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Campus: 2020-2021For Office Use OnlyEnrollment DateLocal ID #Teacher Assigned:Grade:Date:Current Grade:Grade Last Year:Student’s Legal Name:LastFirstMiddleSuffix: Jr. Sr. III IV Male FemaleSS#Birth Date(copy of SS card required)Current AgePlace of Birth:CityState/CountryPlease indicate who the student lives with (check all that apply): Father Mother Grandparent Stepfather StepmotherEducation Information: Coming from another Alvin school Coming from out of state Foster Care (Form 2085 or court order required) Legal Guardian (Proof of Guardianship required) Temporary Guardian (Signed Power of Attorney form required) Coming from another school in Texas First time in the United StatesHas this student ever attended an Alvin ISD school? Yes NoLast school attended:School NameSchool DistrictCityStateLast year Attended:ZipPhone NumberLast grade level:Was the student ever enrolled in any of the following programs? (Check all that apply) Gifted/Talented Bilingual ESL Tutorials Special Education Resource Self Contained CounselingHas the student ever been Retained? Free/Reduced Lunch Speech Therapy Physical Therapy Occupational TherapyYes NoDocumentation Required for Enrollment: Copy of Student’s birth Certificate Copy of Student’s Social Security Card Student’s Immunization Records Migrant Immigrant 504 DyslexiaGrade: Proof of Residency Parent/guardian identification
Family #1 Information (where the student lives):Parent/Guardian 1Parent/Guardian 2Name:Name:Relationship to student:Relationship to student:Date of Birth: Legal guardian? Y NDate of Birth: Legal guardian? Y NCell Phone:Cell Phone:Home Phone:Home Phone:Work Phone:Work Phone:Email:Email:Required for Skyward Family AccessRequired for Skyward Family AccessHome Address:StreetApt #CityStateZipMailing Address:(if different from above) StreetApt #CityStateZipFamily #2 Information:Parent/Guardian 1Parent/Guardian 2Name:Name:Relationship to student:Relationship to student:Date of Birth: Legal guardian? Y NDate of Birth: Legal guardian? Y NCell Phone:Cell Phone:Home Phone:Home Phone:Work Phone:Work Phone:Email:Email:Required for Skyward Family AccessRequired for Skyward Family AccessHome Address:StreetApt #CityStateZipMailing Address:(if different from above) StreetList other children residing in household:Last NameApt #First NameCityDate of BirthStateZipSchoolI declare the above information to be true and correct to the best of my knowledge, and give Alvin ISD permission to request mychild’s records from previous schools attended.Parent/Guardian SignatureToday’s Date
Alvin Independent School District301 E. House St., Alvin, TX 77511(281) 388-1130Dear Parent,By law, if parents are legally separated or divorced, each parent has equal rights to the custody of thechild/children UNLESS a parent has a court order that indicates which parent has custody of thechild/children.The school MUST HAVE A COPY OF THE COURT ORDER on file, otherwise, either parent maycheck the child out of the school with proper identification.I have read the above statement of the law.Student’s NameParent/Guardian SignatureDateEstimado Padres,Por ley, si los padres están legalmente separados o divorciados, cada padre tiene los mismos derechosen la custodia del niño o de los niños A MENOS QUE uno de los padres tenga una orden de la corteque indique a el padre que tiene la custodia del niño o de los niños.La escuela DEBE TENER UNA COPIA DE LA ORDEN DE LA CORTE en sus archivos, si no,cualquiera de los padres puede presentar identificación apropiada y sacar al estudiante de la escuela.Yo he leído la declaración de la ley mencionada arriba.Nombre del EstudianteFirma de Padre/TutorFecha
Alvin Independent School DistrictTHIS FORM MUST BE COMPLETED, SIGNED, AND RETURNED TO SCHOOLAlvinisd.net301 E. House St. (281) 388-1130Alvin, Tx 77511False InformationPlease read the following information carefully before signing below:Education Code 25.0002 (d)When accepting a child for enrollment, the District shall inform the parent or other person enrolling the childthat presenting false information or false records for identification is a criminal offense under Penal Code 37.10and that enrolling the child under false documents makes the person liable for tuition or other costs as providedbelow:Education Code 25.001 (h)A person who knowingly falsifies information on a form required for a student’s enrollment in the District shallbe liable to the District if the student is not eligible for enrollment, but is enrolled on the basis of falseinformation. For the period during which the ineligible student is enrolled, the person is liable for the maximumtuition fee the District may charge [see FDA (Legal)] or the amount the District has budgeted per student asmaintenance and operating expense, whichever is greater.Alvin I.S.D. may enforce these codes to the fullest extent.I have read the preceding Education Code statements and fully understand the consequences offalsification of documentation.Signature of Parent/Legal GuardianDateTX Driver’s LicenseOfficer
