EUSTIS MIDDLE SCHOOL REGISTRATION ALL STUDENTS

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1 EUSTS MDDLE SCHOOL REGSTRATON ALL STUDENTS DOCUMENTATON REQURED: - Proof of residency (copy of power, water or telephone bill, (no cell phone bill), lease or mortgage agreement - document must show name and residence address). f living with someone else, please provide notarized statement from that person, with their address included, that you are living with them, and proof of their residency. - Proof of immunizations (see immunization requirements included in this registration packet). Please have immunization dates on a Florida 680-Blue Card, this can be obtained at a local health department or private physician's office. - Report Card - must show proof of current grade level - Most Recent State Assessments Test Scores - Guardianship - f you have a student living with you other than your child, you must have legal documents or a notarized statement from the parents. f your child is a Special Education student, you must call to speak with a Counselor about your child's EP before a schedule can be made. Extra requirements needed for stirdents transferring from private school, out of state, or horne school: - Physical - Must be dated within one year prior to enrolling - Birth Certificate - Must have copy of birth certificate

2 TRANSFERRNG FROM: ENROLLMENT CHECKLST FOR NEW STUDENTS (Needed for Enrollment) Out of County Home School Out of State Special Programs Date Student Name Grade Student Registration Form Student Record - Limited English Proficiency Survey (ESOL) - Proof of Residency (copy of power bill, water bill, lease agreement - must show name and residence address) - Proof of mmunizations - Physical (f student has never attended a Florida public school, or if the student has been out of the system beyond the 120-day period the student must show evidence of having received a within 12 months before enrollment allowed. - Birth Certificate (f student has never attended a Florida public school or has been out of the system beyond the 120-day period, birth certificate is required.) Sscial Security Card (optional) - Copy of latest teat scam (f available) Copy of latest report card (f available) Guardianship (Must have notarized statement or other legal document) Parent Permission Form (For ntrarnmield Trips) Human Growth and Development Letter Code of Conduct Handbook Date Enrolled Student Acknowledgement Form Parsrrtand dmbdc notifieation form Aawsfhe #m& F* Compact Agreement Form ' Lunch Application School bsurance Application Health Scwning Letter School Agenda - Medication Form (Parent must bring medication to school and fill out medication administration consent form) R:ccerds 'Requafed Date Method Records received/date Records given to counselor for review Bate reords filed

3 Lake County Schools nformacion del Registro Estudiantil Bienvenido a las escuelas del condado de Lake. Queremos asegurarles que hacemos un compromiso fuerte para proveer las mejores oportunidades educativas posibles para su niao(a). El formulario de registro estudiantil que esth llenando es un documento legal que tiene informaci6n esencial para proveer que el personal escolar puedan cuidar apropiadamente a su hijo(a). Es extrernadarnente importante que toda la infomaci6n sea completa y exacta. Queremos que sepa que proveendo informaci6n inexacta, incorrecta, o incompleta puede ser una violaci6n de la ley. Correcciones serfin hecha despucs del registro si se encuentran errors. Esto significa que puede haber un cambio en la escuela de su nino(a) 6 arreglos en el prograrna educacional si se encuentra informaci6n incorrecta en la direcci6n. Pedirh 10s archivos educativos de todas las escuelas donde asisti6 su nino(a) anteriormente. Repasarhn 10s archivos recibidos para asegurar que su hijo(a) estk matriculado en el grado, clase, y programa (s) apropiados. Si usted tiene cualquier situaci6n de vivienda fuera de lo comh, favor de informar a la persona ayudando en el registro. Puede ser que hay circunstancias temporarias 6 no permanentes que pueden poner disponibles adicionales servicios educativos para su nino(a). Si hay puntos de custodia 6 situaciones de farnilia que pueden poner restricciones en quien tenga acceso legal a su hijo(a) 6 a su archive educativo, debe de repasar cuidadosamente la parte del codigo de conducta Estudiantil nombrado, "Acceso de Padres Estudiantes y Archivos Estudiantiles." Nombre del estudiante (en letras de molde) Nombre del PadrefRepresentante (en letras de molde) Firma del Padre/Representante Personal escolar ayundando con el registro Fecha Submitted by Student Services 61D /30/07

