SAES Forms

San Antonio Elementary School
Basic Rules & Regulations
School Year 2004-2005

1. No child may ever be used to render personal services for a teacher. For example, a child may not be sent to the canteen or the cafeteria to buy food for a teacher.
2. No person may ever clock in or out for another person. Only the timekeeper and the administrator may handle variations in time and schedule.
3. Avoid physical punishment of children at all times. Physical force may be used only to the extent absolutely essential for restraint in the face of danger. Corporal punishment must never be used.
4. Personnel may not leave the campus during preparation periods without consent from the principal or person in charge. You have to log out every time you leave the campus during working hours.
5. A class may not be left uncovered and unsupervised in the course of the school day. Emergencies can be handled by contacting the office or the teacher next door.
6. Money that has been collected should not be left in the classrooms, since the school does not take responsibility for its loss.
7. The use of the school telephones for other that school business is strictly forbidden. Personal calls should be kept to a minimum.
8. Children should not be placed outside as a disciplinary measure without supervision.
9. No child is to be denied lunch without authorization.
10. No child may be sent home during the course of the day without office authorization. No parent may pick up a child from class without office authorization.
11. Parent teacher conferences must not be held on class time unless arranged through the office to provide coverage for the class.
12. No visitors should be entertained unless they have an office pass.
13. A teacher without the written directions and prescription by the parent and the doctor shall not administer any medication to a student.
14. No instructional machine or equipment may ever be removed or borrowed from school without permission or consent from the principal.
15. No child should be kept in school beyond 2:45pm without the consent of the parent.
16. Personal property of pupils may not be taken without providing opportunity for retrieval by the parents.
17. Funds may not be solicited from children without authorization from the administrator.
18. Pupil injuries and untoward incident must be reported to the office and documented. Accident reports must be filed and communicated to parents.
19. A teacher may administer no drug or medicine without a written communication to the principal with specific instructions from the health care provider.
20. Teachers should lock the door.







BOOK CARE AGREEMENT

Dear Parents and Guardians:

This agreement form is prepared to establish a team building working relationship between the students, parents and teachers. It is important that the student and parent and the teacher help each other in building a sense of responsibility for care, dedication and interest to increase the level of learning and trust.

Please review the agreement form with your child and explain the importance of handling responsibility. Have your child sign his/her name then your name and return this form to the homeroom teacher by: ______________________________.

I, _____________________________________ Grade:____________ Room:_______
Hereby acknowledge the receipt of the following Textbooks, Workbooks, and other San Antonio Elementary School property. I agree to take good care of my books. I agree NOT to write in the textbooks as directed by my teacher, and I agree return it in the same condition when issued.

TITLE OF BOOK CONDITION BOOK NO.







I further agree that if I lose and/or damage my book, I will be responsible to pay back the amount for the price of the book to be re-ordered and replaced.

Dated this __________ day of ________________, 2009.

Pupil Signature:______________________________________________

Parent Signature:____________________________________________

Parent Signature:____________________________________________


Concurred by:________________________ Approved by:____________________
Classroom Teacher Principal






Government of the Northern Mariana Islands
Public School System
San Antonio Elementary School
Saipan, Mariana Islands 96950


HOME VISITATION FORM

Date: __________________

Child’s Name:________________________ Grade:_________ HR: _______

Parent’s Name:__________________________________________________________

Address:________________________________________________________________

Purpose:________________________________________________________________

________________________________________________________________________



Parent’s Comments:______________________________________________________

________________________________________________________________________



Teacher’s Comments:____________________________________________________

________________________________________________________________________




Reported by:


________________________________
Print Name & Sign







Commonwealth of the Northern Mariana Islands
Public School System
San Antonio Elementary School
“Home of the Octopus”
Saipan, MP 96950

PETITION FOR WAIVER

EXCESSIVE ABSENTEEISM

A. Student’s Name: _____________________________________________________
Last First Middle

B. Grade Level: ___________ C. Place of Residence: _____________________

D. Number of Absences: _________________________________________________

E. Please check for appropriate reason(s) as per BOE regulation 2310 for Student attendance:

/ / Illness and or medical reasons. Please explain with an attachment letter and provide doctor’s slips.

/ / Hardship in the family. Please give general explanations with an attachment letter.

