Student/Family Handbook

2018-2019

“Home of the Falcons”

C. E. Jordan High School 6806 Garrett Road

Durham, North Carolina 27707 Main Office: (919) 560-3912

Fax: (919) 560-2620 Website: http://jordan.dpsnc.net

Twitter: @JHSFalcons Twitter: @PrincipalJHS

Table of Contents

Topic Page

School Calendar 2

Bell Schedules 3-6

Contact Information 7

School Hours, Safety, and General Information 8-10

Student Services 11

Athletics and Athletic Eligibility 11-12

Clubs and Student Organization 12

PTSA 2018-2019 12

School Improvement Team 12

Freshman Academy 12-13

Student Attendance 13-15

Student Discipline 15-17

Positive Behavioral Interventions and Supports 17

Grading and Reporting 17-19

Testing and Final Examinations 19-20

Student Records 20-21

Transportation 21

Forms

Permission to Ride Another Bus

Absence Report

Request for Absence to Be Excused for Religious Observances

Request for Absence, Educational

Request for Medication Administration

Authorization for Self Medication

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Durham Public Schools Traditional Calendar 2018-19

181 Day Student/Staff Calendar

2

Days 1-10 Schedule

Period 1

9:00 – 10:21 Advisory Period (Report to Period 2A)

10:27 – 10:57 Period 2

11:03 – 12:24 Period 3/Lunch

12:30 – 2:33 Lunch Time Class Time

A Lunch 12:30 – 1:06 1:12 – 2:33

B Lunch 1:12 – 1:48 12:30 – 1:12

(Lunch) 1:54 – 2:33

C Lunch 1:54 – 2:33 12:30 – 1:54 Period 4

2:39 – 4:00

Regular Bell Schedule

Period 1

9:00 – 10:30 Period 2

10:36 – 12:06 Period 3/Lunch

12:12 - 2:24 Lunch Time Class Time

A Lunch 12:12 – 12:48 12:54 - 2:24

B Lunch 12:58 – 1:34 12:12 – 12:58

(Lunch) 1:40 – 2:24

C Lunch 1:44 – 2:24 12:12 – 1:44 Period 4

2:30 – 4:00

3

Early Release Schedule

Period 1 9:00 – 10:08

Period 2 10:14 – 11:22

Period 2 11:28 – 12:36

Period 4 12:42 – 1:50

Students get boxed lunch and proceed out of building 1:50

Buses leave campus 2:00

30 Minute Advisory/Homeroom Schedule

Period 1 9:00 – 10:21

Advisory Period (Report to Period 2A) 10:27 – 10:57

Period 2 11:03 – 12:24

Period 3/Lunch 12:30 – 2:33

Lunch Time Class Time A Lunch 12:30 – 1:06 1:12 – 2:33

B Lunch 1:12 – 1:48 12:30 – 1:12

(Lunch) 1:54 – 2:33

C Lunch 1:54 – 2:33 12:30 – 1:54 Period 4

2:39 – 4:00

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10 Minute Advisory/Homeroom Schedule

Period 1 9:00 – 10:27

Advisory Period (Report to 2A course) 10:33 – 10:43

Period 2 10:49 – 12:16

Period 3/Lunch 12:22 – 2:27

Lunch Time Class Time A Lunch 12:22 – 1:00 1:06 – 2:27

B Lunch 1:06 – 1:43 12:22 – 1:06

(Lunch) 1:49 – 2:27

C Lunch 1:49 – 2:27 12:22 – 1:49 Period 4

2:33 – 4:00

1-Hour Delay Schedule

Period 1 10:00 – 11:15

Period 3/Lunch 11:21 – 1:18

Lunch Time Class Time A Lunch 11:21 – 11:55 12:01 – 1:18

B Lunch 12:01 – 12:35 11:21 – 12:01

(Lunch) 12:41 – 1:18

C Lunch 12:41 – 1:18 11:21 – 12:41 Period 2

1:24 – 2:39 Period 4

2:45 – 4:00

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2-Hour Delay Schedule

Period 1 11:00 – 12:00

Period 3/Lunch 12:06 – 1:48

Lunch Time Class Time A Lunch 12:06 – 1:36 12:42 – 1:48

B Lunch 12:42 – 1:12 12:06 – 12:42

(Lunch) 1:18 – 1:48

C Lunch 1:18 – 1:48 12:06 – 1:18 Period 2

1:54 – 2:54 Period 4

3:00 – 4:00

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Contact Information Please refer to Jordan’s website for the entire Faculty and Staff Directory.

https://www.dpsnc.net/Page/1498

Title Name Phone Extension

School Administration

Principal Susan Stewart Taylor 12221

Assistant Principals

Jamel Anderson-Ruff James Boyce Roger Ganim

Crystal Taylor-Simon Aiyanna Williams

12280 12225 12227 12285 12012

Support Staff

Office Administrator Amy Turner 12410

School Treasurer Holly Rogers 12224

Front Office Support Raney Hayes 12231

Student Services Support Rhonda Cooley 12230

PowerSchool Data Manager Claudia Acevedo 12237

Records Specialist Danielle McMillan 12232

Student Services

Dean of Student Services Cherice Artis 12234

School Counselors

Rebecca Bissette 12235

Jessica Redmond 12233

Sarah Oertel 12228

Makeda Miller 12401

Herbert Nowak III 12240

Social Worker Zellua Sistrunk-Moore 12006

Carolina Outreach/Co-Located Mental Health Services

Nicole Rice 12118

School Nurse Darryl Mallet 12239

Career Development Coordinator/Pathway Coordinator

Antoinette Daye 12256

Special Populations Coordinator John Neale 12252

E- Learning Coordinator Kevin Rowsey 12117

Athletics Athletic Director Shelba Levins 12254

English as a Second Language Resources

ESL Department Leader/Contact Jennifer Painter 12243

ESL Dropout Prevention Specialist Katty Niño 12290

ESL Center, Translation Support ESL Staff 919-560-2510

Exceptional Children EC Services Facilitator Jeremy Konar 12267

Media Center Media Specialists Sandy Montgomery

Rebecca Stacy 12264 12246

Testing Testing Coordinator Driver’s Education Kim Annas 12270

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School Hours, Safety, General Information Building Access The building will be accessible to students at the following times: Monday – Friday from 8:15 a.m. – 4:00 p.m. After 4:05 p.m., all doors will be locked. Students who are not involved with a school-sponsored activity and are not under direct supervision of a teacher/coach/club sponsor must exit the building by 4:05 p.m. and must leave campus directly. Students cannot loiter in the building or on school grounds. Media Center The Jordan Media Center provides resources to support the academic program of the school and to enhance the personal development of students. The Durham Public Schools provides free Internet access and e-mail accounts for its students. The application for these two services is available in the Media Center. The Media Center opens at 8:45 a.m. and closes at 4:30 p.m. Instructional Time Jordan High School prioritizes instructional time. In order to protect the instructional period, we do not interrupt the classroom to deliver messages or items to students. The main office staff will accept items that support instruction such as books, assignments, notebooks, etc. and students will only be permitted to retrieve these items at 8:30 a.m., during their lunch, between classes, or after school. 10-10 Rule: In addition, students will be required to remain in their classes during the first and last 10 minutes of each class. Releasing Students from School In no case shall a person other than an authorized parent/guardian be permitted to take a student from school until or unless the principal is satisfied that such person has the approval of the authorized parent/guardian. (DPS Policy 4108) It shall be the responsibility of the principal or his designee to determine that any person appearing at a school and requesting permission to take a student from the school is properly authorized to do so. (DPS Policy 4108) All parents/guardians must show picture I.D. when picking up a student, when requesting any information regarding a student, or when leaving items/messages for the student to retrieve from the main office. Sign-Out Procedures Students who leave school during the school day may do so only in accordance with school procedures for signing out of school. Unless it is clear that parental permission has been granted, students may not leave school during the school day. (DPS Policy 4109)

● No student under age 18 can sign him/herself out without parent/guardian contact being made. ● 18 year-olds who are documented to live on their own must have permission from an administrator

before signing themselves out. ● A student needing to check out of school early MUST bring a signed note by the parent/guardian with

parent contact information on the day they will sign out. This note should be given to the attendance officer before school starts.