4 LAKE COUNTY SCHOOLS FORMULARO DE REGSTRO ESTUDlANTlL NFORMAC~N MEDCA Y DE EMERGENCA Apellido del estudiante Nombre Segundo Nombn ( 1 Fecha Telbfono Numero De Estudiante CJ 1 Numero Celular de la Madre Nurnero Celular del Padre Escuela Grado - - Sexo Fecha de naclmiento Edad 'Numero del Seguro Social (Voluntarlo) Direcci6n Postail Ciudad Estado Cddigo Postal Direccidn Donde Reside (si es diferente a la Postal) Breve instruction de cdmo llegar a su casa OFFCE USE ONLY Health Physlcal YES - NO - AgelName Doc YES - - lmmunlzatlon Certificate Full lmmunizatlon Health Dept. Exempt Doc. - Temp. Date Address Verlfled YES - - Date Rec. Req. Bus #- Car Other Enrollment Date Enrolled by Lugar de Nacimiento Ciudad 1 Estado Condado Pals Nornbre de la Madre Lugar de Trabajo h El nlao Vlve Con Direccidn del Trabajo # de Tel. del Trabajo Nombre Relacibn Nombre del Padre Lunar de Trabaio Nombre Relacl6n Direccidn del Trabajo # de Tel. del Trabajo El ldloma de estudiante lngl6s - Espa Aol- Otro- 1 Nombre del Representante Otro ) Lugar de Trabajo El ldloma Hablado en casa Direccidn del Trabajo Correo Electr6nico:,. 1 # de Tel. del Trabajo rel Nltmero del Saguro Social ser6 usado sdarnente como denuflcad6n del estudlante en el alsbma de nfwmadbn. (FS )] CUSTODA (Llste cualquler problema de custodia. Documentos aproplados y legales deben ser puesto en el archhro del estudlante) El estudiante ha repettdo algqn grado? S NO - CuBl grado (grados)? r NFORMAC~N REQUERDA POR EL ESTADO Favor de responder a las siguientes preguntas requerldas poor Los estatutos del la Florida - Alguna vez, el estudlante ha sldo expulsado de una escuela? S - NO ARo Escuela Alguna vez. el estudiante ha sldo arrestado con cargos? S - NO - CiudadEstado Alguna vez, el estudiante ha tenido encuentros el cual el slstema de justlcla jwenil se ha lnfolucrado? S - NO - Cludad/Estado MS 61D014 04/28/09 RVS Submitted by Student Services Page 1 of 3 Coplea School Student Health Folder Student Services-Health Office

5 - Nombre Completo del Estudiante Maestro(a) Grado Hermano (a) (1) Grado Hermano (a) (2) Gado Hermano (a) (3) Grado Asisti6 a ewela del Condado Lake anterlonnente? S - NO - - Nombre de la Escuela Grado / Ultima Escuela que asisti6 Fecha de Salida Direcci6n Ciudad Estado C6dlgo Postal P Telbfono Asisti6 a1 Pre-escolar? S- No- lo Cornplet67 S - No - Nombre Ciudad / Estado Su niao (a) usa anteojos / lentes de contact07 S - NO - Audifonos para escuchaff S - NO - Necesidades Especlales: (medicamentos, tratarnlentos, lmpedlrnentos fisicos, asuntos de conducts) L *Diagn6stico corriente ndlcado por el doctor (marque todos 10s iue apllquen si es necesarlo use papel adicional para especificar) Alergia-insectos (AB) Cdncer (CA) Hemofilia (HM) CBlulas Sickle (S) Alergia Par6lisis Cerebral (CP) Hipertensi6n (HY) Condici6n Urol6glca (UR) Comida Diabetes (Dl) Hypoglicemia (HG) Archivos de la Escuela (RC) Alergia Epilepsia (EP) Mal del RiA6n (K) Adjunto nota del doctor - Otras - Gastrointestinal - (GA: Leucemia (LE) - Otros Distrofia Muscular (MD) CONFDENCAL Asma (AS) - Mal del Corazdn (HR) - 'Una nota reclente del doctor es necesarla para todas las condlclones rnddlcas lndlcadas arrlba. Si su nifio(a) necesita acornodaci6n especial o alguna aslstenda dumnte el dla escolar, ccmo un Plan de Cuido de Salud, por favor llamar al(352) Nombre del doctor Nornbre del dentista c Tel6fono 6 Telbfono Recoger hljo(a) 1 Emergenclas: S mi hijo(a) llega a enfermane o en caso de un accidente durante el dla escolar y la escuela no puede contactarme, yo doy permiso a que llamen a una de las siguientes personas para que reccjan a mi hijo(a) de la escuela y que cuide de el ella durante mi ausenda. (1) Nombre Relaci6n (2) Nombre Relaci6n (3) Nombre Relaci6n (4) Nombre Relacl6n L Telbfono h Tel6fono L Tel6fono L Telbfono En caso de un accident6 o una enfermedad durante el dla esmlar, qulero que la escuela me larne. En caso de emergencia, doy permiso a la escuela que mi hijo(a) sea transportado para Serviclos de Emergencia Medica al hospital y que sea dado el tratarnien necesario. Entiendo que sere respansable por cualquler relativo cargoentlendo que es la responsabllldad de 10s padres representante de notiflcar cualquler camblo de esta nformacl6n durante el ano escolar. Firma del Padre 1 Representantes MS /28/09 RVS Submined by Student Servlces Page 2 of 3 Fecha

6 ESCUELAS DEL CONDADO DE LAKE FORMUMU0 DE NSCRPC~N DE ESUDANlFS PROCRAMA ESPEUAL DE DESCNAC~N Nombre Completo del Estudiante Fecha de nacimiento LSU hijo(a) ha sido identificado(a) con una discapacldad en virtud de cualqulera de las siguientes categorlas? ASD DD DHH DSl.BD ESOL Gifted HH nd Trastomo del Espectro Autlsta Retrasos de Desamllo Sordo 6 Durn de Oido Doble Alteracidn Sensorial Discapacidades Emoclonal/de Comportamlento lngles Hablantes de otras Lenguas Superdotados HospitalDomiciliaro (Servicios Educativos en el Hogar 6 Hospital) Discapacidad intelectual L OH1 Trastomo del Lenguaje Trastorno Fisico con otros Trastorno de Salud Trastorno Fisico con Trastorno Ortop6dico OT pt Terapia Ocupacional (Servicios Relacionados) Terapia Fisica (sewicios Relacionados) Discapacidad Visual Discapacidad del Habla SLD T31 Section 504 Discapacidad Especifica del Aprendizaje Trastomo Flslco con Lesldn Cerebral TraumAtica Discapacidad que intetfiere con el Aprendbaje NA No es aplicable en este momento Flrrna del Padre 6 Guardian Fecha MS6lW /09RVS Submltled by Student Services

