Tolleson SummerRegistration 031215
TUHSD SUMMER ACADEMY PROGRAMS REGISTRATION FORM 2015 Last Name
Date of Birth
TUHSD Student ID#:
First Name
Mailing Address
Male
Zip Code
State
City
Send TUHSD Summer School grades to:
Female
Grade completed in 2014-2015
(Name of School and City)
Parent/Guardian Name
Daytime Phone #
E-mail Address
Parent/Guardian Name
Daytime Phone #
E-mail Address
Emergency Contact
Daytime Phone #
E-mail Address
Please identify any school programs your child has participated in at his/her current school. (Must check one)
None
504
IEP
ELL
Gifted
Title 1
Other
2015 3rd SEMESTER PROGRAMS ( Only Select One) Summer Success - Credit Recovery (June 15th - July 9th)
Summer Advancement (Session #1 June 8th - June 23rd) (Session #2 June 24th - July 9th)
Summer Online (June 8th - July 9th)
**Please read the Summer Academy Brochure to select the correct 3rd Semester Program and review the corresponding program attendance requirements.
Course #1 Course #
Guidance Advisor Approval:
Course Name:
(CURRENT TRANSCRIPTS MUST BE ATTACHED)
Course #2 Course #
Guidance Advisor Approval:
Course Name:
For Office Use Only
McKinney Vento Services
JOM or Title VII Services
Special Education Compensatory Services
Other District Services
Registration Entered Y/N & Date
Needs Follow-up Y/N & Date
Tolleson Union High School District STATEMENT OF AWARENESS You are responsible for understanding procedures regarding ATTENDANCE, STUDENT CONDUCT, CANCELLATIONS/REFUNDS & TRANSPORTATION Attendance
I understand: Students attend Summer Academy Monday through Friday, from 7:15 a.m. to 12:30 p.m. The typical Summer Academy student accomplishes the same amount of work in one day that would be completed in one week's time during the regular school year. Attendance is taken three (3) times daily; at the beginning of the day (7:15 a.m.), after the first break, and after the lunch break. If a student arrives after the first break, or is signed-out prior to the lunch break, it will be counted as an absence. Any combination of absences and or tardies that exceeds the allowed amount per session, will result in the withdrawal from class, and the student will receive NO credit for the course. Please refer to your program's attendance policy for more details and specific examples. THERE ARE NO EXCUSED ABSENCES IN SUMMER SCHOOL. Parents will be contacted when a student is absent or tardy via the school messaging system. Please make sure you provide accurate phone numbers where a parent/guardian can be contacted by phone or, e-mail, as every effort will be made to notify you when a student is absent or tardy.
Student Conduct
Students attending Summer Academy are expected to conform to the Tolleson Union High School District’s “Standards of Behavior” and “Dress Code”. All schools in the Tolleson Union High School District are drug free/gang free/tobacco free school zones. Immediate action will be taken towards anyone who violates this policy. In order to prevent disruption of the learning environment or educational process, possession or use of certain electronic devices are not allowed in the classroom. This includes, but is not limited to, all radios, IPods, CD players, and laser pointers. Students attending the Summer Academy are governed by the same rules and policies as the students enrolled in any of the TUHSD schools. These rules are specified in the District Student Handbook, which is distributed each year to all students. Students who do not normally attend a TUHSD school can access the handbook online at www.tuhsd.org.
Cancellations & Refunds (Excludes Title I Immersion Programs)
Refunds will not be made if a student is dropped from a class for attendance and/or disciplinary reasons. In addition, once the first session has begun, refunds will not be made if a student drops or withdraws from a class. Please make sure you review the Summer Academy calendar and plan accordingly. Refunds will only be granted if a class is cancelled by the site administrator.
Transportation
The Tolleson Union High School District offers transportation for students who reside within the District's boundaries however, it is not the same for all summer programs please refer to your summer program's specific information pertaining to transportation. Students should be at their pickup location at least 10 minutes prior to their scheduled pickup times to ensure that they do not miss the bus. If a student misses the bus, he/she will need to find transportation to school. Students who drive to school or to a bus stop must obey all traffic rules. Students must drive in a courteous manner. Any instance of dangerous or disrespectful driving will result in the loss of driving privileges and/or possible disciplinary action.
Parent/Guardian Approval (Initial at left, sign below)
___ I approve of the course selection for my child during the 2015 TUHSD Summer Academy Programs. ___ I have read and understand the program policies as stated in this application and the Summer Academy programs, policies, and procedures. ___ I have read, understand, and have signed the discipline and attendance policy for the Summer Academy Programs. ___ I understand that tuition refunds will not be made if a student is dropped from a class for attendance and/or for disciplinary reasons. ___ I have read and understand the transportation and student parking policies as stated in this application and the Summer Academy programs, policies, and procedures. This form will be kept on file in the summer school office.
