Dates of suspension/expulsion: _______________________ Name of school: ________________________________________________________

Length of suspension/expulsion: 1-5 days 6-10 days More than 10 days, specify: ________________________________

Reason for suspension/expulsion: ___________________________________________________________________________________________







OTHER Transportation to and from school will be: Bus Walking Parent will transport Other ____________________________________

MEDIA PERMISSION: Yes No PERMISSION YEARBOOK ONLY: Yes No PERMISSION PHOTO ONLY,no name: Yes No

My child’s image, classwork, or name may be used in district media coverage and publications which may include but is not limited to local newspaper, brochure, flyers, yearbooks, FHUSD website and other purposes of school district public relations.

INTERNAL OFFICE ONLY

Student ID: __________________ Open Enrollment Approved CEC A CEC B 45-day screen routed______________________

Student Services Notified Birth Certificate received Arizona Residency form received Withdrawal form received Custody documents

ELL Folder created Immunizations to HO Student handbook given to student Primary phone number is noted

NOTES: __________________________________________________________________________________________________________ _____________

FOUNTAIN HILLS UNIFIED SCHOOL DISTRICT STUDENT REGISTRATION

FHUSD Enrollment Form 4. Rev. 02/05/2020

Authorization to Release Student Information and Records Do not complete this form if the last school your student attended was in Fountain Hills Unified School District

Student Name Date of Birth Grade

Previous School/District

Address

Address

City State Zip

Telephone Number with Area Code Fax Number with Area Code

I hereby authorize the release of all MEDICAL, EDUCATIONAL, PSYCHOLOGICAL, DISCIPLINE or any other information that has been made a part of the confidential records for the above-named student to the requesting party. I understand that this information will be used in a confidential and professional manner and in the best interest of the student, and that all information will be maintained in accordance with the Family Educational Rights and Privacy Act. I understand that my consent is voluntary and that the transfer of this information to the receiving school does not require my consent.

Signature Relationship to Student Date

Please forward all records for the above named student to:

Fountain Hills High School

16100 E. Palisades Blvd. Fountain Hills, AZ 85268 Registrar: Carmen Ontiveros 480-664-5500 – Phone 480-664-5597 – Fax [email protected]

Fountain Hills Middle School

15414 N. McDowell Mtn. Rd Fountain Hills, AZ 85268 Registrar: Kristine Hileman 480-664-5400 – Phone 480-664-5499 - Fax [email protected]

Fountain Hills USD

Attn: Special Ed Records 16000 E. Palisades Blvd. Fountain Hills, AZ 85268 Student Services, Eloyse Jones 480-664-5018 - Phone 480-664-5097 – Fax [email protected]

McDowell Mountain Elementary 14825 N. Fayette Dr. Fountain Hills, AZ 85268 Registrar: Cindy Keith 480-664-5212 – Phone 480-664-5299 - Fax [email protected]

Notice to Sending School:

Pursuant to ARS 15-828 (G) “Notwithstanding any financial debt owed by the pupil, any school requested to

forward a copy of a transferring pupil’s record to the new school shall comply and forward the record within ten

school days after receipt of the request unless the record has been flagged pursuant to section 15-829





Arizona Department of Education Arizona Residency Documentation Form

Student School

School District or Charter Holder

Parent/Legal Guardian _

As the Parent/Legal Guardian of the Student, I attest* that I am a resident of the State of Arizona and submit in

support of this attestation a copy of the following document that displays my name and residential address or

physical description of the property where the student resides:

Valid Arizona driver’s license, Arizona identification card or motor vehicle registration

Valid Arizona Address Confidentiality Program authorization card Real estate deed or mortgage documents Property tax bill Residential lease or rental agreement Water, electric, gas, cable, or phone bill Bank or credit card statement

W-2 wage statementPayroll stubCertificate of tribal enrollment (506 Form) or other identification issued by a recognizedIndian tribe in Arizona

Documentation from a state, tribal or federal government agency (Social Security

Administration, Veteran’s Administration, Arizona Department of Economic Security)

Temporary on-base billeting facility (for military families)

I am currently unable to provide any of the foregoing documents. Therefore, I have provided an

original affidavit signed and notarized by an Arizona resident who attests that I have established

residence in Arizona with the person signing the affidavit.

Signature of Parent/Legal Guardian Date

*For members of the armed services, the provision of verifiable documentation does not serve as a declaration of official residency

for income tax or other legal purposes. Armed service members may utilize a temporary on- base billeting facility as the address for proof of residency.

rev. in packet 02052020

State of Arizona Affidavit of Shared Residence

Student Name:

Parent/Legal Guardian Name:

School Name:

School District or Charter Holder:

Name of Arizona Resident:

I, (resident name) _Swear or affirm that I am a resident of the State of

Arizona and that the persons listed below reside with me at my residence, described as follows:

Persons who reside with me:

Location of my residence:

I submit in support of this attestation a copy of the following document that displays my name and current residence

address or physical description of my property:

Valid Arizona driver’s license, Arizona identification card or motor vehicle registration

Valid Arizona Address Confidentiality Program authorization card

Real estate deed or mortgage documents

Property tax bill

Residential lease or rental agreement

Water, electric, gas, cable, or phone bill

Bank or credit card statement

W-2 wage statement

Payroll stub

Certificate of tribal enrollment (506 Form) or other identification issued by a recognized Indian tribe in

