SYCAMORE ELEMENTARY SCHOOL

S

YCAMORE

E

LEMENTARY

S

CHOOL

16701 S. Houghton Road • Corona de Tucson, AZ 85641 • (520) 879-2500 • (520) 879-2501

In the Vail Schools We:

A

re Respectful and Trustworthy ‣

C

are about each other ‣

T

ake Responsibility

Dear New Family,

We are so excited that you’ll be joining us at Sycamore Elementary School!

Attached are some of the documents that you will need to complete before your child

can begin classes at Sycamore. Please read each document carefully and fill out each

one completely. If you have any questions about any of the forms, our front office staff

will be happy to help you. You can contact them by dialing 520-879-2502.

When you arrive at school to register your child, there will be additional documents

that need to be completed before the enrollment process can be completed. We’ll also

ask that you bring in some items so we can verify who you are and where you reside.

We will need:

!

The original or a certified copy of the child’s birth certificate.

!

Current immunization record. (You can find the Arizona School

Immunization Requirements on the Vail School District Web Site:

www.vail.k12.az.us)

!

Proof of Residency showing you reside within the District’s boundaries.

You will also need to show

 

proof of residence in the name and current

residing address from each section below.

Please do not hesitate to contact us if you need assistance or have any questions while

you are completing the forms. We look forward to meeting you!

• Valid Arizona driver’s license, AZ

identification card or motor vehicle

registration

• W-2 wage statement (recent)

• Current payroll stub with address (P.O.

Box is not acceptable)

• Documentation from a state, tribal or

federal government agency which

displays your current residence

Please contact our front office if these items

are not available to you.

• Real estate deed or mortgage documents

• Property tax bill

• Residential lease or rental agreement

• Water, electric, gas, cable or phone bill

• Bank or credit card statement

Rev. 4/3/12

Rev.

All students must have the following information in order to register in the Vail School District

•

Immunization Records - Upon enrollment, Vail District schools require current

immunization records. Pursuant to A.R.S. 15-843, a student shall not attend school

unless documented proof of immunizations have been provided.

•

Birth Certificate - The 1987 Legislature passed a law designated to help trace the

location of any child who is reported missing. So that schools may assist in this

effort, A.R.S. Sec. 15-828 requires that you, the parent or guardian of the child you

are enrolling in our District provide

one

of the following documents:

1.

A certified copy of the pupil's birth certificate.

2.

Other reliable proof of the pupil's identity and age, including the pupil's

baptismal certificate, an application for a Social Security number, or original

school registration records

and

an affidavit explaining the inability to

provide a copy of the birth certificate.

3.

A letter from the authorized representative of an agency having custody of

the pupil certifying that the pupil has been placed in the custody of the

agency as prescribed by law.

Birth Certificate Information must be provided no later than 30 days from the

enrollment date

.

•

Proof of Legal Guardianship/Custody - If divorced, legal documentation of custody

agreement must be provided upon enrollment. If a guardian other than a natural

parent will be registering the student, a court document showing current

guardianship must be provided upon enrollment.

•

Residence Verification Form - A.R.S. 15-802(B) requires school districts and charter

schools to obtain and maintain verifiable documentation of Arizona residency upon

enrollment in an Arizona public school. Parent/Legal Guardian must provide at least

two (2) forms of current verification upon enrollment. Documents presented must

be in your name and legal residence.

•

Withdrawal Form – If student has been enrolled in another Arizona school during the

current school year, withdrawal form must be presented upon enrollment.

Enrollment Requirements

State of Arizona

Department of Education

Office of English Language Acquisition Services

Primary Home Language Other Than English (PHLOTE)

Home Language Survey

(Effective April 4, 2011)

These questions are in compliance with Arizona Administrative Code, R7-2-306(B)(1), (2)(a-c).

Responses to these statements will be used to determine whether the student will be assessed for

English Language Proficiency.

1.

What is the primary language used in the home regardless of the language spoken

by the student? __________________________________________________________

2.

What is the language most often spoken by the student? _______________________

3.

What is the language that the student first acquired? __________________________

Student Name ______________________________________ Student ID __________________

Date of Birth _____________________________________ SAIS ID ______________________

Parent/Guardian Signature __________________________________ Date _________________

District or Charter ______________________________________________________________

School _______________________________________________________________________

---

Please provide a copy of the Home Language Survey to the ELL Coordinator/Main Contact on site.

In SAIS, please indicate the student’s home or primary language.

