August 2011 Seniors: 7:30 – 9:30 am

August 2011
Registration
August 17th
Seniors: 7:30 – 9:30 am
Juniors: 10:00 – 12:00 pm
Sophomores: 12:45 – 3:00 pm
August 18th
Freshmen: 11:30 – 3:00 pm
All grades: 4:00 – 7:00 pm
Fines
Please make sure all fees/fines are paid before the registration process.
Registration Information
(click on the links after the bullets OR scroll through the 100+ pages)
NEW Students Registration Information
• Principal’s Welcome Letter (English/Espanol)
• CSD’s Google Apps for Education Student Account
Information
• Registration form (English/Espanol)
• CHS Bell Schedule
• Race and Ethnicity Data Collection form
• CHS Bus Stop List 2011-2012 (subject to change-updated
(English/Espanol)
• Home Language Survey (English/Espanol)
• Direct Service to Families & Children in Transition form
• Link Crew Information (freshmen and new students)
Other Registration Information (All students)
• Registration Information Sheet (English/Espanol)
• Registration Fee Sheet (English/Espanol)
• Registration Map
• Lifetouch Picture Information
• Webstore
Athletics
• CHS Sports and Activities Information
• Athletic Physical Exam Information
• Pre-Participation Examination Form
• Boosters’ Kickoff Flyer
Other
• CSD Calendar for 2011-2012 (English/Espanol)
• Student Handbook
• Parent Internet Access/Deny Form
7.29.2011)
• Free/Reduced Lunch Information/Application
(English/Espanol)
• ASPIRE
• Yearbook Picture Information
• GAP (Graduation All-Night Party) & waiver
• Medication letter from the District Nurse
(English/Espanol)
• Math calculator information
NOTE: ALL Canby High School students will be required
to pay for an ID card: $35.
The Main Office Hours are 8:00 am – 3:00 pm.
Counselors will be available during Registration.
Students will not receive Supply Lists until the first
week of school from individual teachers. General
supplies encouraged are: binder with dividers,
college-ruled paper spiral notebooks, pens, and
pencils.
Questions? Call the main office at 503.263.7200.
1
Home of the Cougars
July 2011
Dear Students, Parents or Guardians,
I hope this correspondence finds you enjoying summer activities. I am excited about the beginning of school and look
forward to having the opportunity to build positive relationships with each of you. At Canby High School we have many
talented, committed and caring staff that believe all students can learn and succeed. Student achievement and safety
are our highest priorities.
This is the first of only two correspondences to be mailed this summer. All other correspondence will be through my
weekly electronic Parent listserv and the required grade/progress reporting. Parents are strongly encouraged to join the
Principal’s Parent listserv. I send weekly correspondence that includes the weekly schedule and other pertinent
information to parents and the community at large. To join the Parent listserv go to the CHS webpage:
www.canbyhs.canby.k12.or.us/ and click on the link “subscribe/unsubscribe to the Parent listserv” under the heading
Principal’s Corner.
Canby High School will look and feel different next year. The economic times have forced us to reduce staff and cut
classes; and graduation requirements continue to be phased in. The class of 2012 must for the first time pass the
Reading State Assessment test in order to graduate. This is a critical time for students, parents and staff. Teachers will
continue to meet in collaborative teams each Wednesday morning during our weekly late starts. Collectively we are
striving to improve your student’s achievement by focusing our instruction on developing “Creative and Critical Thinkers”
through specific questioning strategies.
New this year will be an afterschool intervention program specifically focused on those freshmen students who are
struggling academically with the increased rigor of high school. In short, this program will be required for any and all
freshmen that are failing one or more classes at the mid-trimester progress-reporting period. Students identified will
remain in an after-school study hall/skills session from 2:50 – 5:00 pm on Tuesday and Thursday afternoons. Those
freshmen will be able to get assistance from CHS teachers and transportation will be provided. More specific
information will be shared on this “new” CHS intervention program at the fall Parent meeting scheduled for Monday,
th
September 26 at 7:00 pm in the Richard R. Brown Fine Arts Center.
Registration this year will occur in three phases. Phase one: the registration packet you received with this letter
includes important registration documents that you can mail back or drop off at the office. Students may pay their fees
by check or at the CHS webstore for a 6% convenience fee. I strongly encourage students to complete this process by
August 12 to expedite phase three. Phase two: the student verification form will be mailed in early August. This form
will need to be reviewed, signed and returned to the office, we must receive each of these forms from ALL students.
Phase three is most important. Phase three: On August 17 and 18, all students are requested to report to the “new”
Fourth Street Center at designated times (see below) to complete the registration process. This phase includes getting
your locker assignment, student body card, taking school pictures, registering your vehicle if you drive to school, and
possibly picking up your student’s schedule. Academic Counselors will be available during this time. Students who did
not complete the mail-in registration process can do so at this time.
August 17
Seniors
Juniors
Sophomores
7:30 – 9:30 am
10:00 – 12:00 noon
12:45 – 3:00 pm
August 18
Freshmen
All grades
11:30 am – 3:00 pm
4:00 – 7:00 pm
On behalf of the faculty and administrative team, I want you to know we are committed to doing everything we can to
make this school year both successful and memorable.
Working Together for a Positive Education,
Pat Johnson
Principal
Canby High School- 721 SW Fourth Ave.- Canby, OR 97013-3999 - Office: 503-263-7200 - Fax: 503-263-7212
Pat Johnson, Principal (503 263-7201)
Dennis Burke, Associate Principal-Athletics (503 263-7204)
Kimie Carroll, Associate Principal (503 263-7203) John Ogden, Associate Principal- Activities (503 263-7202)
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2
3
4
Casa de los Pumas
Julio del 2011
Estimados Estudiantes, Padres o Tutores,
Espero que al recibir esta carta se encuentren disfrutando de las actividades de verano. Estoy emocionado por el comienzo de las
clases y espero tener la oportunidad de desarrollar una amistad positiva con cada uno de ustedes. En la Escuela Preparatoria de
Canby tenemos mucho personal talentoso, comprometido y comprensivo que cree que todos los estudiantes pueden aprender y
tener éxito. El éxito y la seguridad de los estudiantes son nuestras mayores prioridades.
Ésta es una de las dos correspondencias que se enviarán este verano. Toda la demás correspondencia y el requerido informe de
calificaciones/progreso académico se harán por medio de mi correo electrónico semanal. Animamos a los padres a que se inscriban
para recibir correos electrónicos de parte del Director. Yo mando un correo electrónico cada semana que incluye el horario semanaI
y otra información importante a los padres y comunidad en general. Para recibir correos electrónicos vaya a la página Web de la
Escuela Preparatoria de Canby en: www.canbyhs.canby.k12.or.us/ y haga click en el vínculo “subscribe/unsubscribe to the Parent
listserv” bajo el título Principal’s Corner.
La Escuela Preparatoria de Canby se mirará y se sentirá diferente el próximo ciclo escolar. La situación de la economía nos ha
forzado a reducir nuestro personal escolar y a eliminar clases; y los requisitos para la graduación continúan siendo introducidos
paulatinamente. La generación del 2012 debe por primera vez aprobar la Evaluación Estatal de Lectura para poder graduarse. Éste
es un tiempo crítico para los estudiantes, padres y el personal escolar. Los maestros continuarán reuniéndose semanalmente con
sus grupos de colaboración cada miércoles en la mañana durante nuestro comienzo tarde de clases. Todos juntos nos esforzaremos
por mejorar el logro académico de su estudiante enfocando nuestra enseñanza en el desarrollo de “Pensadores Creativos y
Analíticos” por medio de estrategias inquisitivas específicas.
Este año tendremos un programa de intervención nuevo que se enfoca especialmente en aquellos estudiantes del noveno grado
quienes están teniendo dificultades académicas debido al alto rigor de la escuela preparatoria. En pocas palabras, este programa
será requerido para cualquier o todos los estudiantes del noveno grado que no estén pasando una o más clases a mediados del
primer trimestre durante el periodo del informe del progreso estudiantil. Los estudiantes identificados se quedarán en un salón de
estudios/sesión de habilidades después de las clases de las 2:50 a las 5 p.m. los martes y jueves por la tarde. Estos estudiantes
podrán recibir ayuda de parte de los maestros de la Escuela Preparatoria de Canby y se proveerá el transporte. Se compartirá más
información específica sobre este programa de intervención nuevo de la Escuela Preparatoria de Canby durante la junta de Padres
en el otoño programada para el lunes, 26 de septiembre a las 7:00 p.m. en el Centro de Bellas Artes Richard R. Brown.
Las inscripciones de este año se llevarán a cabo en tres partes. La fase número uno: el paquete de inscripción que recibirán con
esta carta incluye documentos importantes de inscripción, los cuales ustedes pueden enviar de regreso a la escuela por correo o
pueden pasar a dejarlos a la oficina de la preparatoria. Los estudiantes pueden pagar sus cuotas con un cheque o en la Tienda por
Internet de la Escuela Preparatoria de Canby con un cargo de 6% por usar este servicio. Les recomiendo mucho a los estudiantes
que completen este proceso antes del 12 de agosto porque acelerará el proceso de la fase número tres. Fase número dos: el
formulario de verificación del estudiante se mandará a sus casas a principios de agosto. Estos formularios necesitan ser revisados,
firmados y regresados a la oficina de la escuela, tenemos que recibir cada uno de estos formularios de parte de TODOS los
estudiantes. La fase número tres es la más importante. Fase número tres: El día 17 y 18 de agosto, todos los estudiantes se
reportarán al “nuevo” Centro de la Cuarta Calle durante el horario designado (vean abajo) para proceder con el proceso de
inscripción. Esta fase incluye recoger la asignación de un casillero, la tarjeta de identificación estudiantil, la toma de fotografía del
estudiante, el registro de su carro si es que maneja a la escuela, y posiblemente, recoger el horario de clases de su estudiante. Los
consejeros académicos de la escuela estarán disponibles durante este tiempo. Los estudiantes que no llenaron y mandaron por
correo sus formularios de inscripción pueden hacerlo en este momento.
17 de agosto
vo
Estudiantes del 12 grado
vo
Estudiantes del 11 grado
mo
Estudiantes del 10 grado
7:30 - 9:30am
10:00 - 12:00 mediodía
12:45 - 3:00pm
no
18 de agosto Estudiantes del 9 grado
Cualquier grado
11:30 - 3:00 pm
4:00 - 7:00 pm
.
En nombre del personal y del equipo administrativo, quiero dejarles saber que estamos comprometidos a hacer todo lo que podamos
para hacer este ciclo escolar exitoso y memorable.
Trabajando juntos para una educación positiva,
Pat Johnson
Director
Escuela Preparatoria de Canby - 721 SW Fourth Ave.- Canby, OR 97013-3999 - Oficina: 503-263-7200 - Fax: 503-263-7212
Pat Johnson, Director (503-263-7201)
Kimie Carroll, Subdirectora (503-263-7203)
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TR3080 BS/VM 3080 esp-Principal’s summer letter-2011
Dennis Burke, Subdirector – Deportes (503-263-7204)
John Ogden, Subdirector – Actividades - (503-263-7202)
Last printed 8/1/2011 9:56:00 AM
5
Page 1 of 1
CANBY SCHOOL DISTRICT REGISTRATION INFORMATION
CHECK IF: ! New to this school district
OFFICIAL USE
Current Grade
Teacher/Team
Last School Attended
Date Registered
DOB Verification
Last School Address
! Address has changed since last year
! Phone has changed
Current Grade
City
State
Zip
Immunizations
Date Enrolled
Bus #
Student ID
SSID#
Has the student received any of the following additional services?
! TAG
! IEP
! Title 1A
! ESL/Bilingual Classes
! 504
! Other ______________________________________________
! Alternative School/Program
STUDENT INFORMATION
Student’s Legal Last Name
Legal First Name
Student’s Home Phone
–
! Female
! Male
–
Student’s street address, city, zip code
Complete both Section 1 and Section 2:
1) Ethnicity:
Is this student Hispanic or Latino? ! Yes ! No
Language spoken (check those that apply):
English
Spanish
Student
_______
_______
Middle Name
Birth Country
Birth State
If born outside US, date of arrival to U.S.
/
/
/
(mo/day/year)
(mo/day/year)
Mailing address, city, zip code (if different)
Proof of address (if requested)
District Resident?
! Yes
! No
Date of Birth
/
2) Race: (mark all categories that apply)
! American Indian/Alaskan Native ! Asian ! Black ! White ! Native Hawaiian/Pacific Islander
Office
Use Only
Federal regulations require this information. If race fields are left blank, school staff must select for you.
OID !
At Home
_______
_______
Correspondence Interpreter?
_______
_______
_______
_______
Russian
Other __________
Student
_______
_______
At Home
_______
_______
Correspondence Interpreter?
_______
_______
_______
_______
PARENT/GUARDIAN INFORMATION
PARENT/GUARDIAN #1
Custody !
Last Name
Student lives
with:
Call first in case of emergency !
First Name
M.I.
Relationship to Student
Street Address (if different than student)
Home Phone
City
State
Cell/Pager #
Unlisted !
Work Phone
Legal
Legal
Guardian Custodian
Both Parents
Willing to volunteer?
! Yes
! No
Zip Code
Email
Father
Mother
Guardian
Place of Employment
Would you like to receive communications periodically (such as surveys, newsletters, and other related information)
from the District through email? ! Yes
! No Comment:
Have you or a member of your family worked or sought work in agriculture, nurseries, forestry, or fishing in the past three years?
! Yes
! No
Stepfather
PARENT/GUARDIAN #2
Relative
Custody !
Last Name
First Name
Street Address (if different than student)
M.I.
City
State
Cell/Pager #
Unlisted !
Stepmother
Call second in case of emergency !
Relationship to Student
Home Phone
Check if
Applies
Grandmother
Willing to volunteer?
! Yes
! No
Zip Code
Email
Grandfather
*Other
* Please specify or comments:
Place of Employment
Work Phone
Would you like to receive communications periodically (such as surveys, newsletters, and other related information) from the District through email?
Comment:
! Yes
! No
SIBLING(S) INFORMATION
1. Sibling Name (if living at home)
School
Grade
3. Sibling Name (if living at home)
School
Grade
2. Sibling Name (if living at home)
School
Grade
4. Sibling Name (if living at home)
School
Grade
Continue registration information on reverse side of this form
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6
EMERGENCY CONTACT INFORMATION
Call First (after parent/guardian) – ! May pick up child
Call Second – ! May pick up child
Last Name
First Name
Relationship
Home Phone
-
Language Used (if other than English)
! Spanish
! Russian
Unlisted !
First Name
Relationship
Home Phone
-
Language Used (if other than English)
! Spanish
! Russian
! Other
Address
Last Name
City/Zip
! Other
Address
City/Zip
Work Phone
Place of Employment
Work Phone
Place of Employment
Cell/Pager #
Comments
Cell/Pager #
Comments
Call Third – ! May pick up child
Call Fourth – ! May pick up child
Last Name
First Name
Relationship
Home Phone
-
Language Used (if other than English)
! Spanish
! Russian
Unlisted !
Last Name
First Name
Relationship
Home Phone
-
Language Used (if other than English)
! Spanish
! Russian
! Other
Address
Unlisted !
City/Zip
Unlisted !
! Other
Address
City/Zip
Work Phone
Place of Employment
Work Phone
Place of Employment
Cell/Pager #
Comments
Cell/Pager #
Comments
CHILDCARE INFORMATION
Goes to Childcare
! Before school ! After school
Sitter name
Address
Phone
Days at sitter
! M ! Tu ! W ! Th ! F
Notes
! Childcare provider may pick up child
STUDENT MEDICAL INFORMATION
Doctor name
Doctor Phone
Dentist Name
Dentist Phone
Allergies or Health Conditions
Life Threatening
!
Allergies or Health Conditions
Life Threatening
!
I, the parent/guardian, give permission to
the school to transport my child to a
medical facility in case of emergency:
! Yes
! No
List medicines needed at school (medicine(s) dispensed at school require a written request from family doctor)
PERMISSIONS AND AUTHORIZATIONS
The student’s use of the Internet is subject to the
Acceptable Use of the Internet, IIBGA-AP, which is
published annually in the Students’ Rights &
Responsibilities Handbook provided to all Canby School
District students.
In case of serious illness, accident or other emergency
involving the student, the school will send the student to
the preferred hospital specified above. If no hospital
specified, then to the nearest hospital.
Parent Signature
*Directory information is the student name, major field of study,
participation in officially recognized activities and sports, weight and
height of athletic team members, dates of attendance, degrees and
awards received, the most recent school attended and student
picture or likeness.
I DO NOT want personally identifiable information** about my child
used in:
! TV/Radio
! Newspaper ! Student Directory
! Web Site
! Yearbook
**Board Policy JOA, JOB
HIGH SCHOOL ONLY: I DO NOT want my
child’s name, address, phone number released
to:
! Military Recruiters
! College/University Recruiters
The No Child Left Behind Act of 2001 requires
districts to provide upon request the names,
addresses and phone numbers of juniors and seniors
to military recruiters and colleges or universities. If
you do not want the school district to provide
information about your student to either the military or
colleges or universities, you have the opportunity to
‘opt out’ In order to do so, you must check next to one
or both of the categories
(Military/College/Universities) above.
Date
Meeuwsenc/District/Forms/RegK-12_04-30-10
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7
INFORMACIÓN DE INSCRIPCIÓN DEL DISTRITO ESCOLAR DE CANBY
MARQUE SI: ! Es nuevo en este distrito escolar ! Cambió su domicilio en el último año ! Cambió su número de teléfono
USO OFICIAL
Current Grade
Teacher/Team
Escuela anterior
Grado Actual
Date Registered
DOB Verification
Domicilio de la escuela anterior
Ciudad
Estado
Código Postal
Immunizations
¿Ha recibido el alumno alguno de los siguientes servicios adicionales?
Date Enrolled
Bus #
Student ID
SSID#
! Escuela/Programa Alternativo
! TAG (Niños Talentosos y Dotados)
! IEP
! Título 1A
! Clases de Inglés/Clases Bilingües
! 504
! Otro__________________________________________
INFORMACIÓN DEL ALUMNO
Apellido legal del alumno
Nombre legal
Segundo nombre
Fecha de nacimiento
Estado donde nació País de nacimiento
/
/
(mes/día/año)
Dirección, ciudad, código postal del alumno
Domicilio para el correo, ciudad, código postal (si es
diferente)
Tel. de casa del alumno
–
–
! Femenino
! Masculino
Complete ambas Sección 1 y Sección 2:
1)Etnicidad:
Es el alumno Hispano o Latino ! Sí ! No
Fecha de llegada a EE. UU. si nació fuera de EE. UU.
/
/
(mes/día/año)
Prueba de domicilio (si
¿Residente del distrito?
es solicitada)
! Sí
! No
2)Raza: (marque todas las categorías que aplican)
Office
Use Only
! indio nativo americano/nativo de Alaska ! Asiático ! Negro o afro-americano ! Blanco ! Nativo de Hawaii/de las Islas del Pacífico
Las regulaciones federales requieren esta información. Si las áreas de raza se dejan en blanco, el personal escolar debe seleccionar por usted.
Lenguajes hablados (marque los que aplican): Alumno
Inglés
_______
Español
_______
En Casa
_______
_______
Correspondencia ¿Intérprete?
_______
_______
Ruso
_______
_______
Otro _________
OID !
Alumno
En Casa Correspondencia ¿Intérprete?
_______ _______ _______
_______
_______ _______ _______
_______
NFORMACIÓN DEL PADRE/TUTOR
PADRE/TUTOR #1
El estudiante
vive con:
Custodia ! Llamar primero en caso de emergencia !
Apellido
Inicial del
segundo nombre
Nombre
¿Dispuesto a servir como voluntario?
Parentesco con el alumno
Domicilio (si es diferente del alumno)
Ciudad
Teléfono de casa No está en el directorio !