Arizona

Documentation from a state, tribal or federal government agency (Social Security Administration,

Veteran’s Administration, Arizona Department of Economic Security)

Printed Name of Affiant:

Signature of Affiant:

Acknowledgement

State of Arizona

County of

The foregoing was acknowledged before me this

By

day of , 20 , ______

My Commission Expires:

Notary Public

rev. in packet 02052020

Arizona Department of Education

Office of English Language Acquisition Services

Office of English Language Acquisition Services 1535 West Jefferson Street • Phoenix, Arizona 85007 • (602) 542-0753 • www.azed.gov/oelas

Home Language Survey

The responses to this Home Language Survey (HLS) are used by the school to provide the most appropriate instructional programs and services for the student. The answers below will determine if a student will take the Arizona English Language Learner Assessment (AZELLA). Please respond to each of the three questions as accurately as possible. If you need to correct any of your responses, this must be done before the student takes the AZELLA Placement Test.

1. What language do people speak in the home most of the time?

_____________________________________________________________

2. What language does the student speak most of the time?

_____________________________________________________________

3. What language did the student first speak or understand?

_____________________________________________________________

Please provide a copy of the Home Language Survey to the EL Coordinator/Main Contact on site. In AzEDS, please enter all three HLS responses.

These HLS questions are in compliance with Arizona Administrative Code (R7-2-306(B)(1),(2)(a-c). (Revised 01-2020)

Student Name________________________________ District Student ID_______________

Date of Birth_________________________________ SSID__________________________

Parent/Guardian Signature______________________________ Date___________________

District or Charter____________________________________________________________

School_____________________________________________________________________

http://www.azed.gov/oelas

Arizona Department of Education

Office of English Language Acquisition Services

Office of English Language Acquisition Services 1535 West Jefferson Street • Phoenix, Arizona 85007 • (602) 542-0753 • www.azed.gov/oelas

Encuesta sobre el Idioma en el Hogar La escuela utiliza las respuestas a esta Encuesta del idioma del hogar (HLS) para proporcionar los programas y servicios educativos más apropiados para el estudiante. Las respuestas que aparezcan a continuación determinarán si un estudiante tomará la Evaluación de aprendices del idioma inglés de Arizona (AZELLA). Responda a cada una de las tres preguntas con la mayor precisión posible. Si necesita corregir alguna de sus respuestas, esto debe hacerse antes de que el estudiante tome el Examen AZELLA.

1. ¿Qué idioma hablan las personas en el hogar la mayoría del tiempo?

_____________________________________________________________

2. ¿Qué idioma habla el estudiante la mayoría del tiempo?

_____________________________________________________________

3. ¿Qué idioma habló o entendió el estudiante primero?

_____________________________________________________________ Distrito

Nombre del estudiante___________________________ Núm. de identificación_____________

Fecha de nacimiento ____________________________ SSID___________________________

Firma del padre o tutor_____________________________________ Fecha________________

Distrito o Charter_______________________________________________________________

Escuela_______________________________________________________________________

Please provide a copy of the Home Language Survey to the EL Coordinator/Main Contact on site. In AzEDS, please enter all three HLS responses.

Preguntas en conformidad con (R7-2-306(B)(1),(2)(a-c) del Código Administrativo de Arizona. (Revised 01-2020)

http://www.azed.gov/oelas

McKinney Vento rev. 03172019

Fountain Hills Unified School District

McKinney-Vento Eligibility Questionnaire

This questionnaire is intended to address the McKinney-Vento Act. The answers will help determine the services that the student may be eligible to receive.

Student Name _________________________________________________________________

Last First M.I.

1. Is your current address a temporary living arrangement? Yes _____ No _____ 2. If temporary, is this living arrangement due to loss of housing or economic hardship?

Yes_____ No _____

If you answered YES to questions 1 and 2, please complete the remainder of this form. If you answered NO to either question 1 or 2, you may stop here. Gender ________ Age ______ Grade _______ Date of Birth _________________ Month/Day/Year Student ID __________________

Name of Last School Attended __________________________________________________________

Siblings Name and Grade ______________________________________________________________

Where is the student presently living? (check one) _____ In a motel

_____ In a shelter

_____ With more than one family in a house or apartment _____ In a place not ordinarily preferred sleeping (car, park, abandoned building, bus station etc.)

Name of the Parent(s)/Legal Guardian(s) __________________________________________

Address ____________________________________________________________________

____________________________________________________________________ City State Zip Code

Phone Number __________________________ Email ______________________________

How long have you been at this current address? _______________

By signing, I attest this information is true and accurate.

Signature of Parent/Legal Guardian ______________________________________ Date ___________

For Office Staff Only: Please immediately forward completed form to McKinney-Vento Homeless Liaison at District Office if checked YES to both questions 1 and 2. If NO to either questions 1 or 2 shred this form. DO NOT put a copy of this form in the student’s cumulative file.

____________________________________________________ ____________

School Personnel Who Enrolled This Student (Print Name) Date

Arizona Department of Education 1535 W. Jefferson Phoenix, AZ 85007

State of Arizona Department of Education

Student Directory Information Release/Opt Out Form

During the school year, Fountain Hills Unified School District school staff members may compile

non- confidential student directory information specified below.

