board of education caldwell-west caldwell harrison …
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BOARD OF EDUCATION CALDWELL-WEST CALDWELL
HARRISON SCHOOL BUILDING
Gray Street, West Caldwell, New Jersey 07006
Dr. James G. Heinegg, Superintendent Telephone 973-228-6979
January 16, 2019
Dear Parents:
From January 31 through February 12, the Caldwell-West Caldwell Public School District will conduct
its annual Kindergarten registration. We ask that all children eligible for Kindergarten for the 2019-2020
school year be registered so that we may efficiently plan for our September classes. To be eligible for
Kindergarten in September, 2019, a child must be five years old on or before October 1, 2019.
To begin the registration process, please visit the district’s website at www.cwcboe.org
To determine which elementary school your child will attend, click on the link “Elementary School
Boundaries” on the district’s website. Please note that these boundaries are considered “soft,” as
enrollment fluctuations sometimes require changes to student assignments.
The district has contracted with the West Essex YMCA of Livingston to provide an after-care program,
from 3:15 to 6:00 p.m., for their child’s Kindergarten school day. Before-care is also offered by the
YMCA, based on enrollment at the particular school.
The 2019-20 school year will be the beginning of Full-Day Kindergarten in Caldwell – West Caldwell.
We anticipate that Washington School will have three sections of Kindergarten, and Jefferson, Lincoln,
and Wilson will have two sections each. If there is a need for additional sections, they will most likely be
held at Harrison School. Families with a student already in a K-5 building would receive preference of
choice if there is such a need for additional sections.
While the district’s plan is for students to attend a full day at one of the four K – 5 buildings, parents will
also have the opportunity to express an interest in a half-day program and/or to attend Kindergarten at
Harrison School. There is no guarantee, however, that the district will in fact be able to offer these
options in September. The final decision will be based on the number of requests received, overall
enrollment numbers, etc., and will be made as soon as possible.
Please share this information with friends and neighbors who do not already have children in the school
system. Also, do not hesitate to contact my office, at 973-228-6979, or any elementary school office, if
you have questions concerning the Kindergarten registration procedures.
Sincerely,
James G. Heinegg
Superintendent
CALDWELL-WEST CALDWELL PUBLIC SCHOOLS JEFFERSON SCHOOL MR. TIMOTHY AYERS, PRINCIPAL 973-228-5994 LINCOLN SCHOOL MR. ADAM GEHER, PRINCIPAL 973-228-3987 WASHINGTON SCHOOL MS. DALIA MIRRIONE, INTERIM PRINCIPAL 973-228-8941 WILSON SCHOOL MR. SCOTT KEENA, PRINCIPAL 973-228-7173
REGISTRATION INSTRUCTIONS ARE POSTED ON THE DISTRICT’S WEBSITE
www.cwcboe.org
SCHEDULE FOR KINDERGARTEN REGISTRATION 2019
JEFFERSON SCHOOL, PROSPECT STREET, WEST CALDWELL
Thursday, January 31 9:00 – 11:00 a.m.
LINCOLN SCHOOL, CRANE STREET, CALDWELL
Monday, February 4 9:00 – 11:00 a.m.
WILSON SCHOOL, ORTON ROAD, WEST CALDWELL
Tuesday, February 5 9:00 – 11:00 a.m.
WASHINGTON SCHOOL, CENTRAL AVENUE, WEST CALDWELL
Tuesday, February 12
Last Names Beginning with Letters A – L 9:00 – 11:00 a.m.
Last Names Beginning with Letters M – Z
1:00 – 3:00 p.m.
Revised January 2019
CALDWELL-WEST CALDWELL PUBLIC SCHOOLS
TO THE PARENTS OF CHILDREN WHO WILL ENTER
KINDERGARTEN IN SEPTEMBER 2019
To begin your child’s registration go to www.cwcboe.org/registration and complete the online portion in the
Genesis portal. If you do not have access to a computer please let us know.