THIS FORM MUST BE COMPLETED, SIGNED, AND RETURNED TO SCHOOLName of StudentGrade2020-2021 Student HandbookPlease read and discuss with your child the information in this abbreviated Student Handbook, which includes the StudentCode of Conduct. You and your child should sign at the bottom once you have reviewed this information. Your signatureacknowledges that you understand that you are receiving this abbreviated copy of the student handbook and that thecomplete handbook can be accessed online at www.alvinisd.net in accordance with Alvin ISD Board Policy and theTexas Education Code. If you prefer a paper copy of the handbook, please notify the school principal.My child and I have reviewed the abbreviated copy of the Student Handbook and the Student Code of Conduct and Iunderstand that my child will be subject to school discipline and possibly to criminal prosecution if he or she is found tohave violated the District’s Student Code of Conduct. I also understand that my child will be held accountable for his/herbehavior and will be subject to disciplinary consequences outlined in the code. Pursuant to House Bill 603 of the 79thLegislature, consideration is given [in a decision to order suspension, removal to a disciplinary alternative educationprogram (AEP), or expulsion] to self-defense, intent or lack of intent at the time the student engaged in the conduct, astudent’s disciplinary history, or a disability that substantially impairs the student’s capacity to appreciate the wrongfulnessof the student’s conduct.One of the behavior management techniques listed in the Student Code of Conduct that may be used at some campusesis corporal punishment. If it is used at your child’s school, please circle and initial yes if you give permission forcorporal punishment to be administered or no if you do not want corporal punishment to be administered.YesNoStudents are assigned a password to access the internet for research, information, etc. and are always closely monitoredwhen using the internet. Students must agree to abide by the District’s Electronic Acceptable Use Policy (located in theStudent Handbook), and understand that any violation of the regulations is unethical and may constitute a criminaloffense. Should a student commit any violation, his/her access privileges may be revoked, disciplinary and/or appropriatelegal action may be taken. If you do not want your child to have access to the internet through a school computer,please notify the principal in writing within 10 days after you receive this abbreviated copy of the handbook.According to state law and the federal Family Educational Rights and Privacy Act (FERPA), certain “directory information”about students (name, address, telephone number, date and place of birth, awards {honor roll, top graduates, science fair,etc.}, photographs, grade level, participation in officially recognized activities and sports, weight and height of members ofathletic teams, dates of attendance, enrollment status, e-mail address) will be released to anyone (institutions of highereducation and military recruiters as indicated in Section 9528 of the No Child Left Behind Act) who follows Districtapproved procedures for requesting it, unless the parent objects to the release of directory information about their child.Information (listed above) that you do not want released should be indicated in writing to the principal within 10days after you receive this abbreviated copy of the handbook.From time to time, students are photographed, videotaped, or recorded by a representative of the school district or thelocal media for purposes of safety, maintenance of discipline in school or on school buses, any purpose related to a cocurricular or extra-curricular activity, awards, or any purpose related to regular classroom instruction. (Examples include,but are not limited to newspaper, photo or work posted on website, yearbook, etc.). There is no financial remuneration ifphotos or work is used and Alvin ISD is released from any future claims, as well as any liability arising from the use of saiditems. If you do not want your child photographed or video taped or his/her work used, please notify the principalin writing within 10 days after you receive this abbreviated copy of the handbook.I have read the above information.Parent’s SignatureStudent’s SignatureEducational opportunities are offered by the Alvin Independent School Districtwithout regard to race, color, national origin, sex or disability.