According to state and federal law, the below-designated directory information may be publicly

released to the educational, occupational or military recruiting representatives without your

permission. If the district governing board permits the release of the below-designated

directory information to persons or organizations who inform students of educational or

occupational opportunities, by law the district is required to provide the same access on the

same basis to official military recruiting representatives for the purpose of informing students

of educational and occupational opportunities available to them, unless you request in writing

that the school not release the student’s information without your prior signed and dated

written consent. If you do not object to the release of any or all of the below-designated

information in writing, then the district must provide military recruiters, upon request,

directory information about the student.

If you do not want any or all of the below-designated information about your son/daughter to

be released to any person or organization without your prior signed and dated written consent,

you must notify the district in writing by checking off any or all of the rejected information,

signing the form at the bottom of this page, and returning it to the Principal within two (2)

weeks of receiving this form, or October 31, whichever occurs first. If the school district does

not receive this form within the prescribed time, it will be assumed that your permission is

given to release your son/daughter’s designated directory information.

Please return to your child’s School Administrator:

I do consent to military release.

I do not consent to military release

I do consent to educational release.

I do not consent to educational release.

Arizona Department of Education 1535 W. Jefferson Phoenix, AZ 85007

State of Arizona Department of Education

Student Directory Information Release/Opt Out Form

I,____________________________________

do not want any of the information I have indicated below, concerning my child,

to be designated as directory information and released to any person or organization

without my prior written consent (check all that apply):

Name

Telephone Listing

Address

Electronic mail address

Photograph

Grade level

Honors and awards received

Enrollment status (e.g. part time or full

time) Data and place of birth

Dates of attendance

Weight and height (members of athletic teams)

Most recent educational agency or institution attended

Major field of study

Participation in officially recognized activities/sports

Parent/Guardian SIGNATURE _______________________________DATE ______________

School Name________________________________________________________________

MILITARY PARENT/GUARDIAN AFFILIATION FORM

As part of the new accountability requirements under Every Student Succeeds Act (ESSA), the U.S. Department of Education is requiring school districts to identify students who are armed forces family members.

What is the definition of an “armed forces family member”? A student is considered to be an Armed Forces Family Member if at least one parent or legal guardian is an Armed Forces member on active duty, or serves on full-time National Guard duty. The terms “armed forces,” “active duty,” and “full-time National Guard duty” as defined by Sections 101(a)(4), 101(d)(1), and 101(d)(5) of the United States Code are:

101(a) (4) – The term “armed forces” means the Army, Navy, Air Force, Marine Corps, and Coast Guard. 101(d) (1) – The term “active duty” means full-time duty in the active military service of the United States. Such term includes full-time training duty, annual training duty, and attendance, while in the active military service, at a school designated as a service school by law or by the Secretary of the military department concerned. Such term does not include full-time National Guard duty. 101 (d) (5) – The term “full-time National Guard duty” means training or other duty, other than inactive duty, performed by a member of the Army National Guard of the United States or the Air National Guard of the United States in the member's status as a member of the National Guard of a State or territory, the Commonwealth of Puerto Rico, or the District of Columbia under Section 316, 502, 503, 504, or 505 of Title 32 of the United States Code, for which the member is entitled to pay from the United States or for which the member has waived pay from the United States.

Student’s Legal Name: _____________________________________ Grade:________________

For the purpose of data collection, please mark all that apply:

Yes, student is a dependent of a member of the active duty U.S. Armed Forces (full-time) Army, Navy, Air Force, Marine Corps, or Coast Guard.

Yes, student is a dependent of a member of the National Guard or Reserve Forces (Army, Navy, Air Force, Marine Corps, or Coast Guard).

Student is not military-connected

It is unknown whether or not the student is military-connected.

Parent/Guardian Signature: ___________________________________ Date:______________

Rev 02052020

OMB Number: 1810-0021 Expiration Date: 02/29/2020

U.S. Department of Education Office of Indian Education

Washington, DC 20202 TITLE VI ED 506 INDIAN STUDENT ELIGIBILITY CERTIFICATION FORM

Parent/Guardian: This form serves as the official record of the eligibility determination for each individual child included in the student count. You are not required to complete or submit this form. However, if you choose not to submit a form, your child cannot be counted for funding under the program. This form should be kept on file and will not need to be completed every year. Where applicable, the information contained in this form may be released with your prior written consent or the prior written consent of an eligible student (aged 18 or over), or if otherwise authorized by law, if doing so would be permissible under the Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g, and any applicable state or local confidentiality requirements.

STUDENT INFORMATION

Name of the Child __________________________________________________ Date of Birth ______________ Grade ______ (As shown on school enrollment records)

Name of School ____________________________________________________________________________________________ TRIBAL ENROLLMENT

Name of the individual with tribal enrollment: ___________________________________________________________________

(Individual named must be a descendent in the first or second generation)

The individual with tribal membership is the: _____ Child _____ Child's Parent _____ Child's Grandparent

Name of tribe or band for which individual above claims membership: _______________________________________________ The Tribe or Band is (select only one):

_____ Federally Recognized _____ State Recognized _____ Terminated Tribe (Documentation required. Must attach to form) _____ Member of an organized Indian group that received a grant under the Indian Education Act of 1988 as it was in effect October 19, 1994. (Documentation required. Must attach to form)

Proof of enrollment in tribe or band listed above, as defined by tribe or band is:

A. Membership or enrollment number (if readily available) _____________________________________________________ OR B. Other Evidence of Membership in the tribe listed above (describe and attach) _______________________________________ Name and address of tribe or band maintaining enrollment data for the individual listed above:

Name ____________________________________________ Address ________________________________________________ City _______________________________State ______Zip Code ____________ ATTESTATION STATEMENT I verify that the information provided above is accurate.