You must present the following documents and information in person on the day of registration:
A. Medical Requirements All students must fulfill specific immunization and physical examination requirements mandated by
law (see attached). The following medical documentation must be presented at the time of
registration:
1. Official copy of the child’s immunizations The dates of your child’s immunizations must include the month, day, and year your child
received the vaccines. This information must be provided by the doctor and should be entered
directly on the Physical Examination and Immunization Forms included in this packet.
A copy of the child’s official immunization record from the permanent chart at the doctor’s
office also will be accepted. The doctor’s name and address must appear on the Official
Immunization Record.
2. Official copy of the child’s most recent physical examination
3. Health and medical history form (to be completed by parent/guardian)
B. Age Requirements
Proof of Age:
Present the original and one photocopy for our records of your child’s birth certificate or
current passport as proof of age. Entrance Ages - According to district policy, the following
eligibility ages are followed:
Kindergarten: A child is eligible for entrance into Kindergarten who will have attained the age
of five years on or before October 1 of the year in which entrance is sought.
First Grade: A child is eligible for entrance into First Grade who will have attained the age of
six years on or before October 1 of the year in which entrance is sought.
Revised January 2019
C. Residency Requirements
Proof of Residency:
1. If you rent your residence you must provide the following:
- Completed Domicile Statement
- Completed and Notarized Landlord Statement
- Copy of current Lease Agreement
- Original and one copy for our records of two of the following additional items
featuring your name and current address:
o Utility, Water or Cable bill
o Telephone/mobile phone bill
o Insurance bill
o Bank statement
o Recent pay stub
o Valid NJ driver’s license
2. If you own your residence you must provide the following:
- Completed Domicile Statement
- Original and one copy for our records of one of the following: Deed to the home,
property tax bill or mortgage statement
- Original and one copy for our records of two of the following additional items
featuring your name and current address:
o Deed to the home, property tax bill, mortgage statement
o Utility, Water or Cable bill
o Telephone/mobile phone bill
o Insurance bill
o Bank statement
o Recent pay stub
o Valid NJ driver’s license
D. Additional Forms
1. Home Language Survey
2. Media Consent Form
3. Google Apps for Education Permission Form
4. Internet User Agreement
Your child’s registration is not complete until all of the above requirements are met.
If you have any questions or need further information, please contact Kerry Ryan at [email protected] or
973-228-6979 ext. 3009.
CALDWELL-WEST CALDWELL PUBLIC SCHOOLS
PHYSICAL EXAMINATION AND IMMUNIZATION FORM
PHYSICAL EXAMINATION TO BE COMPLETED BY PHYSICIAN.
NAME:
BOY GIRL DATE OF BIRTH:
HEALTH HISTORY:
ALLERGIES: List all known allergies: Describe reaction and management of reaction.
Medication Allergies: Yes No ____________________________ __________________________________
Food Allergies: Yes No ____________________________ ___________________________________
Insects/Animals: Yes No ____________________________ __________________________________
Environmental/ Pollens: Yes No ____________________________ __________________________________
MEDICATIONS: List all medications (prescription, over-the-counter, non-prescription) taken routinely.