● All parents must show picture I.D. when picking up a student, when requesting to speak to their child during school hours, or when leaving items/messages for the student to retrieve from the main office.

● Students who are ill can report to the main office to call home with a signed pass from a teacher. Sick students must sit in the main office or Student Services while waiting to be picked up. If the parent is unavailable to pick up the student, the parent/guardian can give permission via phone to an administrator for a different person to pick the child up. Upon arrival, the approved person will need to present valid I.D., and an administrator will note the time/date of conversation with the parent/guardian who gave permission for the sick student to leave.

● Students may not be checked out after 3:40 p.m. on regular school days. Note: Valid JHS parking passes and/or JHS lunch passes do not permit a student to sign themselves out of school.

Written or verbal parental consent must be confirmed by personnel in the main office prior to any student leaving campus for the remainder of the school day.

Student Medication For authorization to use medication during school hours, please ensure the proper Medication Administration form, or Self Medication form, is on file with the main office.

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Visitors Visitors are not permitted on campus except on official school business. All visitors must report immediately to the Main Office. All approved visitors must log their name, present a valid I.D., and wear a visitor’s pass while in the building. Visitors are not allowed to visit teacher classrooms during the regular school day unless there is a pre-scheduled conference that has been approved during the teacher’s planning period. If this is the case, the teacher will be contacted upon arrival of the visitor to verify that a meeting is scheduled. Teachers will come to the office to escort the visitor to the meeting. Visitor badges are required and must be worn at all times. Students cannot bring friends or relatives to visit or attend classes with them. Former Jordan students cannot visit teachers/friends during the school day. Security officers will escort any person refusing to follow this policy from the school grounds. School Resource Officers (SROs) The SRO Office is located in the Resource Hallway. Officers are on campus daily to help maintain a safe and secure campus. Technology/Electronic Policy (DPS Policy 4301) Unless specifically authorized by a teacher or school administrator, students shall not use, display, or have in the “on” position any personal electronic communication or entertainment device, including cell phones, pagers, music players, electronic games, or similar items, during instructional time or mandatory school assemblies and activities.

Any device possessed or used in violation of this policy may be confiscated and held for return to the student’s parent or guardian.

Laser pointers and other electronic devices that could damage eyesight or otherwise cause physical harm are specifically covered by this policy. Depending on the circumstances, such items may also constitute “weapons” under Rule III-3, and the student may be disciplined accordingly.

Students shall be personally and solely responsible for the security of their electronic devices or personal technology devices. The Durham Public Schools is not responsible for any electronic devices or personal technology devices that are lost, stolen or damaged while on school property or at school events. Fire/Evacuation Drills The signal for a fire drill will be a series of intermittent rings of the bell. The signal for all clear will be announced. Evacuation instructions are posted in each classroom and each student is expected to follow the drill expectations communicated by faculty members.

Lock Down and Tornado Drills In the event of a lockdown or tornado drill, students should remain SILENT and follow the instructions of the teacher or staff member. Individuals in the hallway during a lockdown drill must report to the nearest classroom or office. To maintain safety and security during drills, cell phone use is prohibited. Unauthorized Areas To maintain safety and security during the instructional day, students are only permitted in authorized areas under supervision of designated JHS personnel. The areas listed are considered unauthorized areas unless under the supervision of a faculty or staff member:

● The staff parking lots; ● The bus parking lot; ● The student parking lots; ● The athletic fields; ● All wooded areas around the campus; ● And, the areas adjacent to the campus during school hours.

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Driver’s Education Once a student completes driving training, a driver’s education instructor will issue the student a completion certificate. Students should go to the Main Office before school, during lunch, or after school to obtain a Driver Eligibility Certificate. A parent/guardian’s signature is required on the certificate. In addition, a student must present the following items: an original birth certificate and the completion certificate issued by the driver education instructor. If the student is maintaining adequate process (defined as passing 70% of their course) in school and the above requirements are met, the student will be issued a Driver Eligibility Certificate. Jordan’s Driver’s Education coordinator is Kim Annas. Personal Property/Lost & Found Articles found in and around school will be turned in at the main office where the owners may claim their property by identifying it. Students should not leave their personal belongings unattended. Restricted Items Skateboards, roller skates, rollerblades, tennis shoe “wheelies” are not allowed on campus for any reason. Debts to the School Students are responsible for all books, materials, software, hardware, calculators, sports equipment, and other materials issued to them by the school. Failure to keep these materials and return them to the school in the condition similar to which they were issued will cause the student to be financially responsible for these items. School Accident Insurance Students should see main office personnel if interested in purchasing school accident insurance. Lunch Program Applications for free or reduced lunches will be made available by faculty advisors. New students should go to the Student Services Office for an application. Students will eat all lunches in the cafeteria or the cafeteria courtyard. Students will not be permitted to go to restricted areas of the campus. Permitted areas during lunch are the cafeteria, the designated courtyard areas, and the media center with teacher permission and as space allows.

2018-2019 Meal Prices

Reduced Paid Adult

Breakfast FREE FREE $2.00

Lunch $0.40 $2.90 $3.75

Locker Distribution Locker distribution will take place during the first two weeks of school. The Career Development Coordinator is the locker distribution contact. There is a $5.00 fee to rent a locker for the school year. Students who receive free/reduced lunches may be assigned a locker without paying this rental cost if they provide a copy of the letter confirming their status as a free/reduced lunch recipient. Students may choose the location of their locker on a first-come, first-served basis. However, Freshman Academy lockers will be reserved for 9th graders to ensure a smooth transition to high school. School lockers with attached locks will be distributed August 27 – September 10, before school in the Media Center. Students who fail to meet the deadline to sign up for a locker may still do so, but will be charged $7.00 for rental cost unless those students are newly enrolled at Jordan. Please note that locks with serial numbers will be recorded and assigned to specific lockers. If, at the end of the school year, locks are lost or moved from their original lockers, an additional $5.00 may be charged to the student who rented that lock/locker. If damage occurs to a lock or locker during the school year, additional monies may be charged to the locker tenant. Only locks supplied by Jordan may be used on Jordan lockers. Lockers remain the property of Durham Public Schools and can be searched by school officials.

