Enrollment Center 8 Enfield Cultivating a World Class Educauon , OH 45218 513.619.2360 ph WINTON WOODS 513.619.2363 fx CITY SCHOOL DISTRICT www.wintonwoods.org

Welcome to Winton Woods City Schools Open Enrollment. We are committed to providing your child with an educational experience that best addresses his/her needs. lt is very important to complete all of the registration required for the open enrollment process.

Step #1- Open Enrollment Application/Record Release and Enrollment Packet

After your initial contact, your student's records will be review by an Adminlstrator, if . ¡ more information is needed records will be requested from your student (s) current school district, after which you will be notified of your acceptance status.

Please be advised that your child's school records are only one factor considered by the building principal, classroom teacher(s) and/or counselor in making placement decisions. Students entering the district may receive an assessment test to help determine the academic level at which they are currently performing. Final grade placement decisions will be made by using data from available records, observations and/or classroom assessments.

Step #2a - Letter of Notification/Signature of Acceptance for Open Enrollment

Within three (3) weeks of receiving records, you should expect a letter regarding your application status.

Step #2b - Signature of Acceptance from Parent/Guardian Returned

Within seven (7) business days of the dated letter of Notification, you will need to notify Winton Woods City Schools of your acceptance in the Open Enrollment Program.

Note: you may fax (513} 619-2363, mail or bring your signed letter of acceptance to the enrollment center.

Step #3 - Information pertaining to your student(s) school will be mailed 1-2 weeks prior to the start of school.

Again, thank you for choosing the Winton Woods City Schools District. We look forward to a strong partnership between home and school while "Expanding our Horizons"!

Sincerely,

Superintendent I llllll lllll lllll lllll llll llll Winton Woods City Schools Open Enrollment Application Accepted April l " - October 9th

ALL APPLICANTS ARE SUBJECT TO APPROVAL Instructions: Please fill out all information completely and accurately any Missing, Omitting, Inaccurate, or Deliberately providing false data may hinder the process, resulting in errors relating to acceptance/denial.

Grade level entering 2015-2016 _ Student is currently being served on an IEP/MFE/504 _

Please Print Student's Full Name:------Date of Birth: ------I I Current School District: Phone#: School Fax: _

School Address: City: _ State: Zip Code: _

School District of Residence:------

Has this student been suspended or expelled from school during the current or previous school year? _. If yes, how many days and rea~on: _

HIGH SCHOOL STL'DENTS ONLY: (*required) * Anticipated credits at the end of 2014 - 2015 SY _ *No of years in High School _

Check all that applies: D Child of District Employee D Former Student/Moved Out of District D Former OE Student D Sibling of Last Year OE Student

Program Requested: D Academy of Global Studies D General Studies D NS Open Enrollment

DO NOT MAIL, you must bring ALL of the following when requesting for Open Enrollment I. Open Enrollment Application & Student Enrollment Forms filled out 2. All Documents Required for Open Enrollment and Enrollment Forms (attached) 3. I have read and understand WWCS District Bylaws & Policies for Open Enrollment (attached) please initial _

Release of Records Note to parent(s): Your signature on this form grants permission for the nonresident school district to request from the current school district official transcripts/records necessary to determine whether the student meets the criteria for Open Enrollment.

Parent/Guardian Signature Print Parent/Guardian Name Date

Home Address: City: _ State: Zip Code: _

Home Phone: Cell Phone: Work Phone: _ ·-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-· OFFICE USE ONLY release records to: Winton Woods City Schools Enrollment Center, 8 Enfield St., Cincinnati, 45218 Phone (513) 619-2360 Fax (513) 619-2363

• Discipline Records - Suspensions/Expulsions • Court Orders (Custody, Restraining, etc) • Transcript of subjects and grades • Psychological or Other Individual Test Results* • Attendance Record • IEP & Special Education Records, if applies" • Ohio Proficiency I Standardized Test Results • 504 or other Intervention Plans* • Medical Records Please forward all Special Education records to: Pupils Services, 8 Enfield St., Cincinnati, Ohio 45218 Phone (513) 619-2320 Fax (513) 619-2339

Please send the above records, as soon as possible. If records are Not Available or Sending Partial Records, indicate the reason.

Registrar/Records Clerk (please sign) Date _

WWCS Registrar------Date _ Winton Woods City School District

Bylaws & Policies

5113 - INTER-DISTRICT OPEN ENROLLMENT

The Board of Education shall permit the enrollment of students from any Ohio district in a school or program of this District, provided the enrollment is in accordance with laws and regulations of the State concerning Inter-District Open Enrollment, the provisions of this policy, and the administrative guidelines established to implement this policy. All open enrollment guidelines must be met before approval is granted.

Student Fees

Students wishing to enroll as inter-district transfers must pay all required student fees at the time of enrollment in accordance with the District's established Student Fees, Fines and Charges Policy (See Board Policy 6152) before enrollment is considered finalized. Inter-district transfer students who fail to pay the required fees or to qualify for a waiver of such fees at the time of enrollment shall be denied admission. Students who move out of the District during the school year, and wish to remain in the District as inter• district/openly enrolled must have a zero balance before such enrollment is approved.

Restrictions

Applications from students may be rejected if the student has been suspended or expelled for ten (1 O) consecutive days or more during the semester of application or the preceding semester.

No student shall be accepted for open enrollment that has been convicted and/or ruled a delinquent for committing any of the crimes listed below:

A. Conveying deadly weapons or dangerous ordinance.

B. Possessing deadly weapons or dangerous ordinance.

C. Carrying a concealed weapon on school property or at a school function.

D. Trafficking drugs.

E. Murder or aggravated murder. F. Assault or aggravated assault.

G. Voluntary or involuntary manslaughter.

H. Rape, gross sexual imposition or felonious sexual penetration.

l. Complicity in any of the above offenses.

High School students who are credit deficient may be denied enrollment.