Medication Dosage/Frequency Reason for medication
________________________________ _________________________ _______________________________ ________________________________ _________________________ _______________________________ HEIGHT:
WEIGHT: B/P:
HEART RATE:
NORMAL COMMENTS: (EXPLAIN ALL ABNORMAL FINDINGS)
APPEARANCE
SKIN
EYES/EARS/NOSE/THROAT
LYMPH NODES
HEART
LUNGS
ABDOMEN
GENITOURINARY
CNS
NEUROMUSCULAR
MUSCULO-SKELETAL
EXTREMITIES
SPINE
SEIZURE DISORDER: NO
YES TYPE:
SCOLIOSIS: NEGATIVE
POSITIVE TREATMENT:
VISION: O.D. 20/ O.S. 20/ O.U. 20/ HEARING: RIGHT LEFT
KNOWN VISION OR HEARING PROBLEM:
DEVELOPMENT: SPEECH:
STUDENT MAY PARTICIPATE IN ALL PHYSICAL EDUCATION ACTIVITIES: YES NO
STUDENT MAY NOT PARTICIPATE IN THE FOLLOWING PHYSICAL ACTIVITY(IES):
PHYSICIAN’S NAME AND ADDRESS (PLEASE PRINT):
TELEPHONE NUMBER:
PHYSICIAN’S SIGNATURE:
DATE OF EXAMINATION: Physical exam form must be completed in full. 05/2017
Page 1 of 2
CALDWELL-WEST CALDWELL PUBLIC SCHOOLS
PHYSICAL EXAMINATION AND IMMUNIZATION FORM
NAME:
BOY GIRL DATE OF BIRTH:
IMMUNIZATIONS: A COPY OF THE IMMUNIZATION RECORD IS ATTACHED: YES NO
DPT/DT/DTAP:
_______________
_______________
_______________
_______________
_______________
_______________ TDAP: ________________
OPV or IPV (circle):
_______________
_______________
_______________
_______________
_______________
MMR:
_______________
_______________
HIB:
_______________
_______________
_______________
_______________
_______________
HEPATITIS B:
_______________
_______________
_______________
VARIVAX:
________________
________________
DISEASE DATE:
________________
PNEUMOCOCCAL:
_______________
_______________
_______________
_______________
_______________
MENINGITIS VACCINE:
________________
HEPATITIS A:
_______________
_______________
INFLUENZA VACCINE:
________________
________________
PLEASE LIST MOST
RECENT.
OTHER: ______________
_______________
_______________
OTHER:_______________
_______________
_______________
MANTOUX:
DATE GIVEN: _______________
DATE READ: _______________
RESULTS: _______________
TREATMENT: _____________
LEAD LEVEL:
RESULTS:
DATE TESTED: __________
PHYSICIAN’S NAME AND ADDRESS (PLEASE PRINT):
TELEPHONE NUMBER:
PHYSICIAN’S SIGNATURE:
Page 2 of 2 05/2017
CALDWELL-WEST CALDWELL PUBLIC SCHOOLS
HEALTH AND MEDICAL HISTORY FORM
TO BE COMPLETED BY PARENT:
NAME:
BOY GIRL DATE OF BIRTH:
HEALTH INSURANCE: NO YES
INSURANCE CARRIER:
HEALTH HISTORY (COMPLETED BY PARENT): If YES, please explain:
Chronic or recurring illness/condition No Yes ___________________________________________________
Asthma No Yes ___________________________________________________
Diabetes No Yes ___________________________________________________
Epilepsy/Seizures/Blackouts No Yes ___________________________________________________
Cardiac/Heart Disease No Yes ___________________________________________________
Hypertension No Yes ___________________________________________________
Bleeding Disorder No Yes ___________________________________________________
Frequent Headaches No Yes ___________________________________________________
Skin Disorder No Yes ___________________________________________________
Gastrointestinal Disorders No Yes ___________________________________________________
Neuromuscular Disorder No Yes ___________________________________________________
Orthopedic Condition No Yes ___________________________________________________
Respiratory Illness No Yes ___________________________________________________
Mental/Emotional Issues No Yes ___________________________________________________
Dental/Orthodontic Appliances No Yes ___________________________________________________
Hearing Problems No Yes ___________________________________________________
Vision Problems (glasses or contacts) No Yes ___________________________________________________
Hospitalizations/Surgeries No Yes ___________________________________________________
Recent injury, illness, infectious disease No Yes ___________________________________________________
Other __________________________ ___________________________________________________
__________________________ ____________________________________________________
OTHER SIGNIFICANT MEDICAL INFORMATION THE SCHOOL SHOULD KNOW ABOUT:
Signature of Parent: _____________________________________________________ Date: ______________________
05/2017
CALDWELL-WEST CALDWELL PUBLIC SCHOOLS
DOMICILE STATEMENT
*This form may be used for more than one child living at the same address.
*In addition to this form you will need to provide the proofs of residency as outlined in
the District’s residency requirements.
Student(s) Name(s):
Home address:
How long have you lived at this address?: Do you have any intention of
moving from this address in the near future? . If yes, when and to where are you
moving? .
Do you maintain residences elsewhere? If yes, where are they located/when do you reside
there?
If the student’s parents are domiciled in different districts, regardless of which parent has legal custody,
please answer the following:
Is there a court order or written agreement between the parents designating the district for school attendance?
