Forms

ABSENCE ACCEPTABLE USE POLICY (AUP) AGREEMENT ADMISSIONS REQUEST ANONYMOUS TIP LINE HIGH SCHOOL TRANSCRIPT REQUEST FORM LICENSED SCHOOL THERAPIST APPOINTMENT (Mental Health Counseling) PARENT / STUDENT HANDBOOK RECEIPT PARKING DECAL REGISTRATION SENIOR PERMISSION TO LEAVE CAMPUS STAFF REFERRAL TO SOCIAL WORKER (Mental Health Counseling)

ABSENCE

ACCEPTABLE USE POLICY (AUP) AGREEMENT

Acceptable Use Policy (AUP) Agreement: INTRANET/INTERNET/EQUIPMENT
San Jose Schools (STUDENT)

I understand that the San Jose Schools provides electronic resources, including Internet access and storage space for students’ work, as an integral part of the curriculum. Behavior and language in the use of these resources should be consistent with classroom standards. I agree to the following responsibilities and restrictions:

I will use the electronic resources, including storage space, only for educational purposes related to work in San Jose Schools, and not for any personal, commercial or illegal purposes.
I will use the Internet only with the permission of the staff member in charge.
I will not use games or other electronic resources that have objectionable content or that engage me in an inappropriate simulated activity.
I will not give my password to any other user, nor attempt to learn or to use anyone else’s password, and I will not transmit my address or telephone number, or any personal or confidential information about myself or others.
I will not upload, link, or embed an image of myself or others to non-secured, public sites without my teacher’s permission and a signed parental permission slip.
I will not make statements or use the likeness of another person through website postings, email, instant messages, etc., that harass, intimidate, threaten, insult, libel or ridicule students, teachers, administrators or other staff members of the school community, make statements that are falsely attributed to others, or use language that is obscene.
I will not attempt to access, upload, or transmit material that attacks ethnic, religious or racial groups, or material that is pornographic or explicitly sexual in nature.
I will not violate copyright laws, damage or tamper with hardware or software, vandalize or destroy data, intrude upon, alter or destroy the files of another user, introduce or use computer “viruses,” attempt to gain access to restricted information or networks, or block, intercept or interfere with any email or electronic communications by teachers and administrators to parents, or others.
I will not use, or create for others, any program to interfere with, change, or interact with programs, security settings, systems, or devices that are the property of San Jose Schools and Preparatory Schools and are used for school-related purposes by students, their parents and staff.
I will not imply, directly or indirectly, either publicly or privately that any program or “app” I create is associated with, or a product of, the San Jose Schools and Preparatory Schools, nor will I either directly or indirectly associate any such program with any San Jose Schools logos or images.
I will report any problems to the supervising staff member.
I understand that my use of the school’s computers is not private, and that the school reserves the right to monitor use to assure compliance with these guidelines; violations may lead to revocation of computer access and/or other disciplinary measures.
I understand that the prohibited conduct described above is also prohibited off campus when using private equipment if it has the effect of seriously interfering with the educational process, and that such off-campus violations may lead to disciplinary measures.
I understand that in each classroom I may be assigned a numbered chromebook. Any damage done is my responsibility and the appropriate costs will be paid for accordingly by myself or family. Failure to make just compensation may result in losing technology privileges and withholding of final transcripts.

I understand that the San Jose Schools allow me to bring my own devices such as phones, tablets and computers. In order to be permitted to bring my own device, I agree to the following responsibilities and restrictions:

I will follow all school rules while using my own device on school grounds and I understand that the rules outlined above regarding my use of school computer resources apply to my use of my own device on school property and that rule 11 above applies to my use of my device off school property.
I will not take photos or record video of any student, teacher or administrator unless I have that individual’s express permission to do so.
I will not use my device during class unless expressly instructed to do so by a teacher and I will immediately comply with a directive to turn my device off, to put my device away or to turn my device over to a teacher or administrator.
I understand that my device may be confiscated at any time and that a teacher or administrator may view contents of my device including but not limited to, texts, emails or social media postings, if it appears that I may have used my device in violation of school rules or this Agreement.
I understand that the school is not responsible for theft, damage or loss of my device and I understand that I am not permitted to leave my device at school overnight.

Student's Name *

Grade: *

Student's Signature

Date *

* STUDENTS MAY NOT USE COMPUTERS OR BRING THEIR OWN DEVICES UNLESS THIS AGREEMENT IS SIGNED AND RETURNED TO THE MAIN OFFICE.

Name

ADMISSIONS REQUEST

Admissions / Enrollment Request Form

Parent's Full Name *

Phone *

Email *

How Did You Hear About Us? *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Student Information

Student's Full Name *

Entering Grade *

Previous School *

Student's Full Name #2

Entering Grade

Previous School (copy)

Parent or Guardian Signature *

Date *

Name

ANONYMOUS TIP LINE

HIGH SCHOOL TRANSCRIPT REQUEST FORM

High School Transcript Request Form

Student Name *

Birthdate *

Graduation Year *

Email Address *

Current Phone # *

Transcript(s) Type *

UNOFFICIAL
OFFICIAL

Choose Delivery Option *

Mail
Other
I will pick up.

**Please allow 48 hours to locate your transcript and process your request**

Signature *

I authorize San Jose Preparatory High School to release my transcript(s) as requested above.

Comment

LICENSED SCHOOL THERAPIST APPOINTMENT (Mental Health Counseling)

PARENT / STUDENT HANDBOOK RECEIPT

Acknowledgment of Receipt of Parent / Student Handbook

We acknowledge that we have received a copy of the San Jose Schools Parent-Student Handbook. We understand that it contains important information on policies and procedures. We realize this handbook is not intended to cover every situation which may arise but is simply a general guide to refer to.

We understand that is it our responsibility to familiarize ourselves with the information and that we agree with the policies and rules of the school.

We further understand and acknowledge that San Jose Schools may change, and or delete any policies or provisions in this handbook as it sees fit in its sole judgment and discretion.

We acknowledge and understand that this Student-Parent Handbook supersedes and replaces any and all prior handbooks or materials previously distributed.

Student Name *

Student Grade *

Student Email *

Parent Name *

Parent Email *

Comment

PARKING DECAL REGISTRATION

SENIOR PERMISSION TO LEAVE CAMPUS

Senior Permission To Leave Campus for Lunch

San Jose Preparatory High School

I hereby give permission for my son/daughter to leave the campus of San Jose High School during the lunch period.

IMPORTANT NOTICE: If a student does not return to school after lunch their absence will be recorded as truancy and will not be able to be cleared with a parent note.

I understand there is no school supervision off-campus. I release San Jose Preparatory High School from all liability during the lunch period when my son/daughter is off-campus. I understand that permission to leave campus at lunch may be revoked by San Jose Preparatory High School if the behavior of my son/daughter is not satisfactory. I also understand that permission to leave campus may be revoked if tardiness becomes a problem.

Student Name *

Parent Name *

Date *

Message

STAFF REFERRAL TO SOCIAL WORKER (Mental Health Counseling)