Revocation

Enrollment of an inter-district transfer student may be revoked as a result of poor attendance and/or repeated or serious violations of the student code of conduct. Poor attendance is defined as twelve (12) unexcused tardies to school and/or absences in a school year. Enrollment of an inter-district student may be revoked if it is determined that the student or the parent/guardian failed to disclose or falsified information on the inter-district/open enrollment application.

Capacity

Consideration for open enrollment is subject to building capacity and class or program size and limitations. The number of openings in a particular program for students from other Ohio districts will be determined by optimum size for a particular program, classroom/school building or grade level which is the number of students that can be accommodated without increasing District expenditures for staff, space or equipment.

Approved open enrollments may be subject to displacement due to excessive enrollment. ln the event that the Superintendent or designee declares a program, grade level or building overcrowded, and if the District decides not to add staff, inter-district transfer students will be returned to their home districts to make space for students who officially reside in the Winton Woods City School District. These students are termed "resident native" students. The order of return will be in reverse order of enrollment - last in, first out.

Enrollment Priority

Enrollment priority shall be given to resident native students. Such students may not be refused attendance in the District regardless of capacity. Resident native students also include those as defined by R.C. 3313.64.

Children of nonresident employees will be given the next order of priority. Children of all nonresident employees enrolled in the Winton Woods City School District shall be reported to the state as "open enrollment student(s)". ln general, all other applicants will be enrolled on a first-come, first-served basis contingent upon space availability. However, special consideration will be given to students with siblings currently enrolled in the District and resident students who move during the year and wish to remain in the District.

Students approved and enrolled in a school through open enrollment may continue in the District through all grades without reapplying so long as they indicate in writing intent to remain enrolled on or before March 31st.

Open Enrollment Timeline:

· April 1 - Begin accepting applications 8:00 AM. (Applications will not be accepted prior to this date).

All Open Enrollment applications will be accepted through the first Friday of the first week of October.

Notice of approval will be sent to students' parents/guardians within two (2) weeks of application.

Parents/guardians are required to submit a letter of acceptance within one (1) week of notice of acceptance.

Open Enrollment Deadlines:

The deadline for filing regular open enrollment requests for the 2015-2016 school year is October 9, 2015, 4:00 PM. Inter-district open enrollment will not be an ongoing process throughout the school year.

Exceptions to this deadline are as follows:

Students who move out of the District during the school year must apply for open enrollment in order to remain in Winton Woods City Schools. This must be done as soon as school officials are made aware of the change of address. The parent/guardian must go to the Enrollment Office with proof of their new address and fill out an open enrollment application. Attendance and discipline may have an impact on approval. Inter-district students enrolled in the District who move into the District must be admitted to Winton Woods City Schools as resident native students upon proof of address within the district regardless of space. Transportation

Parents/guardians of students attending the District through open enrollment are responsible for transportation to and from school and to and from activities outside of the regular school day. After students are approved for open enrollment, arrangements to meet a bus at a predetermined stop may be arranged through the Director of Transportation if space is available.

Special Education

The District shall not discriminate against any disabled students (IDEA or 504). The District shall not be required to provide any services or adapt any facilities not already provided to disabled resident native students. If an inter-district transfer student becomes disabled and requires special education or a reasonable accommodation after enrolling in the District, s/he may be transferred back to their home district, if the school s/he is attending is not currently providing the services for resident native disabled students or cannot make the reasonable accommodation.

Great Oaks Institute of Technology and Career Development Programs

Inter district applicants who wish to participate in any Great Oaks Institute of Technology and Career Development (Great Oaks) program will be screened through Great Oaks. Technology and Career Development programs through Great Oaks are only available for students grades 11 and 12 or students sixteen (16) years of age or older. Acceptance into such programs is based upon criteria established by Great Oaks.

High School Athletic Eligibility ln accordance with Bylaw 4-7-3 of the Ohio High School Athletic Association (OHSAA), a student who transfers to Winton Woods High School through open enrollment after establishing eligibility by being officially enrolled at another nonpublic or public high school, will be ineligible for one (1) calendar year from the date of enrollment. Exceptions to this rule are as follows:

A. If the parent(s) or legal guardian(s) change residence from one (1) district to another, the student is eligible for athletics.

B. Eighth-grade students enrolling in high school, either through residency or open enrollment, are eligible for athletics providing they meet grade and attendance requirements. C. A student may enroll in a school outside the district of residence of the parent(s) or guardian(s) provided the superintendents or principals of both school districts enter into a written agreement and specify that the purpose of such enrollment is to protect the student's physical or mental well-being and/or educational program.

Application Process

All approved applications require parents/guardians to complete and submit regular school enrollment information in addition to the completed Inter-District Open Enrollment Application. Along with the application and enrollment information, the following items are required:

A. Copy of Current Report Card and Official Transcript

B. Attendance Record

C. Discipline Record

D. Current IEP or 504 Plan

Annual Review

This policy shall be reviewed annually by the Board to determine whether to adopt a resolution to continue the policy or to rescind Inter-District Open Enrollment.

Racial Balance lt is the intent of the Board to avoid racially isolated buildings or programs as a result of this policy. A racially isolated building or program refers to a District building or program in which the racial composition of the students varies significantly from overall composition of the School District. The Board intends to maintain an appropriate racial balance as required by law. Should a concern arise regarding racial balance in one (1) or more of the District's schools or programs, the Superintendent shall consult with legal counsel to determine the appropriate steps that should be taken. The Superintendent shall then make the appropriate recommendation to the Board. Non-discrimination

The Winton Woods City Schools Board of Education does not unlawfully discriminate on the basis of race, color, religion, national origin, creed or ancestry, age, gender, marital status, or disability in employment or in its educational program and activities.