Número celular/localizador
Teléfono del trabajo
Lugar de trabajo
! Sí
! No
Estado
Código postal
Marque si
aplica
Tutor
Legal
Custodia
Legal
Ambos
padres
Padre
Madre
Correo electrónico
Tutor
¿Quisiera recibir información por correo electrónico (tales como encuestas, boletines, y otra información relacionada) del Distrito?
Padrastro
! Sí
! No Comentario:
¿Ha trabajado o buscado trabajo usted o un miembro de su familia en la agricultura, viveros, ciencia forestal, pesca en los últimos 3 años? Madrastra
! Sí
! No
PADRE/TUTOR #2
Pariente
Custodia ! Segundo en ser llamado en caso de emergencia !
Apellido
Inicial del
segundo nombre
Nombre
¿Dispuesto a servir como voluntario?
Parentesco con el alumno
Domicilio (si es diferente del alumno)
Ciudad
Teléfono de casa No está en el directorio !
Número celular/localizador
Teléfono del trabajo
Lugar de trabajo
! Sí
! No
Ciudad
Código postal
Correo electrónico
¿Quisiera recibir información por correo electrónico (tales como encuestas, boletines, y otra información relacionada) del Distrito?
Comentario:
Abuela
Abuelo
*Otro
*Por favor especifique o comentarios:
! Sí
! No
INFORMACIÓN DE HERMANO(S)
1. Nombre del hermano/a (si vive en casa)
Escuela
Grado
3. Nombre del hermano/a (si vive en casa)
Escuela
Grado
2. Nombre del hermano/a (si vive en casa)
Escuela
Grado
4. Nombre del hermano/a (si vive en casa)
Escuela
Grado
Continúe con la información de inscripción al reverso de esta forma
8
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INFORMACIÓN DE PERSONAS EN CASO DE EMERGENCIA
Llamar primero (después del padre/tutor) – ! Puede recoger al alumno
Llamar segundo – ! Puede recoger al alumno
Apellido
Nombre
Apellido
Nombre
Parentesco
Tel. de casa
Parentesco
Tel. de casa
Idioma que habla (si es otro aparte del inglés)
! Español
! Ruso
No está en el
directorio !
-
Idioma que habla (si es otro aparte del inglés)
! Español
! Ruso
! Otro
Dirección
Ciudad/Código postal
Ciudad/Código postal
Teléfono del trabajo
Lugar de trabajo
Teléfono del trabajo
Lugar de trabajo
Número de celular/localizador
Comentarios
Número de celular/localizador
Comentarios
Apellido
Nombre
Parentesco
Tel. de casa
-
Idioma que habla (si es otro aparte del inglés)
! Español
! Ruso
Llamar cuarto – ! Puede recoger al alumno
No está en el
directorio !
Apellido
Nombre
Parentesco
Tel. de casa
-
Idioma que habla (si es otro aparte del inglés)
! Español
! Ruso
! Otro
Dirección
-
! Otro
Dirección
Llamar tercero – ! Puede recoger al alumno
No está en el
directorio !
Ciudad/Código postal
No está en el
directorio !
-
! Otro
Dirección
Ciudad/Código postal
Teléfono del trabajo
Lugar de trabajo
Teléfono del trabajo
Lugar de trabajo
Número de celular/localizador
Comentarios
Número de celular/localizador
Comentarios
INFORMACIÓN DE LA NIÑERA
Va al cuidado de niños
! Antes de clases ! Después
de clases
Nombre de la niñera
Dirección
Teléfono
Días en el cuidado de la niñera
! L ! M ! Mié ! J ! V
Notas
! La niñera puede recoger al alumno
INFORMACIÓN MÉDICA DEL ALUMNO
Nombre del doctor
Teléfono del doctor
Nombre del dentista
Teléfono del dentista
Alergias o problemas de salud
Pone en peligro su vida
!
Alergias o problemas de salud
Pone en peligro su vida
!
Yo, el padre/tutor doy permiso a la
escuela para transportar a mi hijo(a)
a una instalación médica en caso de
emergencia:
! Sí
! No
Mencione los medicamentos necesarios en la escuela (la administración de medicina(s) en la escuela requiere la solicitud escrita del doctor)
PERMISOS Y AUTORIZACIONES
El uso del Internet del alumno está sujeto al reglamento
Uso Aceptable del Internet, IIBGA-AP, el cual es
publicado en el Manual de Derechos y Responsabilidades
del Estudiante proporcionado a todos los alumnos del
Distrito Escolar de Canby.
En caso de una enfermedad seria, accidente u otra
emergencia que involucre al estudiante, la escuela
enviará al alumno al hospital de su preferencia
mencionado arriba. Si no se especificó un hospital,
entonces será al hospital más cercano.
Firma del padre
*Información del directorio es el nombre del alumno, campo de
estudio, participación en actividades y deportes reconocidos
oficialmente, peso y altura de los miembros del equipo deportivo,
fechas de asistencia, licenciatura y premios recibidos, escuela a la
que asistió recientemente y foto del alumno o parecido.
YO NO quiero información que identifique personalmente** a mi
hijo(a)
usado en:
! TV/Radio
! Periódico ! Directorio estudiantil
! Página de Internet
! Libro de los recuerdos
**Póliza de la Mesa Directiva JOA, JOB
PREPARATORIA SOLAMENTE: YO NO
quiero que el nombre de mi hijo(a), dirección,
número de teléfono sea proporcionado a:
! Reclutadores militares
! Reclutadores de
facultades/universidades
El Decreto Que Ningún Niño se Quede Atrás del
2001 requiere que, cuando se pidan, los distritos
proporcionen los nombres, direcciones y números de
teléfono de los alumnos del 11vo y
12vo grado a los reclutadores militares y de facultades
o universidades. Si usted no quiere que el distrito
escolar proporcione información sobre su hijo(a) a el
militar o facultades o universidades, usted tiene la
oportunidad de ‘optar no’ Para poder hacerlo, usted
debe marcar una o ambas de las categorías
(Militar/Facultad/Universidades) de arriba.
Fecha
Meeuwsenc/District/Forms/Registration//RegK-12_4-30-10
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9
Race & Ethnicity Data Collection
Thank you for filling out this questionnaire and helping us to fulfill our lawful requirements of collecting the data.
For more information about this questionnaire, please see the reverse side of this document.
Student’s Last Name
First Name
School Name
Date Completed
Student ID Number (If Known)
!"OID
(Office Use Only)
Self-identification is the preferred choice of selecting an individual!s race and ethnicity, though you are not
required by law to make these selections. The federal government requires the use of observer identification of
elementary and secondary school students! race and ethnicity, as a last resort, if such information is not
provided by the students and/or their parents.
Part A. Is the student Hispanic/Latino? (Choose only one)
!"
No, not Hispanic/Latino
!"
"
Yes, Hispanic/Latino (A person of Cuban, Mexican, Puerto Rican, Cuban, South or
Central American, or other Spanish culture or origin, regardless of race.)
The above part of the question is about ethnicity, not race. No matter what you
selected above, please continue to answer the following by marking one or more
boxes to indicate what you consider your student!s race to be.
Part B. What is the student!s race? (Choose one or more)
!"
"
"
American Indian or Alaska Native (A person having origins in any of the original peoples
of North and South America (including Central America), and who maintains tribal
affiliation or community attachment.)
!"
"
"
Asian (A person having origins in any of the original peoples of the Far East, Southeast
Asia, or the Indian subcontinent including, for example, Cambodia, China, India,
Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.)
!"
"
Black or African American (A person having origins in any of the black racial
groups of Africa.)
!"
"
Native Hawaiian or Other Pacific Islander (A person having origins in any of "the original
peoples of Hawaii, Guam, Samoa, or other Pacific Islands.)
!"
"
White (A person having origins in any of the original peoples of Europe, the Middle East,
or North Africa.)
Canby School District ! 1130 S Ivy ! Canby ! OR ! 97013 ! 503-266-7861 ! www.canby.k12.or.us
10
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Overview of the Race & Ethnicity Data Collection in Canby School District
Overview
The U.S. Department of Education
requires all states to collect information
on the race and ethnicity of public
school students and staff. The federal
government has developed a new way to
report ethnicity and race that includes
new categories. These same categories
were used for the 2000 Census, and will
be used for the upcoming 2010 Census
as well. The changes should provide a
more accurate picture of the nation's
ethnic and racial diversity. Beginning in
the Fall of 2009, families of all students
will be asked to fill out a brief form to
update the reporting of their children's
ethnicity and race. Reporting of staff
data will occur at a later date.
If I have already provided this
information to the school system, why
must I provide it again?
In the past, forms for reporting race and
ethnicity to the federal government
allowed individuals to be identified in
only one racial category. The new form
enables individuals to be identified in
ethnic and racial classifications and in
more than one racial category. The
federal government is requiring that
ethnic and racial information for all
students and staff be reported in this new
way in order to reflect the nation's
diversity more accurately.
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How will the information be used?
The data with the new ethnicity/race
categories will be used in the same
manner that racial/ethnic data are
currently used. The new categories will
replace the existing categories for use in
all state and federally sponsored
statistical data collection that include
data on ethnicity or race. Some
examples include student record cards
and test results.
Who provides the information?
Parents will complete a brief form to
identify their children's ethic and racial
identity. Staff members will receive a
form to fill out their own information.
When and how will the new
information be gathered?
Canby School District will follow the
new federal guidelines beginning in the
Fall of 2009. The new form will be
distributed to all schools and will appear
in our registration packets. The families
of newly enrolled students AND of all
current students will be asked to
complete the form and return it to the
school. Staff members will be asked to
fill out a form at a later time, yet to be
determined.
Where can I find more information?
More information is available on the
Canby School District website at
www.canby.k12.or.us.
11
Recopilación de Datos de la Raza y
Origen Étnico del Estudiante
Gracias por completar este cuestionario y ayudarnos a cumplir con nuestros requisitos reglamentarios de la recopilación de
datos. Para más información sobre este cuestionario, por favor vea el reverso de este documento.
Apellido del estudiante
Nombre
Nombre de la escuela
completo
Fecha en que se
Número del estudiante (si lo sabe)
!"OID
(Office Use Only)
La auto identificación es la manera preferencial de seleccionar la
raza y origen étnico de una persona, aunque la ley no requiere que usted haga estas selecciones. El gobierno
federal requiere el uso de un observador para identificar la raza y origen étnico de los estudiantes de la escuela
primaria y secundaria, como último recurso, si tal información no es proporcionada por el estudiante y/o sus
padres.
Parte A. ¿El estudiante es Hispano o Latino? (Seleccione solo una
respuesta)
!"
No, no es Hispano o Latino
!"
#$%"&'()*+,","-*.'+,"/0+*")12(,+*"31",2'41+"506*+,%"718'5*+,%")012.,22'901:,%"31;"#02"
,"<1+.2,"31"=7>2'5*%"0",.2*"50;.02*"0",2'41+"1()*:,;%"('+"'7),2.*2";*"2*?*@A"
La pregunta mencionada anteriormente es sobre el origen étnico, no de la raza. Sin
importar lo que mencionó anteriormente, por favor continúe contestando lo siguiente
marcando todo lo que sea pertinente para indicar lo que usted considera ser la raza de
su estudiante.
Parte B. ¿Cuál es la raza del estudiante? (Marque uno o más)
!"
Indio Nativo Americano o Nativo de Alaska (una persona que tenga orígenes de
cualquiera de los primeros habitantes de América del Norte o Sur (incluyendo América
Central) y que mantenga una afiliación con una tribu o unión comunitaria.)
!"
Asiático (una persona que tenga orígenes de uno de los primeros habitantes del Lejano
Oriente, Sureste de Asia o de la India Subcontinental, por ejemplo, Camboya, China,
Japón, Corea, Malasia, Pakistán, Islas de las Filipinas, Tailandia y Vietnam.)
!"
Negro o Afroamericano (una persona que tenga orígenes de cualquier grupo de la raza
negra de África.)
!"
Nativos de Hawai u otros nativos de las Islas del Pacífico (una persona que tenga
orígenes de un de los primeros habitantes de Hawai, Guam, Samoa u otras islas del
Pacífico.
!"
Blanco (una persona que tenga orígenes de cualquiera de los primeros habitantes de
Europa, Medio Oriente o África del Norte.)
Canby School District ! 1130 S Ivy ! Canby ! OR ! 97013 ! 503-266-7861 ! www.canby.k12.or.us
12
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Resumen de la Recopilación de Datos de la Raza y Origen Étnico en el Distrito Escolar de Canby
Resumen
El Departamento de Educación de los
EEUU requiere a todos los estados de
recopilar información de la raza y origen
étnico de los estudiantes y personal de
las escuelas públicas. El gobierno federal
ha desarrollado una nueva manera de
reportar el origen étnico y la raza que
incluye nuevas categorías. Estas mismas
categorías fueron usadas para el Censo
del 2000, y también serán usadas para el
próximo Censo del 2010. Los cambios
deben de proporcionar una idea más
exacta de la diversidad étnica y racial de
la nación. Comenzando en el otoño del
2009, a las familias de todos los
estudiantes se les pedirán completar un
breve formulario para poner al corriente
el origen étnico y la raza de su
estudiante. El reporte de los datos del
personal ocurrirá en una fecha futura.
¿Si ya proporcioné esta información al
sistema escolar, por qué debo
proporcionarla otra vez?
En el pasado, los formularios para
reportar la raza y origen étnico al
gobierno federal permitían a los
individuos a ser identificados en solo
una categoría racial. El nuevo formulario
permite a la identificación de individuos
en clasificaciones étnicas y raciales en
más de una categoría racial. El gobierno
federal está requiriendo que la
información de origen étnico y racial de
todos los estudiantes y el personal sea
reportada de esta nueva manera para que
refleje la diversidad de la nación de una
forma más precisa.
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¿Cómo será usada la información?
Los datos con las nuevas categorías de
origen étnico y la raza serán usados de
la misma manera que la información
racial y étnica es usada actualmente. Las
nuevas categorías reemplazarán a las
actuales categorías para el uso de toda la
recopilación de datos estadísticos
patrocinado a nivel estatal y federal que
incluyan información de origen étnico o
de la raza. Algunos ejemplos incluyen
las tarjetas de registro estudiantil y
resultados de evaluaciones.
¿Quién proporciona esta información?
Los padres completarán un breve
formulario para identificar la identidad
étnica o racial de su estudiante. Los
miembros del personal recibirán un
formulario para completar su propia
información.
¿Cuándo y cómo será recaudada la
información?
El Distrito Escolar de Canby seguirá las
nuevas reglas federales comenzando en
el otoño del 2009. El nuevo formulario
será distribuido a todas las escuelas y
aparecerá en el paquete de inscripción.
A las familias de estudiantes de nuevo
ingreso Y de todos los estudiantes en
curso se les pedirá completar el
formulario y regresarlo a la escuela. A
los miembros del personal se les pedirá
completar el formulario en otro
momento, aun no determinado.
¿Dónde puedo encontrar más
información?
Más información está disponible en la
página Web del Distrito Escolar de
Canby en www.canby.k12.or.us.
13
Official Use Only
School:
Canby School District
HLS Date:
CANBY STUDENT ID:
HOME LANGUAGE SURVEY
ELL Staff Person:
To be completed by parents/guardians only
Follow-up Date:
Follow-up Comments:
Child’s full name:
G ra d e :
F a th e r’s n a m e :
M o th e r’s n a m e :
Date of Birth:
Phone:
Parents/Guardians: Please answer the following questions.
Schools in Oregon are required to determine the language(s) spoken in the home. This information is critical in order for the school to provide a meaningful education to all
students. If you have questions about the language services provided in Canby School District, please contact your child’s principal. Thank you for supporting us in meeting this
important educational requirement.
You may mark more than one language for each question.
English
Spanish
Russian
American
Indian/Alaska
Native
Other
Language:
________
1. Language or languages this child learned when he/she began to talk
2. Language(s) this child most frequently uses at home
3. Language(s) this child most frequently uses to speak to the adults in the family
4. Language(s) this child most frequently uses to speak with friends
5. Language(s) you use with this child
6. Language(s) adults speak in the home
7. Language you prefer for home/school communication
8. Identify the adults in your home who read English:
! The student speaks and understands no English
How well does this child speak and understand English in comparison to
the home language? CHECK ONE ONLY
! The student speaks and understands the home language better than English
! The student speaks and understands English and the home language equally well
! The student speaks and understands English better than the home language
! The student speaks and understands only English at times
P a re n t/G u a rd ia n S ig n a tu re :
Copies: Original/White: School
Yellow: HL
D a te :
Pink: ELL Office
District/Forms/HomeLangSurv-EngEsp.doc Revised April 2009
14
Official Use Only
School:
HLS Date:
Canby School District
CANBY STUDENT ID:
ENCUESTA DE IDIOMAS
ELL Staff Person:
Los padres o el tutor deben de llenar esta hoja
Follow-up Date:
Follow-up Comments:
Nobre completo del alumno:
Grado:
Nombre del Padre:
Fecha de Nacimiento:
Nombre de la Madre:
Teléfono:
Padres/Tutores: Favor de contestar las siguientes preguntas.
Las escuelas de Oregón necesitan averiguar sobre los idiomas que se hablan en el hogar. Esta información es muy importante porque nos ayuda proveer a cada alumno una
educación excelente. Si tiene alguna pregunta sobre los servicios de lenguaje ofrecidos en Canby, favor de ponerse en contacto con el director de su escuela. Les
agradecemos el apoyo que nos dan en completar este requisito educativo.
Puede seleccionar más de un idioma para cada pregunta.
Inglés
Español
Ruso
Indio Nativo
Americano
Nativo de
Alaska
Otro
Idioma:
1. Idioma(s) que el alumno habló primero
2. Idioma(s) que el alumno usa con más frecuencia en la casa
3. Idioma(s) que el alumno usa con más frecuencia para comunicarse con los adultos en la casa
4. Idioma(s) que el alumno usa con más frecuencia para comunicarse con los amigos
5. Idioma(s) que Ud. usa para comunicarse con este alumno
6. Idioma(s) que los adultos usan en la casa
7. Idioma(s) que Ud. prefiere para la comunicación que recibe de la escuela
8. Nombra todos las adultos en la casa que pueden leer el inglés:
! El alumno no habla ni comprende el inglés.
Compare la facilidad que tiene su alumno al hablar y comprender el inglés a
su facilidad en el idioma del hogar. MARQUE SÓLO UNO.
! El alumno habla y comprende el idioma del hogar mejor que el inglés.
! El alumno habla y comprende el inglés y el idioma del hogar con la misma facilidad.
! El alumno habla y comprende el inglés mejor que el idioma del hogar.
! El alumno sólo habla y comprende el inglés.
Firma del padre, de la madre o del tutor:
Copies: Original/White: School
Yellow: HL
Fecha:
Pink: ELL Office
District/Forms/HomeLangSurv-EngEsp.doc Revised April 2009
15
Superintendent Jeff Rose
1130 S Ivy Canby OR 97013 503-266-7861 www.canby.k12.or.us





Date:
DISTRICT SERVICES TO FAMILIES AND CHILDREN IN TRANSITION
(Providing this information is voluntary. Fill out one form per family.)
The following two questions help determine eligibility for enrollment and possible McKinney-Vento services for
students. The questionnaire is confidential and in compliance with the McKinney-Vento Education Assistance
Improvements Act 42 U.S.C. 11435.
No
1. Is your current address a temporary living arrangement?
Yes
2. If yes, is this temporary living arrangement due to loss of housing or economic hardship? Yes
No
Current Residency Status
Residency information is important as it directly relates to educational rights under the McKinney-Vento Act.
 House/Apartment/Condo (single family)
 Hotel/Motel
 Transitional housing program
 Family doubled up with relatives/friends
 Campground/RV/Car or Unsheltered
 Student with guardian/friend/relative
 Emergency Shelter
 Other:
Current address:
Phone/contact information:
Services provided by Canby School District for children and families may include:
• Academic support
• Free and/or reduced cost lunches
• Referral for clothing
• Referral process for networking resources in the school, city or county
Name of Family:
Student legal name:
School:
Grade:
Student legal name:
School:
Grade:
Student legal name:
School:
Grade:
Student legal name:
School:
Grade:
Names and ages of children not enrolled in school:
Is there anything else you’d like us to know? Do you have questions about homeless services?
