Buena Park School District ASES Program
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- Clara Benítez Rey
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1 Buena Park School District ASES Program The Buena Park School District is offering a great opportunity for 2 st through 8 th grade students to participate in the ASES program, which is an exciting educational after school intervention program. ASES is aligned to the regular classroom and provides academic support, enrichment, and recreation five days a week. Students will receive educational support that assists them in reading comprehension. They will also receive daily homework help and enrichment activities. An afternoon snack is provided daily for all ASES students before they are dismissed to their scheduled classes. Once approved to attend, your student will meet in the cafeteria right after school to sign in and be assigned to their appointed classes. ASES is open every day that school is in session. Daily attendance is required in order to keep your child in the program. To get the most out of the program, students are also required to stay the entire time. ALL students must be picked up by a parent or designee with a driver s license or photo I. D. that matches the information on the Emergency Card by 6:00pm. Reminders: We CLOSE at 6:00pm (6:15pm at BPJH) every day that school is in session. Please read the Parent Handbook for policies and procedures and sign it. Keep your contact information up-to-date with ASES. Once you complete your application form, please turn it back to the district office and you will receive notification if your student is approved to attend. If you do not hear from us, that means your child was not approved. ASES is available to all students, however, priority will be given to students who are struggling academically in reading or homeless. Space is LIMITED!!!! Turn your application in as soon as possible!! Remember this program is designed to support your child in reading! If you have any questions, please feel free to call our office. Sincerely, Director of Student Programs & Staff Development Buena Park School District 6885 Orangethorpe Ave Buena Park, CA (714)
2 Distrito Escolar Buena Park Programa de Educación y Seguridad Para Después de Clases (A.S.E.S.) Al Padre o a los Padres del Estudiante del Distrito Escolar Buena Park: El Distrito Escolar de Buena Park está ofreciendo una magnífica oportunidad para estudiantes 2ō al 8ō que participen en el Programa de Educación y Seguridad Para Después de Clases (A.S.E.S.), el cual es un estimulante programa de Intervención educativo para después de clases. ASES está alineado con el salón de clase regular y provee apoyo académico, enriquecimiento y recreación cinco días a la semana. En el Programa ASES, los estudiantes recibirán apoyo educativo que les asistirá en la comprensión de Lectura. También recibirán ayuda diaria con las tareas y Actividades de Enriquecimiento. Además, también recibirán una merienda por las tardes. Una vez que haya reciba la aprobación para asistir, su hijo/a se reunirá en la cafetería justo después de clases para registrar su llegada y comenzar las actividades de su grupo. ASES está abierto todos los días que la escuela esté en sesión. La asistencia diaria es imperativa para poder mantener su lugar en el programa. Para aprovechar el programa al máximo, a los estudiantes se les exige quedarse todo el tiempo de duración diariamente. Todos los alumnos deberán ser recogidos no después de las 6:00 pm por uno de los padres o persona designada con identificación con fotografía que concuerde con lo escrito en la tarjeta de emergencia. Recordatorios: CERRAMOS todos los días de clases a las 6:00 pm. Por favor lea las políticas y procedimientos en el Manual para Padres y fírmelo. Mantenga su información al día con ASES. Una vez que complete los formularios de solicitud, favor de devolverlos a la oficina del distrito y usted recibirá una llamada telefónica para confirmarle que su estudiante ha recibido la aprobación para asistir al programa. Si no nos comunicamos con usted, eso quiere decir que su hijo no fue aprobado. ASES está disponible a todos los estudiantes, sin embargo, se dará prioridad a los estudiantes que están batallando académicamente en la lectura o estudiantes sin hogar. El espacio está LIMITADO!! Devuelva su solicitud lo antes posible! Recuerde que este programa ayudará a su hijo a triunfar en la Lectura! Si tiene alguna pregunta, por favor siéntase libre de llamar a nuestra oficina. Atentamente, Director de Programas Estudiantiles y Desarrollo del Personal Distrito Escolar Buena Park 6885 Orangethorpe Ave Buena Park, CA (714)
3 EMERGENCY INFORMATION ASES Program 2015/2016 Please Circle Your Student s Current School: Beatty Corey Gilbert Pendleton Whitaker BPJH Please Print Child s Name: / / (Last Name, First Name) Sex Date of Birth Grade ( ) Home Address City Zip Code Home Phone Father s Name (Please Print) Employer City Work Phone # Mother s Name (Please Print) Employer City Work Phone # Student lives with: (Circle one) Both Parents Mother Only Father Only Legal Guardian Court Order: Please submit up to date custody documents if applicable to ASES Lead. Staff only: Yes No List in calling order FOUR PERSONS IN THE AREA who will assume care of your child if you cannot be reached, or in the event of an emergency. Child will be released only to those named. NAME ADDRESS RELATIONSHIP PHONE IMPORTANT MEDICAL INFORMATION REQUIRED Please list child s information regarding health problems (allergies, routine medications, dosage, etc.) Asthma Diabetes Epilepsy Other Medication. Please list any medication that your child is currently taking and dosage: Should there be a serious problem and I cannot be reached, I authorize ASES to call the physician listed below and to follow his instructions. ( ) Local Physician Address Phone Number If it is impossible to contact this physician, ASES may make whatever arrangements seem appropriate. Yes Please Note: ASES cannot assume responsibility for the payment of physicians fees or health expenses. No Is there a restraining order regarding this child/children? No Yes: Please Note: ASES staff will not be responsible for joint custody issues. Parents are responsible for determining who will pick up children. If there is a restraining order regarding your child, please notify the staff. Please initial I certify that the information provided on card are true and correct statements of contact information. Parent Name: Signature: Date: Please always keep ASES updated with any changes to the above information.