R.C. 3313.98

November, 1995 Revised 4/23/01 Revised 2/28/11 Revised 8/8/11 Revised 3/26/12 Revised 2/24/14

Revised 2/23/2015 Winton Woods City Schools Documents Required for Enrollment*

Welcome to the Winton Woods City School District.The following information is provided to make the enrollment process as easy as possible for you and your child! Please read over required documents carefully. Incomplete enrollments mav not be accepted.

PROOF OF RESIDENCY

Confirm the residence reported is within the district. See reverse side for proof of residency requirements.

BIRTH CERTIFICATE

Verify date of birth by a certified "original" birth certificate and copy the birth certificate for school records. A passporU or court order designating parentage and date of birth may also be used as an alternative to the birth certificate. A child whose Sth birthday falls on or before August 1st is eligible to enter Kindergarten, and one whose 6th birthday falls on or before August 181 and who has successfully completed an accredited kindergarten, Montessori program, or equivalency is eligible to enter 1st grade for that year, provided all other requirements are met. Rv. 11/2012

PROOF OF CUSTODY - only the parents/legal guardian can enroll a child

Verify child custody by the birth certificate or certified copies of any child custody orders or decrees. Child custody orders or decrees must be filed with the court and signed by a judge or magistrate. Notarized agreements not filed with the court and signed by a judge or magistrates are not acceptable. Ohio law requires the parent/custodian provide the school with the most recent copy of any court action regarding custody.

PROOF OF STUDENT IN GOOD STANDING

We ask parents and students to verify their disciplinary status with their previous school by answering the question on the enrollment form. Students are not permitted to enroll in another school system if they are under any expulsion or pending expulsion.

PROOF OF IMMUNIZATION

Grades Pre-School thru 12th must show proof of current & completed immunizations at the time of enrollment. Rv. 10/2012

VERIFICATION OF INDIVIDUAL ENROLLING CHILD

Verify identity of the individual enrolling the child (driver license preferred or other photo ID} to confirm that it is the person with custody and empowered to make educational decisions on the child's behalf.

SCHOOL RECORDS

Elementary - letter or current grade report from previous school to verify grade level must be provided. Middle School- to create a student's class schedule and verify grade level the most recent grade report or schedule must be provided. High School- to create a student's class schedule, the most recent transcript (unofficial copy may be used) must be provided. IEP/MFE placement decisions are made based on the review of the current IEP and MFE.

All required documents must be presented at the time of enrollment. Incomplete enrollments will delay the enrollment process and may not be accepted.

*Due to state laws and/or board policy, Winton Woods requires the above documents to be shown to school officials when your child (ren) is being registered. Thank you in advance for providing these documents. Office hours for registration are: Mon-Fri 8:00am- 3:00pm@ 8 Enfield St. Phone (513) 619-2360 Fax (513) 619-2363

09/23/13 WINTON WOODS QTY scaoor, DISTRICT procedures for

PROOF OF RESIDENCY

Before any student is enrolled in the Winton Woods City School District the student's parent or legal guardian* must prove legal residence in the District.

Families whose primary residence is outside of the School District must apply for Open Enrollment during that time frame, to be eligible to attend Wmton Woods City Schools.

All applicants must submit One Document from Column A along with Two supporting documents (see Column B & C). Documents must be pre-printed with the name and address of the student's parent or guardian" and must be presented at the Enrollment Center at the time of registration.

These documents will also be required for any change of address.

All applicants must submit at least one document from Column A plus two documents from either Column B or C:

Column A Column B Column C A utility bill or work order dated within the past 60 days, including:

•Copy of deed, mortgage payment • Energy bill •Valid driver's license receipt or contract for new •Current vehicle registration construction •Valid Ohio photo identificationcard •Validpassport

-Lease or rental agreement-signed • Home telephone bill Dated within the past year: by owner/manager (must list •W-2 form names of all occupants) • Property tax bill

• Affidavit signed by home owners •Cable bill Dated within the past 60 days: residing in WWSC District • Letter from approved must be notarized by: government agency Forest Park Tax Office-1201 • Payroll stub W.Kemper Road 595-5211 (closed •Bankor credit card statement Tuesday and Thursda)1 Greenhills Tax Office-11100 Winton Road 825-2100 Springfield Township - residents may call the Enrollment Center 619-2360 Please call first to assure that notarv is in. •Section 8 agreement-signed copy •Water bill

* Legal guardianship requires additional documentation from a court or agency.

Office hours for registration are: Mon-Fri 8:00am - 3:00pm@ 8 Enfield St. Phone (513) 619-2360 Fax (513) 619-2363

09/23/13 General Fact Sheet *Buildings may have policies or procedures specific to their environment.

.... School Hours -NO SUPERVISION for students before school hours. o Pre-School 9:30 am until 12:00 am OR 1 :25 pm until 3:55 pm o Kindergarten -2 9:10 am until 4:10 pm o Grades 3-4 8:35 am until 3:35 pm o Grades 5-6 8:00 am until 3:00 pm o Middle School 7:30 am until 2:30 pm o High School 8:00 am until 3:07 pm

.... Absences - Please contact Office before school. Please send a note upon your student's return to school.

.... School Fees - General fees for the school year are as follows: Kindergarten: $30 1-2: $40 3-6: $50 7-8: $70 9-12: $70 base fee- total high school fees will vary due to individual course costs, see fee schedule. Fees are payable by cash, check, or money order made out to WWCS. Students are not able to participate in extracurricular activities including field trips until the fees are paid. Fees are assessed in order to cover the cost of consumable materials used in various courses.·

.... Tardy - If a student is not in class at the time school begins he/she must come to the Office upon arrival and sign in. Please call and send a note when your student is tardy.

.... Lunch Prices - prices are subject to change o Primary, Elementary, and Intermediate $2.25 for a full lunch; $.50 for milk o Middle School and High School $2.80 Prices vary for snacks. Applications for Free/Reduced Lunches are sent home with each student at the beginning of the year and must be renewed each year.

