3385 East Iona Rd. Idaho Falls, ID * (208) * Fax (208) *

Transcription

1 3385 East Iona Rd. Idaho Falls, ID * (208) * Fax (208) * ~1 Packet per family~ ***PLEASE NOTE: By completing this Packet & Enrolling with Bonneville Online Schools, you agree to the completion of the following State & District 93 required Assessments: *3 IRI- K-3rd (Fall, Winter & Spring) *3 STAR- all gr. (Fall, Winter & Spring) *1 SBAC- 3rd-8th (Spring) Date: Name(s): Grade(s) entering into: Transfer from within a Dist. 93 school? Yes No If Yes, which one: _ OR _ Name of previous School: & District: IEP File: (check box if IEP exists) Name & number of the Contact person to request IEP file from: **See steps to complete Enrollment on page 2** ***OFFICE USE ONLY*** Birth Certificate Scanned Immunization Scanned CUM Requested Rec vd K12 Online Enrollment completed Assigned Teacher ed contact info Enrolled in K12 courses Entered into PowerSchool SPED/IEP File Rev d Laptop picked up: Added to OLS Classroom

2 Page 1 of 9 Steps for Enrollment: 1. Create a K12 Account at: (Hold the Ctrl key down & click on link) 2. Complete this Enrollment packet & return to our office w/ copies of: *Birth Certificate *Proof of Idaho Residency (ie. utility bill, mortgage stmt, ect..) *Immunization Records OR Complete an Immunization Exemption Form -request one from our office. AND (if applicable, provide) IEP/ SPECIAL EDUCATION NEEDS STUDENTS: *Copy of current IEP (individual education plan) *Copy of ER (evaluation report) STUDENTS WITH 504 PLAN: *Copy of current 504 Accommodation Plan Please RETURN PACKET & a copy of the Birth Certificate & Immunization Records 3385 E. Iona Rd., IdahoFalls, ID or fax information to (208) or scan & to: riersonl@d93.k12.id.us **NOTE: Be sure to complete both steps above to avoid a delay in enrollment**

3 INSTRUCTION 2952F4 Page 2 of 9 BONNEVILLE ONLINE SCHOOL ENROLLMENT REQUIREMENTS Eligibility for enrollment in the shall be pursuant to applicable Idaho Code and Bonneville Joint School District No. 93 policy and procedures. All enrollments shall be contingent upon the availability of District resources. Therefore, the Board reserves the right to adjust the capacity of the school as required. Guidelines Eligibility for Enrollment In order to enroll in the, student eligibility must be established. Entrance Age No pupil may be enrolled in kindergarten whose fifth (5 th ) birthday does not occur on or before the first (1st) day of September of the school year in which the child registers to enter kindergarten. 1. No pupil may be enrolled in first grade whose sixth (6 th ) birthday does not occur on or before the first (1st) day of September of the school year in which the child registers to enter school. Birth Certificate A certified birth certificate issued from the Bureau of Vital Statistics, or other legal proof of a child s age, shall be required of students enrolling in the Bonneville Joint School District No. 93 for the first time. Immunization Records Immunization records or a valid exemption are required for student admission to the Bonneville Joint School District No. 93 schools. Proof of Residence Unless open enrollment status is granted by the Bonneville Joint School District No. 93, students who enroll in District schools must reside full-time within the School District boundaries with their natural parent or legal guardian. Agreement for Use of Instructional Property

4 Page 3 of 9 BONNEVILLE ONLINE SCHOOL STUDENT REGISTRATION FORM Student Full Name(s) Age Birthdate Gender ADDRESS: (Street Address) (City) (Zip Code) COUNTY: Mailing Address (If different than Street Address) Name of Public School district you reside in: ETHNICITY: (Federal requirement for testing purposes) 1. Choose one: Hispanic or Latino Not Hispanic or Latino 2. Choose all that apply: American Indian or Alaskan Native Black or African American Native Hawaiian or Pacific Islander Asian White Name of Mother, Step-mother, or Guardian (Circle one) Wk. (Day) Phone: Mother s Home Phone: Cell Phone: Name of Father, Step-father, or Guardian (Circle one) Wk. (Day) Phone: _ Father s Home Phone: Cell Phone: GUARDIANSHIP: Mother Father Both Other specify OTHER CONTACTS (Other than Mother or Father) #1 Name: _ Relationship: Home Phone: Cell Phone: Work Phone: NOTE: If enrolling multiple students, please identify each Allergy &/or Medical Alert with the applicable student/s name below. ALLERGIES: MEDICAL ALERT: _ Language Spoken at Home: SPECIAL SERVICES: Student 504 Plan Gifted and Talented Migrant Limited English Proficient Special Education Title 1 FOR OFFICE USE ONLY Student No. Birth Certificate Yes No Immunization Complete Yes No

