SANTA FE INDIAN SCHOOL (High School Only) STUDENT INFORMATION No DAY ...

[Pages:6]SANTA FE INDIAN SCHOOL

STUDENT INFORMATION

2014-2015 SCHOOL YEAR

STUDENT INFORMATION

Student

Age

DOB

SSN

Grade:

OFFICIAL USE ONLY ? DO NOT FILL OUT

7

8

9

10

11

Status: Day Dorm 5-Day 7-Day SLA

Athlete/Sport: (High School Only)

Off-Campus: Yes No

Public Transportation Yes

Tribe:

12 No

DAY STUDENT TRANPORTATION Please indicate transportation plans: (Requires Approval)

Mobile

PARENT CONSENT / MEDICAL RELEASE

PARENT INFORMATION / PHONE

Mother

Home

Work

Father

Home

Work

Mobile Mobile

In the event of injury or illness, I give my consent for emergency medical treatment, first aid services, dental care and emergency medical services if such procedures become necessary while my child is in school. Parents will be contacted in the event of illness or injury requiring medical services.

Physician Name:

Health Insurance:

- OR -

LEGAL GUARDIAN INFORMATION / PHONE CDhoeccukmifecnhtaantgioend: of Court Approved Child Custody Agreements Must be Submitted to the Office of Admissions.

Legal Guardian

Home

Work

Mobile

Policy Number: Phone Number: Chart Number:

Parent Initial:

HEALTH HISTORY

ADDRESSES

Mailing Address

Physical Address

City

State

Zip

EMERGENCY CONTACTS

1) Name

WHEN PARENTS ARE NOT AVAILABLE

Home

Mobile

2) Name

Home

Mobile

FIELD TRIP / ACTIVITY CONSENT My child has my permission to participate in school-sponsored field trips, Educational activities, recreational activities and athletic activities for the Duration of the School Year.

Parent Initial:

STUDENT CHECK OUT AUTHORIZATION To be completed by Parent or Legal Guardian ONLY. AUTHORIZED ADULTS

? Adults must be 21 years old or older. ? Please limit to four (4) names. ? No nicknames please.

1. 2. 3. 4.

Please check and provide the following information so that we can properly care for your child:

Asthma Glasses Poor Vision Contact Lenses Poor Hearing Diabetes Epilepsy Depression

Blackouts Eating Disorder/Obesity Dizzy Spells Seizures/Convulsions Heart Trouble Brain Injury/Disease Tuberculosis Other

ALLERGIES

Allergy to medications, food, materials, insect bites, bees, etc. Please list all types:

MEDICATION

List all prescription medications your child is currently taking. All medications with the exception of inhalers must be given to staff/nurse for storage, including non-prescribed, over the counter medication and instructions:

SIGNATURES

AUTHORIZED STAFF

? Please limit to two (2) names. ? Must have Staff permission.

Student

Date

1.

2.

?

Parent/Legal Guardian

Any names listed on this document will be authorized to check out student. Unless you have turned in legal documentation.

Date

SANTA FE INDIAN SCHOOL

STUDENT LIVING PROGRAM 2014-2015 SCHOOL YEAR

STUDENT INFORMATION

Student

Mobile

OFF CAMPUS PRIVILEGE AUTHORIZATION

AND CONSENT FORM

PARENT CONTACT

Name

Home

Work

Mobile

GENERAL INFORMATION

Tuesday is the designated "Off Campus Day" for High School students 9th to 12th grades.

STUDENT RESPONSIBILITIES

This privilege will be granted to students based on the following conditions:

? Student is in good standing with overall dormitory behavior, i.e. cooperation with assignments, responsibilities and attitudes, maintaining room cleanliness, etc.

? Student is not on probationary status with reference to rule infractions (SR&R).

? Student is in Good Academic Standing. ? Student may not go off campus if he/she is

in after school study hall.

The following rules must be observed for students to retain his/her off campus privileges:

? Student must sign out properly between 3:15-3:30 p.m.