Texas Education AgencyTexas Public School Student/Staff Ethnicity and Race Data QuestionnaireThe United States Department of Education (USDE) requires all state and local educationinstitutions to collect data on ethnicity and race for students and staff. This information is usedfor state and federal accountability reporting as well as for reporting to the Office of Civil Rights(OCR) and the Equal Employment Opportunity Commission (EEOC).School district staff and parents or guardians of students enrolling in school are requested toprovide this information. If you decline to provide this information, please be aware that the USDErequires school districts to use observer identification as a last resort for collecting the data forfederal reporting.Please answer both parts of the following questions on the student’s or staff member’s ethnicityand race. United States Federal Register (71 FR 44866)Part 1. Ethnicity: Is the person Hispanic/Latino? (Choose only one)Hispanic/Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, orother Spanish culture or origin, regardless of race.Not Hispanic/LatinoPart 2. Race: What is the person’s race? (Choose one or more)American Indian or Alaska Native - A person having origins in any of the original peoples ofNorth and South America (including Central America), and who maintains a tribal affiliation orcommunity attachment.Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia,or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea,Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.Black or African American - A person having origins in any of the black racial groups ofAfrica.Native Hawaiian or Other Pacific Islander - A person having origins in any of the originalpeoples of Hawaii, Guam, Samoa, or other Pacific Islands.White - A person having origins in any of the original peoples of Europe, the Middle East, orNorth Africa.Student/Staff Name (please print)(Parent/Guardian)/(Staff) SignatureStudent/Staff ID #DateThis space reserved for Local school observer – upon completion and entering data in student softwaresystem, file this form in student’s permanent folder.Ethnicity – choose only one:Hispanic / LatinoNot Hispanic/LatinoObserver signature:Race – choose one or more:American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteCampus and Date:
Alvin ISD FAMILY SURVEYName of the Child D.O.B. Age GradeSchool Name:Date:Dear Parents,In order to better serve your children, the school district would like to identify families and out-of-school youthwho are agricultural or fishing workers and who may qualify to receive additional educational services. Theinformation provided will be kept confidential. Please answer the following questions and return this surveyform to your child’s school.1. Have you done seasonal or temporary agricultural or fishing-related work (e.g., field work, canneries, lumbering,dairy work, or meat processing) during the last 3 years?YesNo2. Have you moved between school districts and/or states during the last 3 years due to economic necessity?YesNo3. Do you have a high school aged child under the age of 22 who lacks a U.S. issued high school diploma or Certificateof High School Equivalency (HSE/GED) and is currently not enrolled in school?YesNoThe Migrant Education Program offers a variety of supplemental academic and support services to all identifiedmigrant children and out-of-school youth who move with their families to harvest the fruits and vegetables thathelp feed our nation. Services are provided by school districts and the community and vary by district regardlessof immigration status.Make sure you complete and return this survey to your child’s school. An education representative may contactyou to provide additional information and see if your child is eligible for the Migrant Education Program.Please provide the following information:Parent or Guardian NameTelephone NumberBest time to contact youFor Campus Use Only:If answer Yes, to questions 1 & 2 or Yes to 1, 2 and 3 please send form toAraceli Guerrero at FSP
