2012-2013 Staff Handbook Vision: Develop and empower global thinkers that are productive leaders and contribute to society. Mission Statement: At Haw River Elementary School, we plant seeds of excellence, cultivate strong minds, build character, and celebrate diversity through collaborative partnerships with the students, parents, and community. We foster a supportive student-centered learning environment where everyone is accountable and excellence is expected. 1 TABLE OF CONTENTS Staff List Lice Policy Time Child Abuse/Neglect Staff Appearance Class Parties Classroom Appearance Microwaves/Refrigerators Lesson Plans Copying Sick Leave Laminating Phones Mailboxes Duty Roster Recess Homework Policy Teacher Assistants Specials Schedule Visitors License Renewal Lunch Procedures/ Schedule Employee Assistance Counseling Drug, Alcohol, Tobacco Free Committees Inclement Weather Duties Balloons and Flowers Discipline Drills (Fire, Lockdown, Tornado) Bullying Policy Building Maintenance Weekly Progress Notes Internet Newsletters Videos Field Trips Bulletin Boards Student Assistance Team Funds EC Modifications Grievance Procedures ESL Copyright Cumulative Folders Important Dates Student Injuries Forms Worker’s Compensation Internet, Email, and Social Media Medications 2 Time All staff should report by 7:15am and leave at 3:15pm. All staff is required to sign in each morning on TimeKeeper, pick up mail, and be in classrooms ready for students to enter at 7:20am. Teachers will also be required to stay daily until all professional obligations are complete. Tuesdays will be a designated school meeting time, so please do not plan doctor or dentist appointments on those days. Faculty meetings will occur on the first and third Tuesday of each month. Please plan to be in these meetings until 4:30 p.m. All staff must sign out at the end of the day as well. Teacher assistants may not go over 40 hours a week, so please monitor your time accordingly. Unless there is an emergency or staff development, approved by one of the administrators, all staff must remain on campus during the entire school day including early release days. Faculty who must leave campus during the school day must: 1.Secure permission from an administrator, 2. Sign out on the sheet outside of Mrs. Wroblewski’s office, 3. Sign back in upon returning to campus. On workdays, with no students, the staff hours for the building are 8am-4pm with one hour for lunch. Children of staff members should not be in the school building during workdays. Certified staff may not leave campus for lunch on early release days. Staff Appearance We are the only role model that some of our students have for appropriate dress. All staff members must be professionally dressed at all times. Many of these rules are student rules as well and so we need to exemplify appropriate dress. Midriffs, cleavage, and shoulders must be covered (no tank, low-cut or crop tops). Clothing should not be too tight. All shirts should be tucked in if they fall to the bottom of the zipper. All dress shorts, skirts, skorts, dresses and splits that touch the top of the knee are allowed. No sweatpants, cut-off shorts, or exercise pants. Due to safety issues flip-flops are not permitted. All writing or designs on clothing must be appropriate for a school setting. Sunglasses may be worn during outdoor supervision. Classroom Appearance Please keep the classrooms in a condition that is inviting and conducive to learning. Our rooms should match our passion for our students’ education. Before leaving your classroom at the end of the workday please be sure that: 3 Instructional materials are organized for the next school day. Plans are complete and on your desk. The room is neat and teacher / TA areas are clutter-free. Floors and countertops are clean and clutter-free. The agenda for the next day is written on the board. All windows, window blinds, and outside doors are closed and/or locked. Lights, fans, and computer are off. All technology should be shut down daily. Lights should be left off when not in the room throughout the day. These are good practices for safety, energy conservation, and in case you are unintentionally absent the next day. Lesson Plans Lesson plans must be placed on the teacher desk and open so that during observations and walkthroughs the plans can be reviewed. Occasionally a few of you will be asked to hand in a copy of your lesson plans at the end of the week. This process will be used as a way of providing more detailed feedback in planning. Emergency Lesson Plans Each teacher is responsible for providing five days of emergency lesson plans. Your plans should have attendance rosters, daily information such as lunch and recess, and any other information that is vital to a successful school day in your absence. Leave Sick Leave If you are out sick more than three consecutive days a doctor’s note will need to be provided to an administrator each time. Parental Involvement Leave As specified in state statutes, employees of the Alamance-Burlington School System will be provided the opportunity to participate in their own children’s school activities for a period not to exceed four (4) hours annually. Prior approval by the principal or immediate supervisor is required. This benefit may not be carried forward to the next school year and is nontransferable. Personal Leave All personal leave taken must be pre-approved by an administrator. Classified staff: All comp. time earned must be pre-approved by an administrator. 4 Use of AESOP System to record all absences All faculty and staff are required to record all absences for any reason--including sick leave, annual leave, personal leave, and staff development--into the AESOP system via phone or computer. All absences should be recorded as far in advance as possible and administrators should be notified. On days when you must take leave at the last minute, faculty should record absences on AESOP and notify the front office AND one or both administrators. As a courtesy, teacher assistants should notify classroom teachers directly. Any questions about using the AESOP system can be directed to Ms. Rushin. Cellular and Classroom Phones Staff cellular phones may only be placed in vibrate or silent mode during working hours. Cellular phones are to remain concealed during student instruction, active student supervision, or staff development unless there is an immediate professional emergency. Employees may use their cellular phones for personal calls during scheduled breaks or with administrative approval. Classroom phones may only be used for professional calls during the school day. Long distance calls should be made with the assistance of a secretary and logged properly. Personal calls are allowed if made during planning periods and kept to 5 minutes in duration. Facebook If you have a social networking page (including Facebook), you should refrain from accessing it while at school, either on your personal phone or school computer. Phone Messages All phone messages will be placed in mailboxes unless the caller identifies it as an emergency situation. If an emergency or important call is expected, notify the office in writing in advance so they respond accordingly. Student Phone Usage Students are not to use the phone unless it is an emergency and a staff member is with the student when the call is made. Homework papers, projects, notes and items forgotten at home do not constitute an emergency situation. If you do decide to send students to the office to call home, they must have an initialed note from you giving permission for them to use the phone. 5 Homework Policy Students in K-1 should have no more than 15-20 minutes of homework per day. The students in grades 2-3 should have no more than 20-35 minutes per day. Students in grades 4 and 5 should have no more than 60 minutes, special projects excluded. Please be considerate regarding this. Our 30-minute home reading initiative does not apply to the homework assigned by the teacher. Homework is for reinforcement of a skill that has been taught in school. It is not to be used as “busy work”. License Renewal To maintain valid credentials, a licensed employee must engage in an ongoing program of professional development. It is the responsibility of the employee to ensure that his/her license is current. Committees All licensed personnel will serve on at least one committee. All faculty and staff are required to serve on one other committee scheduled to meet at least once quarterly Duties All staff members can be expected to perform non-instructional duties by helping with morning and afternoon buses, morning and afternoon car duty, or hallway supervision. Ms. Wroblewski will hand out schedules for duty and both administrators will both actively monitor to ensure that everyone is doing their part. Teachers need to be in the hallways at their doors greeting students and monitoring hallway behavior. Discipline A fair and consistent approach to helping students modify their behavior, coupled with real consequences, needs to be practiced by all staff members. It is important to recognize that all staff members are responsible for the behavior of all students. The PBIS committee will provided guidance to faculty, staff and administrators about classroom expectations, school-wide expectations, and when to make an office referral. Use the office referral form that is on the form shelf in the front office. 