Name Parent/Guardian ______________________________________ Signature _______________________________________

Address ______________________________________ City ____________________________State ______Zip Code __________ Email Address ________________________________________ Date _______________

OMB Number: 1810-0021 Expiration Date: 02/29/2020

INSTRUCTIONS FOR THE ED 506 FORM

FOR APPLICANTS:

PURPOSE: To comply with the requirements in 20 USC 7427(a), which provides that: “The Secretary shall require that, as part of an application for a grant under this subpart, each applicant shall maintain a file, with respect to each Indian child for whom the local educational agency provides a free public education, that contains a form that sets forth information establishing the status of the child as an Indian child eligible for assistance under this subpart, and that otherwise meets the requirements of subsection (b)”. MAINTENANCE: A separate ED 506 form is required for each Indian child that was enrolled during the count period. A new ED 506 form does NOT have to be completed each year. All documentation must be maintained in a manner that allows the LEA to be able to discern, for any given year, which students were enrolled in the LEA’s school(s) and counted during the count period indicated in the application.

FOR PARENTS/GUARDIANS:

DEFINITION: Indian means an individual who is (1) A member of an Indian tribe or band, as membership is defined by the Indian tribe or band, including any tribe or band terminated since 1940, and any tribe or band recognized by the State in which the tribe or band resides; (2) A descendant of a parent or grandparent who meets the requirements described in paragraph (1) of this definition; (3) Considered by the Secretary of the Interior to be an Indian for any purpose; (4) An Eskimo, Aleut, or other Alaska Native; or (5) A member of an organized Indian group that received a grant under the Indian Education Act of 1988 as it was in effect on October 19, 1994. STUDENT INFORMATION: Write the name of the child, date of birth and school name and grade level. TRIBAL ENROLLMENT INFORMATION: Write the name of the individual with the tribal membership. Only one name is needed for this section, even though multiple persons may have tribal membership. Select only one name: either the child, child’s parent or grandparent, for whom you can provide membership information. Write the name of the tribe or band of Indians to which the child claims membership. The name does not need to be the official name as it appears exactly on the Department of Interior’s list of federally-recognized tribes, but the name must be recognizable and be of sufficient detail to permit verification of the eligibility of the tribe. Check only one box indicated whether it is a Federally Recognized, State Recognized, Terminated Tribe or Organized Indian Group. If Terminated Tribe or Organized Indian Group is elected, additional documentation is required and must be attached to this form.

Federally Recognized- an American Indian or Alaska Native tribal entity limited to those indigenous to the U.S. The Department of Interior maintains a list of federally-recognized tribes, which OIE can provide you upon request.

State Recognized- an American Indian or Alaska Native tribal entity that has recognized status by a State. The U.S. Department of Education does not maintain a master list. It is recommended that you use official state websites only.

Terminated Tribe-a tribal entity that once had a federally recognized status from the United States Department of Interior and had that designation terminated.

Organized Indian Group- Member of an organized Indian group that received a grant under the Indian Education Act of 1988 as it was in effect October 19, 1994.

Write the enrollment number establishing the membership of the child, if readily available, or other evidence of membership. If the child is not a member of the tribe and the child’s eligibility is through a parent or grandparent, either write the enrollment number of the parent or grandparent, or provide other proof of membership. Some examples of other proof of membership may include: affidavit from tribe, CDIB card or birth certificate. Write the name and address of the organization that maintains updated and accurate membership data for such tribe or band of Indians. ATTESTATION STATEMENT: Provide the name, address and email of the parent or guardian of the child. The signature of the parent or guardian of the child verifies the accuracy of the information supplied.

The Department of Education will safeguard personal privacy in its collection, maintenance, use and dissemination of information about individuals and make such information available to the individual in accordance with the requirements of the Privacy Act.

PAPERWORK BURDEN STATEMENT According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of

information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1810-0021.

The time required to complete this portion of the information collection per type of respondent is estimated to average: 15 minutes per Indian

student certification (ED 506) form; including the time to review instructions, search existing data resources, gather the data needed, and complete

and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this

form, please write to: U.S. Department of Education, Washington, D.C. 20202-4651. If you have comments or concerns regarding the status of your

individual submission of this form, write directly to: Office of Indian Education, U.S. Department of Education, 400 Maryland Avenue, S.W.,

LBJ/Room 3W203, Washington, D.C. 20202-6335. OMB Number: 1810-0021 Expiration Date: 02/29/2020.

FOUNTAIN HILLS UNIFIED SCHOOL DISTRICT STUDENT REGISTRATION PACKET

Fountain Hills Unified School District Use of Technology Agreement Form

I have read and agree to abide by the School District policy and regulations on appropriate use of the electronic information system, as incorporated herein by reference.

