Welcome to Roosevelt Elementary School! I am looking forward to a great year. Our theme this year is Reach For The Stars.

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1 August 2011 Dear Roosevelt Parents; Welcome to Roosevelt Elementary School! I am looking forward to a great year. Our theme this year is Reach For The Stars. Please do the following; 1. Print this packet 2. Please take time to read through all of the information. 3. Separate the papers that you return and those that you need to keep at home. 4. All forms are due back by Friday, August 26, Feel free to return your forms and all of your school supplies on Meet Your Teacher day or the first day of school. You will be receiving a bi-weekly newsletter that will have a new look there will be one newsletter created in collaboration with the school, Dad s Club and Parent Teacher Association. Our biweekly newsletter, THE ROOSEVELT CHARGE, will be available electronically. We are joining efforts with the Dad s Club and the Parent Teacher Association to communicate with one newsletter instead of three. Our goal is to streamline and simplify the information that may have been confusing in the past. The ROOSEVELT CHARGE will also be posted on our website. If you do not have internet access, please fill out the request form for a paper version of the bi-weekly newsletter; THE ROOSEVELT CHARGE. We will publish our newsletter on the first and third Friday of each month. I encourage you to post the newsletter, calendars and access the website for all information that is posted to be at your fingertips.

2 FORMS INFORMATION AND PROCEDURES INFORMATION AND FORMS THAT WILL COME HOME ON THE FIRST DAY OF SCHOOL EMERGENCY INFORMATION CARD Emergency cards come home with all students on the first day of school. This card is our link to you while your child is in school. Check the information that is printed on the card and make changes if needed. We cannot stress enough the importance of being able to contact you in the event of an emergency. Only those individuals listed on this emergency card will be able to sign out and pick up your child. Feel free to add additional names/phone numbers and please sign the bottom of the card. The adult that signs the card is the only person permitted to make adjustments to the card at a later date. If your information should change, please come to school ASAP to update to ensure that we can locate you. We are not allowed to take the information over the phone to change the card information. HCPS PARENT/ STUDENT HANDBOOK This book will come home on the first day of school with all children. It provides valuable information concerning policies/procedures of our school district. Please take time to read through it and familiarize yourself with its contents. The students need to be aware of the Code of Conduct that is enforced by Hillsborough County Public Schools. FLORIDA KIDCARE HEALTHCARE/INSURANCE INFORMATION This information will come home on the first day of school with all children. STUDENT NUTRITION MEAL APPLICATION BUS TRANSPORTATION & MUTUAL RESPONSIBILITIES Most children at Roosevelt will ride the school bus at some point during the school year for field trips. Review the letter and responsibilities with your child. Riding the bus is a privilege. FORMS INCLUDED IN THIS DOCUMENT TO RETURN S.E.R.V.E./VOLUNTEER APPLICATION (Print 2 copies)

3 Our volunteer program is probably one of the finest in all Hillsborough County. Our volunteers are special and very much appreciated throughout the year. All adults planning to volunteer at our school in any capacity, including field trip chaperones, you must complete the S.E.R.V.E. Volunteer Application Form. THIS FORM MUST BE FILLED OUT ANNUALLY. INTERNET EXCLUSION FORM Students at Roosevelt access the Internet as part of their studies, with adult supervision. If you want to EXCLUDE your student, you will need to sign this form. Hillsborough County does monitor and filter the internet to keep all students safe. FIELD TRIP / PHOTOGRAPHY & VIDEO PERMISSION FORM These forms are standard permission forms for Hillsborough County students to participate in school field trips and to have permission for photos or videos to be included in any school publications, productions, or for use by the general news media. FUNDRAISING FORM The schools depend on fundraising to enhance the curriculum and to support the school improvement plan. We appreciate your support throughout the year. All families are encouraged to participate in our fundraisers sponsored by the school and Parent Teacher Association (PTA), which will occur throughout the year. For the safety of your child, we ask that students not go door to door. Some families prefer to make a donation to the school or the PTA instead of buying products. The following fundraisers will be held to raise the needed funds for the school year; 1. The PTA does one fundraiser; an Auction and Annual Giving Campaign. 2. The school will have an ongoing fundraiser, Around The Town (coupons for South Tampa Restaurants) and a cookie dough sale. All proceeds for fundraisers go to the school to enhance our programs and technology. This year, our goal is to increase our technology, provide teacher training and to have a mural created in our cafeteria. MEDICAL INFORMATION FOR OUR P.E. PROGRAM As our physical education specialist will serve all of the children in grades K-5, it is important that we have all available medical background information on your child. Return the following forms to your child s teacher by Friday, August 26, 2011 Updated: Signed Emergency Card Bus Rider Mutual Responsibilities S.E.R.V.E. Volunteer Application SNS Meal Form Internet Exclusion Form Student Transportation information card Field Trip Permission Form Video Permission Form

