Parent/Guardian. I agree to instruct my child to abide by all rules and regulations as outlined by NFCYM, particularly the Youth Participant Code of Conduct ("Code") (xxxxx.xxx/xxxxxxxxxxxxxxx) and Behavior Guidelines for the NCYC (“Guidelines”) (xxxxx.xxx/xxxxxxxxxxxx). I understand it is my legal duty to review and explain Code and Guidelines to my child prior to signing this Agreement. I agree that if my child fails in any way to abide by Code or Guidelines, my child can be dismissed from NCYC and sent home immediately with no right of reimbursement or refund for any amount in connection therewith from NFCYM et al. or Diocese et al. Initials of Parent/Guardian Youth: As a participant in NCYC, I agree to conform to the NFCYM Youth Participant Code of Conduct (xxxxx.xxx/xxxxxxxxxxxxxxx) and Behavior Guidelines for the NCYC (xxxxx.xxx/xxxxxxxxxxxx). I also understand and agree that my parent/guardian will be notified of any infractions requiring my dismissal from NCYC, and I will be sent home at my parent's/guardian's expense. Among other things, being found with any alcoholic beverages, drugs, or weapons is cause for automatic dismissal from NCYC. Initials of Youth NCYC Fee Nonrefundable: I agree that if my child suffers an illness requiring dismissal from NCYC, there is accident or emergency requiring dismissal of my child from NCYC, my child commits an infraction of Code, or if NCYC must be discontinued in event of accident or emergency, my child must return home at my expense, and I assume the risk of any loss of any nonrefundable or additional costs associated with travel and fees for NCYC, with no right of reimbursement or refund for any amount in connection with therewith from NFCYM et al. or the Diocese et al. Insurance: NFCYM urges you to purchase travel or other insurance to cover the risks you have assumed under this Legal Agreement. Please indicate below: YES, I have purchased a travel or other insurance package to manage any risks I may experience by attending NCYC. NO, I knowingly declined to purchase an insurance package and acknowledge that I declined this risk management opportunity. I fully understand the consequences of and sign this LEGAL AGREEMENT - GENERAL RELEASE, COVENANT NOT TO SUE, LIABILITYWAIVER, AND PERMISSION AGREEMENT knowingly, freely, and willingly. If any provisions of this Agreement shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. I understand this Legal ...
Parent/Guardian. Region Advisor Kiwanis Advisor Faculty Advisor School Principal Position Print Name Signature Date | 1 Section 3: Service Agreement The following basic criterion is mandatory; however, if extenuating circumstances shall arise, the current District Administrator and District Governor will evaluate the situation on a case-by-case scenario. Failure to adhere to this service agreement may result in disciplinary action including removal from office. ✓ Be a Key Club member in good standing ✓ Perform AT LEAST 50 hours of service ✓ Be a liaison to and representative of each club in the division ✓ Prepare and submit the division directory, budget, and all reports ON TIME ✓ Contribute to the district publication with AT LEAST TEN monthly submissions ✓ Hold AT LEAST TEN division council meetings (DCMs) ✓ Organize and conduct an officer training, a leadership conference (LC), a region training conference (RTC), and a division conclave during my term ✓ Encourage ON TIME dues payment by each club in the division ✓ Visit each club in the division AT LEAST ONCE ✓ Diligently participate in any assigned district committee ✓ Actively promote the Kiwanis Family organization and the Key Club core values ✓ Communicate with my Region Advisor AT LEAST TWICE each month and with my Region Team AT LEAST ONCE each month ✓ Abide by and comply with all Key Club & Kiwanis District & International policies, procedures and codes of conduct ✓ All transportation to official Key Club events while serving in the capacity of Lieutenant Governor must be coordinated with the region advisor ✓ Maintain high academic standards of a minimum 2.0 GPA each quarter and/or semester. ✓ Comply with all school policies, procedures, and codes of conduct ✓ Attend the following MANDATORY board meetings and conventions: o Key Club District Convention: April 12-15, 2018; Grand Sierra Resort, Reno, NV o Board Training & Meeting: May 25-27, 2018; Kiwanis District Office, Rancho Cucamonga, CA o International Convention (optional, recommended): July 4-8, 2018, Chicago, IL o Board Training & Meeting: August 3-5, 2018; Kiwanis District Office, Rancho Cucamonga, CA o Board Training & Meeting: January 4-6, 2019; (Tentative) Historic Santa Xxxxx Inn, Santa Maria, CA o Key Club District Convention: April 11-14, 2019; Ontario Convention Center. Ontario, CA ✓ It is understood the conduct of Key Club business by any electronic means, including web sites, electronic messaging, text and video conferencing, social media and so ...