For more information, please contact:
John Hackworth
District Advocate
Canby School District
Office: 503-266-0060, Mobile: 503-969-5440
Jennifer Houghton
Building Advocate
Canby School District/Canby High School
Office: 503-263-7200, Ext. 5617, Mobile: 503-969-0029
Para español, ver la parte de atrás.
OFFICE: Provide copy to Building Advocate
Services to Families_Children in Transition -2863 esp/eng
16
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Superintendent Jeff Rose
1130 S Ivy Canby OR 97013 503-266-7861 www.canby.k12.or.us





Fecha:
SERVICIOS DEL DISTRITO PARA FAMILIAS Y NIÑOS EN TRANSICIÓN
(El proporcionar esta información es algo voluntario. Llene un formulario por familia.)
Las siguientes dos preguntas ayudan a determinar la elegibilidad para inscribir a los estudiantes y para posibles servicios
estudiantiles de McKinney-Vento. El cuestionario es confidencial y cumple con lo estipulado en el Acta 42 U.S.C. 11435 de
Mckinney-Vento de Mejoras a la Asistencia Educativa.
1. ¿Es su domicilio actual un arreglo de vivienda temporal? Sí ___ No ___
2. ¿Si es así, este arreglo de vivienda temporal es debido a la pérdida de vivienda o dificultades económicas? Sí __ No ___
Situación de la Vivienda Actual
La información sobre la vivienda es importante ya que se relaciona directamente con los derechos educacionales bajo
el Acta McKinney-Vento.
 Casa/Apartamento/Condominio (una familia)
 Hotel/Motel
 La familia está viviendo con un
 Programa de vivienda de transición
familiar/amigos
 Campamento/Vehículo recreacional
(RV)/Carro o sin refugio
 El estudiante está con el tutor/amigo/familiar
 Otro:
 Refugio de emergencia
Dirección actual:
Teléfono/información de contacto:
Los servicios proporcionados por el Distrito Escolar de Canby para niños y familias pueden incluir:
• Apoyo académico
• Almuerzos gratis y/o a precio reducido
• Petición para ropa
• Proceso de petición para establecer contactos de recursos en la escuela, ciudad o condado
Nombre de la familia:
Nombre legal del estudiante:
Escuela:
Grado:
Nombre legal del estudiante:
Escuela:
Grado:
Nombre legal del estudiante:
Escuela:
Grado:
Nombre legal del estudiante:
Escuela:
Grado:
Nombre y edades de los niños que no están matriculados en la escuela:
¿Hay algo más que usted quisiera que nosotros sepamos? ¿Tiene preguntas sobre los servicios de niños y
jóvenes sin vivienda?
Para más información, por favor comuníquese con:
John Hackworth
Representante del Distrito
Distrito Escolar de Canby
Oficina: 503-266-0060, Celular: 503-969-5440
Jennifer Houghton
Representante del Edificio
Distrito Escolar de Canby/Escuela Preparatoria de Canby
Oficina: 503-263-7200, Ext. 5617, Celular: 503-969-0029
For English, see the other side.
OFFICE: Provide copy to Building Advocate
VM/BS TR-2863
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Services to Families_Children in Transition -2863 esp/eng
17
The Staff and Students of
Canby High School
Invite the Class of 2015
To our Sixteenth Annual
LINK CREW
FRESHMAN / NEW STUDENT
ORIENTATION
September 12, 2011
7:50 AM – 11:45 AM
Location: Stadium Gym
The purpose of this orientation is to make the transition from middle school to high
school a positive one. Seniors and juniors will be serving as leaders and mentors to the
freshmen. Large and small group activities are designed to address students’ needs and
concerns in an enjoyable manner.
REMEMBER: At registration freshmen will not receive their class schedules. Students
will be given their class schedules and meet their teachers during this orientation on September
12th. Please dress in comfortable clothes and do not bring backpacks, as we will be doing
group activities.
18
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Canby High School REGISTRATION 2011-12
Your student’s Verification form, Families in Transition form, and Registration Fee sheet will be
mailed in August for your completion and signature. Please drop off or mail forms and payment to:
Canby High School, 721 SW Fourth Avenue, Canby, Oregon, 97013-3999.
CHS Office summer hours: 8:00-3:30.
Mail in or drop off your registration materials prior to August 12th:
To pre-register your student, please mail in or drop off:
 For continuing students, turn in: Verification form, Families in Transition form (if applies), and
Registration Fee sheet and payment.
 For new students, pick up a Registration Packet from the main office and turn in: Registration form,
Forecasting form, Home Language Survey, Families in Transition form (if applies), Registration Fee
sheet and payment.
If you miss the date to pre-register (August 12th), you cannot use the Express Line at Registration. The
fee line can be long, please try to pre-register – you won’t be sorry!
Registration Dates/Times:
Wednesday, August 17th
Seniors
Juniors
Lunch Break for staff
Sophomores
Thursday, August 18th
Freshmen
Dinner Break for staff
All Grades
7:30 am - 9:30 am
10:00 am - 12:00 pm
12:00 pm – 1:00 pm
1:00 pm - 3:00 pm
11:30 am - 3:00 pm
3:00 pm – 4:00 pm
4:00 pm - 7:00 pm
Please pay all fees prior to registering your student(s). If your student has outstanding fees or fines,
invoices were mailed out with the last report card (grades 10-12).
You can also pay fees online using WebStore. Go to the CHS website: canbyhs.canby.k12.or.us.
Under “Information,” click on WebStore and follow the easy directions. Please note: there is a 6%
convenience fee that will be charged to you for using this service.
Credit/debit card payment can not be taken on Registration day.
On Registration day:
Students will receive:
 Student ID Card (from Life Touch – flyer will be mailed with registration packet)
 Student Parking Tag (if applies) – bring your ODL # and License Plate #
 Student Schedule (except Freshmen – Freshmen schedules will be issued on September 12th)
 Locker (if wanted) – if sharing a locker, please come with locker partner to Registration
Please do not mail in LifeTouch picture form and money with pre-registration materials. Students
will need to bring the form and money with him/her to Registration (August 17th or 18th); the form and
money must be given directly to the LifeTouch photographer.
Please contact me if you have questions. See you on Registration day!
Sincerely,
Jennifer Kraxberger
CHS Bookkeeper, 503.263.7217
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19
INSCRIPCIÓNES para la Escuela Preparatoria de Canby del 2010-2011
El formulario de verificación, el formulario de transición y la hoja de cuotas para la inscripción de su estudiante se mandarán por
correo para que las completen y firmen. Por favor pasen a dejar o manden por correo los formularios y pago a: Canby High
School, 721 SW Fourth Avenue, Canby, Oregon, 97013-3999.
Las horas de oficina de verano de la Escuela Preparatoria de Canby son de las: 8:00 a las 3:30.
Manden por correo o pasen a dejar sus materiales de inscripción antes del 12 de agosto.
Para la inscripción temprana de su estudiante, por favor manden por correo o pasen a dejar:
• Para los estudiantes actuales, devuelvan: el formulario de verificación, formulario de transición (si aplica) y la hoja de cuotas
para la inscripción y el pago.
• Para los estudiantes de nuevo ingreso, recojan el paquete de inscripción en la oficina principal y devuelvan: el formulario de
inscripción, la hoja de elección de cursos, la encuesta del idioma que se habla en la casa, formulario de transición (si aplica) y la
hoja de cuotas para la inscripción y el pago.
Si dejaron pasar la fecha de inscripción temprana (el 12 de agosto), NO pueden usar La Línea Rápida de inscripción. La línea
para pagar puede ser larga, por favor traten de inscribirse temprano – ¡no se arrepentirán!
Fechas/Horas de inscripción:
El miércoles, 17 de agosto
12vo grado
11vo grado
Almuerzo para el personal
10mo grado
7:30 am - 9:30 am
10:00 am - 12:00 pm
12:00 pm – 1:00 pm
1:00 pm - 3:00 pm
El jueves, 18 de agosto
9no grado
Cena para el personal
Todos los grados
11:30 am - 3:00 pm
3:00 pm – 4:00 pm
4:00 pm - 7:00 pm
Por favor paguen todas las cuotas antes de inscribir a su(s) estudiante(s). Si su estudiante tiene una cuota o multa pendiente, se
enviaron las facturas con la última boleta de calificaciones (grados 10-12).
Ustedes pueden pagar todas las cuotas en la Tienda por Internet (WebStore). Vayan a la página web de la Escuela Preparatoria
de Canby: canbyhs.canby.k12.or.us. Bajo el título “Information” opriman en el vínculo que dice WebStore y sigan las fáciles
instrucciones. Por favor noten: habrá un cargo de 6% que le cobraremos por usar este servicio.
El día de las inscripciones:
Los estudiantes recibirán:
• La tarjeta de Identificación Estudiantil (de Life Touch- se mandará el folleto en el paquete de inscripción)
• El permiso de estacionamiento estudiantil (si aplica) - traiga consigo el número de las placas y la licencia de conducir
• El horario de clases (excepto los estudiantes del 9no grado – los horarios de clases de los estudiantes del 9no grado se
proporcionarán el 12 de septiembre)
• El casillero (si quiere uno) – si quiere compartir un casillero, por favor venga con la/el compañera(o) de casillero a las
inscripciones
Favor de no mandar el formulario de la fotografía de Life Touch y el dinero junto con sus papeles de inscripción temprana. El
estudiante debe traer el formulario y el dinero el día de la inscripción (el 17 ó 18 de agosto); el formulario y el dinero se deben
entregar directamente al fotógrafo de Life Touch.
Por favor comuníquense conmigo si tienen preguntas. ¡Los veremos el día de las inscripciones!
Atentamente,
Jennifer Kraxberger
Contadora de la Escuela Preparatoria de Canby, (503) 263-7217
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TR-3073 bs/vm 3073-registration info from booking 2011-12
Last printed 8/1/2011 1:01:00 PM
20
Page 1 of 1
Registration Fee Sheet 2011-2012
Canby High School  721 SW 4th ST  Canby, Oregon  97013  Bookkeeping 503.263.7217
Name
Grade 9
10
11
12
Student ID
(circle grade)
✔ $35 ASB/Activity Card (required)
Athletics (OSAA sanctioned):
___$125 Freshman
(each sport)
___$125 Sophomore
(each sport)
___$125 Junior
(each sport)
___$125 Senior (each sport)
Check the sport(s) you are paying for:
Fall Sports
___Cross Country (boys)
___Cross Country (girls)
___Football
___Soccer (boys)
___Soccer (girls)
___Volleyball
Winter Sports
___Basketball (boys)
___Basketball (girls)
___Swimming (boys)
___Swimming (girls)
___Wrestling
Spring Sports
___Baseball
___Softball
___Golf (boys)
___Golf (girls)
___Tennis (boys)
___Tennis (girls)
___Track/Field (boys)
___Track/Field (girls)
*Two sport maximum fee to any one athlete.
**Maximum Family Cap for Athletics fee of $450.
You can pay for sport by season; you don’t have to pay
for all sports up front.
Extra-Curricular Activities/Athletics/Clubs
___$50 Cheer
___$35 Concert Choir
___$50 Dance
___$35 Drama – Fall Play
___$35 Drama – Musical
___$35 Equestrian
___$35 FBLA
___$35 FFA
___$60 Lacrosse
___$50 Marching Band
___$60 Rugby
___$35 Ski Team
___$35 Snowboard Team
___$50 Speech Team
Optional Fees
___$8 PE Lock
(unless purchased at Ackerman/91)
___$50 Yearbook
(will increase after 1st trimester)
___$20 Parking Tag
(bring license plate # and ODL to registration)
___$30 G.A.P.
(senior graduation all-night party / non-refund)
Total Amount: $
**Pay Online**
Pay online with a credit/debit card – go to the
CHS website at canbyhs.canby.k12.or.us and
click on the WebStore link under “Information.”
Incoming Freshmen will not be able to access WebStore until August 11th.
**NOTE: there is a 6% convenience fee.
NO Credit/debit card payments taken at
Registration August 17th and 18th.
Avoid the rush: Drop off or mail in your check
before the payment deadline August 12th.
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Hoja de Cuotas para la Inscripción del 2011-2012
Escuela Preparatoria de Canby • 721 SW 4th St. • Canby , Oregon • 97013 • Contabilidad • 503.263.7217
Nombre:_________________________ Grado:
9
10
11
12
# de Identificación estudiantil _____
(circule el grado)
✔ $35 Tarjeta del Cuerpo Estudiantil/Tarjeta de
Identificación Estudiantil (requerida)
Deportes (OSAA sancionado):
___$125 Grado 9 (cada deporte)
___$125 Grado 10
(cada deporte)
___$125 Grado 11 (cada deporte)
___$125 Grado 12 (cada deporte)
Marque el deporte por el cual usted está pagando:
Deportes de otoño
___Campo traviesa (varonil)
___Campo traviesa (femenil)
___Fútbol americano
___Fútbol (varonil)
___Fútbol (femenil)
___Voleibol
Deportes de invierno
___Baloncesto (varonil)
___Baloncesto (femenil)
___Natación (varonil)
___Natación (femenil)
___Lucha grecorromana
Deportes de primavera
___Béisbol
___Softball
___Golf (varonil)
___Golf (femenil)
___Tenis (varonil)
___Tenis (femenil)
___Pista y campo (varonil)
___Pista y campo (femenil)
*Cuota máxima de dos deportes para cualquier deportista.
**Cuota máxima por familia en deportes es de $450.
Usted puede pagar por deporte cada temporada; no tiene usted
que pagar por todos los deportes a la misma vez.
Actividades Extracurriculares/Deportes/Clubes
___$50 Porra
___$35 Coro de concierto
___$50 Baile
___$35 Teatro – Obra de teatro de otoño
___$35 Teatro – Musical
___$35 Ecuestre
___$35 FBLA (Futuros Líderes
Negociantes de América)
___$35 FFA (Futuros Granjeros de
América)
___$60 Lacrosse (Juego parecido al
hockey pero con raqueta y al aire libre)
___$50 Banda de marcha
___$60 Rugby
___$35 Equipo de esquí
___$35 Equipo de surf sobre nieve
(snowboard)
___$50 Equipo de discurso
Cuotas opcionales
___$8 Candado de Educación Física
(al menos que ya lo hayan comprado en Ackerman/91)
___$50 Álbum de los recuerdos
(el precio sube a $55 después del 1er trimestre)
___$20 Permiso de estacionamiento
(traiga consigo el número de las placas y la licencia de conducir)
___$30 G.A.P.
(fiesta de los estudiantes del grado 12 / no hay reembolso)
Cantidad total: $
**Pague por Internet**
Pague por Internet con tarjeta de crédito/débito –vaya a la página
web de la Escuela Preparatoria de Canby en canbyhs.canby.k12.or.us
y haga click en el vínculo WebStore bajo el título “Information.”
Los estudiantes del noveno grado recién ingresados no podrán tener acceso a la Tienda
por Internet (WebStore) hasta el 11 de agosto.
**NOTA: Habrá un cargo de 6% por este servicio. No se aceptan
pagos con tarjeta de crédito/débito durante las inscripciones el 17 y
18 de agosto.
Evite las líneas largas: Pase a dejar o mande su cheque por correo
antes de la fecha límite para pagar del 12 de agosto. 22
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CHS Registration
4th Street Center
8/17 Seniors 7:30 am – 9:30 am
Juniors 10:00 am - 12:00 pm
Sophomores 12:45 pm – 3:00 pm
August 17th & 18th
8/18 Freshmen 11:30 am – 3:00 pm
All Grades 4:00 pm – 7:00 pm
Pick up photo
card first
Entrance
Start here
1. Turn in all forms, pay fees, Athletics (Room 1) – if paid and forms turned in,
go to Express table to pick up receipt then go directly to step 2!
2. Get picture taken for Student ID Card (Room 2), pick up ID card
3. Get locker (not required) and parking tag (with receipt) (Room 5)
4. Pick up class schedule
You must have a Student ID card to get your schedule, locker and parking
NOT
PAID YET EXPRESS
3 Photo Stations
Career Center and
Reception
Pick up ID card
HERE – need for
schedule, etc.
Express table –
pick up receipt
(already paid)
2
Bus
schedule
& other
forms
GAP
ASPIRE
Exit
Bus
schedule &
other forms
Blank Forms
Restrooms
1
Updated 06/11
Turn in forms, pay fees
4
Athletics
Schedules
Lockers
3
Parking
23
24
Online
You’re first
in line
Visit the Canby High School WebStore*: fdsfsdf http://www.canbyhs.canby.k12.or.us •Information •Parents •Web Store *You will be assessed a 6% convenience fee by WebStore for using this service. Buy Online All Year! Default Login: Username = Student ID Password = first initial & last name (no spaces & all lower case letters) Ex: John Smith = jsmith Don’t Stand in Line, Pay Online! PAY FOR YOUR FEES ONLINE! We are very excited to provide parents the ability to pay ONLINE for fees PRIOR to Registration day! Our WebStore allows you and your children to easily purchase student items, pay for student fees and debts, all securely via the internet so that you don’t have to wait in line during registration! Here you will be able to pay for all of your student’s needs directly from the convenience of your computer. Once you’ve completed your transaction, you’ll receive a confirmation email that you’ll need to bring with you to Registration. What are the Benefits? Convenient! return to top
Easy! Time Saving! 25
Canby High School
2011-2012 Sports &
Activities
Important information for all Teams
OSAA sanctioned Fall sports: Cross Country, Football, Soccer, Volleyball
Winter sports: Basketball, Swimming, Wrestling
Spring sports: Baseball, Golf, Tennis, Softball, Track & Field
Dance, Cheer
Club Sports: Equestrian, Lacrosse, Rugby, and Snowboarding
Welcome to the 2011-12 Canby High School Athletic/Activity year! We invite you to become
a member of our athletic and/or activity programs this coming year .
The Athletic Office will be open for fall clearance beginning the week of August 8th, 7:00 a.m.
until 3:30 p.m. During school registration times on August 17 and 18, the athletic
secretary will be available for you to obtain sports clearance at the same location and
hours.
Each fall sport, the cheer team, and dance team can begin practices August 22nd.
Most of you may have received information from your coach about starting times,
equipment issue, and practice hours. If you did not, please call or stop by the Athletic
Office to receive information.
Students participating in fall sports (football, volleyball, soccer, cross country), cheer or
dance must get clearance (see checklist on page 2) confirming they have met all the
requirements and conditions as set by Canby School District before they can begin
practicing on August 22nd for fall sports in the 2011-2012 school year.
Winter and spring sports and activities are listed in the Athletic-Activity Handbook and
clearance for those seasons can take place prior to the start of each respective season. If
you have any questions or problems relating to your participation, please feel free to contact
me at the high school 503-263-7200, ext. (1) 5302. We hope to see you involved.
Dennis Burke
Associate Principal / Athletics
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Checklist for Sports/Activity Participation:
To obtain clearance for participation in practices and contests, please be sure the
following requirements are met and forms are taken to the Athletic/Activity office:
1. Medical Update Form (filled out by parents annually), form attached
2. Copy of current physical exam, must use attached OSAA form (not two years old)
3. Completed and signed Parent/Guardian Approval – Athletic/Activity Clearance form
(Return all 3 copies to the Athletic-Activity office). PLEASE NOTE: By signing the
enclosed clearance form, the parent and student agree to abide by the rules in the
Student / Parent Handbook for Athletics & Activities.
3. Meet or exceed academic requirements regarding minimum satisfactory
progress toward graduation at the beginning of the school year: 10 th grade – 4.5
credits, 11th grade – 10.0 credits, 12th grade – 17.5 credits. Also, 10th -12th grade
students must have passed 4 full credit classes the previous trimester or 5 classes the
previous semester; Currently enrolled in a minimum of 4 full-credit classes (‘0’ period
class counts only as 1/3 credit). All freshmen are academically eligible at the start of
the school year.