? Students must sign out with a friend (can be from other dorms).

? Student is required to sign back in the dorm at designated time (according to daylight savings time)

? Student must conduct his/herself in a positive manner and adhere to school rules while off campus.

? Student can not ride in unauthorized vehicles on or off campus.

PARENT CONSENT / LIABILITY RELEASE

? I give my permission for my son/daughter to go "Off Campus" on Tuesdays unsupervised.

? I do understand the stated rules that my son/daughter must adhere to in order to earn this privilege.

Off Campus: YES NO

My son/daughter is allowed/not allowed to go off campus.

Public Transportation:

YES

My son/daughter is allowed/not

allowed to use the city buses

NO

(public transportation).

Parent Initial:

SIGNATURES

Student Parent/Legal Guardian

Date Date

Director of Student Living

Date

If a student violates any of the above conditions, it will jeopardize his/her off campus privileges.

This privilege is granted providing parents consent and give their approval. Please note: There is not adult supervision while your child is off campus.

Parent and Student Initial:

SANTA FE INDIAN SCHOOL

STUDENT LIVING PROGRAM 2014-2015 SCHOOL YEAR

IMPORTANT INFORMATION

The utilization of public transporation such as the RailrRunner is a privilege for SFIS students and their parents, therefore responsibilities and guidelines have been developed for the safety of your student(s).

SFIS is a closed campus; therefore, use of public transportation is restricted.

Use without permission will be considered AWOL which is a Level 3 violation.

STUDENT INFORMATION

Student

Home Location

PARENT CONTACT

Name

Home

Work

Mobile

PUBLIC TRANSPORTATION SERVICES

Which service(s) is your son/daughter using? (Circle)

RailRunner

Park and Ride Taos Express

Po'Pay Messenger

Blue Bus

RAILRUNNER STATION STOP

Where will your student's regular stop be? (Circle)

Santa Fe Co. / NM 599

Kewa Pueblo

Sandoval Co. / US 550

Downtown Bernalillo

Sandia Pueblo

Los Ranchos / Journal Center

Downtown ABQ

Bernalillo Co. / Sunport

Isleta Pueblo Los Lunas

Belen

RAILRUNNER INFORMATION

SFIS will provide transportation to and from the South Capitol station at these times only:

? Friday after school and Sunday evening pick-up at 7:51pm. o MS students must ride the bus.

? Exceptions will be made for early dismissal days.

Staff will supervise at the South Capitol station until train departs.

Staff and Parent Initial:

NM RAILRUNNER EXPRESS / NM DOT PARK AND RIDE / PO'PAY MESSENGER / TAOS EXPRESS / BLUE BUS

RIDERSHIP CONSENT FORM

STUDENT RESPONSIBILITIES

? Double check with staff and parents on Thursday for authorization to use public transportation.

? Sign-out properly with dormitory staff. ? Be on time for transport to South Capitol station. ? Have fare before leaving campus. ? Conduct themselves in a positive manner and adhere

to school rules while using public transportation.

? Observe traffic safety, i.e. use crosswalks, Etc.

Parent and Student Initial:

PARENT RESPONSIBILTIES ? Ensure Ridership Consent Form is on file before

using public transportation. ? Must contact dormitory staff no later than Thursday

of each week to authorize your student to use public transportation. ? Provide fare or pay on-line. ? Ensure that your student has transportation at their respective drop-off stations. ? Inform dormitory staff of any changes.

Parent Initial:

PARENT CONSENT / LIABILITY RELEASE

SFIS will not assume liability for student incidents which may occur when a student uses public transportation.

? I give consent for my student to use public transportation unsupervised.

? I release SFIS, Inc. and any staff members from any liability once my student has boarded the train or public transportation vehicle.

? I do understand the stated responsibilities and guidelines that my student must adhere to in order to retain this privilege.

? I also understand that should my student violate any of the guidelines he/she could lose their privilege to use public transportation.

? I understand that any violations of the student

responsibilities could result in consequences as described in the SR&R Codebook.