Yes No
If yes, where does it require the student attend school? (Please provide a copy of this document.)
Does the student reside with one parent for the entire year? Yes No
If yes, with which parent and at what address?
If no, for what portion of time does the student reside with each parent and at what addresses?
Parent/Guardian Name/Relationship to Student:
Parent/Guardian Signature:_____________________________________________ Date: _______________
Landlord Statement 07/2017
CALDWELL-WEST CALDWELL PUBLIC SCHOOLS
STATEMENT OF LANDLORD
To be completed by the landlord of parents/guardians who are providing proof
of residency for a rental.
I, ________________________________________, am the lawful owner or legal representative
of the residential property located at the following address:
______________________________________________________________________________
This residential unit is currently under lease and occupied by – please list occupants including
parent(s)/legal guardian(s) and school-aged children:
______________________________________________________________________________
______________________________________________________________________________
From (date) ______________________________ to (date) _____________________________.
The answers provided above are absolutely true and entitles the child/children of the above
named tenant to a tuition-free education in the Caldwell-West Caldwell Public Schools. I
understand the above information is being relied upon by the Caldwell-West Caldwell Board of
Education to determine a student’s residency in Caldwell or West Caldwell. I fully understand
that any false answers provided above are subject, if proven false, to punitive action.
*This document must be notarized by a Notary Public of the State of New Jersey. (See Below)
______________________________ ______________________________
Landlord’s Signature Print Name
______________________________ ______________________________
Address Telephone Number
______________________________ ______________________________
City State Cell Number
*Subscribed and sworn before me on ________________ 20_____.
(date)
Notary Seal ______________________________
Notary Printed Name
______________________________
Notary Signature
My Commission Expires: _______
Media Consent Form - Caldwell-West Caldwell Public Schools
The Caldwell-West Caldwell Public School District is proud of the many successes that students and staff achieve every day within the District’s seven area schools, and regularly announces and publicizes achievements, activities, and events. Achievements, activities and events include, but are not limited to, academic presentations, art exhibits, athletic events, awards, community service activities, concerts, contests, district presentations, honors, honor roll(s), music, outstanding academic work, outstanding educational initiatives, plays, special programs, sports, and student(s) of the month.
At various points throughout the school year, or during summer programs, your child may be
photographed or videoed for publicity and/or announcement purposes. Achievements,
activities, and events are announced through area publicity and media outlets, as well as
presentation venues.
Publicity and media outlets include, but are not limited to, printed and/or on-line newspapers and/or
magazines, radio and/or television news sites and/or social media platforms, as well as the
Caldwell-West Caldwell Public Schools’ website, its social media platforms, and/or public
presentations or displays in buildings throughout the district and the greater community, such
as, but not limited to, your child’s school, other district buildings, government buildings and/or
area malls and/or universities.
Media Consent grants:
- Permission for a photo/image that includes student without any other personal identifiers to be published on the district and/or school’s web site and social media platforms, as well as sent in press releases to area media and publicity outlets and publications, and/or public presentation venues or displays.
- Permission for photo/image, name, and/or school, and/or grade to be published on the district and/or school’s web site and social media platforms, as well as sent in press releases to area media and publicity outlets and publications and/or public presentation venues or displays.
- Permission for student name, photo/image, and/or school, and/or grade, as well as images of student’s outstanding artwork and/or outstanding academic work to be published on the district and/or school’s web site and social media platforms, as well as sent in press releases to area media and publicity outlets and publications and/or public presentation venues or displays.
Pursuant to law, we will not release any personally identifiable information without prior written
consent from you as parent or guardian, unless as part of an athletic and/or academic team,
performing arts group, and/or other public performance-based activity, or as part of a large
group photograph submitted without names.
As you are aware, there are potential dangers associated with the posting of personally
identifiable information on a web site since global access to the Internet does not allow us to
control who may access such information. These dangers have always existed; however, we
as schools do want to celebrate your child and his/her work. The law requires that we ask for
your permission to use information about your child.
This Media Consent Form is to both inform you and to request Media Consent permission.
