Nixon-Smiley CISD

2017-18 Student Handbook Nixon-Smiley CISD 800 NORTH RANCHO ROAD, NIXON, TEXAS 78140 0 REQUIRED FORMS ACKNOWLEDGMENT FORM My child and I are aware a copy of the Nixon-Smiley CISD Student Handbook and the Student Code of Conduct for 2017–2018 are on the District’s website (www.nixonsmiley.net). If I want a printed copy, I am to contact my child’s campus principal’s office. I understand that the handbook contains information that my child and I may need during the school year and that all students will be held accountable for their behavior and will be subject to the disciplinary consequences outlined in the Student Code of Conduct. If I have any questions regarding this handbook, I should direct those questions to the principal at my child’s campus. Printed name of student: Signature of student: Signature of parent: Date: Please do not remove. This form is intended to remain in handbook for your records. Please sign the colored copy of this form and return it to your child’s teacher. 1 ACKNOWLEDGMENT OF ELECTRONIC DISTRIBUTION OF STUDENT HANDBOOK My child and I have been offered the option to receive a paper copy of or to electronically access at www.nixonsmiley.net the Nixon-Smiley CISD Student Handbook and the Student Code of Conduct for 2017-2018. I have chosen to: Accept responsibility for accessing the Student Handbook [and the Student Code of Conduct] by visiting the web address listed above. Receive a paper copy of the Student Handbook [and the Student Code of Conduct]. I understand that the handbook contains information that my child and I may need during the school year and that all students will be held accountable for their behavior and will be subject to the disciplinary consequences outlined in the Student Code of Conduct. If I have any questions regarding this handbook or the Code of Conduct, direct those questions to the campus principal at 830-582- 1536. Printed name of student: Signature of student: Signature of parent: Date: 2 REQUEST FOR ALLERGY INFORMATION Dear Parent/Guardian: It is extremely important that you inform the District of any allergies your child has so that we may make appropriate accommodations for his or her comfort and safety at school. If your child has no known allergies, please check the box next to “No information to report”, fill in the bottom of the form, and return to your child’s school. If your child has a severe allergy, please make an appointment with our nurse so that we may discuss a plan to ensure the District has an appropriate management plan for any special circumstances. A severe allergy means a dangerous or life-threatening reaction of the human body to an allergen introduced by inhalation, ingestion, or skin contact that requires immediate medical attention. Please list below any type of allergy, whether your child is slightly allergic or severely allergic, as well as any known reaction your child has when exposed. Common allergies include: foods (most common: peanuts, shell fish, milk, wheat, eggs) insects (can include: bees, wasps, fire ants, etc.) airborne substances (pollen, mold, dust, et hair, etc.) medications (most common: penicillin, sulfa drugs, etc.) latex gloves and other items Possible reactions can include: difficulty breathing, rashes, hives, cramping, itchy-watery eyes, dizziness, stomach ache, throat tightness, vomiting, diarrhea, nasal congestion, coughing. In addition to avoiding any allergy-causing encounters, the District also needs to know what specific medical responses might be needed. This can include anything from a soothing lotion for rashes to a life- saving epinephrine auto-injector (EpiPen). If you are unsure of your child’s specific symptoms or whether an allergy might be present, please discuss this with our nurse. **IF YOUR CHILD HAS A FOOD ALLERGY** IF YOUR CHILD REQUIRES A SPECIAL DIET OR MODIFIED MEAL PLAN, WE REQUIRE INFORMATION FROM YOUR CHILD’S DOCTOR ABOUT THE ALLERGY, INCLUDING KNOWN REACTIONS AND TREATMENT REQUIRED IN CASE OF EXPOSURE. CONTACT THE SCHOOL NURSE NO LATER THAN 5 DAYS AFTER THE START OF SCHOOL OR 5 DAYS FROM THE DATE OF ENROLLMENT OF YOUR CHILD IN THE DISTRICT. 