Parent Initial:

SIGNATURES

Student Parent/Legal Guardian

Date Date

Director of Student Living

Date

2014-15 SANTA FE INDIAN SCHOOL STUDENT INTERNET SAFETY & ACCEPTABLE USE POLICY

The Santa Fe Indian School (SFIS) network, owned and operated on behalf of the 19 Pueblos, is intended to serve the educational interests of students and this use shall take precedence over all others. Access to the Internet is a privilege to students who agree to act in a considerate and responsible manner. In the interest of protecting all users, SFIS requires that students comply with the following rules in the use of the SFIS network, e-mail, mobile devices, cell phones and the Internet:

1. Students are responsible for good behavior on the computer network and Internet just as they are in school. SFIS Student Rights and Responsibility policies for conduct and behavior apply.

2. The following computer activities are NOT permitted:

a. Recreational use of social networking sites during the academic day; b. Intentional efforts to bypass the SFIS Internet content filter; c. Use of images, such as wallpapers (computer backgrounds), that are inconsistent with the SR&R handbook; d. Use of another's account, giving your password for others to use; e. Sharing personal information or arranging to meet any person met on-line; f. Cyber-bullying, harassing or threatening others, falsely representing another person; g. Plagiarism, taking the ideas or writings of others and presenting them as one's own; h. Copyright infringement through download, storage, or reproduction of pirated digital content; i. Unauthorized access to wireless networks.

3. Student behavior that undermines or compromises network security is strictly prohibited. This includes, excessive use of bandwidth, unauthorized access to network locations, hacking activities, etc.;

4. Federal law mandates that SFIS comply with law enforcement regarding school safety. As part of due process, SFIS reserves the right to view, collect, and report student data and computer use logs to law enforcement when the safety of the school, student, or staff are in question.

5. To comply with the Child Internet Protection Act (CIPA), SFIS will: a. Use content-filtering software to restrict access to material deemed obscene, pornographic, violent/gang related, or otherwise harmful to minors; b. Student data stored on computers or transmitted over the network will be monitored by and accessible to all SFIS staff. The SFIS IT department, in consultation with the SFIS administration, will provide tools for screening and reporting of Internet use. This includes information publicly posted on the Internet. c. Provide Internet safety training for all students.

6. SFIS reserves the right to change the student Internet rules at any time. (Changes will be posted in the SFIS Bulletin).

Internet Contract

I, ___P_R_I_N_T______________________, accept and agree to abide by the rules above. I understand that if I violate the rules my Internet privileges may be suspended, my account may be deactivated, and I may face other disciplinary measures. I shall assume full responsibility, legal, financial, or otherwise, for my actions.

Student Signature: ________________________ Grade: ______ Date: ________________

The following section need only be signed if the applicant is under eighteen years of age.

I, ___P_R_I_N_T_________________, the parent/guardian of the above, agree to accept all financial and legal liabilities which may result from my son/daughter's use of the Santa Fe Indian School network and Internet services. I will emphasize to my child the importance of following all of the above rules.

Parent Signature: _________________________ Date: _________________

Santa Fe Indian School

Infinite Campus/NASIS Parent Portal Information

Santa Fe Indian School uses Infinite Campus/NASIS for student information management. Infinite Campus has developed a Parent Portal to allow parents/guardians to view the records of their child(ren) via the Internet. Santa Fe Indian School will provide parents/guardians of currently enrolled students the privilege of free access to the Parent Portal. Only parent/guardians of students enrolled in the school will be allowed access to the Parent Portal due to the abuse of the portal, court orders or any other legal proceedings that limit the availability of federally protected information and or data.

PURPOSE

Santa Fe Indian School has opened the Parent Portal to enhance communication between the school and parents/guardians. Enhancing communication among all stakeholders is one of our goals. Users of the Parent Portal will have access to the following:

Personal Data Attendance View/Print student schedules Grade book and assignments View/Print progress reports

Santa Fe Indian School reserves the right to add to or remove any of the above functions from the Parent Portal at any time.