5 INSTRUCTION 2952F4 Page 4 of 9 COMPUTER/NETWORK USE AGREEMENT STUDENT SIGNATURE PAGE I understand and will abide by the terms and conditions for use of D93Net. I realize this is a privilege and a responsibility. By signing this agreement, I commit: To use the computer for educational purposes, not to play games or conduct personal or commercial business on District time (refer to Board policy #3270 Computer/Network Acceptable Use Agreement); To save work on the network only as directed and approved by my instructors; if I do not have a network account, I may need to save my work on a floppy diskette or USB drive, not the hard drives of the District s computers; Not to load any software on District computers without permission, recognizing that it is illegal to load copyrighted software on a computer unless the software license allows it; To check all uploaded or downloaded software for viruses before using data, shareware, or freeware on school equipment and to immediately notify school personnel if a virus is found; Not to use the network to access or transfer information that is password protected, belongs to someone else, or is not for general access; To use the Internet only while under supervision and with permission of a staff member; To avoid material I may encounter on the Internet that does not relate to educational pursuits (such as materials that encourage illegal activities, or are obscene, violent, etc.); To abide by District s Computer/Network Acceptable Use Agreement policy #3270; To treat hardware, software, and the network with respect and to do all within my power to protect them from misuse, abuse, or theft; and To understand that any violation of the regulations above is unethical and may constitute a criminal offense. Should I commit any violation, my access privileges may be revoked, and school disciplinary and/or appropriate legal action may be taken. Student Name (please print): _ Home Address: Home Phone: Student Signature: Date: PARENT OR GUARDIAN As the parent(s) or guardian(s) of this student, I have read and discussed with this student, the terms and conditions for D93Net access. I understand that this access is designed for educational purposes and that the District has taken available and reasonable precautions to eliminate access to materials that encourage illegal activities or are obscene or violent. I (we) will not hold the District responsible for any such materials this student may acquire while using the network. I (we) hereby give permission to provide D93Net access for this student and certify that the information contained on this form is correct. Parent or Guardian: Date: Parent or Guardian: Date: The signature(s) here is (are) legally binding and indicates the party (parties) who signed has (have) read the terms and conditions of the Computer/Network Acceptable Use Agreement policy carefully and understand its significance. Agreement for Use of Instructional Property

6 Page 5 of 9 RELEASE OF LIABILITY Permission is granted for (student s full legal name) to participate in (BOS) social outings, academic activities, and other out of the home events. I acknowledge the nature of these activities, outings, or events and their inherent risks. The undersigned, hereby voluntarily assumes all risk of loss, damage, or injury that may be sustained while the student is participating in said activities, outings, or events, or on the premises where activities, outings, or events are taking place. I agree to indemnify, defend, and hold Bonneville Joint School District No. 93, BOS, & K12. harmless from any and all claims, actions, costs, expenses, damages, and liabilities, including attorney s fees, arising out of or connected with said activities, outings, or events. I agree that the Board of Trustees, the District, and its representative employees and agents shall incur no liability as a result of any injury arising out of or connected with said activities, outings, or events. Parent/Guardian s Signature: Date: _ Parent/Guardian s Signature: Date: _ MEDIA RELEASE Student Information (Please Print) Last Name First Name Middle Initial This form will be signed only once and will remain in effect for the years your child attends School in Bonneville School District 93. If you would like to make any changes, please contact your child s school. Parents: Please read the following, mark your choices and please sign the form. Y N I give permission for my child to receive Flouride (if a participating School). Y N I give permission for my child to attend field trips. Y N I give permission for photographs and/or filming by the news media or Bonneville District 93. Y N I give permission for my child s name /picture/work to be published on the school approved web site for educational and marketing publicity and purposes. No full names will be used. If No, please state why. Parent Signature Date