7 EimkMb STUDENT RECORD RELEASE FORM authorize Name of previous school, Agency, or Person Releasing Records To release student Records on Name of Student Date of Birth Grade Address City. State Zip Social Security # Reason for Request Mail Records to: Records to be released are: EUS~~S Middle School Guidance Department, Bates Avenue, Eustis, Florida Phone: Fax: Copy of Permanent Record Card (Grades & Testing fkom previous years) Cment Withdrawal Grades Copy of Cumulative Record Folder Test Scores Copy of Latest Report Card Psychological Records (if applicable) mmunization Dates Report Card Grades for: Birth Certificate 1" 2"d 3rd 4' grading pcriod(s) Health Physical ESOL Records (if applicable) Other (specify i.e. ESE, LEP, 504 A UTHORZA l7on STATEMENT AND STGNATURE 1 understand and have been informed that have the right to rmevrew all records on my child and am entitled to a copy of the recorak to be forwarded to the receivingparty prior to their release. have also been in/bnned that have a right to a hearing to contest any information contained in my child's record prior to its release.. Date (Signature of Parent or Guardian) Parental permission is no longer required when authorized school personnel request records. (Family Educational Rights and Privacy Act, F F June 17, 1976, Vol. 41, No. 1 18, page 24673

8 Nombre del Estudiante Nombre de la Escuela Grado ESCUELAS DEL CONDADO LAKE COLECCON DE DATOS ETCNlCOS Y RACALES Por favor conteste AMBAS preguntas 1 y Es su hijo Hispano o Latino? (Por favor marque s61o uno). No, mi hijo no es Hispano o Latino. o Si, mi hijo es Hispano o Latino - Una persona de Cuba, Mejico, Puerto Rico, Sur o Centro America u origen de otra cultura EspaAola, sin importar la raza. 2. Coal es la raza de su hijo? (Por favor marque todas las que apliquen) lndio Americano o Nativo de Alaska - Una persona que tiene origines de cualquiera de las personas originales del Norte y Sur America (incluyendo Centro-America) y quien mantiene una afiliacidn con tribus o nexos comunitarios. Asidtico - Una persona que tiene origen de cualquiera de las personas originates del Este, del Sureste de Asia o del sub-continente de la ndia, ejemplo: Cambodia, China, ndia, Japbn, Corea, Malasia, PakistAn, lslas Filipinas, Tailandia y Vietnam. Negro o Africano Americano - Una persona que tiene origen de cualquiera de 10s grupos raciales negros de Africa. Terminos como "Haitiano" o "Negro' puede ser usado en adicidn de 'Negro o Africano- Americano". Nativo de Hawai u Otras lslas dei Paclfico - Una persona que tiene origen de cualquier persona de Hawai, Guamo, Samoa u otras lslas del Pacifico. Blanco - Una persona que tiene origen de cualquier persona de Europa, det Medio Oriente o Norte Africa. Firma del Padre o Representante Fecha Esta encuesta fue preparada para 10s distritos escolares de la Florida por el Departamento de lnforrnacidn Educativa y Responsable de Servicios y dirigido par la Oficina de Manejo Presupuestal de 10s Estados Unidos. MS 61 A /05/09 NewFR Submitted by Student Services

9 Lake County Schools Encuesta del ldioma en el Hogar Nornbre del Alurnno Primer nornbre lnicial del segundo nornbre Apellido Escuela Grado Fecha de Nacimiento Edad Sexo Direccion Florida Calle Cuidad Estado Codigo Postal Numero telefonico AS400 Data: Casa Oficina 1. Se usa un idioma que no sea el ingles en el hogar? si No Que diorna? (HL) 2. Su hijo tiene otro idioma que no sea el ingles? Si No Que diorna? (PL) 3. Su hijo habla con mas frecuencia otro idiorna que no sea el ingles? Si No Que diorna? (SL) 4. Su hijo nacio fuera de 10s EEU? Si No Donde? (Entry US) 5. En que fecha ingreso su hijo a una escuela dentro de 10s Estados Unidos? (SCHL) lnforrnacidn adicional 6. Por favor describa el idiorna que sus hijo entiende.(marque solo uno) Entiende solo el idioma del hogar nada mas. Entiende mayormente el idioma del hogar y algo de ingles. Entiende el idioma del hogar e ingles por igual. Entiende rnayormente ingles y algo del idiorna del hogar. Solo entiende ingles. 7. Si estuviese disponible, en que idiorna preferiria que la escuela se cornunicara con usted? Firrna de Padre, Madre o Apoderado Fecha OFFCE USE ONLY Student D# Date Distributed Date Received