/ / Transportation problems. (Out of zone)

F. I do understand the BOE regulations regarding absences and tardiness. ______
(initial)

G. I understand that attendance is in the best educational and health interests of my child. I will do everything I can to support my child in improving his or her school attendance next school year. __________________ (initial)

H. I shall bring my child to school on time every day and pick him or her up on time after school. _____________ (initial)

I. Parent or Guardian’s Name: ____________________________________________

J. Parent or Guardian’s Signature: _________________________________________

K. This requested waiver does not create academic hardship for the grade that he or she is promoted to. _________________ (Homeroom teacher initial)
L. Acknowledgement of Excessive Absences Waiver:

_______________________________________________
Katrina Lizama, Principal

M. Approved:

_______________________________________________
Rita H. Inos, Ed. D., Commissioner of Education

N. Not Approved:

_______________________________________________
Rita H. Inos, Ed. D., Commissioner of Education


Dated this ________ day of ______________, 20_____.



San Antonio Elementary School
“Home of the Octopus”
INTERNET USE POLICY


The inappropriate use of the computer equipment and software, or violation of the Use Policy rules listed below may result in the loss of Internet and other classroom technology privileges.

USE POLICY RULES:

1. Use of San Antonio Elem. School’s Internet access shall be for the exchange of information in order to enhance your education and to do research on academic topics.
2. Do not use bad language, or send messages that would be offensive to another person or violate the law.
3. At all times, follow San Antonio Elem. School’s standards. Ask yourself: is it safe? Is it kind? Is it legal?
4. At all times, respect the privacy of other Internet users.
5. Never give out personal information such as your home address, telephone number, parent’s work address or phone number, or name and location of the school without permission of your parents/guardians AND teacher.
6. Report to your parents/guardians or teacher any message, or information you come across that makes you feel uncomfortable, or feel is inappropriate.
7. Use your own software. It is against the law to copy other people’s software unless it is stated as shareware, freeware, or marked in the public domain.
8. You are prohibited from international access to inappropriate websites for children under 18, as stated by your classroom teacher, Board of Education, or U.S. Common Law.
9. Vandalism and harassment will result in the loss of privileges.
a. Vandalism is defined as any malicious attempt to harm, modify, and destroy data of another user, Internet or other networks.
b. Harassment is defined as the persistent annoyance of another user, or interference with another user’s work. Harassment includes but is not limited to, the sending of unwanted mail.





San Antonio Elementary School
“Home of the Octopus”
INTERNET USE PERMISSION FORM


PLEASE PRINT

Student Name: __________________________________________________________

Contact Number: ________________________________________________________

I have read the Student Use Policy for Internet access at San Antonio Elem. School and I agree to use my access privileges in an appropriate manner.

________________________________________ ________________________
Student Signature Date

Parents/Guardians:
Please carefully read the statements below and indicate whether or not you wish to give permission to your child to use the Internet at San Antonio Elem. School.

1) I have read the Student Use Policy for Internet access at San Antonio Elem. School and I give permission for my child to use the Internet.

_________________________________ ____________________
Parent Signature Date

2) I have read the Student Use Policy for Internet access at San Antonio Elem. School and I do not give permission for my child to use the Internet.

_________________________________ ____________________
Parent Signature Date





San Antonio Elementary School
School Year: ___________

Grade: ________ Teacher:___________________________________

Please have the following cleared with Mrs. K. Lizama before you go off for summer break.

1. _____Before issuing report cards to the students sign them first and
indicate the grade they’re promoted to and then have the principal
sign them before you Xerox.
2. _____Insert the attendance card in the cumulative folder with accurate
account for absences and tardies.
3. _____Insert student’s portfolios in the cumulative folder.
4. _____Fill in the proper boxes for student’s grades and the attendance
on the cumulative folder.
5. _____Fill in the PeaceBuilder sheet for this school year.
6. _____Fill in the inventory sheet for this school year.
7. _____Turn in a list of the quarterly awardees.
8. _____Turn in your grading book or sheets.
9. _____Fill the in the workshop worksheet for this school year.
10. _____Fill in the Reader of the Month worksheet for this school year.
11. _____Lesson plan

Note: Please return any material you borrowed from the library or the counselor’s room. Also, when you take your inventory, please list them in subject area categories. Example: List all the materials for Science – all the books, kits, tables, and chairs for the science station. Regular furniture for the classroom can be categorized as classroom furniture.

Thank you very much for your cooperation and support. You have been great.

Mrs. Katrina Lizama

Cleared by: _______________________ Date:_______________

Revised June 2007