4 INFORMACIÓN DE EMERGENCIA Programa de ASES 2015/2016 Por favor circule la escuela actual de su hijo: Beatty Corey Gilbert Pendleton Whitaker Buena Park Junior High Por favor, escriba en letra de molde Nombre del niño/a (Apellido y primer nombre) Sexo Fecha de nacimiento Grado ( ) Dirección de la casa Ciudad Código postal Número de teléfono de la casa Nombre del padre (Por favor, escriba en letra de molde) Empleador Ciudad Número de teléfono del trabajo Nombre de la madre (Por favor, escriba en letra de molde) Empleador Ciudad Número de teléfono del trabajo El estudiante vive con: (Circule uno) Ambos padres Madre solamente Padre solamente Tutor legal Orden del tribunal: Por favor, si corresponde, presente documentos de custodia legal actualizados al Maestro líder de ASES. Sólo para uso de Oficina: Si No Aliste en orden de llamada a CUATRO PERSONAS EN EL ÁREA que se encargarán del cuidado de su hijo/a si no se le puede encontrar a usted en el caso de una emergencia. Solamente se entregará el niño/a a las personas mencionadas. NOMBRE DIRECCIÓN RELACIÓN TELÉFONO SE REQUIERE LA INFORMACION MEDICA IMPORTANTE Por favor aliste la información en cuanto a problemas de de salud (Alergias, medicinas que está tomando, dosis, etc.) Asma Diabetes Epilepsia Otra Medicamentos: Por favor, aliste cualquier medicamento que su hijo/a esté tomando actualmente, y la dosis: Si surgiera un problema serio y no me pudieran localizar, yo autorizo a ASES a llamar al médico que menciono abajo y a que sigan sus instrucciones. Médico local Dirección Número de teléfono Si es imposible ponerse en contacto con este médico, ASES puede hacer los arreglos que considere apropiados. Sí Por favor Note: ASES no puede asumir responsabilidad por el pago de honorarios de médicos o gastos de salud. No Existe una orden de restricción con respecto a este niño/a? No Sí: Por favor Note: El personal de ASES no se hará responsable de problemas en casos de custodia compartida. Los padres son los responsables de determinar quién recogerá a los niños de la escuela. Si existe una orden de restricción con respecto a su niño/a, por favor notifique al personal de ASES. Por favor, escriba sus iniciales. Certifico que la información proporcionada en la tarjeta con respecto a la información de contacto es verdadera y correcta. Nombre del padre: Firma: Fecha: Por favor mantenga a ASES informado en caso de algún cambio en la información que proporcionó arriba.
5 Buena Park School District A.S.E.S. Program Dear Parent/Guardian, In order to provide a safe checkout procedure for students, please check one of the choices below. For students who will be picked up at their school site, only the parent/guardian or designees that are listed on the emergency card will be able to sign the student out. A valid driver s license or I.D. will be needed at the time of check out before a student can be released from ASES. Students who ride the school bus will be dropped off at their regular bus stop at the conclusion of the ASES Program. Please complete the bottom of this letter and return it with the enclosed packet. It is very important that we know how your children will be getting home. If something changes, please notify the A.S.E.S. staff as soon as possible. Thank you, Director of Student Programs & Staff Development A.S.E.S. Checkout Please complete and return this portion of the letter. Remember students are not allowed to walk home by themselves after ASES. My Child will RIDE THE BUS each day and get off at his/her regular bus stop. OR My Child will be PICKED UP each day by a parent/guardian or designee on the emergency card. MUST SHOW I.D. Student Name: Grade: School: Parent Signature: Date:
6 Distrito Escolar de Buena Park Programa A.S.E.S. Estimado padre/tutor: Con el objetivo de establecer un procedimiento de salida seguro para los estudiantes, necesitamos que usted marque una de las elecciones abajo. Para aquellos estudiantes que son recogidos en la escuela, solamente el padre, la madre, ambos padres, o aquellas personas mencionadas en la tarjeta de emergencia podrán llevarse al estudiante. En el momento de recoger al estudiante, estas personas necesitarán presentar una licencia de conducir o tarjeta de identificación válida antes de poder llevarse al estudiante. Solamente así se permitirá que el estudiante se vaya de su salón de clase. Los estudiantes que están tomando el autobús escolar, serán llevados hasta la parada regular de su autobús. Por favor complete la parte inferior de esta carta y regrésela con el paquete adjunto. Es muy importante que nosotros sepamos en qué forma su hijo/a llegarán a su hogar. Si hubiera algún cambio, por favor, notifique al personal de ASES de inmediato. Gracias, Director de Programas Estudiantiles y Desarrollo del Personal Salida de A.S.E.S. Por favor complete y regrese esta parte de la carta. Recuerde que no se permite que los estudiantes se vayan caminando solos a sus hogares. Mi hijo/a TOMARÁ EL AUTOBÚS todos los días y se bajará en su parada regular. Mi hijo/a será RECOGIDO/A todos los días por uno de sus padres o persona designada en la tarjeta de emergencia. Deberán presentar identificación. O Nombre del Estudiante: Grado: Escuela: Firma del padre o madre: Fecha:
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