10 Ano tscolar Nombre de Estudiante Orlentador Fecha de nacimiento Condado Bcolar de Lake Forma de Resdencia/Cuestlonarfo ~amillar Nljmero del Estudiante Escuela/Nfimero Matricula aslstida por Parte A dvive su niro en las siguientes sltuaciones? (A) Alojamiento en un refuglo de emergencia o transaccional. (8) Compartiendo la vhrienda con- otros a causa de pbrdida de alojarniento o diflcultades econdmicas. (D) ~lviendo dentro de un autombvll, lugares pbblicos, ediflclos abandonados vivienda pdbllca, estacionamlento de autobbs, tren o algo similar. (E) Fiend0 en hotel/motel, trdller de goblerno (FEMA), carpas, un parque de Miler, o vlvienda temporal. (F) Esperando o ubicado en un lugar adoptlvo. (N) Ninguna apllca, somos dueaos o alquilamos nuestro hogar. (Y) Joven no acomparado - joven sin hogar y sin custodia fislca del padre o persona encargada. mmmmmmmmammmmmmmmmmmmmmmmmwmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Parte 6 1. Lusted o algulen en su familla se han mudado en 10s rsltimos 3 anas? Si No Si usted contesto "Si", favor de continuar. 2. CCudndo ustedes se mudaron, fue.con la intencidn de encontrar trabajo'a corto plazo en 'la agricultura o en la pesca? Si N o Si usted contesto "Si", favor de continwr. ~lecclone todo aauello aue a~llca, Trabajando en un rancholganadero - Trabajando en vhrero de plantas - Trabajando en una empacado- Trabajando en una lecherla - La wsecha de frutas, nueces o vegetales- Otro tip0 de trabajo simllar. Nombre del PadrePertona Encargada: Tel6fono: Mejor hora de comunicamos con usted: tcubntos nlros hay en el hogar? Qf!w&a& AS400 Data Entry Completed nitial Date YES to any dtuatlon n Part A: Original Filed in Student's Curnulathre Record nitial Date YES to 1 & 2 in Part B: Original sent to Title Services, Clermont office within 7 days. lnltlal Date YES to 1 & 2 n Part B: Copied filed in Student's Curnulathre Record. nitial Date f form s blank or if ail responses are "No," file n a school fdder to'be shredded at the end of the school year /23/09 NEW-FR..

11 LAKE COUWW SCHOOLS LNmng our ChidLm to Svccrw.' Clndy Barrow Olrbfisl4 Dobbk Sttvmd.r 201 Wert Burleigh Boulevard - Tavalrss - R DfsMclS (352) Fax: (352) Kylwn ~hehrr Queridos padres o guardih: Verificaci6n de Telbfono del Contact0 de Emergencia Para seguridad de 10s estudiantes, la facultad y 10s empleados del Lake County Schools es una de nuestras prioridades. Por esta razbn, nosotros hemos adoptado un servicio para notificarle emergencias llamando Saf-T-Net ALERTNOW. Este servic5 nos permitid enviarles mensajes a TODOS 10s padres de nuestros estudiantes a1 ndmero del contacto de emergencia (la mejor manera de contactar a 10s padres en. todo momento) y el nornero de la casa en minutos 'despucs de que una emergencia o incidente haya ocurrido en la escuela El mensaje que usted recibe puedc ser usado para alertar a 10s padres u otros contwtos de emergencia acerca de la situacidn que es6 ocurriendo en la escuela Este puede ser usado para darle instrucciones de emergencia a 10s padres para que sepan que hacer para responder a su hijo y lo nosdtros podemos usar ALERTNOW para mandar mensajes que no son de emergencia, por ejemplo si la escuela esta cerrada por las condiciones del clima El Cxito de mandar estos mensajes depende en que 10s ndmeros telef6nicos scan correctos. Por favor rstgbrese de.gut la escuela teaga el almem snyo de contacto mas rtciente. Si ha bccho algunos cambios durante el aflo, dcienos saber jnmediatamente. mponante: 1. Su eaja'identificador de nlmeros eb sn teldfona le mastrari nl ndmero 411 r enrlquier momento una llamrda de emtrgencia es mandada de la escnela. La caja identificadora de nslmeros en su teltfono no le un nombrc amciado con el ndmero. 2. Hay nna pausa breve de dos o tres segnados tan promto cmamdo ha ca~~testrdo sa teldfomo. Por favor qutdese en la inea. El sistema necesita dettctar unos cuantos segundos de silencio para determinar si una persona ha contestado el telcfono o si w una wins que ha contestado. No sirea.diciendo hal~. 3. El sistema le &jar& un mensaje en su m4quina de contestar. El sistema esta programado a timbrar cada lfnea seis (6) veces. Si su m&qui.na de contestar esta programada para mk de seis timbres, un mensaje no serd dejado en su mkpina 4. Si usted tiene cosas como Telemarkcter Zapper o Privacy Director en su teltfono, puede'que su tclefono no r#:fbgjaj,mlr;' ' '.. '.... ' " '... ' - " ;.. -,.. t 5. Nosdtros tambicn usaremos este sistema de vez en cuando para dejarle saber de anuncios generales de la escuela como eventos y actiyidades, tarjeta de calificnciopes, eventos del PTO, etc. Estas llamadas generalmente serh mandadas durante la noche y e mostnu4 el ndmero de la escuela en su caja identificador de n6meros. Esto le ayudd a usted a diferenciar entre 10s nheros de emergenha (41 1) y 10s niimeros ck anuncios generales. Por favor verificar que el a6mero de emergencia y el de!a casa son correctas. Si an0 de las nlmeros o ambos son incometas, por fkor tserlba el nimtro cometo en edta fonna y envleia 8 la escuelr donde su bijo a s h Nombre del Estudiante - Nombre del Padre o Ouardih N6men, del Contact0 de Emergencia (La mejor m-de con- a 10s Padp en todo momento) NSnmro de TelCfimo de la Casa