6 Harassment/Bullying It is the priority of the Alamance-Burlington School System to provide every student and employee in the school system with a safe and orderly learning and working environment. To this end, the Board specifically prohibits bullying and harassing behavior as defined below. If a staff member witnesses bullying or harassment in any form, please notify an administrator immediately. Please refer to ABSS School Board Policies 5125, 4220, and 5130 for more detailed information regarding this. This is the website: http://meetings.abss.k12.nc.us:8888/mediawiki/index.php/Board_Policies_-_Table_of_Contents Weekly Progress/ Discipline Notes Every classroom teacher should plan to send home a weekly progress/discipline note and any other important information. We need to have a culture of communication with parents and setting up a weekly communication tool that is consistent in the school is important. Use the student agenda and take-home folders to communicate with your parents daily. Grade levels are also required to send a monthly newsletter to inform parents about what is being covered in class, dates coming up, how parents can help, and other information that is important. This newsletter should go out the last Thursday of the month for the following month. Do not wait until the last minute for translations of the newsletter into Spanish. A copy of all monthly newsletters should be sent to the assistant principal for review prior to sending home to parents at least 24 hours in advance. If your grade level would like to send home a newsletter more frequently please feel free to do so, the monthly newsletter is merely a minimum. If specials teachers or other staff have information for the newsletter please submit it to the grade level chair one week in advance to ensure it is included and translated. Websites: All certified staff must have a webpage, and they should be updated monthly at a minimum. Remember: Parents love to hear and see positive notes. They appreciate being kept informed of their child’s progress. Field Trips Procedures: All field trips must have an academic focus and be directly linked to curriculum objectives. Requests for field trips must be submitted, using the REQUEST FOR FIELD TRIP FORM in the back of this handbook, to the assistant principal at least four weeks in advance for all field trips. All field trips planned for the entire school year must be submitted and scheduled by November 1st. 7 No overnight trips are allowed and all trips must be within 150 miles of our school. All out-ofcounty trips must be approved 90 days in advance by the ABSS Board of Education. A district—approved field trip form must be submitted with the trip request. The assistant principal will review and help price the trip and provide the information directly to the grade level team for review and action. All contracts involved must be approved by the principal and assistant principal at the time of the request. Students in Grades 3-5 will not be able to go on field trips after the second intercession that begins on March 19th. Students in Grades K-2 may be scheduled for field trips through May 31; however, field trips scheduled on EOG testing days will not be approved. Planning and Budgeting: The Field Trip Request Form asks for exact pricing and the grade level’s plan for fundraising. More expensive trips will involve more planning and oversight and regular checking in with administrators to ensure that the plan is being followed and that money is coming in. If sufficient funds are not raised within 2-5 days of a planned field trip, administrators may have to cancel the field trip since there is no budget available to cover shortfalls. Think about planning early so that payment plans can be developed to ensure sufficient funds are raised to cover all trip costs including funding for students who are unable to pay. When planning field trips, please consider the cost. The cost of a field trip should not be a burden or hardship on families. Please notify Ms. Rushin well in advance of all checks that will be needed to avoid any last minute complications. Notifying the Cafeteria: You must notify the cafeteria two weeks before every field trip about lunch and breakfast needs or changes that will be required. Permission Forms: Permission forms must be sent out at least 10 days in advance of all field trips using the field trip form. The assistant principal will fill out and copy permission forms for you to send out for all trips. Please note that refunds of student payments will not be given within 5 working days of field trips, and this information is communicated directly to families on the permission forms. All refund requests, regardless of timing, must be submitted directly to administrators for approval before refund requests are granted. Connect Ed Communication Requirements: For every field trip, a Connect Ed message must be sent to families notifying them of the field trip around the time the permission form is sent out. A second message must be sent within 2-3 days of the trip with all final reminders. For expensive trips, it is recommended that you send regular Connect Ed messages home to keep families apprised of trip plans and funding status. 8 Handling Medication During Field Trips: If a student needs medication during a field trip, the student’s teacher must contact the school nurse at least 14 days in advance of the trip so that the nurse can prepare a log and a bag for medication to be taken on the trip. Sufficient notice is needed especially for students who receive medications at home because the school nurse will need time to obtain an order, the medication, and get everything in place. Field trip medication logs are required to be kept in house for 25 years and our compliance with regulation s is an absolute must. Planning for Students Who Remain at School During a Field Trip: Students who do not go on a field trip are still expected to be at school. Please make plans in advance for students who are not going on the trip and make sure their names and locations are included on the list provided to the office on the day of the field trip. The classroom teacher is expected to provide meaningful grade-level work for students who remain at school with the supervising teacher. Field Trip Protocol on the Morning of the Trip: On the mornings of field trips, there is always a lot to be done including recording attendance, getting a list of students going on the trip to the office, and leaving contact phone numbers. Please use the Field Trip Checklist on to ensure you follow procedures. The checklist should be left with the front office before you leave on the trip. During field trips teachers should keep cell phones on vibrate and check for messages often. It is required that a full roster of students and contact phone numbers is taken on the trip and that a copy is left in the office. All medication and information about its administration must be packaged carefully and taken on field trips for students who need it. Any issues that may arise during trips should be reported to administrators immediately. Student Assistance Team (SAT) If a student is struggling with academics, behavior, or attendance it is appropriate to prepare a Personal Education Plan for that student to determine and document interventions that you specifically are using to help that student. A parent conference is required at the end of each quarter for all students with PEPs. If a student continues to struggle and needs more support or testing, it is appropriate to make a referral to the Student Assistance Team. It is important to move quickly on SAT referrals to ensure students in need get the support they deserve. Please see Ms. Wroblewski or Ms. Sylvestre if you are considering a SAT referral to get a meeting scheduled and make sure forms are filled in properly. IEP’s/Modifications for E.C. If you have an EC student, be sure that you have met with the EC Resource teachers to know exactly what modifications you are to make for each child. Remember that an IEP is a legal contract and you are responsible for being sure all aspects of this contract are being covered. 