7 Page 6 of 9 BONNEVILLE SCHOOL DISTRICT #93 Bonneville Online High School AGREEMENT FOR USE OF INSTRUCTIONAL PROPERTY Bonneville Joint School District No. 93 (D93) has made arrangement to permit the family of the student to use certain computer equipment, printer, headphones, mouse, (Instructional Property) to facilitate the student s education while enrolled in the Bonneville School District, (BOS), provided that the parent or guardian of the student who is enrolling (Responsible Party) is willing to accept responsibility for the Instructional Property as set forth below. (Please initial each statement after reading) BOS shall permit the student and Responsible Party to use the Instructional Property issued by D93. Responsible Party's and the student's rights to use and possess Instructional Property expire upon the student's termination of enrollment. Notwithstanding the foregoing, BOS reserves the right to terminate any use or possession immediately if either has reason to believe that the student or Responsible Party is violating any term or condition of this agreement. Responsible Party shall return all Instructional Property as instructed within ten (10) days of the termination date in the same condition as delivered, normal wear and tear excepted. At no time shall legal title to or ownership of any Instructional Property vest in the Responsible Party or student, who shall only have the rights to temporary use and possession. Responsible Party agrees to fill out, sign, and return the Instructional Property Receipt Acknowledgment Form (enclosed with the Instructional Property) to the BOS principal acknowledging delivery and affirming satisfactory operating condition upon receipt. Responsible Party shall maintain the Instructional Property at the residence set forth as the mailing address on the registration form unless Responsible Party provides thirty (30) days' written notice of a new address to the BOS principal. Responsible Party shall be solely liable for any loss or damage to the Instructional Property until it is returned and shall take all reasonable precautions to protect it. Responsible Party agrees to inform the BOS principal of any loss or damage to Instructional Property from any cause within three (3) days of loss or occurrence of damage. A Loss Report Form that includes provisions for the Responsible Party to pay for lost or damaged Instructional Property will be provided. Upon receipt of the completed form, BOS will determine replacement costs and procedures. Responsible Party is liable for maintenance and repairs of Instructional Property while in his/her possession and will follow all guidelines for Instructional Property requiring repairs as directed by BOS and D93 staff, technical support and the warranty agreement with the original equipment manufacturer. Responsible Party is solely responsible for upgrading to new software versions when publicly available, obtaining and installing antivirus file updates, and overall maintenance of each software application provided.

8 Page 7 of 9 Responsible Party agrees that: a. Instructional Property shall be used solely for the education of the student while enrolled at BOS and not for the benefit of any other person or for any other purpose; b. All Instructional Property shall be used pursuant BOHS and manufacturer instructions, policy and procedures; c. Each software application provided shall be subject to, and used pursuant to, the license and/or use agreement that accompanies that software application; d. All use of Instructional Property shall be subject to BOS and D93 policies and procedures regarding Network/Internet use and protocol; e. Responsible Party is solely responsible for ensuring that software settings, default configurations, and administrative privileges are maintained at the original specified settings and will be liable for any damage to Instructional Property, files, and/or other software applications resulting from unauthorized changes or modification to default configurations and/or original settings; and f. Responsible Party is solely responsible for keeping user IDs and passwords confidential to prevent unauthorized use and understands that passwords should be changed on a monthly basis. Responsible Party agrees to indemnify, defend, and hold harmless Bonneville Joint School District No. 93, BOS, their respective employees, officers, directors, agents, assignees, and all affiliated companies and/or entities (Indemnified Parties) from and against any and all claims, actions, suits, proceedings, costs, expenses (including, without limitation, court costs and attorney fees), damages, obligations, judgments, orders, penalties, fines, injuries, liabilities, and losses arising directly or indirectly out of or in connection with any matter covered by this Agreement, other than those caused by BOS. No Indemnified Party makes any warranty or representation, either express or implied, as to the value, design, condition, merchantability, or fitness for a particular purpose, or fitness for use of any Instructional Property. In no event shall any Indemnified Party be liable for any actual, incidental, direct, indirect, special, or consequential damages in connection with or arising out of this Agreement, or the existence, furnishing, functioning, usage, or maintenance or any Instructional Property provided under this Agreement. Responsible Party agrees to maintain at his/her expense adequate insurance to cover damage to Instructional Property by fire, theft, flood, explosion, accident, act of God, or other cause to the full replacement value of the Instructional Property and agrees that he/she will be financially liable for it regardless of the availability of insurance proceeds. Responsible Party represents that he/she has the power to bind all the student s parents or legal guardians, all of whom shall be bound by these terms. Responsible Party cannot amend this Agreement unless accepted in writing by a representative of the BOS and BOS principal. This Agreement shall constitute the entire agreement between the parties with regard to Instructional Property and any prior understanding or representation of any kind shall not be binding on either party, except to the extent incorporated herein. The waiver of any right under this Agreement by either party shall not be construed as a waiver of the same right at a future time or a waiver of any other right under this Agreement. This Agreement shall be construed and enforced pursuant to the laws of the state of Idaho.

9 Page 8 of 9 The quick version: 1. Maintain your own anti-virus program as per your teacher s instruction. 2. No accidental damage protection: you break it, you buy it. 3. Notify your BOS principal of any malfunction. They will direct you to call Dell tech support. 4. Return the equipment to BOS within ten (10) days of the student withdrawing from BOS, or legal action will be taken. 5. Be safe. Be smart. Enjoy this equipment to further your student s education. Student(s): _ Responsible Party s Signature Date Responsible Party s Signature Date