12 SCHOOL BUS ROUTE LAKE COUNTY TRANSPORTATON BUS NFORMATON FAX #: COLgR STOP TME BUS STOP BUS DRVER F DFFERENT FROM AM: BUS ROUTE COLOR STUDENT NFORMATON: NAME : STUDENT D #: ADDRESS : HOME PHONE: DOB : AGE : GRADE : SEX: RACE : PARENT NFORMATON: PARENT NAME CELL PHONE: WORK PHONE F PARENT CAN NOT BE REACHED NAME : RELATONSHP TO CHLD: PHONE : PARENT SGNATURE: DATE :

13 Leading our Children to Success 201 West Burieigh Boulevard. Tavares FL (352) Fax: (352) de agosto del2013 Superintendent: School Board Members: Susan Moxley, Ed.D. District 1 Bill Mathias District 2 Rosanne Brandeburg District 3 Tod Howard District 4 Debbie Stivender District 5 Kyleen Fischer Esiimados Padres de Estudiantes de Sexto, Sptimo y Octavo Grado: Un voto electoral ha causado que el Distrito Escolar de W e County incluya un programa m8s comprensivo del mimiento y desarrollo humano dentro del cuddo de salud K-12 Es reconocido que la educaci6n sexual es la responsabilidad bhsica del hogar. Adem& las iglesias, la. escuelas, y las agencias de la comunidad juegan un papel suplementario en reforzar 10s esfuerzos de 10s padres- El Programa de Crecimiento y Desarroo ha sido apmbado por el Consejo Escolar de Lake County e incluye instrucci6n en las siguientes unidades: Sexto Grado aprender sobre sf mismo (ser hico, sentimientos y emociones, crecimiento y cambios, partes del cuerpo y sus funciones, Mbitos de salud) el sistema reproductor del hombre y de la mujer (anatomia, fecundaci6n, parto) enfermedades de lransmisi6n sexual aprender sobre las relaciones con 10s de& (amistad, grupos sociales, opciones y consecruencias) Posponer Relaciones Sexuales-PS (los riesgos relacionados con las relaciones sexuales tempranas, la presi6n ejercida por la sociedad) Sptimo Grado el sistema endocrino (reladonado con el sistema reprodudor) el sistma reproductor del hombre y de la mujer (anatomia, fecundaci611, parto) anticoncepci6n (mbtodos anticonceptivos, incluyendo abstinencia) enfermedades de transmisi6n sexual (SlVs) PS (10s riesgos relacionados con las relaaones sexuales tempranas, la presi6n ejercida por la sociedad y por su grupo generacional, aprender tknicas de firmeza) Wvo Grado el enfoque es en las responsabilidades sociales y emocionales, y en las consecuencias de sus relaciones PS (refom& las destrezas de sexto y s+timo grados) A 10s estudiantes de 10s tres se les proveer6 infonnad6n acerca del SDA (Slndrome de immunodeficiencia Adquirida). La selecd6n de materiales y actividades esg basada en 10s 21 valores morale al dorso de esta carta. Les sugerimos que se pongan en contacto con la escuela de su hijo(a) para ver un resumen de 10s materiales insfmccionales y las actividades del programa. Se les proporcionarh tiempo para ver estos materiales, si Uds. desean verlos. Si Uds. no desean que su hijo(a) participe en estas unidades de estudio, por favor devuevan la forma debajo, lo antes posible, a1 director(a) de la escuela de su hijo(a). El apoyo y la participaci6n de 10s padres en el programa es bienvenido. Si trabajamos juntos nosotros le podremos proveer una buena base a su hijo(a) para que entienda el proceso del crecimiento humano.. Susan Moxley, E.D. deseo que mi hijo(a) partidpe en la unidad del ckechriento y Desanollo Humano. NombFe del estudiante hela Firme del Padre/Emugado