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Student Services The Jordan High School Counseling team is located in the Student Services office suite near the auditorium. The Student Services main number is (919) 560-3769. Our counseling team is licensed and equipped to assist students with any of the following concerns:

● Academic guidance, increasing achievement, and study skills ● Personal/social/emotional relationships at home or in school ● Educational and College/Career planning ● Scholarship and Financial Aid resources ● Test preparation and interpretation

To arrange a conference with a counselor, students and parents/families should make appointments in advance. Educational Testing Services The school code for ETS testing is 341-060. This code is needed when students register for SAT, ACT, and Advanced Placement Exams. Career Development Coordinator The Career Development Coordinator (CDC) Office is located in the Media Center. Students may obtain assistance with career and college guidance, as well as information about job shadowing, apprenticeships, internships, Armed Forces, and employment opportunities. The CDC serves as coordinator for the Agriscience Pathway students to promote career awareness, work-based learning opportunities, and research. College Advising Corps (CAC) Adviser The College Advising Corps (CAC) at Duke University partners with local high schools and works to increase the number of low-income, first generation college, and underrepresented high school students who enter and complete higher education. Jordan’s Duke CAC Adviser provides general and one-on-one admissions and financial-aid advice to any student or family seeking assistance and organizes group events that encourage students and their families to consider, plan for and apply to colleges and universities. Jordan’s Duke CAC Adviser has an office in Student Services and can be reached at ext. 12002.

Durham Tech College Liaison/College and Career Promise Contact The primary responsibility of the Durham Tech College Liaison is to recruit graduating seniors and assist these seniors through the Durham Tech enrollment process. Additionally, the Durham Tech College Liaison serves as the College and Career Promise contact. Career and College Promise (CCP) provides dual enrollment educational opportunities for eligible North Carolina high school students in order to accelerate completion of college certificates, diplomas, and associate degrees that lead to college transfer or provide entry-level job skills. The Durham Tech College Liaison has an office in Student Services and can be reached at ext. 12002.

Social Worker The school social worker helps to assess the needs of students, coordinate services for families and students, address attendance issues, network with community agencies, and provide outreach to parents. The social worker also assists students who have problems with attendance, abuse and neglect, economic deprivation, family violence, inadequate health care, substance abuse and other issues. The school social worker’s office is located in Student Services.

Athletics and Athletic Eligibility Jordan High School is a member of the Tri-6 4A Athletic Conference and the NC High School Athletic Association. Students are encouraged to participate and/or support the athletics program. Jordan High School values good sportsmanship. The athletic director and the school administration expect coaches, student athletes, and supporters of Jordan’s athletic program to model and emphasize positive behavior. Athletic Eligibility Information about Jordan’s athletic programs can be accessed through the Jordan website under the “Athletics” tab. The basic eligibility requirements of the North Carolina High School Athletic Association are:

● A player must have been promoted at the end of the spring semester/summer school. ● A player must have been in attendance for at least 85% of the previous semester. ● A player must have passed the minimum course load the previous semester. (All JHS students must

successfully complete 6 courses) ● A player must have a medical examination each calendar year.

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Attendance on the Day of an Athletic Event A student must be in attendance at school for the entire day on the day of any athletic game or practice activity in which he/she is to participate. Any exemptions with regard to this rule require administrative approval and most likely will require a doctor’s note. Out-of-School Suspension (OSS) A student assigned to OSS cannot participate in a practice or athletic contest scheduled for the day(s) of the OSS assignment.

Clubs and Student Organizations Jordan offers a variety of extracurricular and co-curricular clubs and organizations in which students can participate. These activities provide students the opportunity to explore their passions, interests, and build community. A complete list can be found here.

Jordan PTSA 2018-2019 All parents of enrolled Jordan High School students are encouraged to join and participate in the PTSA. All meetings are scheduled for the first Tuesday of each from 6:30 p.m. to 7:45 p.m. The PTSA officers are: President Tina Ndoh Vice President Pamela Swinson Secretary Kim Garcia Treasurer Jeff MacIver

School Improvement Team To achieve its vision for Durham Public Schools, the Board of Education is committed to continuous improvement in student performance with principals as visionary leaders focused on high student achievement. In support of this vision, each school shall establish a school improvement team to develop an improvement plan in accordance with state law, State Board of Education policy, and Department of Public Instruction guidelines. The School Improvement Team is comprised of the Principal and representatives including Assistant Principals, instructional personnel, instructional support personal, teacher assistants assigned to the school, and parents of children enrolled in the school. The School Improvement Team meetings are held the first Monday of each month at 5:30 p.m. in the Media Center, and are open to the public. The committee addresses school goals focused on supporting student achievement. To get an item on the agenda for a meeting, an individual must submit in writing to the team’s recorder, ten days prior to the meeting, the agenda item and contact information (name and phone number).

Freshman Academy The Freshman Academy is a comprehensive freshman transition program for all first-time (or non-repeating) 9th graders. The purpose of the Freshman Academy is to assist incoming 9th graders as they transition into high school. Each freshman is assigned to a Freshman Academy “team,” consisting of a counselor and four teachers and subjects: English, Honors Biology or Earth Science, World History, and Health & Physical Education. Each teaching team serves approximately 115-130 common students.

Freshman Academy Staff Team Matrix (*Team Lead; **Freshman Academy Department Leader) Team 1 Team 2

English Kenya Blackwell English Samuel Bernhard World History Mary Katherine Bailey* World History Chad Aharon**

Science Rebekah Cahall (Davis) Science Maggie Burns PE Kristen Gillespie PE Rhonda Dreibelbis*

Counselor Makeda Miller Counselor Jessica Redmond Team 3 Team 4

English Shannon Potter English DJ Ferguson World History Graham Brosnan* World History Brendan Murray*

Science Megan Frazier Science Amanda Bingle PE Anthony Barbour PE Michael Ricucci

Counselor Herbert Nowak III Counselor Rebecca Bissette

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Freshman Academy Schedule Outline by Period

Team 1 Team 2 1st Planning Period 1st Elective Class 2nd Elective Class 2nd Planning Period 3rd Academy Class 3rd Academy Class 4th Academy Class 4th Academy Class

Team 3 Team 4 1st Academy Class 1st Academy Class 2nd Academy Class 2nd Academy Class 3rd Planning Period 3rd Elective Class 4th Elective Class 4th Planning Period

Freshman Academy Classes (1st Time 9th Graders Only)

Content Class Options Social Studies Standard World History

Honors World History English Foundations of English 1

Standard English 1 Honors English 1

Science Standard Earth Science Honors Earth Science

Honors Biology Healthful Living/

Physical Education 9th Grade Healthful Living/ PE

Student Attendance Student Attendance (DPS Policy 4100) A student is absent from school for the purposes of this section when the student is not present for at least half of the school day, whether the absence is excused or unexcused. A student is absent from a class for the purposes of this section if the student misses more than half the class period, whether the absence is excused or unexcused. Absences resulting from participation in school-sponsored activities will not count against the minimum attendance requirement. This policy does not limit a teacher or principal from imposing disciplinary sanctions for students who miss portions of the school day or a class without excuse.

A student who is absent from school shall within three days of returning to school furnish a written excuse from the student's parent/guardian, custodian, or doctor stating the dates and reason for the absences. After five consecutive or ten accumulated absences in a semester, the principal may require a written doctor's excuse for any additional absences attributed to illness. When a student has been absent from class or school 10 times in a semester or 20 times in a school year, whether excused or unexcused, the principal or designee shall notify the parent/guardian or custodian of the absences in writing. The notice shall include a warning of the possible consequences of additional absences and/or a copy of this policy. In addition, excessive unexcused absences may violate the compulsory attendance law and will be addressed pursuant to Policy 4101-Compulsory Attendance. Unexcused absences may result in disciplinary action as provided under Policy 4301-Student Code of Conduct.