9 Copies of IEPs should be made available to classroom teachers and any other specialist working directly with the child the first day of school. IEPs should be kept in a locked file at all times. IEPs must be kept under lock and key at all times in classrooms. EC Quarterly Monitoring Reports will be prepared by EC teachers with classroom teacher input and sent home in the student report card envelope each quarter. ESL SERVICES AND MODIFICATIONS FOR STUDENTS Classroom teachers, ESL teachers, and administrators will be responsible for keeping up to date information about the nature of student ESL support, test and classroom modifications on the CO form provided for this purpose, and progress monitoring is required to occur at least once per quarter for every student working with an ESL teacher in pullout or co-teaching. ESL Quarterly Monitoring Reports will be prepared by ESL teachers with classroom teacher input and sent home in the student report card envelope each quarter. Cumulative Folders Cumulative folders are to remain stored in locked file cabinets. Blank forms are also kept there. Be sure that cumulative folders are kept up to date. Remember that each time a new student enters your classroom, it is your responsibility to check the cumulative records for EC, ESL, or Intervention (RTI or SAT) and contact relevant persons responsible for each area. Student Injuries Submitting Student Accident Forms All student injuries must be completed on a computer and emailed to the data manager, school nurse, and principal. Before submitting the form, save the form in the following name format before emailing it: Last name of student, First name, School, Month Year Teachers need to complete the “Student Accident Form” for any child who has an accident and is injured at school while in your charge. All serious accidents are reported to Central Office by the principal. The forms are in the office. Parents should be contacted immediately, especially in the case of a head injury. Minor first aid will be administered by the office staff before the child is returned to the classroom. In cases where there may be a fracture or serious injury, the student is not to be moved. Contact the office immediately for further directions. Workers’ Compensation In the event an employee is injured on the job performing assigned duties, workers’ compensation guidelines must be followed exactly. At all times, follow safe work practices to 10 avoid injuries, report all accidents and injuries to the principal immediately, provide the principal with a written statement of injuries, follow procedures for obtaining medical treatment, follow the treatment plan, and keep the principal informed of your injury status. Before seeking medical attention, staff must check with the office. Claims need to be filed within a 72-hour period of the injury. Medications No medication is to be kept in the classroom. A locked cabinet has been installed in the office for securing medication. Be sure to bring all student medication, along with the signed permission slip from parents, to the office for safekeeping and distribution. Students receiving medication need to report to the office at their scheduled time and must have a responsible partner or an adult with them. Classroom teachers are responsible for remembering to send students to the office for all medications. Home-School Relationship Every teacher is expected to communicate appropriately and frequently with parents or guardians with respect to the pupil’s progress or problems. Report cards go out each nine weeks; interim reports should be sent mid-way through the grading period if a student’s grades are low and you should follow up with a phone call if the signed interim report is not returned to you. Head Lice / No Nit Policy If a child is sent home for head lice, before he/she may return to class, a trained staff member will check his/her head for lice and nits. No student will be allowed to stay in school if lice are found in his/her hair. Please notify an administrator and the school nurse if more than one student in a classroom has lice. (See ABSS policy in the Appendix.) Child Abuse / Neglect It is the legal responsibility of each staff member to report suspected child abuse and/or child neglect to the Department of Social Services. Before making a referral, please make every effort to discuss the situation with the school counselor or social worker. If not, see the principal or assistant principal. At the end of the handbook you will find the reporting form that you are to complete each time you suspect child abuse. This form should be given to the school counselor at the time of the referral. Class Parties There should be no class parties; however parents can bring a light (store-bought) snack for the students that can be shared with all the students during snack time. 11 Classroom Microwaves and Refrigerators No microwaves, refrigerators, coffee makers, or appliances are allowed in classrooms, only in workrooms (NO exceptions!). This request is per the insurance safety inspector. Copying Everyone will be assigned a code to use the copier and will have a limit on the number of copies they can make during the school year. If you have questions about your quota, please see the School Secretary. The copier is for school use only. The copy machines will also be used as your printer so please plan accordingly. Laminating All laminating will be done by a laminating team at scheduled times. Teachers need to be selective in items they laminate. The laminating film is very expensive and should be used on materials that will receive much use and not just used for one time. Do not laminate just one item at a time since there is at least a foot of film used at the end of the item. Try to utilize the film most efficiently. By slightly trimming 8x11 construction paper, you can run two pieces at once through the machine and not waste so much film. Reminder: You are not to laminate children’s work that is going to be sent home or items that are going to be put on a bulletin board and then discarded. Only teaching materials can be laminated. Please turn off the laminator after every use to prevent odors or a possible fire. Mailboxes Each staff member is assigned a mailbox that is located outside the main office area. All communications and correspondence will be placed in these mailboxes, including phone messages. Materials to go home with students will also be placed there. Staff is reminded to check their boxes at the beginning of the day, around noontime, and at the end of the day. Recess Students need physical exercise and movement during the school day, and recess meets these needs. Structured activities should be a regular part of recess, and the teachers assume responsibility for this type of supervision. Even during periods of free play, staff must position themselves to monitor the movement and safety of all students. This means they must be spread out around the playground area and fields, not grouped together. Since PE counts as recess, recess is not to be scheduled on days on which your students attend PE class. 