YES, I DO grant permission to acknowledge my child’s achievements, activities, and/or
event participation, through media, websites, publicity, presentations and/or within school
and/or district and community presentation
venues.
No, I DO NOT grant permission to acknowledge my child’s achievements, activities, and/or
event participation, through media, websites, publicity, presentations and/or within school
and/or district and community presentation venues. I understand that by checking this box
my child’s name and/or photo will not appear in any of the local or state newspapers, or
any other news outlet, for any reason, including honor roll, school events and
accomplishments, or other school-related news.
School: Harrison Jefferson Lincoln Washington Wilson
Student Name: (please print) ________________________________________________________ Grade: ______________ Print name of Parent/Guardian: (print) _________________________________________________ Signature of Parent/Guardian: (sign) ____________________________________Date:__________ Relation to Student: ________________________________________________________________
This Media Consent Form is valid from the time of signature until at which time an updated/revised form is received during the years that the student(s) attend a Caldwell-West Caldwell District School.
If you, as the parent or guardian, wish to rescind this agreement, you may do so at any time in writing.
January 2019 1 of 3
Caldwell-West Caldwell Public Schools
Google Apps for Education Permission Form
Dear Parents/Guardians,
The Caldwell/West Caldwell Public Schools utilize Google Apps for Education for students, teachers, and staff.
This permission form describes the tools and student responsibilities for using these services. As with any
educational endeavor, a strong partnership with families is essential to a successful experience.
The Google Apps for Education (GAFE) communication and collaboration apps include Google Classroom,
Calendar, Drive, Docs, Sites, and Slides. Additionally, a GAFE account unlocks access to dozens of other
collaborative tools supported by Google. All of these applications exist online, meaning that all apps and materials
can be accessed from any device with an Internet connection. These tools are available to each student and hosted
by Google as part of the Caldwell/West Caldwell Public Schools online presence in Google Apps for Education.
Using these tools, students collaboratively create, edit and share files and websites for school-related projects and
communicate with other students and teachers. These services are entirely online and available 24/7 from any
Internet-connected computer. Examples of student use include showcasing class projects, building an electronic
portfolio of school learning experiences, and working in small groups on presentations to share with others.
For more information about Caldwell/West Caldwell Public Schools Google Apps for Education implementation
please visit the District website https://www.cwcboe.org/googleapps.
All students will be assigned a [email protected]. This account will be considered the student's
official district login until such time as the student is no longer enrolled in the Caldwell/West Caldwell Public
Schools. The account will also be used to access the Chromebook labs at the elementary schools. Use of this
account will be Governed by the Board of Education Policy 2361 ACCEPTABLE USE OF COMPUTER
NETWORK/COMPUTERS AND RESOURCES.
By signing the permission form below, you confirm that you have read and understand the following:
Under the Family Educational Rights and Privacy Act (FERPA) and New Jersey state law, a student's education
records are protected from disclosure to third parties:
Google Apps for Education is governed by a detailed Privacy Policy, which ensures we will not
inappropriately share or use personal information placed in our systems. Google complies with applicable
US privacy law, and the Google Apps Terms of Service can specifically detail our obligations and
compliance with FERPA (Family Educational Rights and Privacy Act) regulations.1
Student's work products stored in Google Apps for Education may be accessible to someone other than your student
and the Caldwell/West Caldwell School District by virtue of this online environment. Currently, student work is
only visible by those within the Caldwell/West Caldwell domain, and only then by students choosing to share their
work publicly.
1 "Benefits – Google Apps for Education." 2012. 21 Nov. 2012
<http://www.google.com/enterprise/apps/education/benefits.html>
January 2019 2 of 3
By participating in Google Apps for Education, your child’s work product will be collected and stored
electronically. The administration and staff will make every effort to ensure that your student uses Google Apps
for Education appropriately.
You may ask for your child's account to be removed at any time.
If, at any time, you suspect that your child's Google account has been compromised or if you would like to change
the password for any reason, please contact Lucian Micu, the District Supervisor of Technology at
Regards,
Kaitlin Jones
Assistant Superintendent
January 2019 3 of 3
Caldwell-West Caldwell Schools
Google Apps for Education Permission Form
________YES, I give permission for my child to be assigned a full Caldwell/West Caldwell Public Schools
Google Apps for Education account.