.... District Calendars - available at the beginning of the school year in the school offices.

.... Medications - o Students are not permitted to have ANY TYPE OF MEDICATION on their person. The only exception to this is with certain emergency medication by written order of the doctor and prior approval of the district nurse. o School employees cannot dispense any medication unless we have the proper forms signed by a parent and for prescription medications by the parent and the student's doctor. o ALL MEDICATIONS (and proper forms) must be brought to school by an adult.O

Office hours for registration are: Mon-Fri 8:00am - 3:00pm@ 8 Enfield St. Phone (513) 619-2360 Fax (513) 619-2363

09/23/13 WWCS Enrollment Center Form

111111111111 llEE,294llE

FOR SCHOOL DISTRICT PERSONNEL ONLY

School Year 20 __ / 20 __ Entry Date _ Entry Code. _ Home School _ Grade _

Home Rm/Tchr ------Records Requested__/__/ Assessment Date ..J Int. _

Section 1

Please Circle One: Student is a 1. US Citizen 2. Non-US Citizen/Immigrant 3. Foreign ExchangeStudent

Student's Information

Last Name (as lt appears on Birth Certificate) First Name Middle Called Name

Birthday (mm Idd I yy) Circle Gender: Native Language Birth City & Country Contact Numbers I I

' Home- ·--'-' Male or Female Mother's Malden Name Cell- Student's S.S#

.. Work- --- -

Home Address City State Zip

Previous School District Name of School City State Date Last Attended

Month I Year

Who has legal custody? Circle all that apply Student lives with? Circle all that apply

Mother Father Stepmother Stepfather Guardian Mother Father Stepmother Stepfather Guardian

Other _

Other _ Is there joint custody of this student i' Y N

Are there custody documents filed with the courts? Y N

WINTON WOODS SCHOOL DISTRICT REGISTRATION FORM 1 FAMILY INFORMATION

Section 2

Parent/Guardian------Relationship ------

Address City State Zip _

Employer Home Phone Work ------

Cell _ Email _

legal Custody Y N ReceivesMailings Y N SpeaksEnglish Y N LanguageSpoken ------

Parent/Guardian------Relationship ------

Address City State Zip _

Employer Home Phone Work ------

Cell _ Email _

Legal Custody Y N ReceivesMailings Y N SpeaksEnglish Y N LanguageSpoken ------

Section 3

Is the Student an IMMIGRANT YOUTH:Circle one Y N (An immigrant youth is a child that meets all three of the following)

1. Child is between ages 3 - 21

2. Child was not born in the U.S.

3. Child has not attended one or more schools in any one or more of the states for more than 3 academicyears.

List any other Ohio school district enrolled ------..1 ------

Section 4 SPECIAL EDUCATIONSERVICES (if currently receiving special education servicesplease check this box) D If yes Circle All that apply: IEP ETR MFE 504

Circle all that apply: I have provided a current copy IEP MFE 504 I have not provided a current copy IEP MFE 504

List all Disabilities: _

Section 5

Is this student currently under a suspension or expulsion from another school district? Circle Y or N

Has student: been in Winton Woods before? Y N

If Yes, Year attended _ Attended vocational school Y N Program------

WINTON WOODS SCHOOL DISTRICT REGISTRATION FORM 2 Section 6 HOME LANGUAGE SURVEY

What language did your child speak when he/she first learned to talk? ------

What language does your child use most often at home? ------

What language do you use most often with your child?

What language do the adults most often speak at home? _

How long has your child attended school in the U.S?

When did your child first enter a school in the U.S.? ------

Section 7 FOR COURT APPOINTED GUARDIANS ONLY, PLEASE COMPLETE THE FOLLOWING INFORMATION:

Guardian's Name Name of agency Contact# _

(From birth certificate) Name of birth parents School District of Residency _

Address of birth parents _

Name of Surrogate Parent------Contact # Copy of training on file? Y N Requested

Section 8 Please Read and Initial each

I have received a copy of Winton Woods City Schools Dress Code Guidelines:

I understand that Incomplete Immunization Records will disrupt my child's start date/attendance

And if entering the country my child (ren) must be tested for TB or in the process to be tested before starting school

Section 9 SIBLING(S) ATIENDING WINTON WOODS CITY SCHOOLS

Name _ School Name School _

Name _ School Name School _

Section 10

PLEASE PRINT NAM E SIGNATURE OF LEGAL GUARDIAN RELATIONSHIP DATE

OFFICE USE ONLY:

Birth Cert. lmmz ID Cust Doc Gr. verified IEP __ Cont./Lease __ Utility___,

Other POR Erner Card __ Rec. Req __ Health Rec. __ Expulsion 'li __

Sp. Ed __ ESL __ Dress code Intl. __ Internet __ Privacy __ Lunch __ IRN # Enr. By: Ent. By: _

WINTON WOODS SCHOOL DISTRICTREGISTRATION FORM 3 A49Míti:mfulbifäiidítffifl;,jfofl I 2015-16

WINTON WOODS CITY SCHOOLS 1111111111111~6296~ EMERGENCY MEDICAL AUTHORIZATION

The purpose of this form is to enable parents and guardians to authorize the provision of emergency treatment for children who become Ill or injured while under the school's authority, when parents or guardians cannot be reached. Please be sure to print and complete each blank and/or verify the Information we have on file regarding your student.

Student li? I Student Name Date of Birth: Sex: M -- F -- Address: Home Phone:

Medical Information Please provide facts concerning your child's medical conditions and medications being taken to which a physician should be alerted:

Please Check Any and All that Apply: Additional Information: __ Asthma: Triggers Inhaler Y I N __ Food Allergies: To What EPI Pen Y I N __ Insect Allergies: To What EPI Pen Y I N __ Other Allergies: To What EPI Pen Y I N Diabetes Heart Condition Seizures __ Vision Problems __ Hearing Problems __ Eating Problems __ ADHD __ Autism __ Other (Explain ln Additional Info) Medications:

PART I - TO GRANT CONSENT: I hereby give consent for the following medical care providers I local hospital to be called.