3 REQUEST FOR ALLERGY INFORMATION No information to report or Is this life threatening and/or what treatment is required if your child is exposed? Specifically list epinephrine Food/Insect/Medication injector (EpiPen) or inhaler if or other allergen: Symptoms: needed: The District will maintain the confidentiality of the information provided above and may disclose the information to teachers, school counselors, school nurses, and other appropriate school personnel only within the limitations of the Family Educational Rights and Privacy Act and District policy. Student Name: ______________________________ Date of Birth: _______________ Grade: _______ Parent/Guardian Signature: _____________________________Date: ________________________ This document is to be maintained in the Student’s Cumulative Folder School Nurse Form-Allergy Form JUNE 2017 4 NOTICE REGARDING DIRECTORY INFORMATION AND PARENT’S RESPONSE REGARDING RELEASE OF STUDENT INFORMATION State law requires the District to give you the following information: Certain information about District students is considered directory information and will be released to anyone who follows the procedures for requesting the information unless the parent or guardian objects to the release of the directory information about the student. If you do not want Nixon-Smiley CISD to disclose directory information from your child’s education records without your prior written consent, you must notify the District in writing within ten school days of child’s first day of instruction for this school year. This means that the District must give certain personal information (called “directory information”) about your child to any person who requests it, unless you have told the District in writing not to do so. In addition, you have the right to tell the District that it may, or may not, use certain personal information about your child for specific school- sponsored purposes. The District is providing you this form so you can communicate your wishes about these issues. [See Directory Information on page 19 for more information.] Nixon-Smiley CISD has designated the following information as directory information: Student’s name Address Telephone listing E-mail address Photograph Date and place of birth Major field of study Degrees, honors, and awards received Dates of attendance Grade level Most recent school previously attended Participation in officially recognized activities and sports Weight and height, if a member of an athletic team Student identification numbers or identifiers that cannot be used alone to gain access to electronic education records 5 Directory information identified only for limited school-sponsored purposes remains otherwise confidential and will not be released to the public without the consent of the parent or eligible student. Parent: Please circle one of the choices below: I, parent of __________________________ (student’s name), (do give) (do not give) the District permission to release the information in this list in response to a request. Parent signature Date Furthermore, I (do give) (do not give) the District permission to release the information in this list for a non-specified school-sponsored purpose. An example would be a business/commercial request for the list. Parent signature Date Student Name Printed ID# Please do not remove. This form is intended to remain in handbook for your records. Please sign the colored copy of this form and return it to your child’s teacher. 6 PARENT’S RESPONSE REGARDING RELEASE OF STUDENT INFORMATION TO MILITARY RECRUITERS AND INSTITUTIONS OF HIGHER EDUCATION Federal law requires that the District release to military recruiters and institutions of higher education, upon request, the name, address, and phone number of secondary school students enrolled in the District, unless the parent or eligible student directs the District not to release information to these types of requestors without prior written consent. [See Release of Student Information to Military Recruiters and Institutions of Higher Education on page 19 for more information.] Parent: Please complete the following only if you do not want your child’s information released to a military recruiter or an institution of higher education without your prior consent. I, parent of ______________________________ (student’s name), request that the District not release my child’s name, address, and telephone number to a military recruiter or institution of higher education upon their request without my prior written consent. Parent signature Date Student Name Printed ID# Please do not remove. This form is intended to remain in handbook for your records. Please sign the colored copy of this form and return it to your child’s teacher. 7 NOTICES TO PARENTS Dear Parent: The District is required by federal law to notify you and obtain your consent for or denial of (opt-out) your child’s participation in certain school activities. The activities include any student survey, analysis, or evaluation, known as a “protected information survey” that concerns one or more of the following eight areas: 1. Political affiliations or beliefs of the student or student’s parents; 2. Mental or psychological problems of the student or student’s family; 3. Sexual behavior or attitudes; 4. Illegal, antisocial, self-incriminating, or demeaning behavior; 5. Critical appraisals of others with whom the student

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