4. Pay participation fee to CHS bookkeeper: $125 per OSAA sanctioned sport with a
$250 individual cap and $450 family cap (payment not required for practice or try-out).
To Be Cleared for Practice:
You must meet all requirements listed above with the exception of paying the
participation fee. Upon payment of fee, full participation in contests is granted.
Physical Exams will be available at a reduced cost through:
Canby Physical Therapy and supporting local doctors
Location: Canby High School, cafeteria area
Date:
Wednesday, August 17, 2011
Time:
From 5:30 p.m. until 7:30 p.m.
Cost:
$10.00 per student
The money generated will be donated to the school for the Sports
Medicine program.
You may get a physical from a doctor of your own choice, but you must use our School
District/OSAA form, available in your student packet or online at
canbyhs.canby.k12.or.us, and click on the Athletics & Activities tab.
IMPORTANT: 3-part NCR form for Athletic / Activity Clearance is included in this
mailing. Complete and sign the form and return all three copies, along with your
physical exam (or medical update if current exam is already on file with the high
school) to the Athletic Office for necessary signature.
DO NOT GIVE YOUR FORMS DIRECTLY TO THE COACH – YOU MUST OBTAIN THE
OFFICE SIGNATURE TO PARTICIPATE.
27
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Canby Schools
Student Sport Physicals
$10.00*
When: Wednesday, August 17, 2011
5:30 p.m. – 7:30 p.m.
Where: Canby High School
(cafeteria area behind school)
721 SW 4th Avenue
Canby OR 97013
Please call Canby Physical Therapy at 503-263-6786 to inform them you
are attending. This will not, however, guarantee an appointment time, but
will help with estimating how many doctors to have on hand.
Physical exams will be performed by Canby area physicians.
OSAA approved exam forms are available at your school
office, in the student packet mailed in July, and online at
canbyhs.canby.k12.or.us or OSAA.org websites. Parents
must fill out and sign the pre-exam side of the form prior to
their child getting the exam. If the form does not have a
parents’ signature, we will be unable to perform the physical.
*Proceeds are donated to the Canby High School Sports Medicine
Program
28
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School Sports Pre‐Participation Examination – Part 1: Student or Parent Completes Revised May 2010 NAME: BIRTHDATE: / ADDRESS: PHONE: ( ) Athlete and Parent/Guardian: Please review all questions and answer them to the best of your ability. Explain any YES answers on back. Medical Provider: Please review with the athlete details of any positive answers. YES NO Don’t Know / 1.
Has anyone in the athlete’s family died suddenly before the age of 50 years? 2.
Has the athlete ever passed out during exercise or stopped exercising because of dizziness or chest pain? 3.
Does the athlete have asthma (wheezing), hay fever, other allergies, or carry an EPI pen? 4.
Is the athlete allergic to any medications or bee stings? 5.
Has the athlete ever broken a bone, had to wear a cast, or had an injury to any joint? 6.
Has the athlete ever had a head injury or concussion? 7.
Has the athlete ever had a hit or blow to the head that caused confusion, memory problems, or prolonged headache? 8.
Has the athlete ever suffered a heat‐related illness (heat stroke)? 9.
Does the athlete have a chronic illness or see a physician regularly for any particular problem? 10. Does the athlete take any prescribed medicine, herbs or nutritional supplements? 11. Does the athlete have only one of any paired organ (eyes, kidneys, testicles, ovaries, etc.)? 12. Has the athlete ever had prior limitation from sports participation? 13. Has the athlete had any episodes of shortness of breath, palpitations, history of rheumatic fever or tiring easily? 14. Has the athlete ever been diagnosed with a heart murmur or heart condition or hypertension? 15. Is there a history of young people in the athlete’s family who have had congenital or other heart disease: cardiomyopathy, abnormal heart rhythms, long QT or Marfan's syndrome? (You may write "I don't understand these terms" and initial this item, if appropriate.) 16. Has the athlete ever been hospitalized overnight or had surgery? 17. Does the athlete lose weight regularly to meet the requirements for your sport? 18. Does the athlete have anything he or she wants to discuss with the physician? 19. Does the athlete cough, wheeze, or have trouble breathing during or after activity? 20. Are you unhappy with your weight? 21. FEMALES ONLY a.
When was your first menstrual period? b.
When was your most recent menstrual period? c.
What was the longest time between menstrual periods in the last year? Parent/Guardian’s Statement: I have reviewed and answered the questions above to the best of my ability. I and my child understand and accept that there are risks of serious injury and death in any sport, including the one(s) in which my child has chosen to participate. I hereby give permission for my child to participate in sports / activities. I hereby authorize emergency medical treatment and/or transportation to a medical facility for any injury or illness deemed urgently necessary by a registered athletic trainer, coach, or medical practitioner. I understand that this sports pre‐participation physical examination is not designed nor intended to substitute for any recommended regular comprehensive health assessment. I hereby authorize release of these examination results to my child's school. Signed: Date: Parent/Guardian ORS 336.479, Section 1 (3) "A school district shall require students who continue to participate in extracurricular sports in grades 7 through 12 to have a physical examination once every two years." Section 1(5) “Any physical examination required by this section shall be conducted by a (a) physician possessing an unrestricted license to practice medicine; (b) licensed naturopathic physician; (c) licensed physician assistant; (d) certified nurse practitioner; or a (e) licensed chiropractic physician who has clinical training and experience in detecting cardiopulmonary diseases and defects.” Oregon School Activities Association ‐ 119 ‐ Forms – School Sports Pre‐Participation Examination Revised: 05/10 return to top
2011‐12 Handbook 29
Canby Boosters’
Club invites
you to their
annual Kick-off
Dinner/Membership Drive
***BBQ burgers, potato salad, soft drinks, dessert
Friday September 2
(next to the stadium, on the tennis courts)
4:00-6:30 (before the 7:00 Canby football game)
admission to game separate
Learn all about Canby Booster Club, meet the board
members, some of the fall coaches, hear the Canby
Pep Band, sing the CHS fight song, sign up for help
with 50/50 Raffles, concession stand and more!
*** Feed the w-h-o-l-e family with a $15
membership fee
30
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31
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School Sports Pre‐Participation Examination – Part 2: Medical Provider Completes Revised May 2010 NAME: / Height: Vision: R 20/ Weight: % Body Fat (optional): L 20/ Corrected: Y N MEDICAL Pupils: Equal NORMAL BIRTHDATE: / Pulse: BP: ____/____ (____/____, ____/____) Unequal Rhythm: Regular _____ Irregular _____ ABNORMAL FINDINGS
INITIALS*
Appearance Eyes / Ears / Nose / Throat Lymph Nodes Heart: Pericardial activity 1 & 2 heart sounds Murmurs Pulses: brachial / femoral Lungs Abdomen Skin st
nd
MUSCULOSKELETAL Neck Back Shoulder / arm Elbow / forearm Wrist / hand Hip / thigh Knee Leg / ankle Foot * Station‐based examination only CLEARANCE Cleared Cleared after completing evaluation / rehabilitation for: Not cleared for: Reason: Recommendations: (print or type) Date: Address: Phone: ( ) Signature of Medical Provider: Name of Medical Provider: ORS 336.479, Section 1 (3) "A school district shall require students who continue to participate in extracurricular sports in grades 7 through 12 to have a physical examination once every two years." Section 1(5) “Any physical examination required by this section shall be conducted by a (a) physician possessing an unrestricted license to practice medicine; (b) licensed naturopathic physician; (c) licensed physician assistant; (d) certified nurse practitioner; or a (e) licensed chiropractic physician who has clinical training and experience in detecting cardiopulmonary diseases and defects.” Oregon School Activities Association ‐ 120 ‐ Forms – School Sports Pre‐Participation Examination Revised: 05/10 return to top
2011‐12 Handbook 32
SUGGESTED EXAM PROTOCOL FOR THE PHYSICIAN Revised May 2010 MUSCULOSKELETAL Have patient: 1. Stand facing examiner 2. Look at ceiling, floor, over shoulders, touch ears to shoulders 3. Shrug shoulders (against resistance) 4. Abduct shoulders 90 degrees, hold against resistance 5. Externally rotate arms fully 6. Flex and extend elbows 7. Arms at sides, elbows 90 degrees flexed, pronate/supinate wrists 8. Spread fingers, make fist 9. Contract quadriceps, relax quadriceps 10. “Duck walk” 4 steps away from examiner 11. Stand with back to examiner 12. Knees straight, touch toes 13. Rise up on heels, then toes To check for: AC joints, general habitus Cervical spine motion Trapezius strength Deltoid strength Shoulder motion Elbow motion Elbow and wrist motion Hand and finger motion, deformities Symmetry and knee/ankle effusion Hip, knee and ankle motion Shoulder symmetry, scoliosis Scoliosis, hip motion, hamstrings Calf symmetry, leg strength MURMUR EVALUATION – Auscultation should be performed sitting, supine and squaring in a quiet room using the diaphragm and bell of a stethoscope. Auscultation finding of: 1. S1 heard easily; not holosystolic, soft, low‐pitched 2. Normal S2 3. No ejection or mid‐systolic click 4. Continuous diastolic murmur absent 5. No early diastolic murmur 6. Normal femoral pulses (Equivalent to brachial pulses in strength and arrival) Rules out: VSD and mitral regurgitation Tetralogy, ASD and pulmonary hypertension Aortic stenosis and pulmonary stenosis Patent ductus arteriosus Aortic insufficiency Coarctation MARFAN’S SCREEN – Screen all men over 6’0” and all women over 5’10” in height with echocardiogram and slit lamp exam when any two of the following are found: 1. Family history of Marfan’s syndrome (this finding alone should prompt further investigation) 2. Cardiac murmur or mid‐systolic click 3. Kyphoscoliosis 4. Anterior thoracic deformity 5. Arm span greater than height 6. Upper to lower body ratio more than 1 standard deviation below mean 7. Myopia 8. Ectopic lens CONCUSSION ‐‐ When can an athlete return to play after a concussion? After suffering a concussion, no athlete should return to play or practice on the same day. Previously, athletes were allowed to return to play if their symptoms resolved within 15 minutes of the injury. Studies have shown that the young brain does not recover that quickly, thus the Oregon Legislature has established a rule that no player shall return to play following a concussion on that same day and the athlete must be cleared by an appropriate health care professional before they are allowed to return to play or practice. Once an athlete is cleared to return to play they should proceed with activity in a stepwise fashion to allow their brain to readjust to exertion. The athlete may complete a new step each day. The return to play schedule should proceed as below following medical clearance: Step 1: Light exercise, including walking or riding an exercise bike. No weightlifting. Step 2: Running in the gym or on the field. No helmet or other equipment. Step 3: Non‐contact training drills in full equipment. Weight training can begin. Step 4: Full contact practice or training. Step 5: Game play. If symptoms occur at any step, the athlete should cease activity and be re‐evaluated by a health care provider. 581‐021‐0041 Form and Protocol for Sports Physical Examinations The State Board of Education adopts by reference the form entitled "School Sports Pre‐Participation Examination May 2010" that must be used to document the physical examination and sets out the protocol for conducting the physical examination. Medical providers conducting physicals on or after June 30, 2010 must use the form dated May 2010. NOTE: The form can be found on the Oregon School Activities Association (OSAA) Website www.osaa.org. Stat. Auth: ORS 326‐051 Stats. Implemented: ORS 336.479 Hist.: ODE 24‐2002, f. & cert. ef. 11‐15‐02; ODE 29‐2004(Temp), f. & cert. ef. 9‐15‐04 thru 2‐25‐05; ODE 4‐2005, f. & cert. ef. 2‐14‐05 Oregon School Activities Association ‐ 121 ‐ Forms – School Sports Pre‐Participation Examination Revised: 05/10 return to top
2011‐12 Handbook 33
2011-2012 CANBY SCHOOL DISTRICT CALENDAR
Adopted June 30, 2011
M
T
W
T
F
M
JULY
T
W
T
F
M
AUGUST
T
1
2
3
4
5
H4
5
6
7
8
8
9
10
11
12
HR5
11
12
13
14
15
15
16
17
18
19
18
19
20
21
22
22
23
24
25
26
25
26
27
28
29
29
30
31
NOVEMBER
3
4
5
6
10
11
12
13
C17
C18
C19
24
25
26
7
1
2
6
W7
W8
TR9
*12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
1
2
S/TR
DECEMBER
1
2
3
4
7
8
9
10
HR 11
5
6
7
8
9
C20
C21
14
15
16
17
18
12
13
14
T15
G16
27
28
TR21
TR22
N23
HR 24
25
N19
N20
N21
N22
N23
28
29
30
26
N27
N28
N29
N30
1
2
JANUARY
N/H
N/H
FEBRUARY
H2
SR3
4
5
6
9
10
11
12
13
6
N* 16
17
18
19
20
23
24
25
26
27
30
31
APRIL
MARCH
1
2
7
8
9
13
14
15
H20
21
22
27
28
29
3
10
5
6
7
8
16
17
12
13
14
T15
23
24
C19
C20
C21
N26
N27
N28
TR/P
MAY
SR2
SR3
4
5
6
9
10
11
12
13
16
17
18
19
23
24
25
26
C/T
22
N29
9
G16
C/G
23
N30
JUNE
1
2
3
7
8
C9
C10
11
4
5
6
7
8
20
14
15
16
17
18
11
12
13
14
15
27
21
22
23
24
25
18
T19
G20
TR21
22
H28
29
30
31
25
26
27
28
29
Narrative
Sept. 5............................................................Labor Day Holiday Reduction Day
Sept. 6 …Half day Staff Training AM, Half day Staff Training Reduction Day PM
Sept. 7-8………………………………………………………….Teacher Work Days
Sept. 9.............................................................Staff Training Day Reduction Day
st
Sept.12.......................................... 1 day of School; schedules vary by building
Oct. 12...................................................................................... PSAT day (CHS)
th
th
All students in session except 9 & 12 grade
Oct. 14.....................No School K-12 Statewide Inservice Day .5 Reduction Day
Oct. 17-19..................................................Elementary Conferences after school
Oct. 19
……………………………...HS evening conferences, 4:00-8:00 PM
Oct. 20......................................... Elementary schools closed for conferences;
.....Mid/High schools in session, with MS evening conferences, 4:00-8:00 PM
Oct. 21.........................................No School K-12, Parent/Teacher Conferences
Nov. 11..........................No School K-12, Veterans’ Day Holiday Reduction Day
Nov. 21-25................................................. No School K-12, Thanksgiving Week
Nov. 21-22............................................................ Staff Training Reduction Days
Nov. 24-25..................... Thanksgiving Holiday Reduction Day/Non-contract day
Dec. 15.............................................................................. End of First Trimester
Dec. 16..................................................................No School K-12, Grading Day
Dec. 19-30............................................................ No School K-12, Winter Break
Dec. 26......................................................Christmas Day, Non-contract/Holiday
Jan. 2............................................................................. New Year’s Day Holiday
Jan. 3...............................................................................Student Reduction Day
Jan. 16............................................. No School K-12, Martin Luther King Jr. Day
Feb. 10 ...................................................No School K-12, Day .5 Reduction Day
Feb. 20……………………............…… No School K-12, Presidents’ Day Holiday
nd
March 15
End of 2 Trimester for Elementary
March 16
No School Elementary Only, Grading Day
Mid/High schools in session
March 19-23………………………………...Elementary Conferences after school
return to top
F
14
TR/P
31
30
T
SEPTEMBER
1
OCTOBER
W
C = Conferences
G = Grading Day
H = Holiday
N = Non-Contract
N/H = Certified
non-contract day,
Classified Holiday
P = Student
Progress Day
S = Staff Training
T = End of Trimester
W = Workday
SR=Student
Reduction Days
3 days (potential to
add back 1, 2 or all 3
days after Dec. 1 audit)
HR = Holiday
Reduction Days
3 days
TR = Training
Reduction Days
6 days
TR/P
4
1
March 22............................................................. Elementary schools closed for Conferences,
.....................................................................................................Mid-High schools in session
nd
March 22…………………… ....................................................... End of 2 Trimester for MS/HS
March 23………........................................................No School K-12, Elementary Conferences
MS/HS Grading Day
Mar. 26-30 .................................................................................... No School K-12, Spring Break
April 2-3 ................................................................................................. Student Reduction Days
May 4.........................................................No School K-12, Student Progress/.5 Reduction Day
May 9................................................................MS evening Parent Conferences, 4:00-8:00 PM
May 10.............................................................. HS evening Parent Conferences, 4:00-8:00 PM
May 28...........................................................................No School K-12, Memorial Day Holiday,
June 15............................................................................................................. CHS Graduation
June 19...........................................................................................................Last Day of School
June 20.....................................................................................................................Grading Day
June 21...........................................................................................Staff Training Reduction Day
Student Days
Elementary (60/52/53 ) ......................................................................................................165
Middle/High (61/54/53 ) .....................................................................................................168
Teacher Days .........................................................................................................................179
12 Reduction Days from original calendar (Unpaid for Teachers & Administrators)
3 Student Contract Reduction Days (potential to add back 1, 2 or all 3 days after Dec. 1 audit)
Jan. 3, April 2-3
6 Staff Training Reduction Days
Sept. 6, 7 (.5), Oct. 14 (.5), Nov 21 & 22, Feb. 10 (.5), May 4 (.5), June 21
3 Holiday Reduction Days
Sept. 5, Nov. 11, Nov. 24
34
CALENDARIO DEL DISTRITO ESCOLAR DE CANBY 2011-2012
Adoptado el 30 de junio del 2011
L
M
Miér
J
V
L
JULIO
M
Miér
J
V
L
AGOSTO
M
1
2
3
4
5
F4
5
6
7
8
8
9
10
11
12
FE5
11
12
13
14
15
15
16
17
18
19
18
19
20
21
22
22
23
24
25
26
25
26
27
28
29
29
30
31
NOVIEMBRE
3
4
5
6
10
11
12
13
C17
C18
C19
24
25
26
7
1
2
6
T7
T8
EE9
*12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
1
2
E/EE
DICIEMBRE
1
2
3
4
7
8
9
10
FE11
5
6
7
8
9
C20
C21
14
15
16
17
18
12
13
14
FT15
C16
27
28
EE21
EE22
N23
FE24
25
N19
N20
N21
N22
N23
28
29
30
26
N27
N28
N29
N30
1
2
ENERO
N/F
N/F
FEBRERO
F2
DE3
4
5
6
9
10
11
12
13
6
N* 16
17
18
19
20
23
24
25
26
27
30
31
ABRIL
MARZO
1
2
7
8
9
13
14
15
F20
21
22
27
28
29
3
10
5
6
7
8
16
17
12
13
14
FT15
23
24
C19
C20
C21
N26
N27
N28
EE/P
MAYO
DE2
DE3
4
5
6
9
10
11
12
13
16
17
18
19
23
24
25
26
J/FT
22
N29
9
C16
J/C
23
N30
JUNIO
1
2
3
7
8
J9
J10
11
4
5
6
7
8
20
14
15
16
17
18
11
12
13
14
15
27
21
22
23
24
25
18
FT19
C20
EE21
22
F28
29
30
31
25
26
27
28
29
Resumen
5 de sept……................................... …… Feriado del Día del Trabajo eliminado
6 de sept ......................... .5 día de entrenamiento del personal por la mañana,
.5 día de entrenamiento del personal por la tarde eliminado
7-8 de sept............................................................ Día laboral para los maestros
9 de sept ....................................... Día de entrenamiento del personal eliminado
er
12 de sept ............................. 1 día de clases; los horarios varían por escuelas
12 de oct. .....................Día del examen PSAT (Escuela Preparatoria de Canby)
no
vo
Hay clases para todos con excepción del 9 y 12 grado
14 de oct...... No Hay clases, .5 día de entrenamiento para maestros a nivel estatal reducido
17 al 19 de oct. .................................Juntas en las primarias después de clases
19 de oct.…………………. Juntas en la preparatoria por la noche, de 4 a 8 p.m.