Compulsory Attendance (DPS Policy 4101.1) The principal or a designee shall notify the parent/guardian or custodian of a child's excessive unexcused absences as follows:

A. After the third unexcused absence, the principal or designee shall notify the parent/guardian or custodian within three school days. If unable to contact the parent/guardian or custodian, the principal shall refer the matter to a school social worker for immediate investigation.

B. After not more than six unexcused absences, the principal shall notify the parent/guardian or custodian by mail. The notice shall state that the parent may be in violation of the North Carolina Compulsory Attendance Law and may be prosecuted pursuant to Legal Reference: G.S.115C-378 if the absences cannot be justified as excused under the standards stated in the section entitled "Excused Absences" below. A copy of the notice will be directed to the social worker, school attendance

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counselor, or other appropriate school personnel, who will work with the student and family in an effort to improve attendance.

C. After a student has accumulated 10 unexcused absences in a school year, the principal or designee shall notify the student's parent/guardian or custodian by certified mail of the student's excessive number of unexcused absences. The notification shall state that the parent may be in violation of the North Carolina Compulsory Attendance Law and may be prosecuted if the absences cannot be justified under the standards stated in the section entitled "Excused Absences". The principal also shall review any reports or investigation prepared pursuant to Legal Reference: G.S.115C-381 and shall, if possible, confer with the student and the student's parent/guardian or custodian to determine whether the parent/guardian or custodian received notification pursuant to the requirements of this policy and the Compulsory Attendance Law and made a good faith effort to comply with the law. If the principal determines that the parent/guardian or custodian has not made a good faith effort to comply with the law, the principal shall notify the district attorney. Where the parent/guardian or custodian has made a good faith effort, the principal may file a complaint with the juvenile intake counselor under Legal Reference: G.S.7A-561 that the child is habitually absent from school.

Excused Absences (DPS Policy 4101.2) North Carolina requires all children from ages seven to sixteen to attend school 180 days each year. All students are urged to attend school on a regular basis. Steady attendance is mandatory for a successful school experience. It is realized, however, that some absences cannot be avoided. The parent, guardian, or custodian of a student shall notify the school of the reason for each known absence of that student, in accordance with local school board policy. The following are acceptable (excused) reasons for temporary non-attendance of students:

● Illness or injury - When the absence results from illness or injury which prevents the student from being physically able to attend school.

● Quarantine - When isolation for the student is ordered by the local health officer or by the State Board of Health.

● Death in the immediate family - When the absence results from the death of a member of the immediate family of the student. The immediate family of a student includes, but is not limited to, grandparents, parents and siblings.

● Medical or Dental appointments - When the absence results from a medical or dental appointment of a student. A written excuse should be presented with a doctor’s signature or stamp.

● Court or Administrative Proceedings - When the student is a party to or is under subpoena as a witness in the proceedings of a court or administrative tribunal.

● Religious Observances - When the student or the student’s parents, guardians, or custodians adhere to a religion in which the tenets require or suggest the observance of a religious event, the parents must seek prior approval from the principal for such absence. The approval of such absences is within the discretion of the school principal. Approval should be granted unless the religious observance or the cumulative effect of religious observances is of such duration as to interfere with the education of the student.

● Educational Opportunity - When the student obtains the administration’s prior approval for a valid educational opportunity such as travel. (DPS Policy 4101.2)

Homebound Services Students who are given the status of homebound because of extended medical problems will not be counted absent. However, they will be required to submit through Student Services and/or Attendance office, official medical documentation verifying their condition, which will determine eligibility. Teachers will need to provide work for the student either electronically to the parent or by sending it to the school social worker in Student Services for the homebound teacher to pick-up.

Extracurricular Activities Students participating in extra-curricular activities must be present in class on the day of the activity. Students who miss class because of school related activities should not be counted absent; however, they are to make up all work in a conscientious and timely manner. Make-up Work Students are entitled to make up work from an excused absence without receiving penalties to their marks or grades. High school students are responsible for securing and arranging make-up work from their teachers. Make-up work shall be assigned at the convenience of the teacher, and may be specific material missed by the student, or may be reinforcement or enriching assignments. (DPS Policy 4104) Parents may request make-up work for students who receive suspensions.

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Tardiness (DPS Policy 4103) A student shall be considered tardy to school or class if the student has not reported to the student’s assigned classroom by the starting time set by Durham Public Schools Board of Education or local school policy. Tardy #1 Parent Communication Tardy #2 Parent Communication and Teacher assigned consequences Tardy #3 Parent Communication and Teacher assigned consequences Tardy #4 and beyond Referral to administration Students are responsible for arriving to school and to each class on time. Late check-ins will be recorded as tardiness. If a student arrives after 9:00 a.m., he or she should sign-in in the main office. There must be a record of a student’s late arrival; failure to follow proper procedures may be considered skipping. Students must provide written documentation for all tardiness resulting in a period absence. (Example: If a student arrives to school during Period 2, written documentation must be provided to the main office for the absence in Period 1). Hall Sweeps Hall sweeps will be utilized throughout the year to make sure students are in class on time. Teachers will lock their doors at the sound of the tardy bell. All students not in a classroom will report to the Hall Sweep location. Students will only be admitted to class with an official Hall Sweep Pass signed in ink by an administrator or designee. Consequences for not getting to class on time during a hall sweep may result in after-school detention, ISS, or other appropriate actions. (Example: juniors and seniors may lose their open campus privilege.) Hall Passes Any student out of class during instructional time MUST have a hall pass signed by a teacher. The hall pass must include the student’s name, destination, date, time, and staff member’s signature in ink. Students will not be permitted in the hallways during the first 10 minutes of each period and the last 10 minutes of each period. When out of a classroom, students should make passes visible to all staff members and be prepared to have passes checked for compliance. Closed/Open Campus Jordan High School operates on a closed campus in grades 9 and 10. These students are not permitted to leave the school grounds to eat lunch (not even with parental permission). Eligible seniors and juniors may participate in open lunch, but are subject to established regulations that govern that privilege. Any student driver will lose his/her parking pass and open lunch pass if they attempt to take a non-eligible student off campus (i.e., hiding in seat/trunk of car). Seniors with Approved Early Dismissal Schedules Seniors who have approved early dismissal class schedules must exit the campus at the end of their 3rd Period class (2:24 p.m.), and are not allowed to loiter on campus during 4th period. Repeated violation of this may result in the student’s schedule being changed.

Student Discipline The academic and social expectations for students at Jordan are high. Respect for oneself and others, as well as respect for instructional time and a healthy learning environment, are essential to a successful school. Students are expected to display appropriate behavior at all times: in the classroom, hallways, restrooms, cafeteria, gyms, parking lots, buses, and at all school-sponsored events. Judicially, staff members have authority over students regardless of place. Students are expected to respect this authority. Disciplinary measures vary based upon the infraction; however, teachers and school administrators will adhere to the measures prescribed by the policies of Durham Public Schools. If disciplinary measures are necessary, students may be assigned lunch detention, after-school detention (ASD) or out-of-school suspension (OSS). Serious or repeated offenses may result in a recommendation for long-term suspension. Disciplinary measures are progressive in application. When a student is referred to an administrator, several different approaches, subject to mitigating or aggravating factors, may be used in an attempt to affect a behavior change.

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Lunch Detention/After-School Detention (ASD)/Saturday Detention Teachers and administrators may utilize detention as a consequence for student misconduct where immediate removal from the classroom or suspension would be inappropriate. ● Students assigned to lunch detention and/or ASD by a teacher will serve their consequence with the teacher who

assigned the consequence. ● Students assigned to lunch detention by an administrator will report directly to the designated location and will

remain there for the duration of their lunch. Students will be permitted to bring their own lunch or obtain a school lunch as directed by the adult supervising lunch detention. This consequence will be documented in Educator’s Handbook.