I understand and will abide by the provisions and conditions indicated. I understand that any violations of the below terms and conditions may result in disciplinary action and the revocation of use of information services.

USER SECTION: Please Print User's Status: _____ Student _____Staff

User's Name: ____________________________________ Grade: ______________________

School: ______________________________________________________________________

I have read the Electronic Information Services User Agreement for Fountain Hills Unified School District and agree to abide by it. I understand that any violation could result in school disciplinary action including suspension and/or revocation of network privileges and/or referral to appropriate law enforcement agencies.

User's Signature: ______________________________ Date: _______________________

SPONSORING PARENT OR GUARDIAN SECTION (Required if applicant is under 18 yrs. of age): The user agreement of a student who is a minor must also have the signature of a parent or guardian who has read and will uphold this agreement.

As the parent or guardian of the above named student, I have read this agreement and understand it. I understand that the District has taken reasonable precautions to ensure that access to controversial material is limited to the extent possible. I understand that it is impossible for the School District to restrict access to all controversial materials, and I will not hold the District responsible for materials acquired by use of the electronic information services (EIS). I will monitor my child’s use of the network and his/her access to the Internet, and will accept full responsibility for supervision in that regard if and when my child’s use is not in a school setting. I also agree to report any misuse of the EIS to a School District administrator. (Misuse may come in many forms but can be viewed as any messages sent or received that indicate or suggest pornography, unethical or illegal solicitation, racism, sexism, inappropriate language, or other issues described in the agreement.)

I accept full responsibility for supervision if, and when, my child’s use of the EIS is not in a school setting. I hereby release the School District from liability in the event that my child acquires inappropriate material through use of the District’s computing resources or the Internet. I hereby give my permission to have my child use the electronic information services. I hereby request that the District issue an account for my child and certify that the information contained on this form is correct.

With that understanding, I hereby give permission for my child to utilize the school Internet services listed below. Please initial those for which your permission is granted.

Basic Internet Access

Publication on the Internet of my child's creative efforts, including stories and artwork

Use of my child's name in school Internet publications

Use of my child's picture in school Internet publications

Parent/Guardian Signature:________________________________________ Date:__________________

Parent/Guardian Name (Printed): _____________________________________________________________

Home Address: ______________________________________ Home Phone: _________________________

This agreement is valid for the duration of attendance/employment.

INTENTIONALLY LEFT BLANK

Information beyond this page supports the policies and forms you find in this enrollment packet.

Arizona Immunization Program Office • 150 North 18th Avenue, Suite 120 Phoenix, AZ 85007 • (602) 364-3630

Last revised: July 2019

ARIZONA GUIDE TO IMMUNIZATIONS REQUIRED FOR ENTRY

Grades K-12

Requirements by age/grade at entry and on a continuing review status1. Vaccines must follow minimum intervals and ages to be valid. A 4-day grace period applies to these ages and intervals in most situations.

Age

Number of doses required of each immunization

Kindergarten-12th Grade 3 Hep B2 4 Polio3 2 MMR4 1 Varicella4 5 DTaP5

Additional requirements at age 11 Years and older6

1 Tdap7 1 MenACWY

Footnotes:

1. Students must have proof of all required immunizations in order to attend school.

2. The final dose of hep B must be given at 24 weeks of age or older. If hep B #3 was given before 24 weeks of age, a 4th dose is required.

3. 3 doses of polio are acceptable if dose #3 was received at or after 4 years of age and at least 6 months after the second dose; otherwise, 4 doses are required, with the last received at or after the 4th birthday. If the last dose was given ON or AFTER August 7, 2009, it must have been given at a minimum of 4 years of age AND a minimum interval of 6 months following the previous dose. Students who received either 3 or 4 doses PRIOR to August 7, 2009, regardless of age at final dose, have met the requirement.

4. Minimum age for dose #1 of MMR and varicella is 12 months. Another dose will be required if dose #1 of either vaccine was given more than 4 days before 1st birthday. MMR and varicella must be given on the same day or at least 28 days apart.

5. 4 doses of DTaP are acceptable if last dose was given on or after 4 years of age. A 6th dose is required if 5 doses have been given before 4 years of age, and the child is under 7 years old. For children 7-10, 3 doses of DTaP, DTP, DT, Tdap, or TD are acceptable if all 3 were given after the first birthday.

6. In addition to the vaccines required for all K-12 students, 1 dose of Tdap and 1 dose of quadrivalent meningococcal vaccine are required when a student turns 11, regardless of grade. It is recommended that you notify parents ahead of their child’s 11th birthday that these vaccines will be due once they turn 11. Do NOT require or recommend Tdap or MenACWY BEFORE age 11. There is no statute-defined time period in which students must come into compliance, but ADHS recommends no more than 15 days after the 11th birthday.

7. Students must have a minimum of 3 doses of tetanus/diphtheria vaccine, including at least 1 Tdap. If a tetanus-containing vaccine was given between the ages of 7-10, 1 dose of Tdap is required when at least 5 years has passed since the last dose of tetanus-containing vaccine.

Please see the next page for additional information and exceptions and conditions to the rules.