20 de oct. ………………..……….Escuelas primarias cerradas para las juntas;
Hay clases para la Secundaria/Preparatoria, con juntas en las secundarias
por la noche, de 4 a 8 p.m.
21 de oct. ................................. No hay clases K-12; Juntas de padres/maestros
11 de nov. ............ No hay clases K-12, Feriado eliminado/Día de los Veteranos
21 al 25 de nov. ...................No hay clases K-12/Semana de Acción de Gracias
21 y 22 de nov. ......................... Días de Entrenamiento del personal eliminados
24 y 25 de nov. .......Feriado eliminado/Día de Acción de Gracias/Día no laboral
15 de dic. ........................................................................ Fin del primer trimestre
16 de dic. ........................................... No hay clases K-12, Día de calificaciones
19 al 30 de dic................................ No hay clases K-12, Vacaciones de invierno
26 de dic. .............................................. Día de Navidad, Día no laboral /Feriado
2 de ene.....................................................................Feriado-Día de Año Nuevo
3 de ene. ............................................................Día eliminado para estudiantes
16 de ene.............................. No hay clases K-12, Día de Martin Luther King Jr.
10 de feb................................... ……..… No hay clases K-12; .5 día eliminado
20 de feb. …………………..No hay clases K-12, Feriado/Día de los Presidentes
do
15 de mar……………………..…Fin del 2 trimestre para las escuelas primarias
16 de mar. ……………………….…No hay clases para las escuelas primarias,
Día de calificaciones, Hay clases para la Secundaria/Preparatoria
return to top
F
14
EE/P
31
30
J
SEPTIEMBRE
1
OCTUBRE
Miér
CLAVE
J = Juntas de
Padres/Maestros
C =Día de calificaciones
F = Feriado
N/F = Día no laboral
para maestros, feriado
para otros.
N = Día no laboral
P = Reporte del progreso
de los estudiantes
E =Entrenamiento
del personal.
FT = Fin del trimestre
T = Día de trabajo
DE=Día para
estudiantes
eliminado-3 días
(es posible que se
recuperen 1, 2 o todos los 3
días después de la auditoría
del 1r o de diciembre)
FE= Feriado
eliminado-3 días
EE= Entrenamiento
eliminado-6 días
* = Vea el resumen
EE/P
4
1
19 al 23 de mar. ............................. ............................ Juntas en las primarias después de clases
22 de mar…………………….……..Escuelas primarias cerradas para la juntas,
Hay clases para la Secundaria/Preparatoria
do
22 de marzo…………… .........................……Fin del 2 trimestre para la secundaria/preparatoria
23 de marzo……….................................................. No hay clases K-12, Juntas en las primarias
Día de calificaciones para la Secundaria/Preparatoria
26 al 30 de mar ..................................................... No hay clases K-12, Vacaciones de primavera
2 y 3 de abril. .............................................................................Días eliminados para estudiantes
4 de mayo. ...... No hay clases K-12; Reporte del progreso estudiantil/.5 día de entrenamiento eliminado
9 de mayo. ............................. Secundaria: juntas de padres/maestros en la noche, de 4 a 8 p.m.
10 de mayo ...........................Preparatoria: juntas de padres/maestros en la noche, de 4 a 8 p.m.
28 de mayo .................................................No hay clases K-12, Feriado/Día de Conmemoración
15 de junio……........................ …......................Graduación de la Escuela Preparatoria de Canby
19 de junio .............................. …................................................................... Último día de clases
20 de junio......................................................................................................Día de calificaciones
21 de junio................................................................Día de entrenamiento del personal eliminado
Días de clases para los estudiantes
Primaria (60/52/53)...............................................................................................................165
Secundaria/Preparatoria (61/54/53) .....................................................................................168
Días laborales de los maestros .................................................................................................179
12 días laborales eliminados del calendario original (días no pagados para maestros y administradores)
3 días bajo contrato para enseñar a estudiantes (es posible que se recuperen 1, 2 o todos los 3 días después
de la auditoría del 1ro de diciembre)
3 de enero, 2 y 3 de abril
6 días de entrenamiento eliminados
6 y 7 de septiembre (.5), 14 de octubre (.5), 21 y 22 de nov., 10 de feb. (.5), 4 de mayo (.5),
21 de junio
3 días de feriado eliminados
5 de septiembre, 11 de nov., 24 de nov.
35
CANBY HIGH SCHOOL
STUDENT HANDBOOK 2011-2012
TABLE OF CONTENTS
Attendance Rights and Responsibilities Student Activities/Athletic
Attendance
Eligibility
Attendance and Finals
Checking out During the School Day
Appointments
Student Illness
General Pre-Excused Absences
School-Related Pre-Excused
Absences
Town Pass
Homework Requests
Tardiness
Forged Signature
Unexcused Absences
Consequences for Excessive
Excused/Unexcused Absences
GENERAL INFORMATION
2
CSD Non-Discrimination Statement
CHS Contacts
Counseling
Canby High Health Center
Student Arrival/Departure
Approved Fines and Fees 2011-2012
Student ID Cards and Optional Fees
No Pets in Buildings/On Grounds
School Closures
POLICY AND PROCEDURES
5
Bulletin Board
Closed Campus – Open at Lunch Only
Communicable Diseases
Computer/Internet Use
Field Trips
Fire Alarms/Safety
Library Media Center
Locker Operation and Assignment
School Buses
School Dances
Self-Medication
Student Fees and Fines
Student Publications
Textbooks
CODE OF CONDUCT
28
School Environment
Discipline
Procedure for Suspension or
Expulsion of students with IEPs/504s
School Activities During Suspension
or Expulsion
Student/Parent Grievance Procedure
STUDENT RIGHTS AND RESPONSIBILITIES
12
Academic Awards
Academic Ethics
Admission to CHS
Assembly of Students
Credits Required
Dress & Grooming
Freedom of Expression
Grade Reduction/Credit Denial
Grading System/Grades on eSIS
Homebound Instruction (Tutor)
Honors Diploma
Incompletes
Minimum Enrollment for Athletics and
Activities
Off Campus Credit
Personal Communication/Electronic
Devices
Proof Of Enrollment (DMV)
Senior Graduation and Activities
Student Parking
Student Visitors Are Not Allowed
Students Driving Vehicles/Passengers
Students of Legal Age
Ticketing and Towing of Student
Vehicles
Transcripts
Transfer of Student Records
Transferring/Leaving CHS
Trespassing
ATTENDANCE
Excused Absences
33
ACADEMIC RESOURCES
41
Canby High School
th
721 SW 4 St.
Canby, OR 97013-3999
503.263.7200
canbyhs.canby.k12.or.us
23
1
return to top
STUDENT ATHLETICS /
ACTIVITIES HANDBOOK
36
GENERAL INFORMATION
CSD NON-DISCRIMINATION STATEMENT
Canby School District does not discriminate on the basis of race, religion, creed, color,
national origin, disability, marital status, personal life orientation, or age in providing
education or access to benefits of education services, activities, and programs in
accordance Title DI, Title VII, Title IX, and other civil rights or discrimination issues;
Section 504 of the Rehabilitation Act of 1973, as amended; and the Americans With
Disabilities Act (from Canby School District’s Students’ Rights & Responsibilities).
CHS CONTACTS
CANBY HIGH SCHOOL
503.263.7200
Administration
Pat Johnson
Principal, x5303
Dennis Burke
Associate Principal/Athletics, x5304
John Ogden
Associate Principal/Activities, x5322
Kimie Carroll Associate Principal/Alternative Programs, x5323
Secretaries
Christy Ankeny
Jennifer Kraxberger
Lonnie Harms
Claudia Aguliar
Lori Wujek
Loree Carlson
Leesa Beaudoin
Pam Saatkamp
Jamie Netter
Office Manager, x5300
Bookkeeper, x5307
Athletic Secretary, x5301
Attendance Secretary, x5312
Counseling/SBHC Secretary, x5340
Counseling Secretary, x5341
Registrar, x5342
Student Center/Activities Secretary, x5320
Career Center Secretary/ASPIRE, x5022
Email Communication
Teachers are best reached via email. Go to the Canby High School web site
(www.canbyhs.canby.k12.or.us) for a directory and staff blogs. The Canby School District’s
web site is www.canby.k12.or.us.
COUNSELING
CHS offers the services of a complete guidance and counseling program for high school
students. This program includes guidance, which relates to curriculum information, course
planning, as well as career planning. In an effort to best meet the needs of the individual
student at Canby High, we have assigned students to specific counselors. However, to retain
flexibility, a student is welcome to see any counselor, whether or not he or she has been
assigned him or her.
The counselor assignments follow:
Andrew Young
A-G
Kelly Jindrich
H-O
Daren Gilbert
P-Z
Trevor Lockwood
Intervention Specialist
x5348
x5347
x5346
x5343
CANBY HIGH SCHOOL BASED HEALTH CENTER
Health care at school keeps kids in school.
Available services include:
•
Assistance in the management of chronic illness such as asthma or diabetes in
cooperation with the student’s Primary Care Provider
•
Communicable disease control and prevention
•
Diagnosis and treatment of minor illness, infection and injury (i.e., skin infections,
bronchitis, sinusitis, etc.)
•
Health screening and referral
•
Immunizations
•
Lab tests to monitor health conditions
•
Physical Examinations and Sports Physicals
•
Mental health assessment and referrals, brief counseling and family support
2
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37
•
•
•
Substance abuse assessment and referral
Tobacco prevention and cessation information
Wellness and lifestyle education and support
Health Center services are private and confidential for students 15 or older. Students under
the age of 15 must have parental consent. Health records will not become a part of a student’s
school record. Only Heath Center staff may access health records. HIPPA rules and
regulations are followed. Appointments are recommended for non-urgent health concerns:
503.263.7219.
Nurse Practitioner: Julie Passon, 503.263.7219
STUDENT ARRIVAL / DEPARTURE
School personnel are not on duty until 7:15 am each morning (or 8:15 for late start
Wednesdays). For student safety we require that students not come prior to that time.
Students are to leave the building by 3:00 pm unless involved in a school-supervised
activity and/or working with an instructor.
Students with “late-arrival” should arrive no more than fifteen minutes before their first
scheduled class, or check into the library or the Student Center. Students with “early
dismissal’ should be off campus ten minutes after their last class has concluded,
unless they have made prior arrangements to work with an instructor.
APPROVED FINES AND FEES FOR 2011-2012
Optional Fees
PE Lock
st
Yearbook 1 Trimester
nd
2 Trimester
Parking (on campus)
Student ID Card
Health II-First Aid Card
Early Childhood Cadet
Teaching for Tomorrow
Planners
Student ID cards
$8.00
$50.00
$55.00
$20.00
$35.00 (required for all CHS students)
$3.00 (card fee)
$10.00 (Food Handlers Card required)
$10.00 (Food Handlers Card required)
$10.00 (replacement fee)*
$5.00 (replacement fee)*
*Note: Planners and Student ID cards are required for all CHS Students
OSAA Sanctioned Sports
$125.00 per sport
Two sport maximum fee to any one athlete
Maximum family cap of $450.00 for OSAA Sanctioned Sports
Extra-Curricular Activities and Club Sports
Cheer
$50.00
Concert Choir
$35.00
Dance
$50.00
Drama
Fall Play
$35.00
Spring Musical
$35.00
Equestrian
$35.00
FBLA
$35.00
FFA
$35.00
Lacrosse
$60.00
Marching Band
$50.00
Rugby
$60.00
Ski Team
$35.00
Snowboard Team
$35.00
Speech Team
$50.00
Requests for refunds for fees paid and not used must be submitted to the Canby High School bookkeeper
st
by June 1 of the same school year they are assessed.
STUDENT ID CARDS
3
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38
All students must have a student ID card and are expected to carry this card with them while
attending school and school events. The student ID card will also be used to check out books
in the library, textbook depository, and can be used as a debit card for lunch.
All students must purchase a CHS ID card for $35.00. The student ID card admits students
to CHS hosted athletics and activities (except for OSAA championship events or fundraisers,
i.e.: dances).
NO PETS IN BUILDINGS / ON GROUNDS
Due to possible allergic reaction to pet dander, we encourage students, staff and community
members to not bring pets to school or school events. This includes outside events. The
exception: trained guide dogs.
SCHOOL CLOSURES
Because of weather conditions or some other emergency, it may be necessary to close school
or start school late. You are advised to listen to your radio or television station for closure or
late start information.
For snow route information, please call First Student Transportation at 503.266.2064.
We will make every effort to have a decision on school closure by 6 a.m. regarding the closing
of school, or in the delay of opening school. In the event the opening of school is delayed,
students should follow this procedure:
1.
2.
3.
4.
Be prepared to catch your bus two (2) hours later, realizing that the buses may be running
late because of road conditions.
When you arrive at school, report to your first period class.
Class periods will be shortened, but we will attempt to meet all classes on a shortened
schedule. Delayed starting time will be two (2) hours. First period will start at 9:40 a.m.
In the event school is dismissed early or closed due to inclement weather, all athletic and
activities will be cancelled.
POLICY AND PROCEDURE
BULLETIN BOARD
Club advisors have the authority to approve bulletin board material, see the Student Center
for questions. All students must obtain permission from the Student Center before posting
materials. The approved materials will then be stamped to identify the length of time they can
be posted. When posting bulletins, advertisements, and posters on the premises, the
following procedures should be followed:
-
Materials are to appear only in designated areas. Signs, posters,
and flyers are allowed only if they promote School-Related and sponsored events.
All materials should be taken down immediately following the event advertised.
Make sure posted material has who, what, why, where and when.
If posted materials do not meet the above criteria or they are deemed inappropriate by the
administration, the materials will be removed immediately.
CLOSED CAMPUS – OPEN AT LUNCH ONLY
Canby High School is a CLOSED campus – open campus for walkers - only during lunch.
Students are free to walk off campus during lunch to eat at local restaurants or purchase food
and return to campus. In order to keep an open campus and maintain good relations with local
businesses and their patrons, remember that students are not to loiter, litter, or disrupt offcampus businesses or properties. Students are encouraged to be in supervised areas
during lunch.
Student vehicles may not be moved at any time without permission from administration.
**Please refer to Student Driving/Passenger Policy in this handbook.
COMMUNICABLE DISEASES
Any student suspecting they have a contagious or communicable disease is to be excluded
from class by the teacher and sent to the Counseling Office where the school nurse will be
4
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39
consulted. If the student has such a disease, a health slip from a doctor may be needed to reenter school.
COMPUTER / INTERNET USE
All students must comply with the Canby School Technology/Electronic Communication Policy.
Unacceptable use of the internet include, but are not limited to: use of the system to
access profane or obscene (pornography), that advocates illegal or dangerous acts, or
that advocates violence or discrimination towards other people. *See CSD Rights and
Responsibilities Handbook and code of conduct level system in this handbook.
FIELD TRIPS
Field trips may be scheduled for educational, cultural, or other extra-curricular purposes. All
students are considered “in-school” while participating in school-sponsored field trips. This
means students are subject to the school’s student conduct rules, applicable board policy, and
other rules as may be deemed appropriate by the supervisor.
FIRE ALARMS / SAFETY
Our fire alarm system is used as a means of protecting each of us from serious injury or death
due to fires. A fire escape route is posted in each classroom.
Fire drills will be conducted on a monthly basis. This drill, which will be conducted by school
officials, is a means to help students learn the procedure of evacuation of the school so if a fire
occurs. A safe and speedy evacuation will take place.
CAUTION: A slow evacuation when a real fire occurs could result in injury and/or death.
Students are reminded to take drills seriously.
The administration feels very strongly about the potential danger of setting off false
alarms. Time missed from class because of false alarms may be made up. In addition
to school consequences, violators may be prosecuted to the full extent of the law.
In the event of emergencies other than fire, an emergency plan is posted in each classroom.
Directed evacuation drills, which include earthquake and lockdown, will be held periodically.
LIBRARY MEDIA CENTER
The Library Media Center has printed and non-printed materials for research, instruction
and/or recreational use. A copy machine is available (5-cents per page) for copies.
Computers are available and are networked to a laser printer. See the Media Center for
available multi-media support.
Students must show their Student ID Cards in order to check out library materials. Books are
checked out for two weeks. Students will be assessed the replacement cost of any book not
returned or renewed by the due date. Lost books and other materials must be paid for before
grades are sent out each trimester.
LOCKER OPERATION AND ASSIGNMENT
Lockers are the property of the school and the student does not have the same right of privacy
regarding it that a person has in their home. However, students have no legal right to enter
either locked or unlocked lockers that are not assigned to them by the office staff. School
lockers may be inspected or searched, and any school administrator may take
prohibited material. Locker inspections may be held at any time at the discretion of the
administration.
The school is not responsible for items lost, damaged, or stolen from lockers; please
note: this includes textbooks. Locker damage on the inside or outside will be the
responsibility of the student, and the student will be charged for the cost of repair. If there is
excessive writing or scratches on the inside of a locker, please notify the Student Center.
Lockers will be inspected at the end of each school year and students will be charged for
damages:
Cleaning
Paint door
Damage to door (replace)
$ 5 Damage to lock
$12 Replace double door
$30
$10
$72
5
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40
Vandalism occurring to any locker must be reported immediately to the Student Center or the
student assigned to that locker will be charged.
SCHOOL BUSES
Students must follow the rules governing behavior on school buses or may forfeit the right to
ride. Students should understand that the bus driver is responsible for the safety of students.
A staff member is responsible for establishing departure times of field trips and for maintaining
order during field trip activities. An adult, other than the bus driver, must be on the bus for all
field trips.
1.
Pupils being transported are under the authority of the bus driver.
2.
Pupils shall be on time for the bus both morning and evening.
3.
*Pupils shall not bring firearms, weapons, or any other potentially hazardous material on
the bus.
4.
*Fighting, wrestling, or boisterous activity is prohibited on the bus.
5.
*Pupils shall remain seated while the bus is in motion.
6.
*Pupils shall not extend their hands, arms, or head through bus windows.
7.
Pupils shall not bring animals, except approved assistance guide animals, on the bus.
8.
*Pupils shall use the emergency door only in case of emergency.
9.
The bus driver may assign pupils seats.
10. When necessary to cross the road, pupils shall cross in front of the bus or as instructed
by the bus driver.
11. *Pupils shall be courteous to the driver, to fellow pupils, and passersby.
12. Pupils shall have an appropriate bus pass issued by the school to leave the bus other
than at home or school.
13. *Pupils shall converse in normal tones; loud or vulgar language is prohibited.
14. Pupils shall not open/close windows w/o permission of the driver.
15. Pupils shall keep the bus clean, and must refrain from damaging it.
16. Pupils who refuse to obey promptly the directions of the driver or refuse to obey
regulations may forfeit their privilege to ride on the bus.
Statutory Authority: ORS Chapter 820
Transportation Video Recording: The bus company has installed video and audio equipment
on all school buses to monitor school transportation. Videotapes shall be treated as protected
student records under the Family Educational Rights and Privacy Act. The following guidelines
shall apply:
1. Tapes shall remain in the custody of the bus company.
2. Parents or students who wish to view the videotape in response to disciplinary action
taken against a student may request such access, under the procedures set out in the
Student Record Board Policy and Administrative Guideline (Code 5070).
3. Persons unrelated to a disciplinary incident shall not be permitted to view bus videotapes.
If you would like further information or a copy of the board policy on use of video surveillance
please contact the District Office or the Canby High School Main Office.
Additional District procedures related to student transportation:
1. Pupils shall not have in their possession on the bus 1) tobacco, alcohol or illegal drugs, or
2) matches, or other incendiaries, or concussion devices. *
2. Pupils shall not have on their possession without prior approval
1) glass containers or other glass objects; 2) balloons; or 3) skateboards or other large
objects which might pose safety risks or barriers to safe entry and exit from the bus.
3. Pupils shall not eat food, drink, or chew gum while on the bus.
4. Pupils shall not damage school property or the property of others. *
5. Pupils shall not throw any objects. *
* These regulations are serious violations with severe consequences because of the threat of
safety of others.