12 Teacher Assistants Teacher assistants are provided by the state to allow teachers the opportunity to increase the individual attention our students receive, provide supplemental instruction, and to assist with classroom management. Please remember that these staff members are bound to 40 hours a week and may not take work home unless approved by the principal. Visitors All visitors, including staff’s children and spouses, should report to the office and should receive a Visitor’s Badge or sticker before coming into the school halls. If you see someone in the hall without a badge/sticker or if a parent comes to your room, please ask them to go to the office, sign in, and get a “Visitor’s Badge.” Also, you should notify the office that an unauthorized person is in the building. Remember that a child must be dismissed from the office. If a parent comes in your classroom, send them to the office without the student and wait until the office calls the student for dismissal. Lunch Procedures Every class has 25 minutes for lunch. Please be prompt coming to and leaving the cafeteria. Each teacher will be responsible for setting an expectation that students clean up their own spills and keep the area around their seat as clean as possible. At least two students should be appointed to clean the tables thoroughly when the class has left their tables. Teachers or assistants should stay with their class until everyone has gone through the line and should actively monitor behavior during lunch. All students who received free and reduced lunch last year will automatically receive it the first 30 days of school, but must then submit new forms. Kindergarten students with siblings on free and reduced lunch will automatically receive free and reduced lunch for the first 30 days of school before, but must then submit new forms. Other kindergarten students must submit application forms for free and reduced lunch as soon as possible. Forms are mailed directly to parents, but the office has extra copies. Please place completed forms in Ms. Stokes box in the office. Drugs, Alcohol, and Tobacco-Free Haw River is a drug, alcohol, and tobacco-free campus. Any drugs or alcohol, paraphernalia, or consumption affecting job performance will be dealt with immediately. Tobacco may not be consumed on campus at any time, so please encourage your parents to follow our policy as well. If any parent is not compliant after being requested to extinguish their cigar or cigarette please see one of the administrators immediately. 13 Inclement Weather In case of school cancellation or early dismissal due to inclement weather, it is important that all staff members clearly understand their options related to whether or not to report to work. In some situations the principal or supervisor may require specific employees to report to work. In most cases, however, the choice is yours. The school system respects your right to make the best decision for yourself. If you decide not to work, then you have several options available. If School Is Dismissed Early teachers and other school-based employees may be dismissed by the principal after all buses have departed and arrangements have been made for students who have not been picked up. If school opening is delayed all staff members are expected to report for work at the regularly scheduled time. If an employee does not believe he or she can safely report at the regularly scheduled time, he/she should notify the principal. The principal/ supervisor will give the staff member an opportunity to make up the time. If school is cancelled for students the day will be designated as either an annual leave day or a workday, depending on the wording of the announcement (see below). If the announcement reports the system is closed for students and teachers, then no teachers or ten-month employees should report for work unless specifically requested. The day then becomes one of the remaining ten scheduled annual leave days in the school calendar for teachers and all ten-month employees. If the announcement reports the system is closed for students with an optional or required teacher workday, then one of the inclement weather options listed below must be selected by teachers and all ten-month employees. Options: 1. Report to work. 2. Take unscheduled annual leave. To exercise this option, the employee must have an annual leave balance in excess of the number of designated annual leave days left in the calendar. 3. Do not report for work, but arrange with the principal/supervisor to make up time. 4. Take personal leave (teachers only). 5. Take a day without pay. Employees who work 10.5, 11, or 12 months (principals, assistant principals, central support, maintenance, transportation and other designated personnel) shall report for work or choose inclement weather options 2 or 5; use available comp time; or, schedule with the immediate supervisor a time to make up the work prior to the end of the current school year. Classified employees who choose to make up the time missed must do so in a work week where the total time worked does not exceed forty hours. Comp time must be pre-approved by 14 an administrator. Child nutrition employees do not report to work when students are not in school. Child nutrition managers may exercise inclement weather options 1, 2, or 5. On days when school is cancelled for students, employees who decide to work will be allowed to report for work one hour later than normal reporting time. Those who report for work after that time may be allowed to make up the time or take a half day of available leave. : If inclement weather occurs on a day already scheduled as an optional or required teacher workday, no announcement will be made. All teachers and ten-month employees may select one of the following inclement weather options: 1,2, 4 or 5. Announcements In addition to a Connect-ED phone call, television and radio announcements on school closing or delays will be given to the following stations: Radio Stations: WSJS (600 am) Television Stations: WFMY (2) (CBS) WPTF (680 am) WPCM (920 am) WRAL (5) (CBS) WGHP (8) (FOX) WBAG (1150 am) WSML (1200 am) WEAL (1510 am) WUNC (91.5 fm) WKRR (92.3 fm) WMQX (93.1 fm) WQDR (94.7 fm) WQMG (97.1 fm) WSMW (98.7 fm) WMAG (99.5 fm) WVBZ (100.3 fm) WZTK (101.1 fm) WJMH (102.1 fm) WTQR (104.1 fm) WKZL (107.5 fm) WTVD (11) (ABC) WXII (12) (NBC) Cable customers may need to check cable guide for station locations. Inclement weather changes will be posted on the ABSS website at abss.k12.nc.us. If no announcement is made, school will be open as usual. 15 Balloons and Flowers Staff and students receiving balloons and/or floral arrangements will be called to the office to pick them up during the 2:30 announcements. Students receiving a bouquet of balloons and who normally ride the bus home will be asked to call a parent to pick them up that day as the balloons cause safety problems on the bus. FIRE DRILLS According to the law, all schools must have monthly fire drills during the school year. Each teacher should exit through the nearest door and go to assigned spots. There are several points that need to be mentioned: The fire alarm is an intermittent signal. 2) Teachers should remember to close doors. 3) Students need to quickly leave the classroom in a quiet, orderly, single-file line. 4) Teachers need to lead their students and have a responsible person to be last. 5) Teachers need to remember to carry their RED EMERGENCY BAG. 6) Once outside at least 100 feet away from the building, teachers should count their students. No students are to line up in front of the school because of the circular drive. 7) Each teacher will send a “runner” to report in writing the number of students that are in his/her charge at that time to a designated person. 8) If you have students with other teachers, indicate this on your report. 9) Resource teachers need to tell the number of students and identify the teacher. 10) Teachers should wait for the “All Clear Bell” before reentering the building. 11) Again, the students should enter the building quietly and orderly. Lockdown 1. In the event of a lockdown please follow the following procedures. 2. Close and lock your doors. 3. If you see a student in the hall, please secure the student and inform the office who the child is and from what class. 4. Lower and close all blinds. 5. Secure students away from the door and below window level. 6. Do not open the door until officially told over the intercom. 7. Make sure students remain still, calm, and quiet. Place either a green or red card under the door and on an exterior window. A green card represents that all is clear, and a red card represents an emergency and need for assistance. 16 If students are on the playground, the students will be escorted to the gym. If the students are in the cafeteria, they will be escorted into the kitchen. Please stay off your phone unless there is an emergency and you are contacting the office. Tornado, Hurricane, and Thunderstorm TORNADO A. A tornado watch means conditions are favorable and tornadoes are likely to occur: 1. The superintendent will notify all principals. 2. The principal will notify all teachers including those with classes outside the building. 3. The principal will place spotters (lookouts) to watch all sides of the building for approaching danger. 4. The principal will notify all bus drivers of the watch condition. 5. School will be dismissed at the normal hour in the regular manner and bus drivers will follow regular routes using due caution, unless directed otherwise by the superintendent or principal. B. A tornado warning means a tornado has been sighted: 1. The superintendent will notify all principals. 2. The principal will sound the tornado signal immediately, which consists of three (3) short blasts of the fire alarm bell. 3. Principal will send ADULT runners to notify classes outside the building. 