4 Rainy Day Student Plan Fundraising Policy Medical Information for P.E. Department Request for a paper version of the school newsletter (THE ROOSEVELT CHARGE) address for communication INFORMATION ITEMS-READ ONLY DAYCARE PROVIDERS ARRIVAL AND DISMISSAL PROCEDURES ROOSEVELT PARENT HANDBOOK This document outlines critical policies and procedures of Roosevelt SCHOOL CALENDARS-Posted in School and District Web pages EARLY RELEASE MONDAYS-Students will be released at 1:15 every Monday for teacher planning and Professional Learning Community work. We will need your cooperation in ensure that all children know their method of transportation home. Please mark your calendars now with these very important times. You will find the school calendar for posted on our website as well as the Hillsborough County Public Schools site. Parent Teacher Association AND Dad s Club information see school web page for information

5 Hillsborough County Public Schools Volunteer Application Please complete application fully, and return to: ROOSEVELT ELEMENTARY SCHOOL School Mail Route #6 Big Brothers Big Sisters of Tampa Bay Hillsborough Education Foundation SERVE LEGAL Name Last First Middle Name (Not initial) Maiden Name Home Address Number and Street City State Zip Previous address if less than 5 years Name & Address of Employer How long? How long? Telephone (Home) (Business) (Fax) Address Social Security No. Date of Birth Occupation Do you have a student in Hills.Co schools? School(s) Grade(s) Teacher(s) Are you a student? Yes No School: Gender Ethnic Origin (Optional) Volunteer Category Female African American Tutor Classroom Helper Male Hispanic Chaperone Day Other: Caucasian White Chaperone Overnight Marital Status Asian/ Pacific Islander Mentor* Married American Indian/Alaskan Native Single Other School you prefer: Grade level you prefer: Widowed Separated Highest Level of Education Completed: Special skills, languages or hobbies: I understand that I am offering my services to the Hillsborough County School System without compensation. I certify that all information given on this application is true and complete. Any misrepresentation, omission or incorrect statement of facts called for in this application is cause for immediate dismissal of me as a volunteer. I agree, if I am a volunteer, to abide by all school board rules, regulations and policies, either published or in effect by usage and all rules, regulations and laws of the State of Florida as may be required by Florida Statues and the School Board of Hillsborough County. Have you ever been convicted, pled no contest, or had adjudication withheld in a criminal offense, felony, misdemeanor or are there any criminal charges now pending against you other than a minor traffic violation? Yes No If Yes, Please provide a brief explanation on a separate sheet of paper. Would you agree to an employer/criminal background check? Yes No SIGNATURE OF VOLUNTEER APPLICANT: DATE S:\Forms\Registration Page 1-Rev 04.doc

6 Distrito Escolar del Condado de Hillsborough Solicitud de Inscripción en el Programa de Voluntarios Por favor, llene esta solicitud y devuélvala a la escuela en donde usted se ofrece a voluntar. Spanish translation SERVE Volunteer Application SOP Date Initial HCSO Date Initial DOC Date Initial SERVE Big Brothers Big Sisters de la Bahía de Tampa Hillsborough Education Foundation Nombre Apellido Nombre Segundo nombre (no la inicial) Nombre de soltera Dirección Por cuánto tiempo? Número y calle Ciudad Estado Código postal Dirección anterior, si en la última vivió por menos de cinco años Nombre y dirección del empleador Por cuánto tiempo? Teléfono (de la casa) (Fax) (del trabajo) (Dirección del correo electrónico) Núm. de Seguro Social Fecha de nacimiento Ocupación Tiene usted algún hijo(a) en las escuelas del condado de Hillsborough? Escuela(s): Nombre de estudiante Grado(s) Maestro/a(s) Es usted un estudiante? Sí No Escuela: Género Origen étnico (opcional) Categoría de voluntario Femenino Afroamericano Tutor Ayudante en el salón de clase Masculino Hispano Acompañante Dia Caucásico/blanco Acompañante Durante la noche Asiático/de Islas del Pacífico Mentor * Otro: Estado civil Indio americano/nativo de Alaska Casado Otro Escuela que prefiere: Grado que prefiere: Soltero Viudo Separado Nivel educativo logrado: Destrezas especiales, idiomas o pasatiempos: * Si indicó mentor, por favor llene la página 2. Comprendo que estoy ofreciendo mis servicios al Sistema Escolar del Condado de Hillsborough sin compensación alguna. Certifico que toda la información dada en esta solicitud es verdadera y completa. Cualquier alteración, omisión o expresión incorrecta malintencionada de datos declarados en esta solicitud es motivo para rechazar o terminar mis servicios como voluntario. Estoy de acuerdo, si soy aceptado como voluntario, en cumplir todas las reglas, regulaciones y normas de la Junta Directiva Escolar, ya sea que hayan sido publicadas o estén en vigor por su uso, así como todas las reglas, regulaciones y leyes del estado de Florida, como sea requerido por los Estatutos de Florida y la Junta Directiva Escolar del Condado de Hillsborough. Ha sido usted alguna vez sancionado, se ha declarado nolo contendere (no respuesta), o ha sido acusado de cualquier crimen, delito u ofensa menor de caráter criminal, o existe algún cargo en estos momentos pendientes contra usted de cualquier otro tipo que no sea una violación menor de tráfico? Sí No En caso positivo, por favor redacte una breve explicación en una hoja de papel aparte. Aceptaría una revisión de sus antecedentes laborales/penales? Sí No FIRMA DE QUIEN SE OFRECE COMO VOLUNTARIO: FECHA Solicitud de inscripción en el programa de voluntarios