Driver’s Evacuation Drill Checklist
I.
Safe Boarding Practices
II.
Safe Riding Practices
III. Safety Leaving the Bus
IV. Point out Oregon State Bus Regulations
V.
Evacuation Drill
i. Explain that during the drill we evacuate from the front door only.
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ii.
iii.
iv.
v.
vi.
vii.
viii.
ix.
Point out all the other exits. Explain how they operate in case of a real
emergency.
We evacuate only if it is safer outside the bus than inside.
Instruct students on how to set the parking brake and how to remove the key
from the ignition.
Remind students to leave belongings on the bus in an emergency.
Instruct students on proper evacuation exiting Seat 1 followed by Seat 2, …etc.
Remain seated until it is your turn. Then exit quickly and orderly, walking not
running.
Assign one student to lead the students away from the bus and two students to
stand at the door to assist students off the bus and count them. Instruct them to
lend a hand, not pull the student from the bus.
Instruct students to do this even when the bus driver is unable to help them.
Outside the bus
SCHOOL DANCES
The success of a school dance is largely determined by the amount of pre-planning involved.
Please follow the guidelines below regarding school dances:
1. The advisor of the group sponsoring the dance will be responsible for organization and
supervision of the dance. Scheduled dances must be approved by administration.
2. Admission will be limited to Canby High School students for most dances.
Students must show a Student ID Card.
3. Guests are only allowed at the two major dances: Homecoming and Prom. The
guest/CHS student must fill out a guest pass and return it completed to the Student
Center. Guests over 19 will not be allowed to come to school dances unless an
administrator grants permission. Background checks will be completed on all
guests. All guests must show ID and bring the guest pass with him/her to the dance.
Grade/Middle school students will not be permitted to attend high school dances.
4. Administrators, Security and Chaperones at the dance will have the authority to remove
any student or guest from school dances for violation of school or dance rules.
5. All after game dances will end by 11:00 p.m. unless otherwise designated. No
student will be admitted after one hour, unless at a school-sponsored activity or arranged
by an administrator.
6. If a student or guest leaves the building in which the dance is held, they will not be
permitted to return to the dance.
7. Security (Campus Security or School Resource Officer) will be on duty at school dances.
He/she will be responsible for supervising the grounds and parking lots, and to remove
any unauthorized persons from the premises. Individuals are not permitted to loiter
around the dance area.
8. Students violating the district drug/alcohol policy during a school dance will be dealt with
as prescribed by school district policies. They may be detained until parents and/or legal
authorities have been summoned and action taken.
9. All school rules apply at dances, including: no grinding (back to front), moshing, or being
provocative with dance or dance moves. Public display of affection is also not
appropriate. Continued violations will result in removal from the dance.
10. Dances held off-campus such as the Prom operate under the same guidelines as all other
school dances.
SELF-MEDICATION
Sharing and/or borrowing of medication, with another student, is strictly prohibited and in
violation of Policy JFCG, Tobacco, Alcohol, and Drugs.
Designated trained school personnel will provide assistance to students who are
developmentally and/or behaviorally unable to self-medicate. A permission form and written
instructions need to be submitted to the Counseling Office as required for Administering
Medication to Students.
1.
Prescription Medication: certain prescription medications may be self administered if
the following conditions are met:
a. All prescription medication must be kept in its appropriately labeled, original
container. Prescription labels must specify the name of the student, name of the
medication, dosage, route, and frequency or time of administration and any other
special instruction.
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b.
2.
All requests for self-medication or for the District to administer medication to a
student shall be made by the parent in writing. Requests shall also include the
written instructions of the physician for the administration of a prescription medication
to a student. All students requesting self-medication require written approval
from a school administrator.
Nonprescription medication:
a. Self-medication of nonprescription medication is allowed.
b. Students shall be responsible for their own nonprescription medications, which must
be brought to school in the original container, properly labeled with the student’s
name affixed to the original container.
Permission to self-medicate may be revoked if the student violates Board Policy,
Administering Non-injectable Medicines to Students and/or this procedure.
STUDENT FEES AND FINES
In accordance with the law and with the district policy, certain student activities/records may
be withheld if fines and charges are not paid. The administration may hold the grade reports,
diploma or records of the student who owes the fee or is responsible for the loss or damage
until the student or the parent/guardian of the student has paid the amount owed. The school
district shall not withhold the education records of a student in the circumstances described in
ORS 326.575 and applicable rules of the State Board of Education or when such records are
requested for use in the appropriate placement of the student.
STUDENT PUBLICATIONS
District Sponsored: Students’ First Amendment rights to freedom of expression and equal
protection of the law will be observed regarding district-sponsored publications. The
observance of these rights must be balanced against the legitimate needs of the educational
process. Some student publications, such as yearbooks, and school newspapers, may be
educational devices developed as part of the curriculum to benefit primarily those who
compile, edit and publish them. Staff advisors will be assigned to guide students engaged in
these activities. Any commercial advertisements in such publications will conform to Board
regulations.
Students may be required to submit publications for approval prior to distribution. When
approval is required, school administrators must make available to students the standards,
which will be used to determine granting or denying permission to publish. Such guidelines
will be specific and will be directed toward ascertaining which publications will cause
substantial disruption of district activities or contain libelous or obscene content.
Prior restraints will contain precise criteria, which spell out what is prohibited. A definite, brief
time limit will be set within which school officials must approve or disapprove of distribution.
To be valid, these guidelines must prescribe a procedure for appeals from students.
All Publications: It will be the responsibility of administrators to set reasonable and specific
regulations; setting for the time, manner and place in which distribution of student publications
may occur.
TEXTBOOKS
Textbooks are provided free of charge to all students that attend Canby High School. When
textbooks are first issued, students must inspect the book thoroughly and advise library staff
and teachers of any markings, tears, defects or other damage.
The assigned student is responsible for all damaged, lost, or stolen textbooks.
At the opening of school be sure you put your name on the slip at the front of all your
textbooks. Also, label all of your equipment with your name. Check textbooks carefully
when issued, as there will be a charge for book damage that was not previously
recorded.
Damaged book charges:
Broken Binding
Defaced Covers
Other Damage
$15
Torn Pages, ink markings
$7
Defaced Pages
up to full cost of book
$2
$1
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STUDENT RIGHTS AND RESPONSIBILITIES
ACADEMIC AWARDS
Academic Letter
An academic letter requires a cumulative GPA of 3.70 with a minimum of four academic
classes taken each of the previous two trimesters. Academic classes will be defined as all
credit classes offered with the exception of staff assistants (TLAs), work based learning and
work experience. No exchange students will be acknowledged with an academic letter. The
school provides the academic letter certificate, but the student will be responsible for picking
up the emblem or letter for his/her academic award from the Athletic Office (in Main Office).
The Academic Awards Night takes place in the spring in the FAC.
Honor Roll
Honor roll status requires a 3.50 GPA for a single trimester with a minimum of four classes.
ACADEMIC ETHICS
Every school has a responsibility to promote honesty and integrity on the part of all students.
At CHS, students are expected to rely on their own efforts to achieve and to accept the
consequences for their own choices as they complete their work.
Teachers take care to promote ethical behavior on the part of all students and will not tolerate
cheating. It is the responsibility of each student to avoid the act or the appearance of an act of
dishonesty, whether it is as the supplier or recipient of unethically obtained materials or
information. Academic dishonesty includes, but is not limited to, the following items:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Glancing during a test or quiz
Unsanctioned teamwork on an assignment
Habitual absenteeism on tests or assignments
Failure to cite sources adequately on assignments
Copying a major paper in a research project
Changing answers, using cheat notes or stealing a paper or test
Receiving excessive outside assistance on an assignment
Plagiarism
Computer or grade book misuse/accessing or changing grades
It is the school’s expectations that students will not plagiarize. That is, they will not copy
another writer’s work (either published or unpublished) without giving proper credit to the
original writer. The faculty and administration of Canby High School take this violation
seriously. Students may be denied credit on a test or paper or for the entire course. (From
“What is Cheating,” courtesy of Rex Putnam High School.) Students are also subject to school
discipline.
ADMISSION TO CHS
A student seeking enrollment in the district for the first time must meet all academic, age,
immunization, tuition and other eligibility prerequisites for admission as set forth in state law,
board policy and administrative regulations. Students and their parents should contact the
counseling center for admission requirements.
Canby High School utilizes an intake procedure for students with health, safety or special
academic needs. This procedure was developed to assist the counseling staff, case
managers, administrative staff and families in school placement. Intake meetings are
scheduled based on availability of staff and take place in the Counseling Office. The intake
team members include, but are not limited to: counselor, administrative staff, intervention
specialist, case manager (IEP), and district program staff as needed.
The district may deny regular school admission to a student who is expelled from another
school district and who subsequently becomes a resident of the district.
ASSEMBLY OF STUDENTS
1. Students of Canby High School shall be given a limited open forum which allows them the
opportunity to meet for non-curriculum related topics on school premises during noninstructional time.
2. All meetings shall have prior approval of school authorities and be scheduled in advance.
They shall not disrupt school classes or activities or create a hazard to person or property.
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3. Non-curriculum related meetings (limited open forum) should include meetings of a
philosophical, political, or a religious nature.
a. Meetings shall be student initiated and attendance shall be voluntary.
b. Meetings shall be open to all students without regard to sex, race, religion, or national
origin.
c. Meetings shall not be sponsored by the District, or any employee of the District.
d. Meetings shall not be subsidized by public funds beyond the incidental cost of
providing space.
e. Meetings shall be monitored by school authorities to determine compliance with
policies.
f. Employees or agents of the District may be present at religious meetings in a nonparticipatory capacity only.
4. Nothing in this policy shall be construed to authorize school officials to do any of the
following:
a. Sanction meetings that are unlawful.
b. Abridge the constitutional rights of any person.
c. Establish a minimum numerical size for meetings.
d. Compel any school agent or employee to attend a school meeting, if the content of the
speech at the meeting is contrary to the beliefs of the agent or employee.
e. Require any person to participate in prayer or any other
religious activity.
f. Influence the form or content of any speech, prayer, or other
religious activity.
5. Students have the right of freedom of expression and assembly but
must accept responsibility for their expressions of personal opinion
so as not to interfere with the freedom of expression of others. The
use of obscenities, libel, slander, threats of harm to person or
property, or any other expression which might result in disruption of,
or interference with, the educational process or school activity, is
prohibited.
CREDITS REQUIRED
Administrative approval is required for credit to be given twice for the same subject.
Exceptions to this are: Band, Advanced Speech, Vocal Music, Newspaper Production,
Yearbook, Student Leadership, PE, Weight Training, Office Procedures, Work Based Learning,
and OJT (On-the-Job Training). Course repeated for a higher grade will receive credit only
once.
DRESS AND GROOMING
GUIDELINE (Board Policy JFCA)
1. Right
a. Dress and grooming regulations shall be a part of the written school policy and such
rules shall be made readily available to parents or guardians and students.
2. Responsibility
a. A student’s dress and grooming while on school premises or at any time while under
the jurisdiction of the school shall be clean and in keeping with reasonable standards
of health, safety, and sanitation.
b. When students are participating in school activities, their dress and grooming shall
not disrupt the performance of, or constitute a health or safety threat to, the
individuals or to other students.
Disruptive or immodest dress and grooming shall not be permitted which disrupts the
teaching-learning process.
CHS DRESS CODE
1. Dress and grooming while on school premises or at any time under the jurisdiction of the
school is the responsibility of the student and parents or guardians. When dress and
grooming disrupts the learning process for the individual student, other students, or the
learning climate of the school, it could become a discipline issue for the student,
including parent contact.
2. Clothing, jewelry, or other forms of appearance, which are likely to interfere with safety or
the educational process may not be worn or displayed. Examples include overly revealing
clothing and clothing decorated with illustrations or words which are lewd, vulgar,
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3.
obscene, plainly offensive, or which promote illegal activity (drug, alcohol or tobacco).
Chains may be no longer than 6 inches.
Students will not be allowed to wear gang-related clothing or paraphernalia as
determined by school officials.
Parents are responsible for the dress, grooming, and conduct of their children.
Parents will be notified at the earliest possible time and asked to bring a change of clothing to
the school, or come and get their student. Should a student and/or parent refuse to cooperate
regarding correcting a violation of the code, it shall be necessary to handle the matter
according to the schools policies regarding student conduct and discipline. Repeated
violations will be treated in a similar manner.
It is essential that the staff of the school have the authority to interpret and enforce the
dress and grooming code established by the District School Board. It shall be the
responsibility of all staff members to inform the administrative staff of any violations,
and if necessary, to send students to the Student Center.
FREEDOM OF EXPRESSION
st
th
Students, as citizens, have the right of free expression under the 1 and 14 Amendments of
the US Constitution and under Article 1, Section 8, of the Oregon Constitution.
Because school is a learning experience, the matter of free expression must also be viewed as
a part of the learning process. School officials have the responsibility to see that what is
presented to students is truthful and factual, has a proper explanation and background, is
appropriately and properly presented, and if there are two sides to any issue, that both are
told.
Any student activity at school or school-sponsored function must be cleared and approved
beforehand by the advisor or school official in charge. Distribution of leaflets or papers on
school premises will not be allowed unless approved by the administration.
GRADE REDUCTION / CREDIT DENIAL
Grade reduction or denial determinations may include student attendance; however, student
attendance may not be a sole criterion. If attendance is a factor, prior to a grade reduction or
credit denial, the following shall occur:
1. The teacher shall identify how attendance and class participation is related to the
instructional goals of the subject or course in the form of the course syllabus to be
distributed to students at the beginning of the course.
2.
Parents and students shall be informed of classroom procedures regarding expectations
and grading.
3.
A grade is not reduced or credit denied based upon absences due to:
•
Religious reasons
•
Student’s disability
•
School-related activities
•
An excused absence, as determined by the district’s policy
GRADING SYSTEM / GRADES ON ESIS
A letter grade will be used on progress reports and report cards:
A - Student masters the content completely, accurately, and supplements with enriching
experiences, thus greatly increasing his store of knowledge and broadening the student’s
experience. Also, the student is able to apply the assignment practically and relatively.
B - Student comprehends and masters most of the principles and understands the content
involved sufficiently to make application.
C - Student understands the content and is able to make a reasonable amount of application.
D - Student understands enough of the content to apply the minimum essentials of the work to
warrant a recommendation to continue study in this particular field.
F- The performance of the student has not reached the minimum necessary for credit. In
addition, an F is recorded if a class is dropped without teacher approval.
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I - A student should receive an I for incomplete when appropriate. A student is to either have
made arrangements with a teacher to make up work, or have made up the work within three
weeks of the completion of the grade period. Third trimester incompletes must be made up or
have teacher approval at end of first three weeks after the succeeding first trimester begins, or
incomplete letter grade converts to the grade the student earned.
P - Pass - credit not figured in GPA
N - Dropped classes: Withdrawal from any course must be done within five full school days of
the course. After five days any changes must be teacher initiated. Courses dropped after ten
days by a student will receive an “F” grade. Teacher initiated drops will be graded “N” or “F” at
the teacher’s discretion. After ten days, administrative approval is required in order for a
teacher to give an “N,” teacher must fill out an Add-Drop Request form.
U - or S refers to Alternative Grading.
PARENT / STUDENT ASSISTANT (eSIS) AND GRADES
Students’ academic progress will be reported approximately every 6 weeks throughout the
school year. Parents and students can access current students’ attendance and grades
through Parent or Student Assistant. They can find the link on the CHS website under “Parent
Assistant.” Parents/Guardians can contact Susie McMullin for their usernames and passwords
at 503.263.7200 x5361. Students go to the technology counter in the back of the library for
assistance.
ASSESSMENT, RECORDING, AND REPORTING
Teachers are required to maintain daily attendance. Notification to parents, counselors, and
administrative staff in regards to students, who are not meeting state attendance expectations,
is mandatory. The evaluation of student progress is a primary responsibility of all teachers.
The highest possible level of student achievement is a common goal of both the district and
the home. As a close working relationship between the district and the home is essential to
the accomplishment of this goal, regular communication with parents is essential. Parents are
encouraged to attend Parent/Teacher conferences. Also, for those parents with concerns,
email is another way parents can communicate with teachers. A listing of teacher email
addresses is posted on the CHS website: canbyhs.canby.k12.or.us.
Parents are encouraged to contact teachers or counselors if they have concerns or questions
about their students’ grades. Instruction is related to the program guides, planned course
statements and goals.
HOMEBOUND INSTRUCTION (TUTOR)
Canby High School offers assistance for students unable to attend classes because of medical
reasons. Written verification by a physician that necessitates a student’s absence from school
for five (5) or more days must be presented to an administrator prior to the initiation of tutor
services. Please see a counselor for paperwork and support.
HONORS DIPLOMA
Students who desire to be challenged to academic excellence and to increase their chances
for success in college or other Post Secondary Programs should consider an Honors Diploma
track.
Students must meet or exceed the following requirements:
a. Pass 10 credits from the Honors Core classes (C or better)
b. Have a minimum 3.50 accumulative GPA
c. Complete at least 28 credits
d. Complete all other graduation requirements (see pg. 6 of the 2011-2012 Academic
Planning Guide)
e. In addition to what’s listed on pg. 6 of the Academic Planning Guide; meet or exceed
Oregon State Assessment Scores: math 236, reading 236 and writing 40.
Please see the 2011-2012 Academic Planning Guide’s Honors Diploma Requirements or
your counselor if you have questions.
INCOMPLETES
An incomplete grade must be made up, or arrangements made, by the end of the third week of
the succeeding trimester, or no credit will be granted. An incomplete grade automatically
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changes to a failing grade after the third week. Teachers can make a grade change at any
time.
MINIMUM ENROLLMENT FOR ATHLETICS AND ACTIVITIES
Students who participate in athletics or activities must be enrolled in a minimum of four (4)
class periods at all times. All other students are expected to enroll in a minimum of four (4)
class periods each trimester.
Work experience cannot replace credit for a class that has been dropped. However, work
experience through a regularly scheduled class can count for credit if it meets the established
criteria.
See the CHS Athletics & Activities Handbook or Academic Counselor for complete
eligibility requirements.
OFF CAMPUS CREDIT
The following are to be considered with respect to early graduation and/or concurrent “OffCampus for High School Credit” enrollment:
1.
In order to insure that the class to be taken meets CHS requirements, approval from your
counselor is necessary.
2. Off campus credit can be granted if approved by CHS administration.
3. State and local requirements for high school graduation still must be met.
4. Three (3) college credit hours will be equivalent to one-half CHS credit. Credit amount for
special programs will be determined on an hourly basis.
5. In order to be eligible for high school activities (athletics, speech, music, drama, etc.) a
student must be enrolled in a full time program at Canby High School – at least four
subjects.
6. Tuition and fees at other educational institutions will be the responsibility of the person
taking course(s).
7. All credits taken outside of Canby High School that are to be applied toward graduation
requirements must be verified by an official transcript and/or certificate of completion.
8. In order to qualify for a CHS diploma, the final trimester of high school work must include
enrollment on a full-time basis at Canby High School. Full time enrollment is defined as
three classes. Any exceptions must have an administrative approval.
9. Those students entering and completing the Oregon National Guard’s “Oregon Plan” and
completing the “Training Agreement” contract will receive one-half unit in Career
Education. Proof of completion in the form of a letter from the “Guard” must be submitted
to the CHS administration before credit can be granted.
10. The grade earned from the off-campus class is computed into the cumulative GPA, if the
course is taken as credit retrieval. It does not replace the grade earned at Canby High
School. Also, the course is included on the official transcript.
Students are to see their academic counselors for more information.
PERSONAL COMMUNICATION / ELECTRONIC DEVICES
High school students may possess personal communication and/or electronic devices. All
students have the responsibility to ensure their communication/electronic devices do not
disrupt the learning environment. A student is subject to disciplinary action for disrupting the
learning atmosphere. Failure to follow rules will result in denial of privilege to possess and or
use an electronic device or cell phone at school.