1535 West Jefferson Street, Phoenix, Arizona 85007 • 602-542-0753 • www.azed.gov/oelas

Estado de Arizona

Departamento de Educación

Servicios de Aprendizaje del Ingl

é

s

Idioma Principal en el Hogar excluyendo el inglés (PHLOTE)

Encuesta sobre el Idioma en el Hogar

(Efectivo el 4 de abril de 2011)

Preguntas en conformidad con R7-2-306(B)(1), (2)(a-c) del Reglamento de la Junta Directiva.

Las respuestas que proporcione a las preguntas siguientes serán usadas para determinar si se

evaluará la competencia en el idioma inglés de su hijo(a).

1.

¿Cuál idioma se habla principalmente en su hogar sin considerar el idioma que habla el

estudiante? ________________________________________________________________

2.

¿Cuál idioma habla el estudiante con mayor frecuencia? __________________________

3.

¿Cuál fue el primer idioma que aprendió el estudiante? ___________________________

Nombre del estudiante ___________________________ Núm. de identificación _____________

Fecha de nacimiento __________________________ Núm. de SAIS ______________________

Firma del padre o tutor ____________________________________ Fecha _________________

Distrito o Charter _______________________________________________________________

Escuela _______________________________________________________________________

---Please provide a copy of the Home Language Survey to the ELL Coordinator/Main Contact on site.

In SAIS, please indicate the student’s home or primary language.

1535 West Jefferson Street, Phoenix, Arizona 85007 • 602-542-0753 • www.azed.gov/oelas

New Student – Classroom Placement Form

Student’s Name: __________________________________________ Grade: _______________

Date of Entry: _________________________ Age: _______________ Gender: M F

Previous School: _______________________ City: _____________________ State: _________

Home Phone: __________________________ Parent Work Phone: _______________________

Academic Standing: Please inform us as to how your child performs academically so that we

may place him/her in the best learning environment possible.

Above Average

Average

Below Average

The student’s IEP, 504 Plan and/or other special education documentation must be

provided.

Is your child currently enrolled in a special education program or have a 504 Plan?____________

If yes, please explain.

______________________________________________________________________________

______________________________________________________________________________

Is your child currently enrolled in a gifted program? __________ If yes, please explain.

______________________________________________________________________________

______________________________________________________________________________

Does your child have any physical restrictions, medical needs, or special concerns, which might

affect their classroom performance?

Glasses _____ Vision _____ Hearing _____ Allergies _____ Other______

Explain:

______________________________________________________________________________

______________________________________________________________________________

Has your child been diagnosed with ADD/ADHD? Yes No

Explain: _______________________________________________________________________

______________________________________________________________________________

Does your child take any medications regularly? Yes No

Explain: _______________________________________________________________________

______________________________________________________________________________

Office Use Only:

Copies and given to Dept: ____________________________________ Date: ______________________

Rev. 5/2013

VAIL UNIFIED SCHOOL DISTRICT

FERPA Designation of Directory Information

The Family Educational Rights and Privacy Act (FERPA), a federal law, requires that school districts, with certain

exceptions, obtain a parent’s written consent prior to the disclosure of identifiable information from your child’s educational

records. However, the district may disclose appropriately designated “directory information” without written consent, unless

you have advised the District to the contrary.

The primary purpose of directory information is to allow school districts to

include this type of information from your child’s education records in certain district publications (ie, drama or music

programs, school newspaper, graduation programs, sports statistics listed in programs), newsletters, broadcasts, yearbook,

website.

A written explanation of the provisions of the Family Educational Rights and Privacy Act of 1974 (20 U.S.C.

Section 1232g) can be found at the Arizona Department of Education website

www.azed.gov/wp-content/uploads/PDF/SA09.pdf

Certain information about district students is considered “directory information” and will be released in order to promote

school programs and student achievement, unless the parent or guardian objects to the release of the directory information

about the student. If you do not want Vail Unified School District to disclose directory information from your child’s

education records for the purposes identified herein without your prior written consent, you must notify the district in writing

through this registration/annual re-enrollment process. You can change your election at other times by submitting your

wishes in writing to the school.