7 School District of Hillsborough County Internet Exclusion Request Student Name: School Name: Student Number: I (we) are requesting that the above named student NOT be allowed to directly access the Internet while in school. I understand that if he/she attempts to access the Internet on his/her own, they will be subject to disciplinary action at the school. Parent: Date Please return this signed form to your child s homeroom teacher.. (office use only) Date received Received by

8 SCHOOL DISTRICT OF HILLSBOROUGH COUNTY ROOSEVELT ELEMENTARY FIELD TRIP FORM Field trips are considered an integral part of each child s learning. It is required that your child have a signed permission slip to participate and go on a field trip. In the event your child fails to bring field-trip permission back to school at the time of a field trip, this form will allow us to let your child go on the trip. We will attempt to contact you by phone to alert you to the use of this form in such an emergency. Please sign this form below giving your child permission to go on class field trips. You will continue to be notified of specific information and sent permission slips concerning each trip. Yes, my child may go on school field trips and this form may be used in the event of a forgotten permission form. No, my child may not go on school field trips unless the current permission form is used. Student Name: Teacher: Parent Signature: Date: SCHOOL DISTRICT OF HILLSBOROUGH COUNTY ROOSEVELT ELEMENTARY PHOTOGRAPH/VIDEO CONSENT FORM Roosevelt Elementary will be in the spotlight during the year. We often take pictures of our variety of activities. Sometimes these photos are used for slide presentations, media releases to the press or on our school TV newscast. Pictures and videos are released in accordance with Hillsborough County School Policy. We need your permission to photograph or film your child. Please sign this form and return it to your child s teacher. Yes, my child may be photographed or videotaped for public information. No, my child may not be photographed or videotaped for public information. Student Name: Teacher: Parent Signature: Date: Cl/fieldtrip/photo consent form-7/21/2003

9 SCHOOL DISTRICT OF HILLSBOROUGH COUNTY ROOSEVELT ELEMENTARY RAINY DAY PLAN It is necessary that you have a clear and definite understanding with your child as to what he/she is to do in the event of rain at dismissal. The rainy day plan for my child is: (please check one). Walkers: 1. We will come for our child. 2. My child should come home in the rain. 3. Other: (Please state) Bicycle Riders: 1. We will come for our child and pick up his/her bike later. 2. Our child should ride home in the rain. 3. Other: (Please state) Note: We cannot be responsible for bicycles left overnight. Student Name: Teacher: Parent/Guardian Signature: Dear Parents: SCHOOL DISTRICT OF HILLSBOROUGH COUNTY ROOSEVELT ELEMENTARY FUNDRAISING POLICY Throughout the year, our school may participate in several fundraising activities. The money raised from these activities will be used to implement the Roosevelt Elementary School Improvement Plan as well as provide resources for our educational programs. There are fundraising activities sponsored by the school, the PTA and the Dad s Club. The money raised supportive of the educational needs of all students attending the school. Donations are accepted as well. To promote the safety of all children, the School District of Hillsborough County policy does not allow door to door selling. We feel that it is important that the school and home work together to ensure the safety of every child. Please notify your child s teacher if you do not want them to participate in the school and/or PTA fundraising activities. Student Name: Teacher: Parent Signature: Date:

10 ROOSEVELT ELEMENTARY PHYSICAL EDUCATION HEALTH FORM Dear Parents: To assist us in working with your child this school year, please complete and return this survey to your child s teacher. Student s Name Date of Birth Student s Teacher Room # Parent or Guardian Emergency Phone # Home Work Cell My child has no known health problems. I would like you to know these things about my child. 1. My child has asthma or other breathing problems. 2. My child has an allergy. 3. My child has a heart problem. 4. My child has had a broken bone. 5. My child has had an operation. 6. My child has vision or hearing problems. 7. My child has sickle cell anemia. 8. My child takes medication for a continuous health problem. 9. My child has seizures. 10. Other: If any of these are checked, please explain on the back of this survey. Also, add any other information that you think would be helpful to us in working with your child. Remember, if your child needs to be excused or restricted from physical education activities, we will need a note from you. If they are excused for more than one week, we will need a note from the doctor. Please encourage your child to wear tennis shoes during physical education class. If you need further information, feel free to call the school. Ms. Denise Abrams P.E. Coach

11 Request for a paper copy of the Roosevelt Charge Name: Student Name: Teacher:

12 Please provide an address to receive The Roosevelt Charge and other parent communicated information throughout the year. Address Student Name Teacher

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