4. All students and staff will immediately proceed to tornado shelter areas according to the tornado shelter plan. 5. All teachers will take roll and notify the principal if someone is missing. 6. Principal will organize a search if someone is missing. 7. Students and staff will not return to their rooms until the principal declares it safe to do so. 8. School bus drivers will not be permitted to leave on their bus routes as long as a tornado warning is in effect, unless directed otherwise by the superintendent or principal. C. No warning, but a tornado sighted approaching school: 1. If time permits, go to the interior hallway away from doorways. 2. If time does not permit, get into the safest area of your classroom (the inside wall farthest away from, doors and windows). 3. Avoid lunchroom, gymnasiums, or other places with wide, free-span roofs. 4. Get under any heavy furniture available. 5. Assume a curled position so as to protect you head and eyes. D. No warning, but a tornado sighted approaching a school bus: 17 1. Students will open windows, doors, and exit doors and take protective positions. 2. When possible, bus drivers will drive at right angles away from the path of the tornado. 3. If a ditch, tunnel or other relatively safe area is available, bus drivers will unload students there and all will assume protective positions. HURRICANE AND SEVERE THUNDERSTORMS Hurricanes and severe thunderstorms can usually be forecast efficiently in advance for emergency action to be initiated before conditions seriously affect Alamance-Burlington Schools. Primary danger will result from high winds and heavy rains. 1. Principals will be notified of approaching danger. 2. Principals will notify all teachers of the situation. 3. If high winds indicate structural damage might occur, students and staff will use tornado shelter areas for protection. 4. School will be dismissed at the regular hour and buses will follow regular routes, unless otherwise instructed by the superintendent or the principal. 5. Buses will not be permitted to leave on their routes if the safety of the students is in jeopardy by severe weather conditions. Building Maintenance We are the caretakers of this school, and it is our duty to provide a school that is kept clean and neat for our children. Classrooms or hallways may not be painted by individual teachers without the approval of the principal. Paint colors will be chosen by the principal since room assignments change. To prevent rodents in the buildings please do not store open food in the classroom. Tupperware bins are great for storage that is air tight. Staples are only allowed on bulletin boards and not on painted walls. Packing tape or double stick tape may not be put on painted walls. Basic trash should be put in rubbish cans and not left on the floor for custodians. Workrooms and common areas must be left in a neat condition for the next user. Sidewalk chalk may not be used under an overhang. Lights should be turned off when you are not in the room. Computers should be shut-down on a daily basis to conserve energy. Microwaves, refrigerators, and coffee pots are only allowed in workrooms. 18 Facilities Work Requests Any request for facilities work on campus must be submitted in writing to the principal. The written request, if deemed appropriate, will be put into the maintenance website for their approval. Internet Acceptable Use Policy The Alamance-Burlington Board of Education recognizes that electronic resources of all types are becoming a vital part of an up-to-date education for our students whom we are preparing to become technologically literate citizens. Because of this, the Board in general supports providing access to these resources for our staff and students. Copies of the Internet Use Agreement are available through the Technology Division. The Board expects that the Internet and e-mail within the school system will be used for educational purposes only and that staff will use the guidelines established by Board policy both for their own professional use and to instruct students in the use of these resources. The Board policies regarding the Selection and Reconsideration of Instructional Materials and Copyright should be followed when utilizing Internet access and e-mail throughout the district. Students who wish to have access to the Internet must sign the Internet Use Agreement and must submit a permission form signed both by the students and a parent/legal guardian in which they agree that the student will adhere to all guidelines and be responsible for his/her own actions. Staff members will instruct students in the correct use of these resources, and students will read and understand the district guidelines. The ultimate responsibility for a student’s actions in using the Internet and email rests with the student and his/her parent/legal guardian. Students who do not adhere to the guidelines set forth by the district will have their email and Internet privileges revoked and may be subject to other disciplinary measures. Videos No videos may be shown without written permission from an administrator. The only exception to this policy is for videos found in the school media center that have already been approved for instructional use. Staff wishing to show a video need to fill out a request form and submit an administrator at least two days in advance of the viewing date. Only videos rated “G” will be considered. There also needs to be an instructional tie-in for all videos shown, even if they are part of a reward or incentive program. Bulletin Boards and Cork Strips Work should be changed monthly and should include a brief description of the assignment and objective covered. These should be interactive and aligned with the curriculum. Please write your board description in the office board so that teachers can bring students to. These boards and strips are not meant for merely purchased posters and banners. It would also be most helpful for all staples to be removed from the boards when you are changing them to help the 19 next person who follows. No staples or tape allowed on any of the walls in the classroom or hallways. Bulletin boards in your classroom need to be changed regularly as well. Funds It is important that school employees follow sound procedures to ensure quality cash management. If you need additional information, please consult with your school treasurer or the finance officer. Proper Procedures for Receiving Funds All moneys for the school system received or collected by an employee become funds of the system and are to be receipted either by using a receipt book or list receipt. All funds must be turned in to the school treasurer daily no matter how small the amount. Always record the information completely on each receipt: (1) Date receipted; (2) Name of person from whom funds were received; (3) Purpose for which funds were received; (4) Amount of the receipt and (5) Signature of the person receiving the money. All receipts should be written to a person’s name and not to a club, group, etc. All receipt books or list receipts should be kept in a safe place. The forms should not be left in an unlocked desk drawer or file cabinet. If lost or stolen, regardless of how much is receipted in the book, the internal control over cash receipts for the school is adversely affected and the school’s audit report will reflect this. When a receipt book is issued to a school employee, it is the employee’s responsibility if the book is lost or mishandled. The receipt book should be as important to you as your own checkbook. Under no circumstances should a student be allowed to write receipts in an employee’s receipt book. Only the sponsor or advisor of clubs, etc. should issue receipts. All money received should be given to the school treasurer daily. No checks, personal or otherwise, should be cashed, nor invoices paid, from un-deposited receipts. Quality Steps in Handling Funds An employee should never accept money if he/she is unable to write a receipt immediately. Do not accept checks written to “you” (the employee) which are for school funds. All checks and/or money orders are to be written to the individual school or school system. 