Doctor's Name Phone#

Dentist's Name Phone#

Medical Specialist Phone#

Local Hospital Phone# ln the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for (1) the administration of any treatment deemed necessary by above named doctor, or in the event the designated preferred practitioner is not available, by another licensed physician or dentist, and (2) the transfer of the child to preferred hospital or any hospita I reasonably accessible. This authorization does not cover major surgery unless the medical opinions of two licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery.

Date:------Signature of Parent I Guardian:------

PART li - REFUSAL TO CONSENT: I DO NOT give my consent for emergency medical treatment of my child. ln the event of the illness or injury requiring emergency treatment, I wish school I district authorities to take the following action:

Date:------Signature of Parent/ Guardian:------

PLEASE COMPLETE BOTH SIDES WWCS Enrollment Center Form

WINTON WOODS CITY SCHOOLS 111111111111 AUTHORIZATION TO RELEASE INFORMATION llE62'35llE

(Print) Student's Last Name First Name M.I. Date of Birth

Enrolling to enter grade: _ (Print) Parent/Guardian Name:

Parent/Guardian Signature authorizing the release of school records to Winton Woods City Schools Date

Present School/Institution Name Phone Fax Print contact name

Address City State Zip Code

Previous School/Institution Name Phone Fax Print contact name

Address City State Zip Code

Attn: Registrar/Records Clerk

Is student currently under an expulsion or suspension? YES. _ NO _

If records are not available, please return our request indicating the reason: ( ) No records available ( ) Sending partial records Reason(s): _

Students' withdraw date: ---''-----''------Records Clerk Signature: Date:

• Discipline Records - Suspensions/Expulsions • Court Orders (Custody, Restraining, etc) • Transcript of subjects and grades • All Other personally identifiable data • Attendance Record • Psychological or other Individual Test Results* • Ohio Proficiency I Standardized Test Results • IEP & Special Education Records, if applies" • Health Records • 504 or other Intervention Plans*

Fax or Email records to: ([email protected]) ( ) Primary North 73 Junefield Avenue, Cincinnati, Ohio 45218 Phone 513.619.2390 Fax 513.619.2398 ( ) Primary South 825 Lakeridge Drive, Cincinnati, Ohio 45231 Phone 513.619.2470 Fax 513.619.2479 ( ) Elementary School 1501 Kingsbury Drive, Cincinnati, Ohio 45240 Phone 513.619.2490 Fax 513.619.2497 ( ) Intermediate School 825 Waycross Road, Cincinnati, Ohio 45240 Phone 513.619.2450 Fax 513.619.2451 ( ) Middle School 147 Farragut Road, Cincinnati, Ohio, 45218 Phone 513.619.2440 Fax 513.619.2452 ( ) High School 1231 West Kemper Road, Cincinnati, Ohio 45240 Phone 513.619.2420 Counselor Fax 513.619.2415 ( ) Student Services 8 Enfield Street, Cincinnati, Ohio 45218, Phone 513.619.2320 Fax 513.619.2339 ( ) Enrollment Center 8 Enfield Street, Cincinnati, Ohio 45218, Phone 513.619.2360 Fax 513.619.2363

Please send the above records, If available for this student, as soon as possible. Pursuant to Section 5 Paragraph C of 325 ILCS 50/5 "any elementary or secondary school requested to forwarded a copy of a transferring student's record to the new school shall comply within 1 O days of receipt unless the record has been flagged pursuant to subsection (a) notification by Dept. of a person's disappearance)." ·

WWCS Registrar Date Admission Date _ Dear Parents of Students New to the Winton Woods City School District:

The Ohio State Department of Health and the Winton Woods City School District Board of Education require certain immunizations upon entrance to school. The following records must be completed in order for students to fulfill registration requirements:

Proof of Immunizations

DPT (Diptheria/retanus/Pertussis) • Four (4) or more ofDTaP or DT, or any combination. • Three (3) doses of Td or a combination ofTd and Tdap is the minimum acceptable for children age seven (7) and up.

Tdap Booster (Tetanus/Diptheria/Pertussis) • Grades 7-10: Require one (1) dose ofTclap vaccine to be.adminístered prior to entry. Td is not acceptable. • Grades 11-12: Require one (I) dose ofTdap or Td (Tetanus and Diptheria) vaccine to be administered prior to entry.

IPV (Polio Vaccine) • Three (3) or more doses of JPV or OPV. • If the third dose of either series was received prior to the fourth birthday, a fourth. (4) dose is required. • If a combination of OPV and IPV was received, four (4) doses of either vaccine are required.

MMR (Measles, Mumps, Rubella) 2 doses required.

Hepatitis B (Hep B I HBV) Three (3) doses required.

Varicella (Chicken pox) (grades 6- 9) One (1) dose must be administered on or after the first birthday.

Varicclla (Chicken pox) (K- 5) Two (2) doses must be administered prior to entry.

PPD (Tuberculosis skin test) required for student entering from a foreign country.

Your attention to the completion of these enrollment requirements is URGENT. It is important that there be no interruption in your child's schooling. Y ou can assure this by securing the necessary immunization( s) immediately and providing documentation to the school.

If you have any questions, please call the school where your child attends.