Students are asked to follow the “off and away” rule at school. Cell phones are permitted
during passing time and at lunch. Students are not to use cell phones in school, during class
time (even if stepping out of the classroom). Students are not allowed to wear headphones or
earphones in school. This is a safety issue. Students must be able to hear staff direction at
all times.
Students are required to use their electronic devices appropriately during school hours while
on campus or at school-related activities and events.
Consequences:
st
1 offense
warning from teacher/staff
nd
2 offense
classroom discipline and parent contact
rd
3 offense
classroom referral, parent meeting w/administrator,
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school discipline (progressive sequence of
consequences: in school suspension, student
contract, out of school suspension, etc.)
PLEASE NOTE: Canby High School will not be responsible for lost or stolen electronic
devices.
PROOF OF ENROLLMENT (DMV)
Proof of Enrollment DMV forms are issued through the Counseling Center for students
who are enrolled at Canby High School.
Per the Oregon Department of Transportation, Driver and Motor Vehicle Services, Canby High
School has the right to suspend driving privileges of a student if he/she is considered to have
withdrawn (either voluntary or by a 10-day drop) from school per ORS 339.257 (2). Students
th
between the ages of 7-18 who have not graduated from the 12 grade are required to attend
school regularly (ORS 339.010).
SENIOR GRADUATION AND ACTIVITIES
Seniors at Canby High School must complete all graduation requirements, including
Senior Portfolio, by 2:30 p.m. the day before graduation in order to go through the
commencement ceremony (see the 2011-2012 Academic Planning Guide).
In order to qualify for a CHS diploma or alternative certificate and walk at graduation,
the final trimester of high school course work must include enrollment in at least three
nd
on-campus classes at CHS or have principal approval by 2 trimester. Only students
receiving diplomas/alternative certificates will participate in the graduation ceremony.
If seniors are missing credits, they must be enrolled in an institution that grants high school or
college credit to complete their graduation requirements. A letter from the institution (student’s
responsibility) must be given to the counselor one week prior to graduation verifying success in
the course. Verification of enrollment from the institution must be given to the counselor at the
beginning of the third trimester. A diploma/alternative certificate will not be issued until official
verification from the institution is received.
Graduation activities and programs are to be arranged by the senior class, their advisors, and
an administrator. Final program is subject to approval of the school administration. Speakers
at graduation will be selected from the senior class and content of speeches must be
submitted to the administration for approval.
Baccalaureate is a religious service and student attendance is voluntary. The Constitution of
the United States establishes a separation of church and state. This includes school. The
C.I.T.Y. Club provides Baccalaureate services. They are responsible for the selection of the
speaker and ministers who will participate. The service is non-denominational.
The Graduation All-Night Party (GAP), held the night of graduation, is for seniors only. Hosted
by the parents of the senior class, the purpose is to provide a drug and chemical-free party for
the graduates. Rules and protocol for this event are the responsibility of the GAP Committee.
STUDENT PARKING
Students parking on school grounds must have a registration tag. Those students not
parking on campus must park in legal, unassigned parking areas only and are subject to city
parking regulations, ticketing and towing, if necessary.
Students are advised to utilize the transportation of First Student Transportation as much as
possible. Call 503.266.2064 for bus schedules or more information.
The parking facility at the NE end of the 200 wing is off limits to student parking. Students
and staff are not to park in visitor or SRO designated spaces, no parking zones, or in painted
handicapped parking spaces (unless authorized). Vehicles could be subject to ticketing or
towing if parked in unauthorized areas.
STUDENT VISITORS ARE NOT ALLOWED
In maintaining a safe, non-threatening environment, student visitors are not permitted at CHS
during regular school hours. An administrator, with a 24-hour prior notice, may grant exception
to this policy. The visit must be for educational purposes.
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STUDENTS DRIVING VEHICLES / PASSENGERS
Students are not to be in vehicles during the school day whether the vehicles are on or off
school campus. This includes the lunch period.
Reminder: this policy is to help keep students safe and to ensure an open campus for
those that are walking and following guidelines.
STUDENTS ARE NOT TO DRIVE OR BE A PASSENGER DURING THE SCHOOL
DAY AND/OR WHILE STUDENTS ARE THE RESPONSIBILITY OF THE SCHOOL.
This policy applies to both the DRIVER and PASSENGERS in vehicles during the school day.
•
•
•
•
First Offense — one day of in-school suspension and parent notification.
Second Offense — one day of out of school suspension, parent notification and student
must sign a driving contract to continue driving to school.
Third Offense: — three days out of school suspension, parent notification, and the driver
must register his/her keys in the Student Center each day for the remainder of the
trimester (If deemed by an administrator, the registering of keys could be for the
remainder of the school year). Student must leave car keys upon arrival to school and
pick them up before departure each day.
Fourth Offense — five days out of school suspension, parent notification and loss of
driving privileges for the remainder of the school year, possible other discipline.
Failure to comply with student driving policy can result in the above listed discipline and
extreme violations could result in continued out of school suspension and/or recommendation
for expulsion. Students are expected to drive in a safe manner and follow local and state laws
when operating their vehicles both on and off the premises.
Town passes may be issued only in the case of emergency or special circumstances. Parent
permission and written administrative authorization is required to be on file in the Student
Center.
All vehicles parking on school grounds must purchase a parking tag. Go to the Student
Center for more information.
STUDENTS OF LEGAL AGE
A student who reaches the age of 18 when enrolled at Canby High School shall be deemed an
adult or “eligible student” and shall be accorded the same rights and responsibilities as an
adult, unless the student waives his or her rights through written notification to the high school
principal. These rights include, but are not limited to, all notifications and decisions relative to
school conduct, discipline and attendance that were formerly granted the parent or guardian.
Students who are of legal age, but do not act responsibly when excusing themselves from
school, will have the privilege to excuse themselves revoked, because they have failed to
abide by the previous standards; therefore written excuses will be required and administrator
review needed before an absence will be excused. (Refer to Absences and Excuses in this
handbook).
TICKETING / TOWING OF STUDENT VEHICLES
Students who park on Canby High School property and are not registered or parked in an
authorized parking area (staff parking, visitor parking, etc.), will be issued a parking violation
warning. Vehicles that are parked in a manner that is a safety issue will be towed away at the
owner’s expense without warning.
First Violation: Student will be issued a written or verbal warning. Parent will be contacted by
phone and advised of the violation and will also be informed that the second violation will be
ticketed and could result in the vehicle being towed at the owner’s expense. A copy of the
violation will be sent home and one will be put into the student’s file.
Second Violation: Vehicle will be ticketed and student charged at least $10. Non-registered
cars will be towed at owner’s expense.
Third Violation: Vehicle will be towed at owner’s expense.
TRANSCRIPTS
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Students can receive official copies of their transcripts without a fee assessed. Requests are
made either in the Counseling Office or by emailing Lori Wujek at [email protected].
Include full name, date of birth, year of graduation or years of attendance at CHS, address to
receive transcript, and official or unofficial copy.
TRANSFER OF STUDENT RECORDS
If a student withdraws from Canby High School and enrolls in another high school or school
system, an official transcript of grades and credits, and the student’s other education records,
will be sent to the new school upon our receipt of notification of the student’s official enrollment
in that institution. This transfer is provided for in the Family Educational Rights & Privacy Act
of 1974, as amended June 17, 1976.
Prior to the withdrawal of a student from Canby School District, his or her parent has a right to
see the student’s records, with the exception of students who are age 18 or over. If a parent
requests a hearing to contest the records, a two-day period must be allowed between the
request and the hearing.
Parents or legal guardians may receive a copy of the records to be transferred, if desired. Any
hearing must be held prior to the actual withdrawal of the student. The Superintendent’s Office
will be glad to answer any inquiries in this regard, or you questions or concerns may be
directed to the principal.
TRANSFERRING / LEAVING CHS
Any student leaving CHS is to do the following:
1. Parent/guardian to contact the Student Center authorizing the withdrawal of his/her student
from CHS.
2. A withdrawal form will be prepared by the Student Center to be presented to each
teacher and the other offices to initial, providing all books/equipment are returned and
all fees/fines are paid.
The form will then be forwarded to the Registrar.
TRESPASSING
No individual may loiter on school facilities or grounds at any time.
1.
2.
3.
4.
5.
6.
7.
To help protect students and the orderly operation of school, officials must know of any
persons who are not members of the staff or student body are inside the buildings or on
the school grounds.
Any or all persons having a legitimate reason to be on the school premises during a
normal school day shall report directly to the school office and arrange to conduct their
business.
Upon entering the school, persons having a relationship involving custody of or the
responsibility for a student shall report to the main high school office.
Spectators and competitors will not be required to have clearance through the office, but
will be expected to confine their presence to only those areas required by that activity.
Any person refusing to follow the above procedures or leave the school building or
surrounding area when requested to do so, will be subject to arrest and the penalties of
the law pertaining to loitering.
Any school district employee may request unauthorized persons on school grounds to
leave. Complaints against persons in violation of the above law, policy, and procedures,
will be signed by a school administrator on behalf of the school district.
Students may not loiter on school grounds.
ATTENDANCE
The school system provides learning experiences, which can only be attained by consistent
attendance in school. Attending class is a requirement. A student with excessive unexcused
absences will be held in violation of the Rules of Student Conduct.
If a student becomes ill or injured at school, the school contacts the parent or guardian through
the information provided on the student verification form. It is especially important; therefore,
that any changes in the family address or emergency contacts should be updated at once to
the school.
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As per Oregon State Law, after ten (10) consecutive days absence in all classes, the student
will be dropped from school. A letter will be sent to the resident address, notifying parents or
guardians of this action.
Attendance number or message: 503.263.7210
(24 hours a day)
EXCUSED ABSENCES
According to ORS.339.065 and Canby High School Protocol, excused absences are
defined as:
1. For illness of the student or family member
2. For emergencies
3. For pre-excused absences - school and non-school sponsored (if approved by
administration)
In accordance with state law requiring attendance at school, students may not be excused for
work or childcare.
Students and Parents are asked to monitor attendance via Parent or Student Assistant.
Usernames and passwords will be shared with them the first trimester.
School-Related Excused Absences are field trips, athletic contests or any school sponsored
activity that takes students out of the regular class period. Periods of in school or out of school
suspension are also excused.
ATTENDANCE RIGHTS AND RESPONSIBILITIES
Student’s rights and responsibilities if excused absent:
• To clear the absence within two (2) school days.
• The student can either bring a note or have his/her parent or
guardian call the Attendance Office. If a student is marked
absent and was in class, he/she is also expected to clear that
absence with the teacher within 2 school days.
• To make-up assignments missed during the time of absence
(including suspension). The student has the number of days absent to make up work
missed. For example, if a student is excused absent 2 days, he/she has 2 days to make up
work missed.
• To take the initiative to obtain make-up assignments, schedule missed exams, etc. from or
with the teacher.
Teacher’s rights and responsibilities if student is excused absent:
• To give student access to content, correct and credit assignments, projects, exams.
Please note: Teachers reserve the right to not give students access to content if the absence
is unexcused. It is at the discretion of the teacher.
STUDENT ACTIVITIES / ATHLETICS ATTENDANCE ELIGIBILITY
In order to participate in practice, contests or performances, students must be in school
attendance the full day of such activity. Any exceptions must be cleared through
administration. Students must be enrolled in and passing the equivalent of four (4) trimester
classes, in addition to other grade requirements. See Student Athletics/Activities Handbook for
more information.
ATTENDANCE AND FINALS
NOTES WILL NOT BE SENT OUT DURING FINALS.
Students may bring a note the morning of finals and turn it into the Attendance Office if they
need to leave sometime during the school day.
Parents and students are strongly encouraged to not schedule appointments during finals.
Students should prearrange to take the final early from their teachers if needed and it is at the
teacher’s discretion whether or not the student is allowed to take the final early – it is not a
guarantee.
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CHECKING OUT DURING THE SCHOOL DAY
REMINDER TO STUDENTS: BEFORE LEAVING CAMPUS DURING THE SCHOOL DAY,
STUDENTS MUST CHECK OUT THROUGH THE ATTENDANCE OFFICE OR THE
ABSENCE WILL AUTOMATICALLY BE UNEXCUSED.
APPOINTMENTS
• Students are to bring a note to the Attendance Office before school and to get their
attendance check-out slip.
• Attendance may need to verify the appointment with parent/guardian.
• Note should include the time the student needs to leave and if student is returning.
• If returning to school, students must check back in at the Attendance Office to get the admit
slip back to class.
STUDENT ILLNESS
•
•
•
•
•
The student should report to the Counseling Office (SBHC).
The Counseling Office will notify parent/guardian.
If parent is unavailable, one of the emergency contacts for the student will be notified.
Students are not allowed to leave without checking out from the Counseling Office.
A doctor’s verification may be required after three consecutive days of absence due to
illness or injury.
GENERAL PRE-EXCUSED ABSENCES
• Pre-Excused Absence forms are available in the Attendance Office.
• A Pre-Excused Absence form needs to be used whenever a student is planning to miss
more than a few periods on a specific day.
• Pre-Excused forms need to be completely filled out, signed by all teachers and administrator
and then returned to the Attendance Office prior to the absence.
• Pre-Excused absences are strongly discouraged for the last few days of a trimester or
during finals.
SCHOOL-RELATED PRE-EXCUSED ABSENCES
It is the intent of this process that the custodial parent or guardian must approve the absence,
and that a parent, guardian or school staff, coach or advisor should accompany the student.
Student’s responsibility:
• Make sure absence is arranged by staff, coach or advisor.
• Absence notification will be via email from the staff, advisor, coach or secretary OR
• Student will be required to use Pre-Excused Absence form by the staff, advisor or coach.
Any special circumstances that are different from this procedure must have prior written
approval of the administration.
TOWN PASS
Students must have a Staff Assistant Off-Campus permission form (Town Pass) on file in the
Student Center if they leave campus by any means (except lunch). This form can be obtained
in the Student Center.
Students with Town Passes must check out and back in with the Student Center or the office
designated by the Principal, including students in the Applied Technology Center, Fine Arts
th
Center and 4 Street Center, during the class period in which they have been approved.
If approved to drive off campus, students must follow driving guidelines (see Students Driving
Vehicles or Passengers in this planner).
HOMEWORK REQUESTS
Homework requests may be made only for two or more days’ absence. Homework requests
must be made by 9:00 a.m. and are to be picked up at the Attendance Office by 3:30 p.m. that
day.
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TARDINESS
Tardiness is not acceptable and could have a negative effect on your daily participation grade.
Each teacher will outline his/her expectations within the classroom and post the rules and
policies. Teachers start class on time; therefore, students are expected to arrive on time.
FORGED SIGNATURE
Students who write excuses for themselves or others, and/or use forged excuses will be
assigned in-school suspension as a first offense. Parents will also be notified.
UNEXCUSED ABSENCES
Any absence from school, which is not in accordance with Oregon State Law:
1.
2.
3.
4.
Parent request, not in accordance with Oregon State Law;
Truancy and absence from school without valid reason and parent permission;
Any absence not cleared by a parent’s note/call within two (2) days;
Leaving school without checking out through the Attendance Office.
Automated Absence Notification
• Parents/guardians will receive an automated call between 6:00 p.m. – 9:00 p.m. if the
student is marked unexcused absent from class.
• If the student is marked incorrectly, it is the student’s responsibility to clear the absence with
his/her teacher within two (2) school days.
CONSEQUENCES FOR EXCESSIVE EXCUSED / UNEXCUSED
ABSENCES
It is recommended that teachers use the following procedure when dealing with student
absences:
• Student/teacher conference
• Parent contact by teacher
• Referral to administrator (see chart next page).
Truancy
A student who is absent from school or from any class without permission will be considered
truant and will be subject to disciplinary action, including detention, Saturday School,
suspension, expulsion, and/or ineligibility to participate in athletics or other activities.
The following chart represents levels of seriousness of absences per trimester and
potential consequences:
LEVEL I
After six (6)
unexcused
absences, letter, or
email or automated
call to parents from
Attendance Office,
Lunch / after school
detention, Saturday
School and/or
School Service.
LEVEL II
LEVEL III
Excused/Unexcused
Excused/Unexcused
After ten (10)
absences, a
disciplinary conference
may be held if so
determined, and/or InSchool Suspension.
After fifteen (15)
absences, a meeting
may be held by a
counselor, the
student, parents and
administrative staff to
consider alternative
options program
and/or attendance
contract, out of school
suspension.
CODE OF CONDUCT
The Code of Conduct for Canby High School students encompasses four basic concepts. Each
student is expected to:
1.
2.
3.
4.
Show evidence of learning.
Be punctual and regular in attendance.
Demonstrate behavior appropriate for the school setting.
Respect the authority of the school.
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Behavior outside of these areas confronts teachers and administrators in conducting teaching
free from disruption and disruptive behavior that impede the learning of all students. As a
result, school officials may find it necessary to discipline a student, or to remove the student
from the formal learning environment for a period of time.
Discipline decisions regarding students and their behavior will be based on careful and
reasoned investigation (due process) of the facts and consistent with school rules and
regulations.
SCHOOL ENVIRONMENT
Students have the RIGHT to:
•
Attend school in a safe environment free of harassment, intimidation, or any threat to
personal safety.
•
Attend a school that is free of fighting or physical violence.
Students have the RESPONSIBILITY to:
•
Respect the rights of others.
•
Seek help of authority when they have knowledge of a wrongful act, harassment, or
potentially unsafe situation.
•
Seek help if needed to resolve personal disputes in a peaceful, responsible manner.
•
Seek safe, peaceful alternatives to fighting and physical violence in settling all disputes.
From the CSD Rights and Responsibilities Handbook
We encourage students to speak to a counselor or administrator if they have questions or
concerns about their safety or others’ safety. Students can report harassment to the Student
Center.
DISCIPLINE
Students will be notified of the school rules and procedures by which the school is governed,
and the processes by which discipline may be involved.
The District has authority and control over a student at school during the
regular school day, at any school-related activity, regardless of time or
location, and while being transported in District-provided transportation.
Students will be subject to discipline including detention, Saturday school, school service, inschool suspension, loss of awards and honors, suspension, expulsion, and/or referral to law
enforcement officials for the following:
LEVEL I
CONSEQUENCES
Attendance
Abusive/Profane Language
Bus Referral
Cheating/ Plagiarism
Closed Campus Violation
Disruptive Conduct/Aggressive Behavior
Electronic Device – Misuse
Forgery
st
Gang Identifier – 1 offense
Inappropriate display of affection
Inappropriate dress
Insubordination
Internet use violation and/or misuse of
computers at school
Lying/Dishonesty
Roughhousing
Staff options include any
of the following:
• Administrative
conference.
• Parent contact.
• School service or
detention during lunch,
after school or as
assigned
• Saturday school.
• In-school Suspension.
• Behavior Contract.
• One (1) to five (5)
day(s) out of school
suspension.
• Possible removal from
class(es).
• Bus referral: Warning to
exclusion from riding
bus up to rest of year
may occur.
LEVEL II
CONSEQUENCES
Open Defiance (1)
Disrespect to Authority
Fighting/Assault
Firecrackers/Explosive – Possession/Use
Staff options include any
of the following:
• One (1) to five (5)
day(s) out of school
suspension, parent
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nd
Gang Identifier – 2 offense
Harassment, Bullying, Intimidation (3, 4)
Internet, Texting and/or Social Networking use
that becomes threatening or harassing
Possession/Use/Distribution of Alcohol, Drugs or
misuse of Prescription Medication
Possession/Use of Tobacco
Sexual Harassment (5)
Theft
Vehicle – Reckless Use
Vandalism
Weapons/Look-a-like Weapons –
Possession/Use/Attempted Use
1. Insubordination, such as disobeying directives from school
personnel or school policies, rules and regulation.
2. Persistent failure to comply with rules under the lawful
directions of staff or district officials.
3. Directing profanity, vulgar
language, or obscene gestures toward other students
4. Name calling, ethnic or racial slurs, or derogatory statements
that may substantially disrupt the school environment or incite
violence.