● Students assigned ASD by an administrator will report to the designated location and remain from 4:05 p.m. until 5:00 p.m. as directed by the administrator. Tardiness is not allowed; thus, failure to report on time is treated as a “no show,” and the student may be assigned additional days Saturday Morning Detention (repeat offenses). A student who fails to report to or cooperate in ASD as directed will be disciplined in like manner. ASD is held on Monday, Tuesday, Wednesday, and Thursday. The student is responsible for securing transportation home from school.

● Students assigned Saturday Detention will report to the designated location, and remain there from 9:00 a.m. to 12:00 p.m. as directed by an administrator. Failure to report to Saturday Detention will lead to an escalated consequence.

In-School Suspension (ISS) Students attending ISS must be assigned this consequence by an administrator. If work is not able to be provided at the time the student is assigned ISS, the coordinator will contact the teacher to retrieve work for the student. Out-of-School Suspension Students who commit serious infractions or who are repeat offenders may face out-of-school suspension (OSS), which is a denial of school attendance and a denial of participation in or attendance at school-sponsored activities. Such suspensions are made by the administration in accordance with policies of the Durham Public Schools. While serving out-of-school suspension, students have a right to receive make-up work; however, they are NOT permitted to attend any school function and are NOT permitted on any DPS campuses. Violators may face additional suspension and/or trespassing charges.

Student Dress Code Board Policy 4301 The primary goal of the Durham Public Schools is to provide a safe learning environment where all students are able to achieve at their highest potential. The personal appearance of every student is an important component of establishing a safe environment for optimal learning and respect for one another. Students are expected to adhere to standards of dress and appearance that are compatible with an effective learning environment. In support of these goals and expectations the Board establishes the following dress code for students:

a. Students are prohibited from wearing clothing, jewelry, book bags, or other articles of personal appearance which:

1. depict profanity, vulgarity, obscenity, or violence; 2. promote use or abuse of tobacco, drugs, or alcohol; 3. create a threat to the health or safety of the student or others; 4. are prohibited under the Gangs and Gang Activities Policy (III-7); 5. are reasonably likely to create a substantial and material disruption to the educational process or to

the operation of the school, including but not limited to items that are reasonably expected to intimidate other students on the basis of race (for example the Confederate battle flag, swastika, and Ku Klux Klan or KKK), color, national origin, sex, gender identity, sexual orientation, disability, age, or religious affiliation.

b. The following specific items are also not permitted: 1. clothing worn in such a manner so as to reveal underwear, cleavage, or bare skin between the

upper chest and mid-thigh; 2. bare feet, bedroom slippers; 3. spaghetti straps, strapless tops, halter tops; 4. see-through, mesh garments; 5. trousers, slacks, shorts worn below hip level; 6. clothing that is excessively baggy or tight; 7. skirts and shorts shorter than mid-thigh; 8. sunglasses worn inside school building; 9. hats, caps, hoods, sweat bands and bandanas or other headwear worn inside school building; and 10. any other article of appearance that is physically revealing or provocative.

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c. If a student's dress or appearance violates this dress code, the principal or principal's designee may require the student to change his or her dress or appearance. A second or repeated violation of this policy may result in disciplinary action.

d. This policy does not apply to school sanctioned uniforms and costumes approved by the principal for athletic, choral, band or dramatic performances.

e. The principal may make reasonable accommodations to this rule for religious, cultural, educational, or medical reasons so long as the clothing in question is not prohibited under section (a.1) through (a.5) of this rule.

1. depict profanity, vulgarity, obscenity, or violence; 2. promote use or abuse of tobacco, drugs, or alcohol; 3. create a threat to the health or safety of the student or others; 4. are prohibited under the Gangs and Gang Activities Policy (III-7); 5. are reasonably likely to create a substantial and material disruption to the educational process or to

the operation of the school.

Positive Behavioral Interventions and Supports Jordan is a Positive Behavioral Interventions and Supports (PBIS) School. In order to cultivate and maintain a learning and teaching environment in which students can thrive, student expectations are defined, taught, and reinforced. When needed, additional supports are provided to help students meet academic and behavior expectations. Students are encouraged to “SOAR” in all areas and can earn “Falcon Feathers” when meeting or exceeding expectations. Students who earn Falcon Feathers are able to participate in PBIS celebrations and activities.

S Supporting Fellow Falcons O Optimizing Opportunities A Appropriately Responding R Respecting Our Community

Grading and Reporting In accordance with Board Policy 3200.5 in grades 6-12, for high school level courses, a student shall receive credit toward graduation for courses in which the student earns an average of 60 or above. The student’s final grade in all courses shall be determined by calculating 80% of the grade as the course average and 20% of the grade as the final exam. All high school level courses will administer a final exam that counts 20% of the student’s final grade.

In accordance with Board Policy 3200.4, percentage grades will be used on report cards, cumulative folders, and transcripts. In yearlong courses, for first, second, and third quarter grades, no student will receive lower than a 50. There is no set minimum for fourth quarter or final grades. For semester courses, the first quarter grade will be no lower than a 50; there is no set minimum for second quarter or final grade. The Superintendent or designee shall implement standardized transcripts in accordance with State law.

Grading Scale (Board Policy 3200.2) The State Board uses a standard 10-point grading scale for all high school students. This scale does not include “pluses or minuses”. Under the 10-point scale, grades and grade point average calculations will be applied as follows: A 90 - 100 4.0 B 80 - 89 3.0 C 70 - 79 2.0 D 60 - 69 1.0 F <59 0.0

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In high school, grades are awarded corresponding quality points for the calculation of a student’s grade point average (GPA). These values and those courses receiving weighted values are noted below:

Quality points for students who entered grade 9th prior to 2015-16:

Letter Grade

Standard Courses

Honors Courses

AP Courses

A 4 5 6

B 3 4 5

C 2 3 4

D 1 2 3

F 0 0 0

Quality points for students entering 9th grade in 2015-16 and beyond:

Letter Grade

Standard Courses

Honors Courses

AP Courses

A 4 4.5 5

B 3 3.5 4

C 2 2.5 3

D 1 1.5 2

F 0 0 0

Progress Reports (Board Policy 3210.1) Progress reports are distributed no later than the 22nd day of each grading period. Freshman Academy students receive progress reports every three weeks.

1st Quarter 8/27-10/26

2nd Quarter 10/30-1/18

3rd Quarter 1/23-3/22

4th Quarter 4/1-6/11

Progress Report

September 26, 2018 September 27, 2018

December 5, 2018 December 6, 2018

February 20, 2019 February 21, 2019

May 1, 2019 May 2, 2019

End of Grading Period October 26, 2018 January 18, 2019 March 22, 2019 June 11, 2019

Report Cards Distributed November 6, 2018 January 29, 2019 April 9, 2019 June 11, 2019*

*Final secondary report cards will be mailed. Right to Appeal Academic Grades (Board Policy 3200.6) Parents shall have the right to request a review of any grade given a child. The first appeal should be made to the child’s teacher. Final authority for a grade rest with the student’s principal. The principal’s decision may be appealed under the Student Grievance Policy if the decision is alleged to violate a specified federal law, state law, State Board of Education policy or rule, or DPS policy. High School Credit for Courses (Board Policy 3200.5) For high school level courses, a student shall receive credit toward graduation for courses in which the student earns an average of 60% or above. The student's final grade in all courses shall be determined by calculating 80% of the grade as the course average and 20% of the grade as the final exam. All high school courses will administer a final exam that counts 20% of the student’s final grade. National Honor Society Each spring, eligible juniors are invited to join the National Honor Society. This organization selects candidates based on the tenets of scholarship, leadership, service, and character. The selection committee uses the following process and criteria:

1. At the beginning of third quarter, transcripts for juniors are evaluated and a list is created of students with at least a 93% average across all of their classes, starting with their freshman year and ending with the first semester of their junior year.