Arizona Immunization Program Office • 150 North 18th Avenue, Suite 120 Phoenix, AZ 85007 • (602) 364-3630

Last revised: July 2019

GUIDE TO IMMUNIZATIONS REQUIRED FOR ARIZONA SCHOOL ENTRY

GRADES K-12

The laws and rules governing school immunization requirements are Arizona Revised Statutes §15-871-874; and Arizona Administrative Code, R9-6-701–708. Please review the school requirements in Table 7.1 and “catch-up” schedule in Table 7.2, located in R9-6-701-708. Students must have proof of all required immunizations in order to attend school; however, Arizona law allows K-12 immunization exemptions for medical reasons, lab evidence of immunity, and personal beliefs. For further information and guidance please review the Arizona Immunization Handbook for Schools and Child Care Programs along with Frequently Asked Questions.

Parental recall or verbal history of any disease is not accepted; therefore these students must submit an ADHS medical exemption form. Specifically with varicella (chickenpox), measles, or rubella disease a medical exemption with attached laboratory evidence of immunity is required.

Homeless students and children in foster care are allowed a 5-day grace period to submit proof of immunization records (assuming that all other students have their immunization records submitted prior to attendance at school). CATCH UP SCHEDULE AND ADDITIONAL INFORMATION ON VACCINE REQUIREMENTS:

Hep B: Minimum intervals for valid doses are as follows: The 2nd dose is due at least 4 weeks after the 1st dose; the 3rd dose is due at least 8 weeks after the 2nd dose and at least 16 weeks after the 1st dose. The final dose of hepatitis B vaccine (HBV) must be at or after 24 weeks of age. If Hep B 3rd dose was given before 24 weeks of age, a 4th dose is needed.

Hep B for students aged 11-15 years – 2 doses meet the requirement if adult hepatitis B vaccine (Recombivax) was received. Dosage (10mcg/1.0mL) and type of vaccine must be clearly documented. If Recombivax was not the vaccine used, a 3-dose series is required.

Meningococcal Vaccine – Only quadrivalent meningococcal ACWY vaccine doses will be accepted. The only quadrivalent meningococcal vaccines given currently in the U.S. are Menactra and Menveo. The Meningococcal Polysaccharide vaccine (Menomune) was a quadrivalent vaccine so is acceptable; however, production of this vaccine was discontinued in February 2017. Students who received this polysaccharide vaccine are considered acceptable for school requirements. No monovalent or bivalent meningococcal vaccinations will be accepted (MenA, MenB, MenC, or MenC/Y).

Poliomyelitis (Polio) – The 2nd dose is due 4 weeks after the 1st dose; the 3rd dose is due 6 months after the 2nd dose. The U.S. currently does not give anything other than IPV (inactivated polio vaccine) whereas some foreign countries still give the OPV (oral polio vaccine). OPV given prior to April 1, 2016 will be presumed to be trivalent and therefore acceptable, regardless of country of administration. Any OPV doses administered after April 1, 2016 are presumed to be bivalent and therefore unacceptable. Students 18 years and older are exempt from the polio requirement.

MMR – The 2nd dose is due 4 weeks after the 1st dose.

Varicella – 2 doses are required for students who receive the first dose at 13 years of age or older. 2 doses are recommended for all K-12 students.

https://www.azdhs.gov/preparedness/epidemiology-disease-control/immunization/index.php

https://azdhs.gov/documents/preparedness/epidemiology-disease-control/immunization/school-childcare/school-faqs.pdf

USE OF TECHNOLOGY RESOURCES IN INSTRUCTION

ELECTRONIC INFORMATION SERVICES (EIS) USER AGREEMENT

Details of the user agreement shall be discussed with each potential user of the electronic information services. When the signed agreement is returned to the school, the user may be permitted use of educational information services (EIS) resources. Note: this agreement applies to both students and employees.

The Fountain Hills Unified School District (hereinafter referred to as "District") educational information services (EIS) system may only be used for educational purposes. The term "educational purposes" includes classroom activities, career or professional development, high-quality personal research and other work related purposes.

I understand and agree as follows:

I am expected to follow the rules set forth in the District's District’s Policy Manual and Administrative Regulations, District’s code of conduct, abide by all copyright and trademark laws and regulations, and the law. In addition to the agreement, use of the EIS system is governed by Governing Board Policy IJNDB and administrative regulation IJNDB-R, copies of which are available at each school office.

The EIS system has not been established as a public access service or a public forum. The EIS system is not for commercial purposes. Therefore, the District has the right to place reasonable restrictions on the material accessed or posted through the system. I realize that all E-mail can be recorded and stored along with the source and destination of the E-mail, and that messages are not necessarily deleted when I delete them. I understand that electronic mail or direct electronic communication is not private and may be read and monitored by school employed persons.

I will not use the system for entertainment purposes (unless specific permission is given for this purpose), commercial purposes, or political lobbying.

I agree not to submit, publish, display, or retrieve any defamatory, inaccurate, abusive, obscene, profane, sexually oriented, threatening, racially offensive, or illegal material.

Illegal activities:

I will not attempt to gain unauthorized access to the EIS system or any other computer system through the EIS system or go beyond my authorized access. I will not attempt to log in through another person's account or access another person's files without their express permission.

I will not attempt to disrupt the EIS system or destroy data by spreading viruses or by any other means.