Vail Unified School District has designated the following information as “directory information”:

Name

Address

Telephone Listing

Electronic mail address

Date of Birth

Place of Birth

Photograph

Grade Level

Dates of Attendance

Honors & Awards Received

Enrollment Status (part or full time)

Major field of Study

Participation in officially

recognized activities & sports

Weight & Height of members of

athletic teams

Most recent educational agency

or institution attended

Example of how this information would be used: Jane Doe, a 14-year old (DOB) freshman at Cienega High School (enrollment status), recently had her artwork chosen to be displayed at the Youth Art Month State Capitol Exhibition (awards and honors received). Originally from India (place of birth), Doe joined the VSD in first grade (dates of attendance); she attended Acacia Elementary and Old Vail Middle School (most recent educational institution attended). Doe is also involved in Student Council and is on the tennis team (participation in officially recognized activities and sports). Congratulations Jane!

Option 1: YES, my student’s limited information as listed above can be used to promote school programs and

student achievements for school/district sponsored publications, websites and educational programming, such

as stated above.

Option 2: NO, I do not want ANY of my student’s limited information as listed above to be used to promote

programming, such as stated above. Please understand that this means your student will not be in the

yearbook, featured in any publications, newsletters, broadcasts, websites.

Student Name:

Grade Level:

Parent/Guardian Name (printed)

Teacher Name:

Parent/Guardian Signature:

Date:

For Office Use Only:

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Vail School District

Residence Verification Form

Verified by:________________________ School:________________________ Date:__________________

Rev. 2/12

A.R.S 15-802(B) requires school districts and charter schools to obtain and maintain

verifiable documentation of Arizona residency upon enrollment in an Arizona public

school. This policy is written to assist districts and charter schools in meeting the legal

requirements of the statute.

Student Name:

Parent/Legal Guardian Name:

Legal Residence Address:

Parent/Legal Guardian must provide at least two (2) forms of current verification at time

of enrollment. Documents presented must be in your name and legal residence.*

The information supplied, as a whole, must indicate clearly and reasonably that your

legal residence is within Vail/Arizona boundaries, unless Open Enrollment has been

granted.

Falsification of information will be grounds for the immediate

withdrawal of the student(s) from school.

All verifications are subject to final approval by the District. The District reserves the

right to investigate the claim residency status and to require additional documentation

to prove residency within the District or State.

Provide one proof of residence in the

name and address of the parent/guardian from each section.

Section I

____ Valid Arizona driver’s license, AZ identification card or motor vehicle registration. ____ Valid U.S. Passport

____ W-2 wage statement (recent)

____ Current payroll stub with address (PO Box not acceptable)

____ Certificate of tribal enrollment or other identification issued by a recognized Indian tribe that contains an Arizona address

____ Documentation from a state, tribal or federal government agency (Social Security Administration, Veteran’s Administration, Arizona Department of Economic Security)

____ I am currently unable to provide any of the foregoing documents. Therefore, I have provided an original affidavit signed and notarized by an Arizona resident who attests that I have established residence in Arizona with the person signing the affidavit.

Section II

____ Real estate deed or mortgage documents ____ Property tax bill

____ Residential lease or rental agreement ____ Water, electric, gas, cable, or phone bill ____ Bank or credit card statement

As the parent/legal guardian of the student, I attest that I am a resident of the State of

Arizona and submit in support of this attestation a current copy of the above documents

that display my name and residential address or physical description of the property

where the student resides.

Parent/Legal Guardian Signature:

Date:

*The residence of a student is the residence of the person having legal custody of the student, except as provided in A.R.S. 15-824(B) and in A.R.S. 15-825. Residency of the parent/guardian or surrogate may be determined by showing the individual’s presence and intent to remain in the District.

Rev. 3/12

Sycamore Elementary School

Field Trip Permission Form

My child has my permission to attend school-sponsored field trips.

I understand that transportation will be by school bus and that the teacher will supervise

these trips.

Yes

No ________

Student Name:

1

Rev 4/3/12

Vail Unified School District Transportation Department

520-879-2475

Bus Stop Information

1.

Students will use the assigned bus stop and arrive 5 minutes prior to leave time.

2.

The student

ʼ

s parent/guardian must email or call in requests for using a different

stop to their school

ʼ

s office before 1:30pm (early release days by 10:30am).

3.

School buses and bus stops are school “safety zones” and misconduct will be

treated quickly and lawfully if necessary.

4.

High School Students are required to present their current school ID to the driver

(everyday).

Arizona Transportation Regulations R17-0-104 (D)

1.

Passengers shall comply with all instructions given by the School Bus Driver.

2.

Passengers will sit with their backs against the seat backs, their legs facing

towards the front of the school bus and clear of all aisles when the bus is in

motion.

3.

No animals, insects, or reptiles (the exception of service animals, as defined in

A.R.S.§ 11-1024(J)).