2. The students with above a 93% average are placed on a confidential list for evaluation by teachers. The evaluation form asks teachers to rate each student that they have worked with according to a 4-point scale in the categories of service, leadership, and character. Any rating of 2 or below must be accompanied by a written explanation from that teacher.

3. The average that students receive from the teacher recommendation is computed. This number is then averaged with the unweighted GPA of the student, through the first semester of their junior year. If this number is above 3.625, the student is placed on a list to be invited into the National Honor Society.

4. The Faculty Council, a committee of five teachers chosen from a cross-section of Jordan High School, reviews the list of eligible students and considers the written commentary from teachers. If there is a serious enough concern, the NHS advisor will investigate further and present important information to the Faculty Council. The Faculty Council may choose not to invite certain students based on this information.

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5. In early May, students that have been invited into National Honor Society are notified and an induction ceremony is scheduled for the end of May or the beginning of June. The first meeting of the National Honor Society will take place after the induction ceremony but before the end of the school year.

Academic Honor Policy Jordan High School expects personal honor and integrity in all of our students. Students must assume individual responsibility for academic honesty and understand that their behavior reflects both personal character and the reputation of Jordan High School. Families, faculty and administration share the responsibility to ensure that the Academic Honor Policy is upheld. To avoid cheating*, plagiarism* and falsification* (see definitions below), the Jordan High School Academic Honor Policy requires students to:

● Complete his or her own work on individual assignments ● Use approved methods to cite sources and identify quoted words, ideas of others, and paraphrases. ● Contribute as an equal partner on collaborative assignments. ● Maintain academic integrity on tests and other assessments. ● Neither give nor receive unauthorized help on tests or other assessments.

According to Durham Public Schools:

*Cheating includes the actual giving or receiving of unauthorized aid or assistance or the actual giving or receiving of unfair advantage on any form of academic work. *Plagiarism includes the copying of the language, structure, idea and/or thought of another and representing it as one’s own original work. Copying directly will not be permitted. *Falsification includes the verbal or written statement of any untruth. Consequences Undisputed Violations of the Academic Honor Policy will result in:

• First Offense: Alternative assignment with max grade of 50, mandatory parent/teacher/admin conference, report to administration

• Second Offense: zero for assignment, admin referral, parent/guardian contact, notification to academic societies

• Third offense: zero for assignment, administrative consequences as permitted by DPS Policy 4301 suspension

Disputed Violations of the Academic Honor Policy will result in:

• A mandatory parent/teacher/student/admin conference with appropriate consequences to be determined based on the student handbook and DPS Policy 4301

• If there is no resolution, an administrative review is mandatory. Honor Roll The school prints an honor roll at the end of every grading period. Students must earn an A (90 or higher) or B (80 or higher) in each course to earn Honor Roll status. Students earning A Honor Roll or A/B Honor Roll will be recognized on the school website at the end of 1st, 2nd and 3rd report card markings. For Superintendent’s Honor Roll, students must earn at least a 90 in every class for the first three grading periods. Students achieving Superintendent’s Honor Roll status are honored separately by the school district at the end of the school year.

Testing and Final Examinations (DPS Policy 3230) The Board of Education requires that a final examination be given at the end of each course earning credit toward high school graduation. In EOC/VoCATS tested courses, the state test counts as the final exam. Final exams in non-EOC/VoCATS courses should be a valid reflection of the student's mastery of course content. Exams should be cumulative in nature and test material and skills taught during the period covered by the exam. The exam schedule should be such that a student takes no more than two exams per day. Provisions shall be made for students to make up exams missed due to excused absences or short-term suspensions. This policy may be waived for approved dual-enrollment college courses.

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Final Exam Exemptions/ Attendance Incentive- Exam Exemption (DPS Policy-4106) High school students may be exempt from their non-state required final exams if they meet one of the following conditions:

● Have an “A” average and no more than 3 absences in that course. ● Have a “B” average and no more than 2 absences in that course. ● ANY absences (excused or unexcused; lawful or unlawful) count toward the limit for exam exemption

except school sponsored field trips, school approved activities, religious holidays, and district approved medical hardship waivers.

● Students who are exempt from an exam may elect to take the exam. The grade will only count if it improves the student’s overall grade.

● This policy does not apply to courses offered through community colleges, universities or online services.

At Jordan High School, two pre-approved college visits will be allowed without penalty towards final exam exemption status provided that appropriate documentation of college visits has been provided to administration. Advanced Placement Courses and Exams AP exams dates are in May. In recent times, the State and/or DPS has paid exam fees. We anticipate this will remain the same for 2018-2019. If this changes, the deadline for payment of AP exam fees will be in March. Fees will be paid in Student Services. Fee reductions will be available to eligible candidates. Any student that signs up to take an AP exam and does not take the exam, will assume responsibility for exam fees. ACT Test Dates for 2018-19 All juniors will take the ACT in February 2019. Please monitor the Jordan High School website and/or Durham Public Schools website for updates. If students also wish to take additional ACTs on their personal time, they may register here: www.actstudent.org/regist/dates.html

2018-19 Anticipated SAT Saturday Test Dates Please go to www.collegeboard.org. Students should see their counselor if assistance is needed.

Student Records In compliance with state and federal law, the Durham Public Schools (DPS) maintains a permanent record on every student. The record includes files, documents, computer data, and photographs that contain information about the student. They do not include records created by individual teachers or administrators. Generally, a student’s record will contain basic information, such as his/her birth certificate, attendance, standardized test results, grades, and promotion information. Any suspension longer than ten days is also part of a student’s record, but this information is removed after graduation. Information in the record keeping related to special education services and evaluations is kept in a separate confidential file for each child evaluated for or receiving special education services. Parents/guardians have the right to inspect and review their child’s record. If separated or divorced, both parents have this right, unless there is a court order that states otherwise. Transcript Policy for Seniors All official and unofficial transcripts MUST be requested online through https://durhamnc.scriborder.com. The first three requested transcripts (whether official or unofficial) are free. Each additional transcript will incur a $3.00 fee and Dream Act documentation requests will incur a $7.00 fee. A return receipt postcard will accompany each transcript to document receipt. Seniors requesting personal copies of their transcripts will receive unofficial copies. Transcripts needed for scholarship and college submissions will be official, but MUST be requested through the website online. Any graduating senior who completes a Future Plans Survey Form in May can qualify for one official final transcript mailed directly to the institution of their choice at no charge after graduation. For further information, please contact the Records Specialist with any questions. Most information in the student records is confidential because they contain personally identifiable information and therefore cannot be released without a parent’s/guardian’s written consent. There are, however, exceptions. “Directory information” may be released upon request. This includes the student’s name, age, photograph, participation in officially recognized activities and sports, weight and height of athletic teams, degrees and awards, and educational institution most recently attended. Military and college recruiters also can be given telephone numbers and addresses. Parents/guardians who object to the release of this information may submit their objection in writing. The objection will be placed with the student’s record, and no such information will be released.