I will not use the EIS system to engage in any other illegal or inappropriate acts (drug or alcohol purchase, distribution or sale, criminal gang activity, threatening conduct, etc.).

Plagiarism and copyright infringement.

I will not plagiarize works I find on the Internet. Plagiarism is taking the ideas or writing of others and presenting them as if they were mine.

I will respect the rights of copyright owners. Copyright infringement would occur if I inappropriately reproduce a work that is protected by a copyright. If a work contains language that specifies appropriate uses of that work, I will follow those requirements. If I am unsure of whether I may use a work, I will request permission from the copyright owner. If I have questions, I will ask the EIS system administrator, an administrator, or teacher

System security.

I will not use the network in any way that would disrupt the use of the network by others.

I will not attempt to harm, modify, add/or destroy software or hardware nor interfere with system security.

I am responsible for my account. I will not provide my password to another person or use another person's password or account.

I will not permit another person to use my account or use another person's account.

I will immediately notify my teacher or the EIS system administrator if I have identified a possible security problem.

I will not download any software unless I have obtained prior written permission to do so from an EIS system administrator.

I will follow the District virus protection procedures when downloading software I have been given prior written permission to download, to protect against the inadvertent spread of computer viruses.

I will not attempt to harm or destroy data of another user or any other agencies or networks connected to the EIS system. This includes, but is not limited to, uploading or creating computer viruses.

I will not attempt to repair District-owned technology resources. All requests for repair or service will be channeled through the District user support system.

I will have all portable information systems and educational technology resources assigned to me (such as notebook computers and peripheral or companion devices) at allocated sites during school hours unless prior approval has been received.

Language.

I will not use obscene, lewd, vulgar, rude, inflammatory, threatening, or disrespectful language.

I will not post information that could cause damage or danger of disruption to the educational environment or operations of the District.

I will not engage in personal attacks, including prejudicial or discriminatory attacks on individuals or groups. I will not harass others. Harassment is persistently acting in a manner that distresses or annoys another person. If I am told by someone to stop sending him or her messages, I will immediately stop.

I will not post false or defamatory information about a person or organization.

I will not post chain letters, jokes, or engage in "spamming" (sending unnecessary messages to a large number of people).

Inappropriate transmission of and access to material.

I will not reveal home addresses personal phone numbers or personally identifiable data unless authorized to do so by designated school authorities.

I will not transmit or access material that is profane or obscene (i.e., pornography), that advocates illegal acts, or that advocates violence or discrimination towards others (i.e., hate literature). A special exception may be made for teachers or high school students by the Director of Technology Information for those who wish to access hate literature if the purpose of the access is to conduct research. In this situation a student must obtain both teacher and parental consent.

I will transmit communications using only District-approved and District-managed communication systems. I will not use free, web-based mail, messaging, video conferencing, or chat services, except in special cases where arrangements have been made in advance and approved by the District's authorized supervisory personnel.

The development and posting of all web pages must be pre-approved in a manner specified by the school. Material placed on web pages must relate to school and career preparation activities

Personal responsibility: I will report any misuse of the EIS to the administration or system administrator, as is appropriate. I understand that many services and products are available for a fee and acknowledge my personal responsibility for any expenses incurred without District authorization.

Network Etiquette. I am expected to abide by the generally acceptable rules of network etiquette. Therefore, I will:

Be polite and use appropriate language. I will not send, or encourage others to send, abusive messages. I will remember that humor and satire is very often misinterpreted.

Respect privacy. I will not reveal any home addresses or personal phone numbers or personally identifiable information.

Avoid disruptions. I will not use the network in any way that would disrupt use of the systems by others.

Observe the following considerations: o Be brief. o Strive to use correct spelling and make messages easy to understand. o Use short and descriptive titles in my communications, so people will know what the message

is about before they read it. o Post only to known groups or persons in a single message.

In addition, acceptable use for students is extended to include requirements of:

Not posting personal contact information about myself or others (i.e., names, addresses, telephone numbers, school address, etc.), unless I have prior permission from my teacher and parent to do so.

Immediately tell a teacher (for a student) or my supervisor (for an employee) if I mistakenly access inappropriate information, so they know I did not intentionally access the information.

Not meet anyone online without my parent’s approval and involvement.

Promptly tell my teacher or school principal if I receive any message that is inappropriate or makes me feel uncomfortable.

In addition, acceptable use for District employees is extended to include requirements to:

Maintain supervision of students using the EIS.

Agree to directly log on and supervise the account activity when allowing others to use District accounts.

Take responsibility for assigned personal and District accounts, including password protection.

Take all responsible precautions, including password maintenance and file and directory protection measures, to prevent the use of personal and District accounts and files by unauthorized persons.

My Rights

I understand that the District may restrict my speech for valid educational or business reasons. The District will not restrict speech on the basis of a disagreement with my opinions. I understand and agree that:

I have no right to privacy with respect to the EIS system, including software, E-mail or Internet access. My parents can request to see the contents of my E-mail files at any time (applies to students under eighteen (18) years).

Routine maintenance and monitoring of the EIS system may lead to discovery that I have violated District policies, administrative regulations, this agreement, or the law.