14 ESCUELAS DEL CONDADO LA^ Este cohveni0 ha sido disefiado por el representante de un grupo de padres y personal de la escuela para servir como henamienta el cual estudiantes, maestros, administtadores y padres podrian desarrollar y edificar una relaci6n para ayudar al estudiaate a lograr el nivel mb alto possible en todas las actividades relacionadas educacionalmente. Esta es la esperanza de la Junta de Escuelas del Condado Lake y todos aquellos que esth directamente iectados en tsto, desearian firmar e indicar su apoyo. Sin embargo, firmar este docurnento es estrictamente voluntario y no es legalment b COMO ADMTNSTRADOR, COMO MAESTRO, APOYO ESTE COMO PADRE 1 ROMESA DEL ESTUDANTE: CONVEN~O Y ESTMULARE A REPRESENTANTE APOY o STE SGUENTE: APRENDZAJE HACENDO LO MS ESTUDANTES HACE~DO yo, SGUEWE: LO SGUENTE: APOYO ESTE CONVENO Y ME ESFORZARE PARA HACER LO LOS ESTUDANTES EN EL CONVENO Y ESTMULA E A 9 Proveer un ambicnte que permita positiva comunicaci6n Proveer buena calidad curricular e instructional en la practica de reunir 10s retos en el desempeiio de las nomas del estudiante Proveer oportunidades para 10s padres de esthr envueltos en la educacion de su hijo(a) Proveer instrucci6n en rnantener un effectivo ambiente de aptendizaje. Proveer a 10s padres con un regular y exacto reporte de progreso del estudiante. Darle la bienvenida a 10s padres en la participacicin en el sal6n de clases con su apoyo y ayudando a sus hijos en el alcance de su meta educacional sl Leer con my hijo(a) regularrnlehte Tener altas expectativas p&a mi hijo(a) Estimular el buen habit0 de esrddiar Ayudarlo(a) a resolver conflidtos en forma positiva Comunicarme y trabajar can 10s maestros y personal de la escuela Apoyar la relaci6n entre la casa y la Tener una conferencia padre-maestro Estimular a mi hijo(a) a ceder una escuela para discutir este convenio actittid positiva acerca de la esbucla y Tener altas expectativas por mi el aprendizaje rnisrno, por el estudiante y por todo el Apoyar las reglas y procedirhientos personal de la escuela Proveer motivacicin en las experiencias de aprendi7aje para mis estudiantes prometo estar preparado para la escuela y listo para aprender. RespetarC 10s derechos de propiedad de otros y tram6 a otros con cortesia. Hart5 lo mejor que pueda para hacer a mi escuela un lugar seguro y placentero para aprender y trabajar, por lo tanto recibirc la mejor educaci6n posible. Demostrar cuidado y preocupaci6n por cada uno 1 Slgnaturc Slgnarure Slgnature ig die agwto die62013 Date Darc Dnle Date

15 ago Sep t Oct Nov DiC Fm Ye6 Nar ~ric Nay0 Junw Jufio %spe to ~esyonsa6iliad auto-control Ciudhdirnia ~ma6ili Hmestidizd Patriotimu, Tio&rancia Cooperacwn C u ~ o Valbr Perseverancia Safe Schools Department Nosotros b Racemos bien; Nosotros b hacamas bien cab vez; Y nosohos b hacrmos mejor que nad?.~. "Dirigiendo Nuestros Estudiantes A1 Exito" ~u~crintendente Susan Moxley, Ed.D. 1 Miepbros de la Mesa Directiva Bill Mathias Rosanne Brandeburg Tod Howard Debbie Stivender Kyleen Fischer Proclamacibn Para Cornunidades. Padres y Envolvimienlo de Negocios en las Escuelas del Condado Lake. CONSDERANDO que las Escuelas del Condado Lake Y reconocernos la importancia de un fuene cornpafkrisrno en el hito de 10s estudiantes y, CONSlDERAMOS hertes relaciones con comunidades y empress que benefician a 10s estudiantes y 10s ernpleados del dishito quienes han tocado la vida de estudiantes dia a dia y, CONSGDERAMOS que el Condado Lake reconoce que ser exitoso en educaci6n todos 10s estudlantes tengan su porencial, el cornit6 debe tencr envolvirniento con 10s padres, cornunidades y cornpairerismo con las cmpresas. AHORA, POR LO TANTO, SE HA DETERMNADO que las Escuelas del Condado Lake proclama El Alo Escolar Un ABo Enfocado a 10s Padres a la Comunidrd y el Envolvimiento de Negocios en as Escuelas dcl Condado Lake Nuevo aviso determinado que las Escuelas del Condado Lake desea reconocar esra cornunidad con CSpide Educational enrocando a 10s padres, cornunidad y envolvirniento de ernpresas. PROCLAMAW este dfa 24 de junio del 2013, en Sesi6n Regular p r el Cornit6 Escolar del Condado de Lake, de la Florida, nosotros en el presente afirmamos nuestro sello: Rosa~ne Brandebure Bill Mathias u Tod Howard Debbie Stivender Misi6n La misidn de 1as escuelas del Condado Lake es proveer a cada estudiante con oportunidades individuales para el Bxito. Visibn Un dinhico, progresivo y colaborativo aprendizaje comunitario abrazado por un cambio y diversidad donde cada estudiante se gradua14 con las destrezas que se necesitan para una educaci6n post-secundaria y para el trabajo. La Junta Directiva Escolar del Condado Lake esti Enfocado en Que 10s estudiantes cumplan sus logms. La eficiencia v efectividad del Desarrollo Basado en el Presupuesto y las Opemciones. Un Ambiente de Aprendizaje Seguro. lmovaci6n Tecnol6gica Envolvimiento de la Familia y la Comunidad (Las metas desarrolladas en este enfoque pueden ser revisadas en la siguiente phgina del nternet: htto://lake.kl2.fl.us/ O~Zl~ 46943/site/dcfnult.aso ) Creencias de la Junta Directiva Escolar del Condado Lake Nosotros ercemos: Que la educaci6n es hndamental para el fuhlro de cada uno. Que la educaci6n es un proceso individual de por vida Que todos 10s niaos pueden aprender. Que 10s estudiantes deben tencr una mente cfvica y abarcar hturos papeles en nuestra comunidad. Que 10s padredrepresentantes, la comunidad y la escuela son responsables de la educaci6n de 10s estudianles. En proveer un arnbiente de aprendizaje seguro y lleno de recursos.. Que todos 10s estudiantes se graduarh para estar preparados para trabajar y para una educacidn post-secundaria.