USE OF THE PARENT PORTAL

Access to the Parent Portal on the SFIS system is a privilege, not a right. Users of the Parent Portal are required to adhere to the following guidelines:

1. Users will act in a responsible, legal, and ethical manner. 2. Users will not attempt to harm or destroy data on the school network. 3. Users will not attempt to access data or any other account owned by another user. 4. Users will not use the Parent Portal for any illegal activity, or including violation of data privacy laws. Anyone

found to be in violation of these laws may be subject to civil and or criminal prosecution. 5. Users who identify security problems with the Parent Portal must notify Jennifer Williams, the Infinite

Campus/NASIS systems administrator at SFIS, at 505-989-6308 or nasisHelp@sfis.k12.nm.us. 6. Users will not share their password with anyone, including their own children. 7. Users will not set their own computer to automatically log-in to the Parent Portal. 8. Users identified as a security risk to the Parent Portal or Santa Fe Indian School's network will be denied access

to the Parent Portal.

PORTAL USER ACCOUNT SECURITY FEATURES

Three unsuccessful login attempts will disable the user's Portal account. In order to reactivate, the user will need to return to Santa Fe Indian School to present proper identification and receive password reset. (Resetting the password may take 2-3 days.)

User will automatically be logged off if the Portal web browser is open and inactive for a period of time.

All attempts at logging into the system are recorded and monitored.

TECHNICAL ISSUES WITH THE PARENT PORTAL

There are times when there will be a need to shutdown the Parent Portal for maintenance purposes. Santa Fe Indian School is not liable for any issues related to you personal computer and reserves the right to refuse technical assistance directly related to your personal computer.

System Requirements ? Computer

Processor 486 running at 66MHZ; Pentium recommended

Window 98 0r Newer Operating System ? 16MB Memory or greater ? 45 MB of disk space or greater

Internet Connection

56K or faster

Monitor

The Parent Portal is best viewed with resolution of 800 x 600 or greater

DATA INTERPRETATION

Data posted on the Parent Portal will vary based on the school your child attends. It is our goal to maintain accurate records; therefore, if you detect a discrepancy, please notify Jennifer Williams at 505-989-6308 or nasisHelp@sifs.k12.nm.us.

Personal Data ? Personal data is typically updated within one week of student registration. The volume of changes collected during fall registration may delay updates beyond one week. Contact the Office of Admissions if there is incorrect information displayed.

Attendance Data ? Santa Fe Indian School records attendance every period. Contact the school's attendance clerk if you feel there's an incorrect entry. (High School ? Paul Herrera 505-989-6327 or pherrera@sfis.k12.nm.us; Mid School ? Jerome Garcia 505-989-6328 or jsgarcia@sfis.k12.nm.us )

Class Assignments ? Class assignments and scores can be viewed once teachers have entered them in Infinite Campus. Student scores are an approximate grade at a specific point in time.

Progress Reporting ? Progress report grades will be posted three times during the semester (approximately every 4.5 weeks). Semester grades will be posted at the end of each semester.

NASIS Contact Info: Fax: 505-989-6316 Attention: Jennifer Williams

Phone: 505-989-6308 Email: nasisHelp@sfis.k12.nm.us

Santa Fe Indian School Campus Portal Activation Request

(This form must be presented prior to activation of your Infinite Campus account.)

All fields must be completed in their entirety before access to the parent portal will be activated. Once your private account has been created, you will be given a printout containing your account information including your name, address, phone, and relationships with your household. You will be asked to verify the content contained on this printout.

I,

, am requesting access to my child(ren)'s student information on the Santa Fe

Indian School's Infinite Campus Parent Portal site. I have read the information provided me on the use of the Parent Portal, and I

agree to abide by and support the expectations. I understand, in the interest of security, the school reserves the right to change user

passwords or deny access at anytime. By signing this agreement I, as a parent/guardian release the Santa Fe Indian School from any

and all liability for damages arising out of unauthorized access to my parent/guardian account. I agree that I will not share my

password or allow anyone other than myself to use the account, including my own child(ren).