An individual search will be conducted if there is a reasonable suspicion I have violated this agreement, District policy, administrative regulation, or the law. The investigation will be reasonable and related to the suspected violation

The District will cooperate fully with local, state, or federal officials in any investigation related to any illegal activities conducted on the EIS system.

If I have violated this agreement, District Policy IJNDB, administrative regulation IJNDB-R, or the law in my use of the EIS system, I will be provided with notice of suspected violation and an opportunity to present an explanation of what occurred.

The District reserves the right to restrict or revoke my use of the EIS system at any time, if deemed within the District's best interest.

I understand that inappropriate use may result in cancellation of permission to use the EIS and appropriate disciplinary action up to and including, termination for employees or expulsion for students.

Disclaimer of Liability

The District makes no warranties of any kind, expressed or implied, for the services provided. The District shall not be liable for damages I suffer caused by my use of the EIS system, copyright violations, mistakes or negligence. The District shall not be responsible for any costs I incur without the District's prior written permission. The District shall not be responsible for ensuring the accuracy or usability of any information found on the Internet. The District shall not be responsible for any damages I suffer while using its EIS system, such as loss of data, malfunctions, delays, non-deliveries, or service interruptions caused by the service or by my errors or omissions. Use of any information obtained via the information service is at my own risk. Parents, adult students, and employees can be held financially responsible for any harm to the system as a result of intentional misuse.

Services

The School District specifically denies any responsibility for the accuracy of information. While the District will make an effort to ensure access to proper materials, the user has the ultimate responsibility for how the EIS is

used and bears the risk of reliance on the information obtained.

United States Federal Code / Fountain Hills Unified School District Notification of the Family Educational Rights and Privacy Act (FERPA)

The Family Educational Rights and a Privacy Act (FERPA) affords parents and students over 18 years of age (“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 of the day the School receives a request for access.

Parents of eligible students should submit to the School principal (or appropriate school official) a written request that identifies the record(s) 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.

Parents or eligible students may ask the School to amend a record that they believe is inaccurate. They should write the School principal (or appropriate school official), clearly identify the part of the record they want changed, and specify why it is inaccurate. 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 advise them 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 consent to disclosures of personally identifiable information contained in the student’s education records, except to the extent that FERPA authorizes disclosure to without consent.

One exception, which permits disclosure without consent, is closure to school official 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); a person serving on the School Board; a person or company with whom the School has contracted to perform a special task (such as an attorney, auditor, medical consultant, or therapist); or a parent or student serving on an official committee, such as a disciplinary or grievance committee, or 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.

[Optional] Upon request, the School discloses educational records without consent to officials of another school district in which a student seeks or intends to enroll. [NOTE: FERPA requires a school district to make a reasonable attempt to notify the parent or student of the records request unless it states in its annual notification that it intends to forward records on request.]

(4) The right to file a complaint with the U.S. Department of Education concerning alleged failures by the 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 20202-4605

[NOTE: In addition, a school may want to include its directory information public notice, as required by 99.37 of the regulations, with its annual notification of rights under FERPA.]

The McKinney Vento Act: Parent/Student Rights for Those in Transition

Arizona public schools shall provide an educational environment that treats all students with dignity and respect. Every student experiencing homelessness or transition shall have access to the same free and appropriate educational opportunities as students who are not homeless. This commitment to the educational rights of homeless children, youth, and unaccompanied youth, applied to all services, programs, and activities provided or made available.

A student may be considered eligible for services under the McKinney-Vento Homeless Assistance Act if he or she is presently living:

• In temporary shared housing, a shelter, or transitional living program • In a hotel/motel, campground, or similar situation due to lack of alternatives • At a bus station, park, car, or abandoned building • In temporary or transitional foster care placement

According to the McKinney-Vento Act, eligible students have rights to: Immediate enrollment: Documentation and immunization records cannot serve as a barrier to the enrollment in school.

School Selection: Eligible students have a right to select from the following schools:

The school he/she attended when permanently housed (School of Origin)

The school in which he/she was last enrolled (School of Origin)

The school in the attendance area in which the student currently resides (School of Residency)

Remain enrolled in his/her selected school for the duration of homelessness, or until the academic year upon which they are permanently housed.

Participate in programs for which they are eligible, including Title I tutoring programs, Free Lunch in schools with the, National School Lunch Program, Head Start & Even Start Preschool Programs.

Transportation Services: A McKinney-Vento eligible student attending his/her School of Origin has a right to transportation to and from the School of Origin.

Dispute Resolution: If you disagree with school officials about enrollment, transportation, or fair treatment of a homeless child or youth, you may file a complaint with the school district. The school district must respond and attempt to resolve it quickly. During the dispute, the student must be immediately enrolled in the school and provided transportation until the matter is resolved. The McKinney Vento Liaison will assist you in making decision, providing notice of any appeal process, and filling out dispute forms

For more information, refer to ADE's website or contact:

Local Area Contact Allison Barbor, Instructional Support Fountain Hills Unified School District 16000 E. Palisades Boulevard Fountain Hills, AZ 85268 Phone: 480-664-5017 Email: [email protected]

State Coordinator Alexis Clermont Homeless Education Coordinator Arizona Department of Education 1535 W. Jefferson Street Phoenix, AZ 85007 Phone: 602-542-4963 Email: [email protected]

http://www.ade.az.gov/schooleffectiveness/specialpops/homeless