Patty D'Arcy, Director, Department of Teaching and Leaming Winton Woods District Nurses PP-88-305a(ME-3) Revised 2/2015

Health is a very important part of a child's achievement and well-being. It is important for you to share with us any information about your child's health that requires the cooperation between family and school. FROM THE NURSE'S OFFICE

Emergency Cards Please complete both sides of the emergency card (remember to sign the appropriate section for consent on the back of the card). Give names and numbers of those adults preferably in the Winton Woods area who are able to help your child in case of emergency or illness. Student will only be released to those listed on the emergency card. Medication Procedure

No student will be given medication at school unless the proper forms have been completed and the medication has been delivered to the school by an adult. A medication form must be completed by the physician and parent for each prescription medication and a fonn must be completed by the parent for each over the counter medication. Use one form for each medication. Medications can only be given as directed on the form. A physician/parent authorization must be on file in the office before a student can carry and self• administer an inhaler or Epi-pen. Health Exclusion Policy The following categories of students will be excluded from school until the situation has been remedied: • A student who has not been fully immunized per state health guidelines. • A student with symptoms of a communicable disease. • A student with head lice and/or nits. • A student with a communicable rash. • A student with a temperature of 100 degrees or greater. A student must be fever free without fever reducing medication for 24 hours before returning to school. Head Lice The Winton Woods City School District has a "no nits" policy, as do most schools in the area. This means that all lice and nits must be removed from a child's hair before returning to school. Each school has written information detailing how to become free of head lice and nits. If your child has lice or nits, please inform the school so the rest of his/her class can be checked. We try to maintain confidentiality and try to be sensitive to the child's need.

Screening Procedures

The State of Ohio has mandated that vision, hearing, and scoliosis screenings be performed at certain grade levels. If you have questions about this, feel free to contact the nurse.

Please call with any questions or health concerns!

WWHS 619-2420 WWES 619-2490 COMMUNITY 619-2320 WWMS 619-2440 WWPN 619-2390 BUILDING WWIS 619-2450 WWPS 619-2470

Winton Woods District Nurses revised 9/12 WWCS Enrollment Center Form

111111 111111 lCE6307icE PARENT NOTIFICATION OF HEAL TH REQUIREMENTS

DATE: ------Grade: (student is now entering) _

STUDENT'S NAME: ------Gender: M or F

DATE OFBIRTH: ------PARENTCONTACT NUMBER: ------

NAME OF PREVIOUS SCHOOL: ------~

CITY/STATE:------'PHONE NUMBER: _

Facts concerning this student's medical history (ex: Diabetes, Asthma, Allergies (food, environment, & medicine), physical impairment, conditions requiring medications, etc.) *For severe conditions please contact your School Nurse prior to student starting school.

Has this student ever had a positive TB (tuberculosis) skin test? _ Was a chest x-ray done? Date:------Has this student BEEN IN a foreign country in the last 5 years? YES NO__ Name of Country _ Reason for visit: Length of visit: _ Returned to United States from visit (Month/Year): _

Has this child ever attended a Winton Woods City School before? Yes or No If YES, name of last school attended: ------~ Current immunization records MUST BE PROVIDED in order to complete the enrollment process.

I have been informed of the items needed to complete registration for school for my son/daughter.

Parent Signature Revised 9/12 WINTON WOODS CITY SCHOOLS REQUEST FOR li li li li ADMINISTRATION OF MEDICATION ~6308~li I I School policy requires consent of the parent/legal guardian and written statement from the licensed prescriber before school personnel can give any prescribed medication to a student. Please complete this form and return to the school office.

Name of Student DOB Grade _ Homeroom _ Address Telephone _ Allergies _

To be completed bv LICENSED PRESCRIBER In accordance with ORC 3313.713/ 3313.716 The Licensed Prescriber must provide the following Information before a student Is allowed to receive medication at school or possess and self-administer an asthma Inhaler.----·-···---·-----·------Condition for which medication is administered _ Name of medication, dose and route _ Time or indication for administration _ Possible side effects to be noted/reported _ Special Instructions _ Effective Date Expiration date of this request _ For ASTHMA INHALERS, AND INSULIN PUMPS - In my opinion, this student shows the ability to administer and be responsible for carrying and self-administering the above medication. YES (initials) NO (initials)

The following section ls REQUIRED for ASTHMA INHALERS that a student is carrying and self-administering, and Is OPTIONAL for other medications: • Instructions to fo11ow in the event medication does not produce expected relief _

• Please list possible side effects for a student for which the medication is not prescribed should he/she receive a dose:

Licensed Prescriber Signature Print Name

_/_/_ Date Phone Number To be completed by PARENT/GUARDIAN I give permission for the principal or his/her designee to administer the medication as prescribed above to my child, and further agree to the following: 1. Submit to school personnel a revised statement, signed by the licensed prescriber of the above, when any change in the original statement occurs.

2. Submit to school personnel a written statement when medication has been discontinued.

3. Grant permission for the school nurse to confer with the above licensed prescriber regarding my child's health and treatment issues as they pertain to the above medication/diagnosis and his/her educational and behavioral management needs.

4. Cooperate with school personnel in assisting my child to comply with medication administration instructions.

5. All medications must come to school in the original container from the pharmacist.

For INHALERS, AND INSULIN PUMPS: It is my opinion that my child understands the use of this medication, demonstrates proper administration and has shown responsible behavior when it comes to carrying this medication. Yes No Initials

_/_!_ Parenti/Guardian Signature Date Daytime Phone Number

**** THIS FORM EXPIRES AT THE END OF THE SCHOOL YEAR HCESC 12/2014 ".:.._wwcs Enrollment Center-Form··· ··· ·

111111 111111 WINTON WOODS CITY SCHOOLS ieE6308ieE OVER THE COUNTER MEDICINE RELEASE FORM

Any Over the Counter (OTC) medications that accompany this form • must be in the original container • must be delivered to the school by an adult

TO BE COMPLETED BY PARENT OR LEGAL GUARDIAN

Use separate form for each medication

Student's Name: DOB: Grade: Homeroom: ------' ~-- -- ·------Address: Telephone: _

Allergies=------~ Medication:------Dosage:------• Time to be given during school hours ------(i.e. lunchtime, 12:00p.m. etc.) Descriptionof Medication:------• Possible side effects:------In signing this fonn, I will assumeresponsibility for safe deliveryof the medicationto the school,I will be responsible for providingwritten notificationby myselfand my physicianof any changein the use of the medicationor the prescribedtreatment, and I release and agreeto hold the Boardof Education,its employeesand its officials harmlessfrom any and all liabilityforeseen or unforeseenfor damagesor injuryresulting directly or indirectly from this authorization.