Alvin Independent School DistrictMilitary Connected Student FormPLEASE RETURN THIS FORM TO YOUR CHILD’S CAMPUS ONLYIF YOUR CHILD MEETS ONE OF THE CRITERIA BELOWIn 2009 The Texas Legislature adopted the Interstate Compact on Educational Opportunity for MilitaryStudents – Texas Education Code Chapter 162. This legislation requires schools to recognize and extendcertain privileges to students who are military dependents and to assist military dependent students in thetransition process of changing schools when their military parents are reassigned and forced to relocate.Parent Name:Student Name: Date of Birth: Grade:Please check one box below to indicate if your child is a dependent of a member of:For all students:Active Duty: Army, Navy, Air Force, Marine Corps, or Coast Guard[This includes Missing in Action (MIA)]Texas National GuardReserve Duty: Army, Navy, Air Force, Marine Corps, or Coast GuardWas the student a dependent of a member of a military or reserve force in the United State military who was killedin the line of duty?FAVOR DE REGRESAR ESTA FORMA A LA ESCUELA DE SU HIJO SOLAMENTE SI SU HIJOCUMPLE CON ALGUNO DE LOS SIGUIENTES CRITERIOSEn el 2009 la Legislatura de Texas adoptó el Acuerdo Interestatal de oportunidad educacional paraestudiantes militares – Código de educación de Texas capítulo 162. Esta legislación indica que las escuelasreconozcan y extiendan ciertos privilegios a los estudiantes que dependen de militares y ayudar a losestudiantes que dependen de militares en los procesos de transición cuando sus padres militares seanreasignados y forzados a reubicarse.Nombre del padre:Nombre del estudiante: Fecha de nacimiento: Grado:Favor de marcar la caja para indicar si su hijo es un dependiente de un miembro de:Para todos los estudiantes:Servicio Activo: Ejército, Marina, Fuerza Armada, Infantería de Marina o la Guardia Costera [Incluye:Desaparecido en combate (MIA)]Guardia Nacional de TexasReserva: Ejército, Marina, Fuerza Armada, Infantería de Marina o la Guardia Costera¿El estudiante era dependiente, de una fuerza militar o de una reserva del ejército de los Estados Unidos, quefue asesinado en el cumplimiento de su deber?
TRANSPORTATION INFORMATIONElementary Students OnlyWalkerBike RiderCar RiderDay CareBusStudent’s NameHalf-Day Students Only, Circle one:AMPMGradeParent/Guardian’s NameTelephone #Physical Address
Foster Care Immediate Enrollment FormDateStudent Name: DOB: Gender:Receiving School:Is the student in Foster Care?Yes (Proceed with completing the entire form)No (No further completion is needed)Foster Parent/Placement Name:Foster Parent/Placement Address:CPS/Child‐Placing Agency Name:Date Placed with Agency:Agency Contact Name: Phone:Last School Attended/School District:Current Grade:Information on status of parental rights:Does student have IEP?YesDoes student have 504 Plan? YesNoNoUnknownUnknownEnrollment CertificationsI am a representative of the agency to whom the court has committed or the parent has entrusted the child’s carethrough a voluntary entrustment or non‐custodial agreement of the above‐named child. This child meets the definitionof a child placed in foster care in § 25.007 of the Texas Education Code; therefore, I am certifying the child is eligible forimmediate enrollment.To the best of my knowledge, is in good health and is free from communicable orcontagious disease. If documentation of physical exam, birth certificate, social security number, and/or immunizationrecord is unavailable at the time of enrollment, they must be provided to the school within 30 days of enrollment.CPS or Licensed Child Placing Agency SignatureDateRelease of InformationI, , as legal custodian/guardian of , hereby authorizeschools, their agents and employees to release student records for the purposes of immediate educational enrollment at(school of enrollment).Legal Custodian/Guardian SignatureDateCampus Registrar SignatureDate2085