Parent/Guardian. I agree to instruct my child to abide by all rules and regulations as outlined in the NFCYM Youth Participant Code of Conduct (the "Code") (xxx.xxxxx.xxx/xxxxxxxxxxxxxxx/xxxxx.xxx). I understand that if I have not heretofore seen the Code, it is my duty to seek a copy of the Code and to have reviewed it and explained it to my child prior to signing this Agreement. I agree that if my child fails to abide in any way by the Code, that my child can be dismissed from the Conference and sent home immediately at my expense for the immediate transportation home with no right of reimbursement or refund for any amount in connection therewith from NFCYM et al. Initials of Parent/Guardian
Parent/Guardian. Region Advisor Kiwanis Advisor Faculty Advisor School Principal Position Print Name Signature Date
Parent/Guardian. As the parent of this student, I have read the technology use agreement. I understand that this access is designed for educational purposes. I am aware that it is impossible for the school to restrict access to all controversial materials and I will not hold them responsible for materials acquired in use. Further, I accept full responsibility for supervision if and when my child’s use of school’s technology resources is not in a school setting. I hereby give permission for my child to use the school’s technology resources and certify that I have reviewed this information with my child. Parent’s or guardian’s name (please print): Parent/Guardian Signature: Date:
Parent/Guardian. It is important that my child be at his/her best every day. I will work with my child to impact his/her learning by doing the following: ✓ Have my child attend school every day and be on time. ✓ Model being respectful of myself, others, school and learning. ✓ Provide a place and an appropriate time for my child to study and check to see that his/her school work is done each night. ✓ Make sure that my child reads at home every night and ask my child to show me what he/she learned in math. ✓ Attend conferences and communicate with school staff to support my child’s learning. ✓ Other: Hawthorne: 2018/2019 Acuerdo entre casa y escuela/ Convenio de Título Uno Estudiante: Es importante que yo xxxx mi mejor trabajo cada día. Por lo tanto, yo: ✓ Asistiré a la escuela cada día y seré puntual. ✓ Seré respetuoso(a) conmigo mismo(a), con los otros, con mi escuela y con el aprendizaje. ✓ Conoceré y seguiré todas las expectativas de la escuela y de la clase. ✓ Completaré los trabajos de mi escuela y las tareas para el hogar a tiempo. ✓ Xxxxx libros que xxxx apropiados para mi nivel de lectura cada noche y mostraré lo que estoy aprendiendo en matemáticas. ✓ Otros: Estimados Padres y Familias, Xx Xxx xx xxxx estudiante triunfa (Every Student Succeeds Act, ESSA) requiere que los distritos escolares y las escuelas involucren a los padres y a los miembros de la familia de niños que son atendidos en los programas de Título Uno. El Departamento de Educación de los Estados Unidos proporciona financiamiento para Título Uno a los distritos escolares y las escuelas que tienen un alto número o un alto porcentaje de niños de familias de bajos ingresos para asegurar que todos los niños puedan alcanzar los desafiantes estándares académicos estatales. La interacción con los padres, las familias y las comunidades es una manera importante en que las escuelas pueden reducir la brecha de oportunidades o de logro y ayudar a todos los niños a aprender y ser exitosos. Este acuerdo sirve como un recordatorio para todos nosotros para continuar trabajando juntos y fomentando el aprendizaje del estudiante. Por favor xxx este acuerdo con su hijo(a). Si tiene cualquier pregunta, por favor no dude en comunicarse con nosotros. ¡Gracias por su apoyo continuo mientras nos esforzamos para asegurar el éxito de todos los estudiantes! Maestro: Es importante que los estudiantes xxxxx xx mejor trabajo cada día. Me aseguraré que esto sea posible al hacer lo siguiente: ✓ Mantener altas expectativas para los es...