I agree to protect any information printed or transferred to my computer, or destroy the documentation generated from this site.

I understand that three unsuccessful logins will disable my account. If my account becomes locked, I will contact the SFIS Parent Portal help desk and provide the "Personal Login ID" given to me at the time that the account was created and other information as needed. In the sole discretion of the school, the account may be unlocked, but I understand that it may take up to 3-5 school days to have my account unlocked. I agree to use a computer that meets or exceeds the requirements for viewing student information as recommended on the information provided.

Please verify the items below by providing your initials.

I have been given a copy of and read Infinite Campus Parent Portal Information.

If at any point data that does not pertain to me should appear on my portal, I will notify the school immediately.

I have verified my household information is either correct of has been corrected.

Student Name(s): Please list your child(ren) attending Santa Fe Indian School

Child's First Name

Child's Last Name

Child's Date of Birth

Parent/Guardian (Printed):

Parent/Guardian (Signatures):

Date

Parent's email address:

Parental Consent Form

PARENT, GUARDIAN AND STUDENT ATHLETE

(Please read and fill in all blank lines)

Please read the following statements concerning the participation of your child/ward in interscholastic athletics. Please respond below with your signature.

PARENTAL CONSENT

I hereby give my consent for

to participate in interscholastic athletics at SANTA FE INDIAN SCHOOL and

authorize the SANTA FE INDIAN SCHOOL to provide the information on this form to the New Mexico Activities Association. The

financial responsibility for securing care of athletic injuries is a matter between the parent and/or legal guardian and physician or dentist

of parent/guardians selection. SANTA FE INDIAN SCHOOL may not pay doctors, dentists or hospitals for any treatment on any

child. THE SANTA FE INDIAN SCHOOL DOES HAVE$10,000.00 COVERAGE FOR SCHOOL ACTIVITIES. Please identify

your personal health insurance company:

along with your current

policy number:

.

MEDICAL HISTORY

I hereby state that I have reviewed the medical history of my child and find the answers to the question are correct to the best of my knowledge (Required for legal minors).

AUTHORIZATION FOR MEDICAL SERVICES

WE, request that I/we be contacted within a reasonable time in the event of illness or injury requiring medical services. In the event we cannot be reached, I/we parent(s)/guardian(s) hereby designate the Athletic Director, Team Coach, Athletic Trainer or his/her designee to act in my/our behalf to authorize such hospitalization, medical attention and surgery as may be required in an emergency because of illness or injuries sustained by my/our child/ward while participating in school athletics. In the event we cannot be reached, and the situations calls for medical attention, we recognize and relinquish our responsibility to a participating physician and/or medical personnel acting in the best interest of my/our child/ward. I/we hereby assume financial responsibility for hospitalization medical attention and surgery provided, over and above Santa Fe Indian Schools Insurance coverage.

PERSONAL MEDICATION NOTIFICATION

For my own protection, I the student athlete will inform the athletic trainer and/or medical doctors if I am taking any medication or using any ointment, liniments, and balms or have a metal implant in my body BEFORE receiving therapy or treatment of any kind in the training room. Any combination of the above and deep heat therapy could cause serious complications. Parent(s) and the student athlete have READ and UNDERSTAND the proceeding statements and agree to their content.

ACKNOWLEDGEMENT OF INJURY RISKS

We, the parent(s)/guardian(s) and student athlete are aware that preparation for and participation in interscholastic athletics involves many risks of serious and/or permanent injury to the student athlete. We understand and acknowledge the danger of severe injuries is inherent in physical activity, which may involve vigorous physical contact.

We, the parent(s)/guardian(s) and student athlete have completely read and fully understand and voluntarily accept and agree to all of the above terms and conditions.

PARENTS SIGNATURE ADDRESS:

DATE

STUDENT ATHLETES SIGNATURE

WORK NUMBER: HOME NUMBER:

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