16 Student's Name (Please Print) School Grade Level Lake County Schools ONLNE NOTFCATON n order to conserve resources, schools will not distribute paper copies of the Code of Student Conduct and Policy Guide (Code) to every student. You can locate an electronic copy of the Code online at the District website at: htt~://lake.kl2.fl.us/~ag.e/1225. f you require a paper copy of the Code, please check the box where indicated below, sign and return this sheet, and one will be provided to your child. This Code has been adopted to help your sonldaughter gain the greatest possible benefit from hisker education. The Technology - Student Acceptable Telecommunications/Electronic Communications Use Policy and Agreement found within the Code provides guidance to students on acceptable use of the Lake County Schools computer network. Please read and discuss the Code with your sonldaughter. This form will be kept at the school. % P Failur *e to retu rn this 2 rcknowlt?dgemen t form w!ill not rl elieve a! student ()r the rent/gua rdian of the resp onsibilit y for cor npliance! with thc e Code a tf Studer rt Condu.-...m....,. n ,-..,..3 YOCY tiulae or accountamnty tor loss or damage to Lake county bcnool proper,,. O Please check if you require a printed copy of the Code of Student Conduct and Policy Guide. Print Student Name Student Signature Date Print ParentGuardian Name ParentGuardian Signature lake.kl2.fl.u~ Date

17 Student's Full Name (Please Print) School Grade Level PARENT AND STUDENT NOTFCATON The Lake County Code of Student Conduct & Policy Guide has been developed to help your sonldaughter gain the greatest possible benefit from hisher school experience. ParentsJguardians have the responsibility for the actions of their children and should be involved in their children's education. Parcntslguardians should take special notice of the attendance and tardy sections of this code as well as the suspension and expulsion provisions. Please note the attendance polices and their effect on other policies, such as sports eligibility, compulsory school age, and driving privileges. Parentslguardians should also take special note of information in Section 1 entitled "Public Notice" which includes, but is not limited to, your child's educational records, the release of directory information (e.g. Armed Forces) and possible participation in student surveys (e.g. Florida Youth Substance Abuse Survey). The school is in need of your help and cooperation. Without specific permissionof the principalldesignee, a parent may not board a school bus that is being operated by a Lake County Schools bus driver. Violation of this provision may result in the loss of bus riding privileges for the student of the parent and possible prosecution under Florida law. When you have read and discussed the Code with your sonldaughter, sign this sheet, remove it from the booklet, and return t to the school. This form will be kept in your son'sldaughter's curriculum folder for the current school year. Please be sure to review page vii regarding "Scope of Authority." The School Board of Lake County. Florida, is not responsible for the supervision of students on school grounds until thirty (30) minutes prior to the start of the regular school day or a scheduled event or beyond thirty (30) minutes after the regular school day or scheduled event. Please refer to your school's beginning and ending hours and arrange for supervision of your child accordingly. Parents should not rely on school supervision outside the time limits of such policy (please note that proper authorities may be called). fi , Florida Statutes. Failure to return this acknowledgement will not relieve a student or the parenl/guardian of the student from responsibility for knowledge of the contents of the Code of Student Conduct and will not excuse non-compliance by the student of the Code of Student ConducL YES A copy of the Code of Student Conduct & Policy Guide has been received. Please mark your decisions in the three (3) permission areas below and return a copy of this form to your child's school. Permission 1: nternet Usage As the parenuguardian of this student, have read and understand the Lake County Schools Student Acceptable TelecommunlcationdElectronic Communications Use Policy and Agreement in Section 1. 1 have also discussed it with my sonldaughter. understand that my sonldaughter may have access to the lntcrnet through the school network and the school system may not be able to restrict access to all inappropriate and controversial materials on the nternet. will not hold the School Board of Lake County, Florida, responsible for materials my sonldaughter acquires as a result of the use of the nternet from school facilities. hereby release the district and its personnel from any and all claims and damages arising out of my s0njdaughter.s use of the nternet through the district's network. For more information, may call the school's Technology Contact or Media Specialist, or the Lake County Schools T (nformation Technology) Department. understand that may opt-out of this provision to prevent my sonldaughter from accessing the nternet through the school network. However, in order to opt-out must check and initial below. 0 (nitial) elect to opt-out of the above provision and do not grant permission for my sonldaughter to access the nternet through the school network. Permission 2: Parent Release Unless opt-out by checking and initialing below,, as parent or legal guardian of a student enrolled in a School Board of Lake County, Florida, school, hereby give the School Board of Lake County, Florida, my consent and permission to; (i) record said student's participation and appearance on video tape, audio tape, film. photograph or any other medium; (ii) use said student's name, likeness, voice and biographical material in connection with these recordings; and (iii) to exhibit or distribute such recording in whole or in part without restrictions or limitation for any educational or promotional purpose which the School Board of Lake County, Florida, and those acting pursuant to its authority, deem appropriate. t is specifically understood that the recording may be submitted for use by a school or district newsletter, the local press, the school or district cable television programming, and the school or district web site. expressly agree and give permission to allow the use of said media in all forms without any royalties, commissions or other remuneration due to me or any other party, or parties associated with this production. expressly release and discharge the School Board of Lake County, Florida, from any and all liability that may arise from the use of said media in this manner. Furthermore, expressly waive any and all privacy rights that would otherwise have been accorded to these recordings or other media in accordance with and (2004), Florida Statutes. 0 (nitial) elect to opt-out of the above provision and do not grant permission for any of the Parent Release information noted above. Permission 3: Corporal Punishment Consent The Lake County Schools' Code of Student Conduct defines corporal punishment as the moderate use of paddling in front of a witness by a principalladministrator that may be necessary to maintain discipline or to enforce school rules. Parents may Opt-n to permit corporal punishment as a disciplinary intervention by selecting Option below. Please indicate your decision regarding corporal punishment for your child by choosing one of the options specified below. $ , , , Florida Statutes, School Board Policy YES 0 The school may utilize corporal punishment if deemed necessary. Please notify me prior to each occurrence. NO 0 The school may not use corporal punishment with my child. realize that serious or repeated offenses may result in suspension(s). Signaturea below ndlate permlsslon for v era cheeked above. SNdmt Date ParentlGuardian Date Witness Date Witness OR School Administrator Date Note: Witnesses are required and must be at least 18 years of age and cannot be a current Lake County School student