Parent/Guardian. It is important that my child be at his/her best every day. I will work with my child to impact his/her learning by doing the following: ✓ Have my child attend school every day and be on time. ✓ Model being respectful of myself, others, school and learning. ✓ Provide a place and an appropriate time for my child to study and check to see that his/her school work is done each night. ✓ Make sure that my child reads at home every night and ask my child to show me what he/she learned in math. ✓ Attend conferences and communicate with school staff to support my child’s learning. Teacher: It is important that students can do their best every day. I will make sure this is possible by doing the following: ✓ Maintain high expectations for students, myself and other staff members. ✓ Respect and encourage students and their ideas. ✓ Provide motivating and engaging learning experiences. ✓ Encourage students to read and show their math learning at home every night. ✓ Provide for two-way communication with parent/caring adult about student progress and how the family can help with learning at home. 2020/2021 Acuerdo entre casa y escuela/ Convenio de Título Uno Estimados Padres y Familias, Xx Xxx xx xxxx estudiante triunfa (Every Student Succeeds Act, ESSA) requiere que los distritos escolares y las escuelas involucren a los padres y a los miembros de la familia de niños que son atendidos en los programas de Título Uno. El Departamento de Educación de los Estados Unidos proporciona financiamiento para Título Uno a los distritos escolares y las escuelas que tienen un alto número o un alto porcentaje de niños de familias de bajos ingresos para asegurar que todos los niños puedan alcanzar los desafiantes estándares académicos estatales. La interacción con los padres, las familias y las comunidades es una manera importante en que las escuelas pueden reducir la brecha de oportunidades o de logro y ayudar a todos los niños a aprender y ser exitosos. Este acuerdo sirve como un recordatorio para todos nosotros para continuar trabajando juntos y fomentando el aprendizaje del estudiante. Por favor xxx este acuerdo con su hijo(a). Si tiene cualquier pregunta, por favor no dude en Estudiante: Es importante que yo xxxx mi mejor trabajo cada día. Por lo tanto, yo: ✓ Asistiré a la escuela cada día y seré puntual. ✓ Seré respetuoso(a) conmigo mismo(a), con los otros, con mi escuela y con el aprendizaje. ✓ Conoceré y seguiré todas las expectativas de la escuela y de la clase. ✓ Completaré...
Parent/Guardian. I have read the Student Technology Acceptable Use Policy and related guidelines located in the Parent/Guardian and Student 1:1 Handbook and as a parent/guardian have discussed them with my student.
Parent/Guardian. Region Advisor Kiwanis Advisor Faculty Advisor School Principal Position Print Name Signature Date *Gender information will be used to determine housing accommodation based upon like-gender. A Non-Binary selection will necessitate a discussion with the student’s parent/guardian to determine specific housing accommodations.
Parent/Guardian. I understand that the major objective of Independent Study is to provide a voluntary educational alternative for my son or daughter. I agree to the above conditions listed under “Student”. I also understand that: • Learning objectives are consistent with and evaluated in the same manner that they would be if he or she were enrolled in a traditional school program. • If my child has an idealized Education Program (IEP), The IEP must specifically provide for his or her enrollment in Independent Study. The IEP does not have to specify independent study for Special Study During Travel for a period not to exceed 10 days. • Unless otherwise indicated, the supervising teacher who signs this agreement will meet with my son or daughter on a regular basis as specified on page 1 to direct the child’s study and measure progress toward the objectives in this agreement. It is my responsibility to promptly reschedule any appointment missed due to any emergency. • I am responsible for the supervision of my child while he or she is completing the assigned work and for ensuring the submission of all completed assignment necessary for evaluation. • I am liable for the cost of replacement or repair for willfully damaged or destroyed books and other school property checked out to my son or daughter. • It is my responsibility to provide any needed transportation for my sons or daughters scheduled meetings and other travel covered by this agreement. • I have the right to appeal to the school administrator any decisions about my sons or daughter’s placement or school program according to the Cucamonga School District’s procedures. • Short-term ISP cannot exceed 15 days or will be withdrawn from school. Parent/ Guardian’s signature: CUCAMONGA SCHOOL DISTRICT INDEPENDENT STUDY RECORD OF TIME WORKED Student: Supervisor: Date Started: Date Completed: TIME REQUIREMENT: 240 MINUTES PER DAY MINIMUM SAMPLE: Subject RECORD OF T Date IME WORKED Day Time Started Time Completed Total Time Science 10/07/18 Tues. 4:00 P.M. 5:30 P.M. 1 Hr. 30 min. SUBJECT DATE DAY TIME STARTED TIME COMPLETED TOTAL TIME Signature of Parent/Guardian: Signature of Student: Students Name: CERTIFICATION Grade: SUBJECT GRADE CREDITS EARNED TEACHERS INITALS DATE Supervising teacher signature: Date recorded: Principal/Designee: Date recorded: Independent Study Attendance Credit Report School Month: DATES MON. TUES. WED. THURS. FRI. MON. TUES. WED. THURS. FRI. Attendance: (Record complete days of attendance credit only)...