________NO, I do not give permission for my child to be assigned a full Caldwell/West Caldwell Public
Schools Google Apps for Education account. This means my child will NOT receive access to Google Apps for
Education. I am aware that my child will not have full access to the District Chromebooks.
Student Name: (Print):__________________________________ School: _______________________Grade:___
Parent/Guardian Name (please print):_____________________________________________________________
Parent/Guardian Signature: ____________________________________________ Date:____________________
Caldwell-West Caldwell Public Schools
Student
Internet Acceptable Use Agreement
Each student in the Caldwell-West Caldwell Public Schools is provided with a network home share account for document and media storage and access to the internet. The Caldwell-West Caldwell Board of Education (“the district”) believes that the members of its educational community should be able to utilize learning resources to maximize achievement. Providing students with easy access to state of the art computer technology and opportunities for instruction will foster problem solving and critical thinking skills. The district believes that all students must develop expertise in using and applying current and emerging technologies to support lifelong learning. Educational technologies such as hardware, software, network communication, and information resources have potential to enhance the curriculum and provide opportunities for individual learners. The use of your account must be in support of education and research and consistent with the goals and objectives of the Caldwell-West Caldwell School District. Disclosure Students should have no expectation of privacy with regard to their files on district provided computers or the computer network. All data stored or transmitted or accessed by users, including e-mail, may be monitored. Users and/or their parents or guardians may be personally charged for any unauthorized costs incurred in their use of technology and held responsible for any damages caused by their intentional misuse of the data or voice network. Technology Access Technology hardware, software, peripherals, and services are provided exclusively for educational purposes. The district supports access to informational sources but reserves the right to limit in-school use to appropriate materials via electronic filtering and adult supervision. The district retains the right to have district personnel monitor network activity to maintain the integrity of the network and ensure its proper use. Because the internet is a fluid environment, information available is constantly changing. Availability of information through the filter software does not mean endorsement of material by the district for educational purposes. Users are prohibited from engaging in the following conduct and shall be subject to discipline and/or legal action for such conduct:
Using the computer system for illegal activities
Using the computer system in any way that violates district policy
Using the computer system to send, receive, or view obscene materials
Using the computer system to send or display harassing, demeaning, threatening, or offensive speech or materials
Using the computer system to violate intellectual property rights including plagiarism
Using the computer system to hack, disrupt, or waste storage and bandwidth resources on the computer network.
Violating copyright laws that adhere to PL 96-517, Section 7(b). Illegal copies of copyrighted material or software shall not be installed or used on district equipment. The legal and insurance protection of the district shall not be extended to students who knowingly violate copyright laws.
Using other’s accounts or giving access to your account.
Trespassing on other’s folders, work, or files.
Employing the computers or network for personal commercial purposes, financial gain, or fraud
Posting or sending anonymous messages
Gaining access to unauthorized areas
Theft or vandalism of hardware, software, or network equipment. Vandalism is defined as a malicious attempt to harm or destroy hardware, software, network equipment, or the introduction or creation of virus, hacker programs, phishing programs, or other malicious-type entities.
Violation of this policy shall be subject to discipline which could include (but is not limited to) use of network only under direct supervision, suspension of network privileges, revocation of network privileges, detention and/or suspension from school for students, and legal action and prosecution by law enforcement. Users are required to report any security problems to teachers, the building administration and/or network manager.
(Please separate this page)
Caldwell-West Caldwell Public Schools
Internet Acceptable Use Agreement
Student: I understand and will abide by the Network/Internet Acceptable Use agreement for the Caldwell-West Caldwell Public Schools. I further understand that any violation of the regulations is improper. Should I commit any violation, my access privileges may be revoked and disciplinary action may be taken. The signature(s) on this document are legally binding and indicates that that parties who signed have read the terms and conditions carefully and understand their significance. Student’s name (print): ____________________________________________ Signature:______________________________________________________ Parent/Guardian Name (print):_____________________________________ Signature:______________________________________________________ Date:____________________ School Assigned: _________________________