Parent/GuardianSignature: ------Date:------Home Phone:------EmergencyPhone: _

THIS FORM EXPIRES AT THE END OF THE SCHOOL YEAR.

All medication must be picked up from the school by an adult by the last day of school or it will be discarded.

pp-88-303c Revised 12/ 14 WWCS Enrollment Center Fonn

111111111111 ~6297~ •

STUDENT NETWORK AND INTERNET ACCEPTABLE USE AND SAFETY AGREEMENT

Please complete the following information:

Student User's Full Name (please print): ------

Homeroom/Advisory: Student ID: _

School: ------~Grade: _

Parent/Guardian's Name (please print): ------

Please see back side for parent/student signatures

To access e-mail and /or the Internet at school, students under the age of eighteen (18) must obtain parent permission and must sign and return this form. Students eighteen (18) and over may sign their own forms.

Use of the Internet is a privilege, not a right. The Governing Board's Internet connection is provided for educational purposes only. Unauthorized and inappropriate use will result in a cancellation of this privilege.

The Board has implemented technology protection measures, which protect against (e.g. block/filter) Internet access to visual displays/depictions/materials that are obscene, constitute child pornography, or are harmful to minors. The Board also monitors online activity of students in an effort to restrict access to child pornography and other material that is obscene, objectionable, inappropriate and /or harmful to minors. Nevertheless, parents/guardians are advised that determined users may be able to gain access to information, communication, and/or services on the Internet that the Board has not authorized for educational purposes and/or that they and/or their parents/guardians may find inappropriate, offensive, objectionable or controversial. Parents/Guardians assume this risk by consenting to allow their students to participate in the use of the Internet. Students accessing the Internet through the school's computers assume personal responsibility and liability, both civil and criminal, for unauthorized or inappropriate use of the Internet.

The Board has the right, at any time, to access, monitor, review and inspect any directories, files and/or messages residing on or sent using the Board's computers/networks. Messages relating to or in support of illegal activities will be reported to the appropriate authorities.

As the parent/guardian of this student, I have read the Student Network and Internet Acceptable Use and Safety Policy and Guidelines, and have discussed them with my child. I understand that student access to the Internet is designed for educational purposes and that the Board has taken available precautions to restrict and /or control student accessto material on the Internet that is obscene, objectionable, inappropriate and/or harmful to minors. However, I recognize that it is impossible for the Board to restrict access to all objectionable and /or controversial materials that may be found on the Internet. I will not hold the Board (or any of its employees, administrators or officers) responsible for materials my child may acquire or come in contact with while on the Internet. Additionally, I accept responsibility for communicating to my child guidance concerning his/her acceptable use of the Internet -i.e., setting and conveying standards for my daughter/son to follow when selecting, sharing and exploring information and resources on the Internet. I further understand that individuals and families may be liable for violations.

7540.03 Fl/page 1 of 2 NEOLA2009 Parent/Guardians

To the extent that proprietary rights in the design of a website hosted on the Board's servers would vest in my child upon creation, I agree to assign those rights to the Board.

Please check each that applies:

o I give permission for my child to use and access the Internet at school and for the Board to issue an Internet/e-mail account to my child. o I give permission for my child's image (photograph} to be published online, provided only his/her first name is used. o I give permission for the Board to transmit "live" images of my child (as part of a group) over the Internet via a web cam. o I authorize and license the Board to post my child's class work on the Internet without infringing upon any copyright my child may own with respect to such class work. I understand only my child's first name will accompany such class work.

Parent/Guardian's Signature: ------Date: _

Student

I have read and agree to abide by the Student Network and Internet Acceptable Use and Safety Policy and Guidelines. I understand that any violation of the terms and conditions set forth in the Policy and Guidelines is inappropriate and may constitute a criminal offense. As a user of the Board's computers/network and the Internet, I agree to communicate over the Internet and the Networking in an appropriate manner, honoring all relevant laws, restrictions and guidelines.

Student's Signature: ------Date: _

Teachers and building principals are responsible for determining what is unauthorized or inappropriate use. The principal may deny, revoke or suspend access to the Network/Internet to individuals who violate the Board's Student Network and Internet Acceptable Use and Safety Policy and related Guidelines, and take such other disciplinary action as is appropriate pursuant to the Student Code of Conduct.

7540.03 Fl/page 2 of 2 NEOLA 2009 WWGS Enrollment Genter Form 111111 111111 llE6306~

Winton Woods City Schools Student Enrollment Data Forms

Request to Restrict Privacy Information

Public release of student information is limited by Ohio and Federal law to Directory Information. This includes name, address, telephone listing, date and place of birth, major field of study, participation in officially recognized activities and sports, weight and height of athletic team members, dates of attendance, date of graduation, and awards received.

Parents, legal guardians, or student 18 years of age have the ability to control the release of Directory Information. Picase indicate if you wish to restrict Winton Woods City Schools from releasing Directory Information on the student name below. Jf you check both of these boxes, your child's directory information will not be released to anyone.

General Public Release (including Media, Potential Employers, Colleges and Universities, etc.) Winton Woods City Schools_ IS NOT allowed to release Directory Information to media, potential employers, colleges and universities, and other eligible entities.

Military Recruiters Winton Woods City Schools __ IS NOT allowed to release Directory Information to military recruiters.