Student Signature
Date
Parent/Guardian Signature
Date
Date of Birth
TUHSD Student ID#:
First Name
Mailing Address
Male
Zip Code
State
City
Send TUHSD Summer School grades to:
Female
Grade completed in 2014-2015
(Name of School and City)
Parent/Guardian Name
Daytime Phone #
E-mail Address
Parent/Guardian Name
Daytime Phone #
E-mail Address
Emergency Contact
Daytime Phone #
E-mail Address
Please identify any school programs your child has participated in at his/her current school. (Must check one)
None
504
IEP
ELL
Gifted
Title 1
Other
2015 3rd SEMESTER PROGRAMS ( Only Select One) Summer Success - Credit Recovery (June 15th - July 9th)
Summer Advancement (Session #1 June 8th - June 23rd) (Session #2 June 24th - July 9th)
Summer Online (June 8th - July 9th)
**Please read the Summer Academy Brochure to select the correct 3rd Semester Program and review the corresponding program attendance requirements.
Course #1 Course #
Guidance Advisor Approval:
Course Name:
(CURRENT TRANSCRIPTS MUST BE ATTACHED)
Course #2 Course #
Guidance Advisor Approval:
Course Name:
For Office Use Only
McKinney Vento Services
JOM or Title VII Services
Special Education Compensatory Services
Other District Services
Registration Entered Y/N & Date
Needs Follow-up Y/N & Date
Tolleson Union High School District STATEMENT OF AWARENESS You are responsible for understanding procedures regarding ATTENDANCE, STUDENT CONDUCT, CANCELLATIONS/REFUNDS & TRANSPORTATION Attendance
I understand: Students attend Summer Academy Monday through Friday, from 7:15 a.m. to 12:30 p.m. The typical Summer Academy student accomplishes the same amount of work in one day that would be completed in one week's time during the regular school year. Attendance is taken three (3) times daily; at the beginning of the day (7:15 a.m.), after the first break, and after the lunch break. If a student arrives after the first break, or is signed-out prior to the lunch break, it will be counted as an absence. Any combination of absences and or tardies that exceeds the allowed amount per session, will result in the withdrawal from class, and the student will receive NO credit for the course. Please refer to your program's attendance policy for more details and specific examples. THERE ARE NO EXCUSED ABSENCES IN SUMMER SCHOOL. Parents will be contacted when a student is absent or tardy via the school messaging system. Please make sure you provide accurate phone numbers where a parent/guardian can be contacted by phone or, e-mail, as every effort will be made to notify you when a student is absent or tardy.
Student Conduct
Students attending Summer Academy are expected to conform to the Tolleson Union High School District’s “Standards of Behavior” and “Dress Code”. All schools in the Tolleson Union High School District are drug free/gang free/tobacco free school zones. Immediate action will be taken towards anyone who violates this policy. In order to prevent disruption of the learning environment or educational process, possession or use of certain electronic devices are not allowed in the classroom. This includes, but is not limited to, all radios, IPods, CD players, and laser pointers. Students attending the Summer Academy are governed by the same rules and policies as the students enrolled in any of the TUHSD schools. These rules are specified in the District Student Handbook, which is distributed each year to all students. Students who do not normally attend a TUHSD school can access the handbook online at www.tuhsd.org.
Cancellations & Refunds (Excludes Title I Immersion Programs)
Refunds will not be made if a student is dropped from a class for attendance and/or disciplinary reasons. In addition, once the first session has begun, refunds will not be made if a student drops or withdraws from a class. Please make sure you review the Summer Academy calendar and plan accordingly. Refunds will only be granted if a class is cancelled by the site administrator.
Transportation
The Tolleson Union High School District offers transportation for students who reside within the District's boundaries however, it is not the same for all summer programs please refer to your summer program's specific information pertaining to transportation. Students should be at their pickup location at least 10 minutes prior to their scheduled pickup times to ensure that they do not miss the bus. If a student misses the bus, he/she will need to find transportation to school. Students who drive to school or to a bus stop must obey all traffic rules. Students must drive in a courteous manner. Any instance of dangerous or disrespectful driving will result in the loss of driving privileges and/or possible disciplinary action.
Parent/Guardian Approval (Initial at left, sign below)
___ I approve of the course selection for my child during the 2015 TUHSD Summer Academy Programs. ___ I have read and understand the program policies as stated in this application and the Summer Academy programs, policies, and procedures. ___ I have read, understand, and have signed the discipline and attendance policy for the Summer Academy Programs. ___ I understand that tuition refunds will not be made if a student is dropped from a class for attendance and/or for disciplinary reasons. ___ I have read and understand the transportation and student parking policies as stated in this application and the Summer Academy programs, policies, and procedures. This form will be kept on file in the summer school office.
Student Signature
Date
Parent/Guardian Signature
Date