20 Always get a purchase order or approval by the principal and school treasurer before purchasing items obligating school funds. An employee should work with the school treasurer on all purchases. An employee should avoid using his/her own funds when purchasing items for the school or school system. Immediately turn in all invoices upon receipt. Grievance Procedure for Employees It is the policy of the Board to practice reasonable and effective means of resolving difficulties which may arise among employees, to reduce potential areas of grievance, and to establish and maintain recognized channels of communication between staff and administration. The Board, therefore, has adopted grievance procedure as a means to examine and resolve possible problems which relate to the administration of personnel policies of the school district. This information can be found in ABSS School Board Policies. Copyright Policy It is a principle of American law that an author of a work may reap the fruits of his or her intellectual creativity for a limited period of time. Copyright is a form of protection provided by the laws of the United States for "original works of authorship" including literary, dramatic, musical, architectural, cartographic, choreographic, pantomimic, pictorial, graphic, sculptural, and audiovisual creations. "Copyright" literally means the right to copy. The term has come to mean that body of exclusive rights granted by statute to authors for protection of their work. The owner of copyright has the exclusive right to reproduce, distribute, and, in the case of certain works, publicly perform or display the work; to prepare derivative works; or to license others to engage in the same acts under specific terms and conditions. One of the rights accorded to the owner of copyright is the right to reproduce or to authorize others to reproduce the work in copies or phone records. This right is subject to certain limitations found in sections 107 through 118 of the copyright act (title 17, U.S. Code). One of the more important limitations is the doctrine of "fair use." FAIR USE DEFINED Statutory Factors for Determining Fair Use: 1. the purpose and character of the use, including whether such use is of commercial nature or is for nonprofit educational purposes; 2. the nature of the copyrighted work; 21 3. amount and substantiality of the portion used in relation to the copyrighted work as a whole; and 4. the effect of the use upon the potential market for or value of the copyrighted work. 17 U.S.C. § 107 The distinction between "fair use" and infringement may be unclear and not easily defined. There is no specific number of words, lines, or notes that may safely be taken without permission. Acknowledging the source of the copyrighted material does not substitute for obtaining permission. The safest course is always to get permission from the copyright owner before using copyrighted material. When it is impracticable to obtain permission, use of copyrighted material should be avoided unless the doctrine of "fair use" would clearly apply to the situation. If there is any doubt, it is advisable to consult an attorney. GUIDELINES FOR FAIR USE The following guidelines are derived from the Fair Use Doctrine. If in doubt, please refer to the Statutory Factors for Determining Fair Use. • The use must be for such purposes as teaching or scholarship and must be nonprofit • Staff may make single copies of the following for use in research, instruction or preparation for teaching: book chapters; articles from periodicals or newspapers; short stories, essays or poems; and charts, graphs, diagrams, drawings, cartoons or pictures from books, periodicals, or newspapers in accordance with these guidelines • In most circumstances, copying the whole of a work cannot be considered fair use; copying a small portion may be if guidelines are followed • If resulting economic loss to the copyright holder can be shown, even making a single copy of certain materials may be an infringement, and making multiple copies presents the danger of greater penalties SPECIFIC APPLICATIONS FOR PRINT MEDIA. SINGLE COPIES Examples of acceptable practices include: • Copying a single copy of a chapter from a book • Copying an article from a periodical or newspaper • Copying a short story, short essay, or short poem, even if it is contained in a collection • Copying a chart, graph, diagram, drawing, cartoon, or picture from a book, periodical, or newspaper Examples of unacceptable practices include: • Copying used to create, replace or substitute for anthologies, compilations, or collective works • Copying from works intended to be "consumable" in the course of study or of teaching including workbooks, exercises, standardized tests, test booklets, answer sheets, etc. 22 • Copying as a substitute for the purchase of books, publishers' reprints or periodicals • Copying directed by a higher authority or repeated with respect to the same item by the same teacher from term to term MULTIPLE COPIES Making multiple copies for classroom use is permissible if these three tests are met: Brevity, Spontaneity and Cumulative Effect Brevity: The amount copied must be evaluated relative to the length of the entire original and the amount needed to meet the objective. Spontaneity: The copying is at the instance and inspiration of the individual teacher, and the idea and decision to use the work and the moment of its use for maximum teaching effectiveness are so close in time that it would be unreasonable to expect a timely reply to a request for permission. Cumulative Effect: The assurance that copying is not substituting for purchase of books and periodicals in order to protect original creator. The copying must be done for only one course. Current news articles from newspapers and magazines are exempt from this requirement. Examples of acceptable practices include: • Copying up to 10% of a copyrighted work or 1000 words, whichever is less • Copying two pages of a picture book as long as those two pages are not more than 10% of the entire text of the book • Copying an entire poem if less than 250 words • Copying no more than 5 poems (or excerpts) of different poets, from an anthology • Copying only 3 poems (or excerpts) per poet from an anthology • Copying one chart, graph, drawing, cartoon, diagram, or picture may be copied per book or periodical issue Examples of unacceptable practices include (n.b. same rules apply to single and multiple copies): • Copying more than one short poem, article, story, essay or two excerpts from the same author, or more than three from the same collective work or periodical volume during one class term • Copying more than nine instances of such multiple copies for one course during one class term • Charging the student beyond the actual cost of the photocopying SPECIFIC APPLICATIONS FOR GRAPHICS AND CONSUMABLE MATERIAL The following examples are derived from the Fair Use Doctrine. If your particular situation is not specifically addressed in the examples provided, always refer back to the Statutory Factors for Determining Fair Use. Examples of acceptable practices include: • Using the opaque projector to enlarge original drawings by teachers 23 • Making classroom copies of a worksheet from a workbook that states that duplication rights have been rendered to the owner/classroom teacher Examples of unacceptable practices include: • Using the opaque projector to enlarge copyrighted characters such as Disney, Peanuts, Blues Clues, etc. without written permission • Making classroom copies of a worksheet from a copyrighted workbook • Tracing or freehand drawings of any copyrighted character • Enlarging or modifying a copyrighted graphic/illustration in any way SPECIFIC APPLICATIONS FOR MUSIC (PRINT AND NONPRINT) The following examples are derived from the Fair Use Doctrine. If your particular situation is not specifically addressed in the examples provided, always refer back to the Statutory Factors for Determining Fair Use. Examples of acceptable practices include: • Making emergency copies when purchased copies have not arrived in time for a performance, with the understanding that the emergency copies will be replaced with the purchased copies • Copying one or more portions of works, for nonperformance classroom purposes, as long as the copies do not constitute a "performable unit such as a section, movement, or aria" • Making a single copy of recordings of performances by students to be used only for evaluation or rehearsal Examples of unacceptable practices include: • Copying which substitutes for purchasing a collection, anthology, or collection of music • Copying of "consumable materials such as workbooks, tests, or exercises" • Copying with the intention of not purchasing music • Copying more than one copy per pupil SPECIFIC APPLICATIONS FOR PERFORMANCES Ownership of sheet music or sound recordings does not grant performance rights. These must be obtained from the copyright owner unless these exceptions apply: • Instructional performances with face-to-face instruction in a classroom situation or similar place devoted to instruction. 