Student's Last Name First Name

Birthday~~~~/~----/~---- Month I Day I Year

Please check one:

__ I am the student, and I am 18 years of age or older.

__ I am the student, guardian, or custodian of the student, and the student is under 18 years of age.

Name (Please Print) Signature Dates

Parents and /or eligible stuc.lents who believe their rights under the Federal Education Rights and Privacy Act (FERP A) have been violated may file a complaint with: Family Policy Compliance Office U.S. Department of Education 400 Maryland Avenue, SW 20202-4605 Washington, D.C. www.ed.gov offices OM foco

Information inquiries may be sent to the Family Policy Compliance Office via the following email address: FERP [email protected] WWGS Enrollment Genter Form 111111111111 :0:6596lOE Race/Ethnicity Reporting

Due to mandated data collection and reporting requirements from the United States Department of Education (USDOE), the Ohio Department of Education is changing the reporting of race/ethnicity information.

Please complete the boxes below in regards to your child's race/ethnicity. · If you fail to complete the information below, the District will use observer identification to complete this form.

BOX1

Last Name First Name Middle Name

BOX2

Is your child of Hispanic/Latino Heritage? ra., DNo (Continue below)

Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin regardless of race.

BOX3

Is your child multiracial? Oves DNo (Continue below)

Persons having origins in two or more of the racial/ ethnic groups list below in Box 4

BOX4 BOXS Select more than one of the following if you Select one of the following if you checked checked "Yes" in Box 3 above: "No" in Box 3 above:

D White D White Persons who have origins in any of the original peoples of Persons who have origins ín-anv of the original peoples of Europe, North Africa, or the Middle East. Europe, North Africa, or the Middle East. D Black or African American D Black or African American Persons who have origins in any of the black racial groups Persons who have origins in any of the black racial groups in Africa in Africa D Asian D Asian Persons having origins ln any of the original people of the Persons having origins in any of the original people of the Far East, Southeast Asla, or the India subcontinent, This Far East, Southeast Asla, or the India subcontinent, This area includes, for example: Cambodia, China, India, Japan, area Includes, for example: Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine islands, Thailand, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam and Vietnam D American Indian or Alaskan Native D American Indian or Alaskan Native Persons having origins ln any of the original people of Persons having origins in any of the original people of North and South America (including Central America) and North and South America (including Central America} and who maintain tribal affiliation or community attachment who maintain tribal affiliation or community attachment D Native Hawaiian or Other Pacific Islander D Native Hawaiian or Other Pacific Islander Persons having origins ln any of the original peoples of Persons having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Hawaii, Guam, Samoa, or other Pacific Islands.

Parent /Guardian Signature. _ Date: _ School Uniform Policy for the 2014-2015 School Year

The Winton Woods City Schools Board of Education believes that a neat and orderly appearance is a positive factor for school safety and success. In keeping with that belief, the following approved uniform policy shall be adhered to by all students in Winton Woods City Schools. The expectation is that students will dress in a manner that reflects positively on the student, school, district and community at all school related activities.

PERMITTED ATTIRE K-12

• Solid white, navy or hunter green polo style collared shirts (long or short sleeve), turtlenecks-smock or regular style. Tops are to be tucked into bottoms - no exposed midriffs, low cut shirts or oversized shirts.

• Solid white, navy blue or hunter green vests, sweatshirts, sweaters. When wearing an approved vest, swcatshlrt or sweater, an approved polo style collared shirt or turtleneck, mock or regular style, must be worn underneath. Students may wear solid white, navy blue or hunter green long sleeve shirt under any short sleeve polo style shirt,

• Navy blue or khaki traditional or classic fit pants (flat front or pleated), shorts, skirts, skorts, Capri pants or jumpers (no logos). Bottoms must be secure at the natural waist. Pants must not drag on the floor. All skirts, skorts, shorts and jumpers must be longer than mid-thigh,

• All clothing must be clean and in good repair.

• District approved spirit wear/attire bearing the Winton Woods logo, name, mascot, etc. may be worn in combination with or instead of uni fonn shlrts, sweatshl1is, and sweaters.

• Shoes must have a closed toe and be securely fastened to the heel in the back.

PROHIBITTED ATTIRE/ ACCESSORIES

The following list is not meant to be all inclusive. It represents at a minimum, those items of attire and those wardrobe choices which are specifically prohibited. This list will be modified as needed to reflect changing fashions and trends in style.

• Any top or bottom not listed above in the permitted attire.

• Oversized clothing items and clothing with lettering or logos.

• Sweat pants, jeans or jean style (regardless of color) bottoms, cargo pants or pants with extra pockets on the legs, cut-offs and rolled-up pants.

• Jewelry, buttons, hair accessories and other accessories that include vulgar, lewd, obscene, plainly offensive language, violent, gang, tobacco, drug/alcohol-related writing or images.

• Jewelry, buttons, hair accessories and other accessories that belittle others (e.g., race, ethnicity, religion, gender or physical characteristics).

• Hats, head coverings, bandanas, sweatbands and sunglasses worn while inside buildings.

• High heels, stiletto heels, wedge heels, flip-flops, Heelies (shoes with wheels) and slipper style shoes.

• Exposed chains, jewelry, dog collars, spikes, piercings and other articles judged to be potentially harmful.

• Belts made with metal or chain link or belts having nameplates or wording.

• Visible undergarments.

• Leg covering, socks, etc. must be solid uniform colors or natural.

• Wearing pants and skirts at the same time.

• Makeup, hair styles and hair colors that are judged disruptive to the educational process.

CONSEQUENCES FOR NON-COMPLIANCE: Students who, in the judgment of the administration or any staff member, are dressed inappropriately for school will be sent to the office along with parental notification. The final interpretation of all uniform policies will be made by the school administrator. Principals shall have the discretion to permit attire that is especially dressy for special identified events ( e.g., presentations, visits to other schools, entertaining visitors, etc.)

UNIFORM ASSISTANCE: Students receiving cash assistance under the Ohio Works First Program or Aid to Dependent Children (ADCU/ADC/ADCR) are eligible for uniform assistance. (See Policy 6152.01)

Revised: August 26. 2013