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Authorized school, state, or federal educational institution personnel, persons acting under court order, financial aid organizations, accrediting organizations, and appropriate personnel acting in connection with an emergency may have access to more information within legitimate guidelines. Frozen Records Due to Fines At the end of each semester, a list is compiled of all students who have not returned library books, uniforms, or textbooks or who owe other debts to the school. The school records of these students are then “frozen” until they have settled their financial obligations and no transcripts and/or any school records will be sent to any other schools. It is the student’s responsibility to make sure the teacher has received all books and material issued to them during the class.

Transportation Student Drivers The maximum safe speed limit on campus is 10 mph speeding, careless or reckless driving may result in revocation of driving privileges and/or other punishment. Driving or riding vehicles on campus for recreation is prohibited. Vehicles should not be driven on sidewalks or off of the pavement. Student Parking Students may park on campus by permit only. The student parking lot is located on the North rear side of the school, nearest the tennis courts. Students must visibly display their parking tags, and must park in their assigned spaces only. The parking lots in front of the school, behind the school, and adjacent to the 300 building are reserved for faculty and staff ONLY. No parking is permitted along the service roads. Any student parking improperly will be booted and receive a fine. The Board of Education has made provisions for full-time Durham Police Officers to patrol the student parking lot as one of their assigned areas at the senior high schools. To partially offset the cost of this service the Board has authorized the school to charge a parking fee of $75.00. When students apply for a parking permit, they receive detailed parking regulations; however, students with outstanding debts to Jordan High School are not eligible to participate in the lottery for parking permits.

● Students are not to visit their vehicles during the school day without written permission from an administrator. Vehicles should not be used as lockers.

● Failure to comply with the provisions of the parking policy may result in disciplinary action and/or revocation of the parking permit.

● Vehicles without current valid parking stickers or vehicles parked improperly are subject to be booted and receive a fine

● Jordan High School is not responsible for theft or damage to vehicles.

Bus Transportation School Bus Transportation is a service provided to aid students in getting to and from school. All students who ride a bus are subject to regulations. Any misbehavior that distracts the driver is a very serious violation and jeopardizes the safety of everyone. Under North Carolina law the driver is subject to the direction of the principal and shall have complete authority and responsibility for the operation of the bus and the maintenance of good conduct on the bus. Riding the bus is a privilege. Any behavior that violates DPS policy will result in that privilege being denied. Students are to report to the buses as soon as they are dismissed from school. Students should report address changes to guidance immediately to ensure continued bus transportation. If there are any questions, please contact the main office at (919) 560-3912 or check the DPS website at http://www.dpsnc.net/domain/126 for more information and for instructions on how to locate your student’s bus. Carpool Guidelines ● The main entrance to parking lot in the front of the school will be closed at 8:30 a.m. Staff will be available at

8:30 a.m. to assist with carpool traffic that will flow through the rear of the building. ● Students should only be dropped off and picked up from the outer lane only. The inner lane is reserved for

through traffic only. ● Pull up as far as you can. The unloading zone will be marked and staff will monitor to help with the traffic flow. ● When possible, please have the student exit from the right side of the car. ● Please make sure to arrive no later than 8:55 a.m. ● For everyone’s safety, PLEASE refrain from cell phone use.

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PERMISSION TO RIDE ANOTHER BUS To: Director of Bus Transportation C. E. Jordan High School 6806 Garrett Road Durham, NC 27707

From: Parent/Guardian of ___________________________________________________

(Student’s Complete First and Last Name)

____________________________________________________ ____________________________________________________

(Address of Student) I am requesting that my child be allowed to ride bus number _______________________ Beginning on _________________________________ until _______________________________ (Date) (Date) I am aware that this request will be honored under the following circumstances:

• You are able to contact me at the number provided before 2:30 pm. • There is room available on the bus. • My child’s behavior is not disruptive and/or inappropriate. • My child is getting on/off at an existing stop.

You can reach me at the following contact number ____________________________________to verify this request. Thank you, ___________________________________________________ ________________ (Signature of Parent/Guardian) (Date) ___________________________________________________ (Printed Name of Parent/Guardian) -----------------------------------------------------------------For School Use Only----------------------------------------------------- Received by: _____________________________________________________________ Date Received: ________/_______/_______ Time: ________________________

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C.E. Jordan High School Absence Report

Student Legal Name______________________________________________ Student ID#: ____________________

(Last Name, First Name) Grade: ________ was absent on the following date(s) because of one of the following lawful reasons for the absence: (Complete one):

• Illness or injury on _________________________________________ (MM/DD/YYYY)

• Death in the immediate family on _____________________________ (MM/DD/YYYY)

• Medical or Dental Appointment on ____________________________ (MM/DD/YYYY)

• Court on _________________________________________________ (MM/DD/YYYY) (Presence required by subpoena or as party to action, attach documentation)

• Religious Observance on ____________________________________ (MM/DD/YYYY) (Prior approval required for excused absence)

• Educational Opportunity on __________________________________ (MM/DD/YYYY)

(Prior approval required for excused absence documentation attached)

• Other (specify) on __________________________________________(MM/DD/YYYY) For the following reason(s):

_______________________________________________________________________________________________

_______________________________________________________________________________________________

COMPLETED FORMS SHOULD BE RETURNED TO MAIN OFFICE Parent Signature: _____________________________________________________ Date ______________________ Contact Phone Number: _________________________________________________ -----------------------------------------------------------FOR SCHOOL USE ONLY------------------------------------------------------ Date received _____/_____/________ Date Absence Entered _____/_____/______ Entered by: _____________________________________ Signature:______________________________________

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DPS Parent/Student Handbook 17

D u r h a m P u b l i c S c h o o l s

Board Policy 4101 – Student Attendence

Request for Absence to be Excused for Religious Observances*

For an absence for religious observances to be excused, the student must participate in a religious observance that is required or strongly suggested by the tenets of his/her religion. Signing this form assures that the absence is requested for valid religious purposes.

As the parent/guardian of , I assure that the

absence from school for the dates of is required according to

the tenets of the religion practiced by our family.

grade teacher/homeroom signature of parent/guardian date

Name/Type of Observance

Approved

Not Approved

Principal/designee Date

* Only for exam exemption and may be allowed for no more than three days.

form 4

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form 3

D u r h a m P u b l i c S c h o o l s

Board Policy 4100 – Student Attendence

Request for Absence to be Excused for Educational Opportunity*

For an absence to be excused for an educational opportunity, the intent of the experience should have been educational from the outsetand should be comparable to that which the student would have experienced in school. Family trips and vacations that were not initiallydesigned to be educational will not be excused. Signing this form ensures that this absence is for a valid educational opportunity.

As the parent/guardian of , I assure that the absence from school for the dates of

is for an educational opportunity of comparable value to my child’s attendance in school.

grade teacher/homeroom signature of parent/guardian date

Please briefly describe the educational opportunity.

Approved

Not Approved

Principal/designee Date

* Cannot be used for exam exemption.

REQUEST FOR MEDICATION TO BE GIVEN DURING SCHOOL HOURS FORM 1 (page1) PARENT REQUEST FOR MEDICATION ADMINISTRATION AT SCHOOL/PHYSICIAN’S ORDER

This form should be used only when school personnel will be administering medication to your child. If your child will be possessing and self-administering his/her medication, please request Form 2.