Alvin Independent School DistrictRequest for Food Allergy InformationThis form allows you to disclose whether your child has a food allergy or severe food allergy that you believeshould be disclosed to the District in order to enable the District to take necessary precautions for your child’ssafety.“Severe food allergy” means a dangerous or life-threatening reaction of the human body to a food-borneallergen introduced by inhalation, ingestion, or skin contact that requires immediate medical attention.Please list any foods to which your child is allergic or severely allergic, as well as the nature of your child’sallergic reaction to the food.Food:Nature of allergic reaction to the food:The District will maintain the confidentiality of the information provided above and may dis-close theinformation to teachers, school counselors, school nurses, and other appropriate school personnel only withinthe limitations of the Family Educational Rights and Privacy Act and District policy. [See FL]Student name:Date of birth:Grade:Parent/Guardian name:Work phone:Parent/Guardian Signature:Date form was received by the school:Home phone:Date:
Alvin Independent School DistrictHome Language Survey19 TAC Chapter 89, Subchapter BB §89.1215(Home Language Survey applicable ONLY if administered for students enrolling in pre-kindergarten through grade 12)TO BE COMPLETED BY PARENT OR GUARDIAN FOR STUDENTS ENROLLING INPREKINDERGARTEN THROUGH GRADE 8 (OR BY STUDENT IN GRADES 9-12): The state ofTexas requires that the following information be completed for each student who enrolls in Texaspublic school for the first time. It is the responsibility of the parent or guardian, not the school, toprovide the language information requested by the questions below.Dear Parent or Guardian:To determine if your child would benefit from Bilingual and/or English as a Second Language program services,please answer the two questions below.If either of your responses indicates the use of a language other than English, the school district must conduct anassessment to determine how well your child communicates in English. This assessment information will be usedto determine if Bilingual and/or English as a Second Language program services are appropriate and to informinstructional and placement recommendations. Once your child is assessed, changes to the Home LanguageSurvey responses are not permissible.If you have questions about the purpose and use of the Home Language Survey, or you would like assistance incompleting the form, please contact your school/district personnel.For more information on the process that must be followed, please visit the following ractiveFlowchart-EN.htmName of Student: Student ID#Address: Telephone#:Campus: GradeNote: Please indicate only one language per response.(1) What language is spoken in your home most of the time?(2) What language does your child speak most of the time?o Has your child attended any public school in the United States?YesNoo Date of Initial Entry into U.S schoolsSignature of Parent or GuardianDateNOTE: If you believe you made an error when completing this Home Language Survey, you mayrequest a correction, in writing, only if: 1) your child has not yet been assessed for Englishproficiency; and 2) your written correction request is made within two calendar weeks of your child’senrollment date.
Alvin Independent School DistrictRequired FormMedical Emergency FormStudent’s Legal NameDate of BirthLastM/D/YFirstStreet AddressCityName of last school attendedThe student lives withMiddleZipFatherGradeMailing AddressCityFather & MotherSexM FHomeroom TeacherCityStateMotherGuardianZipZipOther (please specify)Mother/Guardian’s NameCell PhoneWork PhoneHome PhoneEmailFather/Guardian’s NameCell PhoneWork PhoneHome PhoneEmailName of student’s brothers/sisters1.School AttendingName of student’s brothers/sisters3.2.School Attending4.LIST NEIGHBORS OR NEARBY RELATIVES WHO WILL ASSUME TEMPORARY CARE OF THE STUDENT IF YOU CANNOT BE REACHEDNameRelationship to StudentCell PhoneWork PhoneHome PhoneNameRelationship to StudentCell PhoneWork PhoneHome PhoneNameRelationship to StudentCell PhoneWork PhoneHome PhoneHealth InformationIf yes, please explain.ConditionYesCommentsCondition*Allergy To FoodAre emergency medicationsrequired?