17 U.S.C. § 110(1). • Instructional broadcasting of non-dramatic works as long as they are performed by a nonprofit educational institution. 17 U.S.C. § 110(2). • Certain non-profit performances as long as there is no direct commercial advantage including no direct or indirect admission charge, no private financial gain, no proceeds after deducting the reasonable costs of producing the performance. 17 U.S.C. § 110(4). FILM AND VIDEO According to federal guidelines approved in 1996 for multimedia in education, the following 24 criteria must be followed by teachers, staff and students: It makes no difference whether the video is rented or marked for "home use only" if these four criteria are met. • The performance must take place in a classroom or other place of instruction in a nonprofit institution • The performance must be directed by students or teachers of the institution • The performance must be in the course of face-to-face teaching activities • The performance must be made from a copy of the work that was legally made or acquired Examples of unacceptable practices include: • Videos may not be shown as a reward at school • Admission for videos shown at school may not be charged • Anthologies or collections may not be made from clips/excerpts • The work may not be transferred to another medium such as video or DVD/disk. • Videos may not be used as entertainment on school grounds or at a school sanctioned event unless licensing has been purchased (e.g. after school daycare programs, fieldtrips on buses, etc.) • Teachers may not tune in and watch videos on video distribution systems without face-to-face teaching occurring Off-Air Recordings: Retention rights: • May be kept for 45 days after taping • Must be shown within the first 10 consecutive school days after taping • After the first 10 days, recordings can only be used for evaluation purposes • Retention rights on individual programs made for education such as Cable in the Classroom, Channel I, etc. may vary, and should be followed Requests: • The same teacher may not request to have taped the same program multiple times. • Recordings may be made only at the request of individual teachers and may not be made in anticipation of their use. Exceptions: • There are no fair use rights for subscription cable channels such as HBO, Disney, etc. • Satellite broadcasts may only be taped with exclusive permission from copyright holder. SPECIFIC APPLICATIONS FOR ELECTRONIC MEDIA includes CD, DVD, presentation software, Internet, etc. • Students and educators must include on the opening screen of their programs and on any printed materials a statement to this effect: "This presentation has been prepared under fair use exemption of the U.S. Copyright Law and is restricted from further use." • Students and educators must credit sources, giving full bibliographic information when 25 available. • Students and educators follow same guidelines as for print materials for text, graphics and illustrations. • If using copyrighted music, up to 10% of a work, but no more than 30 seconds, may be used. • If using copyrighted video or motion picture, up to 10% of work but no more than 3 minutes, whichever is less may be used. Media may not be altered in any way. • Students/educators may claim fair use providing presentations are o used for face-to-face curriculum-based instruction o used for demonstrations of how to create multimedia productions o used for conference presentations, but may not be shared o used for remote instructions so long as distribution signal is limited o kept for only 2 years • Presentations may not be used for commercial or marketable use. • Students and educators must obtain permission to use Internet resources such as graphics, text, animations, etc. • Students and educators do not have to seek permission to link to another webpage from his/her own webpage. • Students and educators may use up to 10% or 2,500 fields or cell entries, whichever is less, from copyrighted databases or data table. • Do not post multimedia projects claiming fair use exemption on an unsecured web site. Once posted online, fair use no longer applies. • No more than 2 copies of the original production may be made. • Only 1 copy may be placed on reserve for others to use for instructional purposes. • An additional copy may be made for preservation purposes, but may be used or copied only to replace a used copy that has been lost, damaged, or stolen. • If more than one person has created the multimedia presentation, each principle creator may retain only one copy. • Students may use portions of lawfully acquired copyrighted works in their academic multimedia projects, with proper credit and citations. They may retain them in personal portfolios as examples of their academic work. • The author of an email owns the content of the email; therefore, the recipient should seek permission to distribute or copy it. SPECIFIC APPLICATIONS FOR COMPUTER SOFTWARE • Copyright law and the license agreement for computer software govern its uses. • Purchasing software does not give one ownership, just the rights to use the software according to the license agreement that is usually found in the documentation included with the software. • One backup or archive copy of computer software may be made as long as it is not used unless the original is destroyed. A copy or adaptation may be made if the copy is required for successful operation of the program. • Networking software ALWAYS requires a license. Get it in writing. There is no fair use in regards to networking. • Just because the technology exists to reproduce an item electronically, the user does NOT 26 always have the right to do so. • Public domain software has been released by the authors to be used freely without any special licensing. • Shareware is copyrighted software that may be distributed or downloaded freely with the expectation that the borrower will register it and pay a fee for the program if kept. • Appropriate copyright warning stickers must be placed on any circulated software. The following are unacceptable uses of computer software: • Downloading, uploading, and making software available for downloading or transmitting software files without the permission of the copyright owner. • Purchasing a single-user copy of software and installing it on multiple machines or making additional copies. • Installing CD dependent programs on more than one computer. • Sharing out a copyrighted CD or program from a server on a network. n.b. To assure compliance with copyright laws, software may not be installed on district owned computers, except by, or with permission of the Alamance-Burlington School System Technology Department. Software licenses must be purchased by, or donated to the school district, which will monitor copyright compliance in accordance with the above guidelines. PENALTIES AND LIABILITY Copyright violation fines may range from $750 to $30,000 per infringement. In 1992, the penalty for piracy (computer software copyright infringement) was changed from civil to felony status with fines up to $250,000. The willful infringement of a copyright is a crime and carries the possibility of a large fine and imprisonment for up to five years. School employees may be considered contributory violators if they help reproduce the illegal copy/acts, or if they were in a position to control the copyrighted work. 17 U.S.C. § 511(a). 27 INTERNET, EMAIL, AND SOCIAL MEDIA Best practice is to refrain from talking about students, staff, and events that occur at school on social media sites. Additionally, when communicating via ABSS email about specific students, please do not use the student’s full name. We will identify students by first initial and last name for now. Please refrain from including confidential information about any students. ABSS School Board Policies: 5180 EMPLOYEE ACCEPTABLE USE Electronic Communications and Use of the Internet All employees must use the school system network when communicating electronically with students in their roles as school system employees. Employees may not use personal web sites or online networking profiles to post information in an attempt to communicate with students in their roles as school system employees. Given the open nature of the Internet, creating or maintaining a publicly-accessible website, blog, or social networking profile is considered a form of communication accessible to students, parents, and co-workers. Any posting or maintaining of content on a website, blog, or social networking platform that adversely affects the employee’s ability to perform his or her job duties may result in discipline, up to and including dismissal. Any direct electronic communications with students, parents, supervisors, or co-workers – whether by email, instant messaging, or other digital media – that adversely affects the employee’s ability to perform his or her job duties may result in appropriate discipline, up to and including dismissal. 