Child’s Name: __________________________________ DOB: _____ School: _________________________ Dear Parent/Guardian: In order to help protect your child’s health, your consent and written authorization from a doctor are required when it is necessary for your child to be administered either prescription or non-prescription medicines in the Durham Public Schools. No medications will be administered to your child at school until this authorization has been received. A separate form is required for each medicine. New authorization forms are required every year at the beginning of school, whenever the dose or directions change, or when a new medicine is prescribed. Each medicine must be in an appropriately labeled original container from the pharmacy or healthcare provider’s office. Most pharmacies will provide an extra container for school use upon request. Administration of nonprescription medicines at school is discouraged. I, _________________________________, understand that:

x It is my responsibility to purchase and supply all medicines to be given at school. x The Durham Public Schools Board of Education and its employees and agents authorized to administer drugs or

medication prescribed by a doctor upon my written request shall not be liable in civil damages for any administration or for any omission relating to the administration, unless that act or omission amounts to gross negligence, wanton conduct, or intentional wrongdoing.

x Information shared may be in the form of an emergency or individual care plan for my child and may include information provided by my child’s physician, myself, or from records that have been released to the school from another agency.

x Exchange of information will be limited to the minimum necessary to provide the required assistance for my child and will be shared only with those staff who may need to provide the specified assistance for him/her.

x This consent to release information must be signed before my child’s teachers can provide assistance with special medical needs other than notifying parents and providing Emergency Services (911).

x If my child participates in DPS before/after-school activities/sports, I will assume responsibility for notifying the advisor/coach of my child’s medical condition. Since the medication kept by the school is only available during regular school hours, I will provide extra emergency medication that may be needed during the activity. I may contact the school nurse if assistance is needed in instructing the advisor in a medical procedure or if a copy of the information needs to be shared with them.

I, ____________________________, authorize the release and exchange of medical information between my child’s physician, school nurse and Durham Public Schools that is necessary in carrying out services for my child, ___________ _________________________________. I, ____________________________, also hereby give permission for my child _____________________________ to be administered the specified medication indicated by his/her physician on the reverse. I understand that non-medical personnel conduct the administration. If an emergency injection is ordered, I give permission for the School Based Public Health Nurse to instruct designated staff in the administration technique. I understand that it is my responsibility to transport the medication to school unless special arrangements are made with the principal. ____________________________________ ____________________________________ ___________________ Parent/Guardian Signature Contact Information (home/work/cell) Date To be completed by school: Date Received from Parent/Guardian: ____________________________________________ PLEASE IDENTIFY BELOW THE NAMES OF ALL DPS EMPLOYEES DESIGNATED and TRAINED TO ADMINISTER MEDICATION TO STUDENTS IN YOUR SCHOOL. Name ___________________ Title _________________ Name __________________________ Title ____________ Name ___________________ Title _________________ Name __________________________ Title ____________ Name ___________________ Title _________________ Name __________________________ Title ____________ Signature of Principal _________________________________________________________ Date _______________

REQUEST FOR MEDICATION TO BE GIVEN DURING SCHOOL HOURS FORM 1 (page 2) PARENT REQUEST FOR MEDICATION ADMINISTRATION AT SCHOOL/PHYSICIAN’S ORDER

Child’s Name:

DOB:

School Name:

Phone:

Fax:

FOR PHYSICIAN USE ONLY: PLEASE WRITE LEGIBLY USING LAY TERMS

Medication prescribed: Strength/Dose: Specific Directions [Include exact amount to give, at what time and/or how often, relationship to meals, specific indications, e.g. if pm (as needed)]:

Purpose of Medication:

Relationship to meals, if applicable:

How often and at what time (hour):

Specify side effects or adverse reactions:

Other instructions (including emergency situations):

� Please check if this medication is to be used for emergencies only. It is necessary for this student to receive this medication during school hours in order to maintain or improve health and to benefit from school attendance.

Signature of Healthcare Provider Date Telephone Fax

Please print Provider’s last name Practice name/address Parent/Guardian Signature ________________________________________________ Date______________________ FOR SCHOOL USE ONLY: Date Received By: School Nurse Review:

FORM 2 (page 1) AUTHORIZATIONS FOR SELF-MEDICATION BY DPS STUDENTS

This form should be used only when your child will possess and self-administer his/her medication. If school personnel will be administering medication to your child, please request Form 1.

Child’s Name:

DOB:

School Name:

Phone:

Fax:

Eligibility: In accordance with DPS Policy 4400, Student Health/Administration of Medication, students may possess and self-administer non-prescription medication only when a parent/guardian has completed this form. Students may possess and self-administer prescription medications that are not controlled substances only when a parent/guardian and the physician who has prescribed the prescription medication complete this form.

Parent/Guardian: I give consent to the Durham Public Schools to allow my child to self-administer this medicine at school. I understand that my child and I assume responsibility for the proper use and safekeeping of this medicine. I agree that if the medication my child is authorized to self administer is non-prescription, my child shall not bring to school any more than one day’s recommended dosage for each day my child is authorized to self-medicate. If the medication that is prescribed for my child is for the treatment of asthma or anaphylactic reactions, I agree to provide a supplementary supply of the medication that will be kept by the school in a location to which my child has immediate access. I acknowledge that the Durham Public Schools’ Board of Education and their agents and employees are not liable for any injury arising from a student’s possession and self-administration of this medication at school. I agree that if my child uses his/her medication in a manner other than as intended or prescribed, or shares the medication with other students, my child may be subject to disciplinary action according to the discipline policy. I further consent for the information about my child included on this form to be shared with appropriate school staff as necessary for the safety of my child.

Parent/Guardian Signature Date

Please complete if you are authorizing your child to possess and self-administer non-prescription medication.

Medication: Recommended dosage and frequency:

Start date: End date:

FOR PHYSICIAN USE ONLY: PLEASE WRITE LEGIBLY USING LAY TERMS Health Care Provider: The student named above has (1) asthma or an allergy that could result in an anaphylactic reaction and may require emergence medications; or (2) a condition that requires frequent administration of a prescription or non-prescription medication. The medication is not a controlled substance. It is necessary for this student to receive this medication during school hours in order to maintain or improve health and to benefit from school attendance. This student is capable of, has been instructed on the procedures for, and has demonstrated the skill to self-administer this medication as directed below. Please allow him/her to self-administer the medication while on school property during the school day, at school sponsored activities, while in transit to or from school or school-sponsored events, or as otherwise indicated below. This student will not require adult supervision while taking this medication.

Medication prescribed: Strength/Dose:

Purpose of Medication:

Frequency of dosage:

Specify side effects or adverse reactions:

Other instructions (including emergency situations):

� Please check if this medication is to be used for emergencies only.

Signature of health care provider Date Please print provider’s last name Practice name/address

Form 2 (page 2) Student: I am capable of taking this medicine as recommended and accept this responsibility. I will keep it secure at all times and will not share it with others. I understand that I will be subject to discipline under the Student Code of Conduct if I abuse the privilege of being allowed to self-medicate while at school or school-sponsored activities. Unless the medication is prescribed for the treatment of asthma or anaphylactic reactions, I understand that I will lose the privilege of self-administering my medication if I do not follow these rules. Student signature

Date

School Nurse: I have reviewed this request and acknowledge that this student has demonstrated the skill level to self-administer this medication. I have informed this student that he or she must tell and appropriate staff member whenever he or she has used the medication at school.

Nurse or designee signature

Date