4.

No glass objects.

5.

No alcohol, tobacco, controlled substance, weapons including an explosive

device, gun, knife, scissors, or other weapons as defined by school district policy.

Passenger Conduct

1.

Passengers shall not eat, drink, chew gum, or spit on a school bus.

2.

Passengers are prohibited from obscene, threatening language or gestures.

3.

Throwing of any objects in the bus or out the windows is prohibited and can lead

to suspension and possible apprehension by law enforcement.

4.

Passengers engaging in physical conflicts will be detained until law enforcement

arrives.

Violations to the Rules, Regulations, and Passenger Conduct will have

consequences that correspond to the severity of the misconduct.

Consequences

include

written

referrals

to

possible

permanent

suspensions from the school bus.

Thank you for your cooperation in helping us to maintain a safe and

efficient environment for our students.

Parent Copy

2

Rev 4/3/12

Parent/Guardian and Student please sign and return this page only to

school.

I have read and agree to follow the established Rules, Regulations and

Passenger Conduct as outlined on page 1 of the Vail Unified School

District Transportation Rules document.

Parent/Guardian Name (print) Student Name (print)

Parent/Guardian Signature

Date Student Signature

Date

McKinney-Vento / ADE 9/30/2004

McKinney–Vento Eligibility Questionnaire

Name of School _________________________________________________________________

Male

Name of Student _____________________________________________

Female

Last First Middle

Date of Birth ___/___/___ Age: ___ Social Security # ______________________________

(or student identification number)

This questionnaire is intended to address the McKinney-Vento Act 42 U.S.C. 11435. The

answers to this residency information to help determine the services the student may be eligible

to receive.

1. Is your current address a temporary living arrangement? ___ Yes ___ No

2. Is this temporary living arrangement due to loss of housing or economic hardship?

___ Yes ___ No

If you answered YES to the above questions, please complete the remainder of this form.

If you answered NO, you may stop here.

Where is the student presently living (check one box)

o

In a motel

o

In a shelter

o

With more than one family in a house or apartment

o

Moving from place to place

o

In a place not designed for ordinary sleeping accommodations (re: car, park,

campsite)

Name of Parent(s) Legal Guardian (s) __________________________________________________

Address ______________________________________ Zip _______ Phone ___________________

Signature of Parent /Legal Guardian ________________________________ Date _____________

Please fax/send copy to John Carruth, Assistant Superintendent (520) 879-2036 at the District

Office.

I certify the above named student qualifies for the Child Nutrition Program under the provisions

of the McKinney-Vento Act.

___________________________

________________________________________

Date

McKinney-Vento Liaison Signature

To:

Parent of Sycamore Student(s)

Welcome to Sycamore! This letter is to outline our lunch program. First, and

foremost I want to let you now that we have a great lunch program. Each day the

students have a choice from the Main Event, hot or cold sandwiches and pizza. Each

lunch includes our made fresh daily salad and fruit bar and milk or juice. We stay as

close to the menu as supplies allow.

Pricing is as follows:

Breakfast

$1.10

Student lunch

$2.05

Adult lunch

$3.00

Milk only

.50

Reduced lunch

.40

* Pricing may be subject to change

A Free and Reduced lunch application can be picked up at either the front office

or the kitchen and should be filled out and turned in to the kitchen. It usually takes ten

days to process.

The students need to keep a positive balance in their accounts, but on the occasion

that lunch money is lost or forgotten the students may charge up to three lunches. If that

limit is surpassed, the student will receive a plain peanut butter sandwich and white milk

only (no salad bar items). A negative balance statement will be sent home and prompt

payment would be appreciated.

Payment Information

To view your child’s account via the internet go to www.MyMealtime.com,

create a user account and use your child’s first name and their six-digit student number.

Each child knows his number with the exception of Kindergarten and First grade. Please

call if that number is needed. Payments may be made via the internet, cash, cashier’s

check or personal check. When paying by check, make payable to Sodexho and please

reference your child’s name and student number to ensure proper credit.

We have available snack bar items and a complete list follows. Each item is $.50

and can be purchased on a cash only basis and only after the child has purchased lunch.

Snack Bar Items

Fruit Shape-up (Minute Maid frozen fruit bar)

Baked chips

Crackers with cheese

PB & J crackers

Bottle Water 8oz.

In the kitchen we have a great staff that take pride in their work and look forward

to serving your children. Please do not hesitate to call if you have any questions or