*Allergy To InsectsAre emergency medicationsrequired?Allergy To MedicationHypoglycemiaAllergy to LatexOrthopedic Impairment*AsthmaDoes the student use an inhaler? Ifuses at school, action plan required.Cancer*Seizure DisorderAre emergency medicationsrequired?Psychosocial - Behavior/EmotionalChickenpox (If yes, when?)Vision Problem/Glasses/Contacts*DiabetesTakes medication at home dailyIf yes, for what condition*Takes medication at school dailyIf yes, for what conditionOtherYesCommentsKidney/Bladder DisorderNeurological DisorderHearing ImpairmentHeart ConditionAdditional Comments:*If you marked YES to any above medical conditions, please see school nurse for appropriate action plans. All action plans, medication forms, and medicalaccommodations must be updated with each new school year.***HEALTH INFORMATION MAY BE SHARED WITH SCHOOL AND EMERGENCY PERSONNEL ON A NEED-TO-KNOW BASIS***Parents are expected to share the student’s health condition/s with the student’s teacher/s.Student’s Physician’s NameMedical InsuranceYesAddressNoMedicaidYesNoPhoneMedicaid Card NumberHospital PreferenceIN THE EVENT OF AN EMERGENCY, I HEREBY AUTHORIZE ALVIN INDEPENDENT SCHOOL DISTRICT OFFICIALS TO SECURE MEDICAL TREATMENT. I UNDERSTAND THESTUDENT IS GENERALLY TRANSPORTED BY AMBULANCE TO THE NEAREST EMERGENCY CARE FACILITY. I WILL NOT HOLD THE SCHOOL DISTRICT OR ITS EMPLOYEESFINANCIALLY RESPONSIBLE FOR THE EMERGENCY CARE AND/OR TRANSPORTATION FOR SAID STUDENT.Signature of Parent or Legal GuardianDate
For Office Use Only: Approved Not ApprovedSignature:Student Residency Questionnaire, 2020-2021The questionnaire is in compliance with the McKinney-Vento Act, 42 U.S.C. 11431 et seq. Your answers will help determine if the studentmeets eligibility requirements for services under the McKinney Vento Act.School: Grade: Student ID:Student Name: Date of Birth: Age: Gender: M FAddress: Contact Number:Is the student an unaccompanied youth? (e.g.: kicked out by parent, abandoned by parent or living on their own) Yes or NoName of person enrolling student:Person enrolling student: Self Parent Legal Guardian (court appointed) Caregiver (e.g.: friends, relatives, etc.)Name of person(s) you are residing with:Registrars: This person will be listed as the contact for the student, even if he or she is unaccompanied1. Is the student’s current residence owned or rented by a parent/legal guardian? Yes No2. Is the dwelling operating with working electricity and running water? Yes NoI. Is the student’s address temporary due to a loss of housing, economic hardship or natural disaster? Yes NoII. Where is the student currently living: (Please check all that may apply) In the home of a friend orrelative In a shelter In transitional housing (housing available for a specific amount of time or paidfor by an organization In a hotel/motel In a tent, car, van, abandoned building, on the streets, at acampground or unsheltered locationIII. Please select the factors contributing to the students living situation: Family issues such as divorce, domestic Home fire not due to natural causes (e.g.violence, and family conflict.stove fire) Home issues such as lack of electricity, water, Economic hardship (inability to pay rent orheat, adequate home repair, and overcrowding,mortgage, resulting in eviction)etc. Lack of affordable housing in the area Military: Parent/Guardian deployed, injured Minor student unable to afford housing onor killed in action.their own Incarceration or Incapacitation ofparent/guardian.IV. Please select all requested servicesSchool Supplies Yes or No School Clothing Yes or NoTransportation Yes or NoSchool Meals Yes or NoPlease note, presenting a false record or falsifying records is an offense under Section 37.10, Penal Code, and enrollment ofthe child under false documents subjects the person to liability for tuition or other costs. TEC Sec. 25.002(3)(d).Signature of Parent/Guardian/Caregiver/Unaccompanied Youth: Date:Signature of McKinney –Vento Liaison: Date:Please completely fill out 1 form for each studentPrint on lavender paper for easy identification
301 E. House St., Alvin, TX 77511 (281) 388-1130 . Dear Parent, By law, if parents are legally separated or divorced, each parent has equal rights to the custody of the child/children UNLESS a parent has a court order that indicates which parent has custody of the child/children.