5100 CODE OF ETHICS AND STANDARDS OF CONDUCT Adopted 5/19/08 All school system employees hold positions of public trust; they are responsible for the education of students and also serve as examples and role models to students. Each employee is responsible for both the integrity and the consequences of his or her own actions. The highest standards of honesty, integrity, and fairness must be exhibited by each employee when engaging in any activity concerning the school system, particularly in relationships with vendors, suppliers, students, parents, the public, and other employees. Employee conduct should be such as to protect both the person’s integrity and/or reputation and that of the school system. Employees shall not use their positions or assignments to influence students in a manner that would provide personal benefit to the employee. An unswerving commitment to honorable behavior by each and 28 every employee is expected. Integrity can accommodate the inadvertent error and the honest difference of opinion; it cannot accommodate deceit or subordination of principle. This policy applies at all times and locations where the employee’s conduct might reflect poorly on the school, the school system, the employee’s status as a role model for students, or to the extent otherwise permitted by law. Employees shall perform their jobs in a competent and ethical manner without violating either the public trust or applicable law, policies, and regulations. It is not practical or possible to enumerate all of the situations that might fall under the guidelines of this policy. Employees must honor other policies, regulations, and approved practices that have been established covering specific areas of activity, such as conflicts and student testing. The absence of a law, policy, or regulation covering a particular situation does not relieve an employee from the responsibility to exercise the highest ethical standards at all times. Failure to comply with this policy will result in disciplinary action up to and including dismissal. 29 Forms 30 Haw River Elementary School HRE REQUEST FOR FIELD TRIP FORM (TO AP) Name_____________________________ Grade ______Date_____ Field Trip Summary: Destination, including full address: Date:______________________Time:_____________________________ Purpose or Rationale for trip: (Include curriculum objectives to be addressed.) Follow-up Activities: Form of Transportation:________________________________________ 31 Number of students on trip______ Number of chaperones on trip________ Transportation Cost Per Student_______Other Costs per Student______ Total Cost Per Student_______ Funding Plan:_________________________________________________ _____Sent to Committee _____Denied ______________Admin Signature Haw River Elementary School Where dreams become reality! 701 East Main Street Haw River, North Carolina 27258 Phone: (336) 578-0177 Date______________ Dear Parents/Guardians: Our superintendent and principal have given their approval for your child to take a field trip to ____________________________on _______________________. In order for your child to be allowed to go on this off-campus trip, we need for you to sign the permission form and send it to school with your child with any payments required. After payment is sent in, refunds cannot be provided within 5 days of the trip. Below you will find a brief description of the planned trip. ______________________ ___________________________________________________________________ Please call your child’s teacher if you have any additional questions about the field trip. Sincerely, Holly Wroblewski, Assistant Principal Sponsor: __________________________ Field Trip Cost $__________ Mode of travel: ___yellow school bus ____activity bus ___chartered bus 32 Time of departure: _____a.m. _____p.m. Time of return: _____a.m. _____p.m. My child has permission to go on the field trip: _____Yes _____No Student Name__________________________________ Parent/Guardian Signature___________________________________Date__________________ Parent Emergency Contact Info if student is going on trip: ___________________ Medical or dietary concerns___________________________________________ 33 Haw River Elementary School Where dreams become reality! 701 East Main Street Haw River, North Carolina 27258 Phone: (336) 578-0177 Fecha_________________ Estimados Padres: Nuestro superintendente y director han dado permiso para participar en un paseo educativo a________________________ del día______ de ______ del 200__. Para permitir que su hijo/a participe en este paseo necesitamos su firma dando permiso. Por favor regrese este permiso al maestro/a. Después de que el paseo sea pagado, devolución de dineros no se pueden hacer menos de 5 días del paseo. Abajo encontrara una descripción del paseo planeado y como representa parte del currículo. _______________________________________________________________________________________________ _________________________________________________ Atentamente, Holly Wroblewski, Vice Principal Patrocinado por________________________ Costo del Paseo $____________ Viajaran en: Bus Amarillo_____ Bus de Actividades______ Bus Alquilado_______ Hora de salida____am.____pm. Hora de regreso_____am._____pm. Lugar de salida_________________________ Lugar de llegada____________________ Mi hijo tiene permiso para ir al paseo: SÍ_____ NO_____ Nombre del Estudiante______________________________ Firma del Padre__________________________________ Fecha_________ No. de Emergencia del Padre, si el estudiante participa en el paseo_______________ Información Medica Necesaria para saber___________________________________ 34 Haw River Elementary Field Trip Checklist _____Cafeteria notified two weeks in advance of the trip. _____All funds for trip have been submitted to the office. _____All permission forms for students going on the trip are on file. _____Attendance has been taken and submitted on NCWise. _____A list of students going on the trip have been given to the office. _____A list of students not going on the trip and their locations has been given to office staff. _____All medications have been organized and secured with log in sheet. _____ Contact information for all adults on the trip has been provided to the office. _____Any checks have been received that are needed for payment during the trip. 35 Referral to Counselor Date: ________________ Student Name:__________________________________________ Teacher’s Name: ______________________________________ Person referring if not teacher: _________________________________________________ Have parents been contacted about this concern? Y/N Reason: ____ _____ _____ ____ ____ ____ _____ _____ Family Behavior Academic Bullying Frequent absences Basic Needs (food/clothing) Peers Housing/Transportation Other _____________________ Please describe how I can help this child. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ _____________________ 36 Alamance-Burlington School System Anti-Bullying/Anti-Harassment Referral Form Student Name: _________________________________ Date: ________ Grade: _____ Teacher: ______________________________ Student being referred: __________________________________ 1. Description of the problem: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ __________________________________________________________________ 2. Follow-up: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ ______________________________________________________________ ________________________ _______________________ Parent/guardian signature Authorized signature 37 Translation Request Date__________ Name of Person Requesting ______________________ Ext_____ Student’s Name _______________________________Grade__ Teacher_____________ Home Tel. No. _______________Mother’s Name_____________ Father’s Name______ Employer’s Name (mother)_________________ Tel. No.______________ Employer’s Name (father) ________________Tel. No.______________ Question________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ___________________________________________ Answer_________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ___________________________________________ 38