18 Eustis Middle School USE OF SCHOOL LOCKERS AND LOCKS We are pleased to have lockers and locks for your use at Eustis Middle School for a $5.00 rental fee. You will have few if any problems if you will READ and FOLLOW the instructions below. 1. Locks are to remain on your assigned locker. 2. Only school locks are permitted on school lockers. 3. You are responsible for securing your lock after each use. You should click it, spin it. and pull it to make sure it is latched properly. 4. There is a $5.00 replacement fee for lost or destroyed locks. 5. Sharing lockers is prohibited. 6. DO NOT GVE YOUR COMBNATON TO ANYONE. 7. f a lock fails to open, notify your teacher and get a pass to the office. 8. Lockers are school property, slamming or kicking them is inappropriate behavior. 9. Keep you locker neat and clean. Do not leave wet P.E. clothes in your locker for long periods of time. 10. ~ocke; usage may be limited by your teachers. t is not necessary to go to your locker after every class. PLAN AHEAD FOR YOUR CLASSES AS TEACHERS WLL NOT SSUE LOCKER PASSES. 11. Lockers will be inspected at different times tliroughout the school year. 12. Being at your locker does not excuse you from being to class on time! All tardies as a result of being at your locker will be UNEXCUSED. 13. Administration may search a student's locker if there is reasonable suspicion that prohibited or illegal items are contained within. (Fl. Statute # (09) Name: Your locker number is: To open your locker you must: 1. Turn RGHT two or more whole turns and stop at.. 2. Turn LElW one whole turn past the first number and stop at Turn RGHT and stop at then pull to open. STUDENTS WLL NOT BE ALLOWED TO CARRY BOOKBAGS DURNG THE SCHOOL DAY. PLEASE PLAN ACCORDNGLY.

19 mmunization Requirements DPT Varicella, 4 Polio Middle School 5 DPT Varicella 4 Polio th 6 grade 2 MMR 3 Hepatitis B 7th and 8 th grades 2 MMR 3 Hepatitis B Tdap ALL STUDENTS MUST HAVE THE ABOVE MMUNZATONS BEFORE ENTERNG THE SCHOOL YEAR. L 3

20 Board Approved : January 14,2013 LAKE COUNTY SCHOOLS STUDENT CALENDAR (180 DAYS) AUGUST August 19 First Day of Classes (Monday) 10 days SEPTEMBER September 2 Labor Day Student Holiday (Monday) 19 days September 27 Non-Student Day Teacher ~rofessional Development Day OCTOBER October 18 End of First Grading Period (Friday) 14 days Total 43 Days October 21 Non-Student Day Teacher Work Day (Monday) October 22 Second Grading Period Begins (Tuesday) 8 days Classes Resume NOVEMBER November Student Holiday Veteran's Day (Monday) -. November Thanksgiving Holiday 1 student Hbliday (Monday - Tuesday /Storm Make-Up Days) 15 days DECEMBER December Winter Break (Begins on Monday) 15 days JANUARY January1-3 Winter Break (Wednesday- Friday) January 6 Classes Resume (Monday) January 16 End of Second Grading Period (Thursday) 9 Total 47 Days January 17 Non-Student Day Teacher Work Day (Friday) January 20 Martin Luther King, Jr., Birthday, Student Holiday (Monday) January 21 Third Grading Period Begins (Tuesday) 9 days FEBRUARY February 17 Presidents' DayStudent Holiday (Monday) 19 days MARCH March 21 End of Third Grading Period (Friday) 15 days Total 43 Days March Spring Break (Monday-Friday) March 31 - Non-Student Day Teacher Workday (Monday) APRl L April 1 Fourth Grading Period Begins (Tuesday) 21 days April 18 - Non-Student Day (Storm Make-Up Day) MAY May 26 Memorial Day Student Holiday (Monday) 21 days JUNE June 6 End of Fourth Grading Period (Friday) 5 days Total 47 Days Student Davs 1st Nine Weeks nd Nine Weeks- 47 3rd Nine Weeks th Nine Weeks - 47 Total -1 80

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