5. Inappropriate physical or sexual contacts offensive to other
students or school personnel.
•
•
•
•
•
contact. Parent
conference may be
required.
Referral to appropriate
law enforcement
officials and/or a
citation may be issued.
Five (5) day
suspension, parent
conference requested,
possible removal from
class.
Pre-expulsion /
behavior contract
required.
5-10 days out of school
suspension.
Recommendation for
expulsion.
LEVEL III
CONSEQUENCES
Alcohol, Drugs misuse of Prescription
Medication, second offense
Arson
Assault/Menacing
Bomb threat
Computer Misuse/Academic Integrity
Fire Alarm – False
rd
Gang Identifier – 3 offense
Theft
Vandalism
nd
Weapons/Look-a-like weapons, 2 offense
Assault or threats of harm to self or others.
Any unauthorized possession and/or use of a
loaded or unloaded firearm or any other
instrument, device, material, or substance which
is used, attempted to be used, or threatened to
be used, and is readily capable of causing death
or physical injury. Committing extortion,
coercion, or blackmail that is, obtaining money or
other objects of value from an unwilling person
or forcing an individual to act through the use of
force or threat of force.
Persistent failure to comply with rules under the
lawful directions of staff or district officials.
Staff options include any
of the following:
• Up to 10 days out of
school suspension
• Up to 10 days out of
school suspension,
pending
recommendation for
expulsion
• Referral to appropriate
law enforcement
officials
In the event of a second violation for alcohol/drug use
within 36 months of the first offense, expulsion or
change of placement will be recommended. Any
alcohol/drug offense that occurs at least 36 months
after a previous offense shall be considered as a first
offense. Exceptions to the foregoing rules regarding
possession of alcohol/controlled substances or lookalikes as used in dramatic productions, athletic events,
classroom instruction, or school clubs activities are only
permitted pursuant to prior arrangements and written
permission under direct staff supervision.
Additional procedures and guidelines regarding alcohol
and controlled substances are listed in separate school
board policies. In addition, further guidelines applying to
the student activity program are listed in the various
program handbooks. (Examples. Athletic/Activities
Handbook and Band Handbook.) [Board Policy JFCG].
For further information regarding discipline, see Problem Areas and Definitions and Appendix A: Range of
Consequences for Disciplinary Infractions in the Canby School District “Rights and Responsibilities”
handbook.
Additional procedures and guidelines regarding alcohol and controlled substances are listed in separate
board policies. In addition, further guidelines applying to the student activity program are listed in the
various program handbooks (Examples: Athletic/Activities Handbook and Band Handbook) [Board Policy
JFCG].
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HEARING THE ACCUSER
Staff Complaints: Students may hear directly from the teacher or the staff member the
specific complaints or descriptions of unacceptable behavior if requested by the student.
Student Complaints: It is recognized that a school official, as a public officer, shall not be
examined as to communications made to him in official confidence, when the public interest
would suffer by such disclosures. For this reason, in recognition of the special jeopardy in
which the student witnesses may be placed, and the possible traumatic effects of adverse
proceedings conducted by attorneys, police officers, or court officials, the complaining student
may not be required to face the accused, nor have his/her identity revealed. However, the
administrator or other official conducting an investigation is under special obligation to assure
careful and cautious investigation of all relevant facts and testimony. When it is determined
that the student ought not to face the accused, the school official then becomes the official
complainant. NOTE: CHS works cooperatively with the Canby Police Department through the
School Resource Officer. Police investigation protocol may differ from school practice.
PROCEDURE FOR SUSPENSION OR EXPULSION OF STUDENTS
WITH IEPs / 504s
1.
2.
3.
4.
5.
6.
7.
8.
When a student with an IEP or 504 is recommended for expulsion or suspended for more
than 10 school days, the administrator in charge will:
a. Notify the Student Services Coordinator so that a Manifestation Determination
Meeting will be scheduled by the IEP Team, and
b. Notify the parent of the meeting, and
c. Serve as a member of the meeting for this student.
The Coordinator will:
a. Convene the Manifestation Determination Meeting as soon as possible and no later
than five days after notification, and
b. Send the parent a Prior Notice of Proposed Change in Placement, a copy of parental
rights under IDEA.
The IEP Team in the Manifestation Determination Meeting will determine the relationship
between the student’s behavior and his/her handicapping condition. The IEP Team in the
Manifestation Determination Meeting may also consider whether the student’s
misbehavior is the result of inappropriate placement and make recommendations for
change.
If the IEP Team concludes the misconduct has no relationship to the student’s disability,
the student may be disciplined in the same manner, as would other students.
If the IEP Team concludes the misconduct is a consequence of the student’s disability:
a. The student may not be expelled or suspended for more than ten (10) school days;
b. The MDT may recommend alternative placement for the student.
The District will offer special education services to students with disabilities who are
expelled. Parents will be provided with notice of the right to a hearing to rebut the charges
that resulted in the expulsion and will be provided notice of the availability of appropriate
and accessible alternative programs.
The District will provide special education services to all students, including those who are
a danger to themselves or others.
In-house suspension that results in the interruption of a student’s special education
program will be counted as time toward suspension requiring a change in placement.
SCHOOL ACTIVITIES DURING SUSPENSION OR EXPULSION
During the period of suspension or expulsion, students may not attend after-school activities or
athletic events, be present on district property without a parent or guardian (with administrative
approval only), or participate in activities directed or sponsored by the District. Students who
may have violated these provisions may be referred to law enforcement officials and may be
charged with criminal trespass.
STUDENT / PARENT GRIEVANCE PROCEDURE
The following procedure is an attempt to insure that student rights are not violated. Any student that feels their rights
have been violated may implement this grievance procedure.
1.
The student should request a conference with the staff member and discuss the conflict. Situations outside the
scope of the staff member should be referred to an administrator (i.e.: Student dress, internet misuse, etc.).
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2.
3.
4.
5.
A meeting may be requested with the Associate Principal at which time the matter will again be discussed. After
hearing the concern from the student and discussing the matter with the staff member, the Associate Principal
will attempt to resolve the matter.
If the problem is not resolved to the satisfaction of the student and/or parent at the Associate Principal level, a
meeting can be requested with the Principal.
If the problem is not resolved to the satisfaction of the student and/or parent at the Principal level, a written
request for a hearing can be presented to the Superintendent or designee. Within this request shall be a
description of the grievance.
a. The Superintendent or designee will set a time for this meeting and will preside over the hearing.
b. The student shall be permitted to have a representative present at the hearing to advise and represent
him/her. The representative may be an attorney, parent, or guardian.
c. The Superintendent or designee shall be permitted to hear evidence presented and will render a decision. If
the student does not feel the decision is acceptable, the student may proceed to step five.
School Board: The student may request to meet with the school board at which time the board will listen to the
evidence and will make a final decision.
ATHLETICS/ACTIVITIES HANDBOOK (These sections are excerpts from the
Canby School District Athletic/Activity Handbook for 2011-2012)
PART 2—FOR THE STUDENT/PARENT
Canby is fortunate to have many dedicated and hard-working coaches on our staff. Many of them have received
distinguished awards, and have been selected to coach State all-star teams. Each sport is allowed a specific number
of coaches whose salaries are paid by the school district. The head coach of each sport is responsible for the entire
program, and he/she works with assistant coaches to offer a quality program. We are also very fortunate to have a
number of volunteer coaches who are non-paid members of our coaching staff. We appreciate their contribution to
our athletic program.
The athletic/activities code as outlined in this handbook establishes minimum expectations for athletics/activities for
the current school year. The code will be administered by coaches/advisors in conjunction with the building
administration. All participants in athletics/activities in the Canby School District are also governed by the
rules/regulations outlined in the OSAA Handbook, Canby School District’s Rights and Responsibilities Handbook and
Canby High Student Handbook. All rules/regulations apply to coaches/advisors/students in grades 9-12.
Academic Requirements
The Academic Eligibility Policy for participation in extra-curricular activities covers all those activities in which
members compete against outside groups and/or perform before an audience. At present this includes: all sports
teams, cheer, dance team, rodeo, rugby, lacrosse, equestrian, ski team, snowboarding, class and student body
officers, music, band, drama, speech, FFA, and FBLA.
The Oregon School Activities Association (OSAA) and the Canby School District require that a student must be
making satisfactory progress toward the school’s graduation requirements as determined by the Canby School
District. Any exceptions to individual eligibility are defined in the Oregon School Activities Association Handbook,
under Constitution Rules, Rule 8-1, 8-1-1, 8-1-2, 8-1-3, 8-1-4, and 8-2. The Oregon School Activities Association
Handbook is on file in the athletic/activity office and online at www.osaa.org.
The school board has adopted OSAA's academic eligibility requirements for schools on a trimester. A full time student
is one who is enrolled in and passing a minimum of four classes, and who during the immediate preceding
trimester was enrolled, attended regularly, and passed a minimum of four classes. Zero period classes do
not count as one of the four or five classes. A zero period class is a class held prior to the start of the
regular school schedule.
*PLEASE NOTE THIS IMPORTANT NEW INFORMATION REGARDING MINIMUM SATISFACTORY PROGRESS
REQUIREMENTS!
OSAA has further defined Rule 8.1.2. ‘Satisfactory Progress Toward Graduation’. In addition to the specific
credit requirements mentioned in Rule 8.1.1. to be scholastically eligible a student must also be making
progress towards the school’s graduation requirements by earning a minimum of the quantity of credits
indicated below for the specified year.
Credits to Graduate:
Credits per year
(70%) – Prior to Grade 10
(80%) – Prior to Grade 11
(90%) – Prior to Grade 12
26
6.5
4.5
10.0
17.5
23
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If a student is ineligible at the beginning of the year due to having recoded too few credits to meet the
‘Minimum Satisfactory Progress Requirements’, the period of ineligibility covers the entire school year.
Students who participate in athletics/activities must meet the above requirement at the end of each trimester.
Students who do not meet the grade requirement at the end of the trimester will not be eligible until after successful
completion of the next trimester.
Students who do not meet the grade requirement at progress report time of each trimester will be placed on
a two-week academic probation. Students will supply their coach/advisor with weekly written reports of progress,
from their teacher, for any class not meeting the standard. During the time of probation, the student may participate in
practices and perform in competitions as long as satisfactory progress is being made. If after two weeks the student
does not improve their academic performance, they may become ineligible for the remainder of their season and/or
trimester. Students who do not meet the minimum academic standard by the end of the trimester will become
ineligible to compete in athletics/activities throughout the following trimester.
The athletic/activity director, along with all coaches/advisors, will work with teachers and counselors to monitor the
progress of each probationary student and ensure that all students who participate in athletics/activities in the Canby
School District are meeting academic standards.
Any student who has an Individualized Educational Program (IEP) who has not met the OSAA or Canby School
District academic standards due to their handicapping condition may still be eligible to participate if the student’s
multidisciplinary team determines that the student is making adequate educational progress towards meeting their
goals and objectives.
Appeals Procedure
Any student disciplined under the Athletic Training Rules or denied participation in athletics/activities due to the
Academic Eligibility Policy may appeal the decision. To appeal an athletic training or eligibility decision, the student
must follow the procedures outlined in the Canby High School Student Handbook in the section Code of Conduct
under Student/Parent Grievance Procedure.
Attendance Requirement
All participants in athletics/activities are expected to be students first, therefore attendance at school for the entire day
is a prerequisite for student participation in contests or practice. School-related activities or appointments with prior
approval by the administration do not fall under this requirement. More information pertaining to attendance can
be found in the school’s parent/student handbook. Extenuating circumstances may be reviewed and determined
by the athletic/activity director (e.g., doctor, funeral).
Parents are encouraged to call the attendance office at (503) 263-7210 whenever they are concerned about their
child’s attendance.
Athletic/Activities Code
Students who plan to or have participated in any CHS Athletic and/or Activity program are expected to observe the
CHS athletic/activity training rules 365 days per year.
Citizenship Expectations
Membership in an athletic/activity program is an honor that should be carefully guarded. The privilege of competing
in athletics/activities carries added responsibility for each participant, a privilege that may be forfeited for conduct that
is detrimental to the team, school, or program in general.
As a participant in an extra-curricular school program, a student’s behavior on campus, in the community, and at
other schools reflects not only on the student, but on the program and school as well.
Criminal acts, violence, intimidation or discrimination, whether at school or in the community, will not be
tolerated and may be cause for disciplinary action up to and including suspension/dismissal from the
program. Please refer to policy JBA, Sexual Harassment of Students, and JFCF, Hazing/Harassment/Threats.
Training Rules for Extracurricular Activities
Members of the Canby High School athletic/activity teams are expected to follow behavior patterns that are a credit to
themselves, their teams, and their school.
Also, in caring about our students, the expectations are designed to protect their health and safety, and to help
students acquire the tools to consider options and make proper decisions. Furthermore, it is clearly beneficial for
students who wish to participate in extracurricular activities to stay in top physical and mental condition. Therefore,
students participating in extra-curricular activities are expected to observe the following training rules:
•
Participants are prohibited from selling, possessing or using tobacco, alcoholic beverages, illegal drugs,
inhalants, and narcotics on or off campus at any time.
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•
•
1.
In addition, participating students who are in the presence of other students or individuals in violation of this
policy are expected to take all reasonable actions necessary to leave the premises immediately where such
illegal activity is occurring, even if the participating student is not using or possessing or distributing alcoholic
beverages, illegal drugs or paraphernalia.
Failure to leave the premises when such violations occur will be considered an infraction of the policy and
the appropriate consequences will be applied.
First Offense: Suspension from participation for a period of three (3) contest/performance weeks, or in the case
of some activities, i.e. drama, band and/or choir, one-third of the scheduled contests or performances in front of
an audience. (A contest/performance week is any week that has a scheduled contest/performance.)
• In addition, the participant may not attend practices or meetings in any extracurricular program for one
calendar week and must agree to meet with the CHS Intervention Specialist and follow his or her prescribed
assessment(s) and/or treatment program.
• After the one-week removal, the student-athlete is expected to attend all practices and games and complete
the season in good standing. In the event of a first offense, if there are not three (3) contest/performance
weeks remaining in the season, the count will resume with the first contest/performance week of the next
season/year in which the participant is involved.
Note: A meeting must be held with the participant, the parent/guardian and the CHS Prevention/Intervention
Specialist to discuss the assessment(s), if deemed necessary, and determine prescribed recommendations.
Agreement to follow the recommendations and the activity/athletic or principal approval, are required for
reinstatement in the program.
Failure to comply with the recommendations will result in continued suspension from all athletic/activity
participation.
Cheer and Dance teams: The contest/performance season for cheer and dance is aligned with the OSAA fall and
winter competition seasons.
Clubs: A violation of the rules, while involved in any activity of a club, will result in the student being suspended from
that activity. Because of the nature of certain clubs, individual clubs may add further penalties.
Class and Student Body Officers: Violation of the above rule by any class or student body officer will result in that
officer being removed from office for the remainder of his/her term. The student would be able to run for another
office at the end of the suspension period, should no further violations occur.
2.
Second Offense: A second offense will require suspension from participation for a period of six (6)
contest/performance weeks or in the case of some activities, i.e. drama, band and/or choir, two-thirds of the
scheduled contests or performances. (A contest/performance week is any week that has a scheduled
contest/performance.)
• In addition, the participant may not attend practices or meetings in any extracurricular program for two
calendar weeks and must agree to meet with the CHS Prevention/Intervention Specialist and follow his/her
prescribed assessment(s) and/or treatment program.
• After the two-week removal, the student-athlete is expected to attend all practices and games and complete
the season in good standing.
• In the event of a second offense, if there are not six (6) contest/performance weeks remaining in the season,
the count will resume with the first contest/performance week of the next season/year in which the participant
is involved.
Note: A meeting must be held with the participants, the parent/guardian and the CHS Prevention/Intervention
Specialist to discuss the assessment(s), if deemed necessary, and determine prescribed recommendations.
Agreement to follow the recommendations and the activity/athletic or principal approval, are required for
reinstatement in the program.
Failure to comply with the recommendations will result in continued suspension from all athletic/activity
participation.
3.
Third Offense: A third violation of the athletic/activity training rules will result in one year suspension from CHS
athletics/activities, including all club sports/activities from the date that knowledge of the violation became known
to the school official.
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The participant will not be permitted to have any association with any team, club or activity. The participant will
meet with the CHS Prevention/Intervention Specialists and agree to follow their prescribed assessments(s)
and/or treatment program.
Note: A meeting must be held with the participants, the parent/guardian and the CHS Prevention/Intervention
Specialist to discuss the assessment(s), if deemed necessary, and determine prescribed recommendations.
Agreement to follow the recommendations and the activity/athletic or principal approval, are required for
reinstatement in the program.
Failure to comply with the recommendations will result in continued suspension from all athletic/activity
participation.
4.
Fourth Offense: A fourth violation of the athletic/activity training rules will result in full exclusion and permanent
suspension from the Canby High School extra-curricular athletic and activities program.
Off-Season
The CHS activity/athletic training rules must be observed 365 days per year.
Students involved in athletics/activities are expected to follow the training rules during the off-season. The off-season
is defined as the summer break and any time during the school year when the student is not actively involved in a
sport or activity. If a violation of a training rule occurs during the off-season, the student participant will serve the
appropriate level of offense of the training rules for the next sport/activity they become involved in.
Self-Referral
It is understood that substance abuse is a condition that can be treated. If a student involved in extra-curricular
activities voluntarily seeks help, he/she will be referred to the appropriate people for assistance. If there has been no
accusation of substance use/abuse and the student has obtained help on his/her own, he/she may continue
athletic/activity participation without penalty. Any student who attends school and/or an athletic/activity and is
impaired or in possession (violating school rules) will have school related consequences and will receive a violation.
Further Expectations of Participants in Athletics / Activities
The following regulations pertain to athletic/activity participation:
No student may participate in more than one athletic/activity during any one-sport season unless approval has been
obtained from both coaches/advisors of the respective sports or activities, as well as administration.
Athletes who quit one sport may not enter another sport in that season without the consent of both coaches involved
and the athletic/activity director. Athletes removed from an athletic team because of disciplinary action may not turn
out for another team in that season.
All students must meet academic requirements. See "Academic Requirements" (Section 21) for details.
Students are to exhibit appropriate behavior at all times.
Students are required to be at every practice unless the coach/advisor has excused them prior to practice. Athletes
must practice and condition sufficiently to prepare for a sport before being allowed to compete in that sport. In
accordance with OSAA policies, students turning out for football must have nine (9) days of practice prior to
competing in a game.
1.
Athletes may not accept any articles or awards for athletic skills during the school year other than the school
awards or OSAA sanctioned awards.
2.
Students must maintain emotional control at all times. Any displays of misconduct, unsportsmanlike actions, or
use of profanity in practices, competition, or on campus, will result in disciplinary action.
3.
Optional Lay-Off: Athletes, in working with their coaches, may have up to one week calendar week layoff
between the end of a sport season and the beginning of a new sport season. Athletes must communicate to
their varsity coach their plan in exercising this option.
4.
Students are to exhibit appropriate behavior at all times. Violation of city and local ordinances may result in
disciplinary action.
Athletic / Activity Clearance
Students desiring to participate in athletics/activities must obtain clearance from the athletic/activity secretary before
participating in practice or activity.
•
After presenting the necessary completed forms to the Athletic/Activity office, the athletic/activity secretary
signs the form and the top copy will be taken by the student to the coach of their particular sport/activity.
•
If the student-athlete does not have a signed and approved form, they will not be allowed to
participate in try-outs or practices.
The student must meet the following requirements before participation in competition is allowed:
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1.
2.
3.
4.
5.
6.
Turn in a completed Athletic Participation form (includes parent permission, insurance and emergency contact
information).
Have on file with the Athletic / Activity office, a copy of a current physical examination. (Required every two
years, see Part 5 for sample of Physician's Statement). A medical update is required on alternate years.
Pay participation fee or apply for a community service scholarship. Scholarship forms are available through the
athletic/activity office. Scholarship eligibility is based on an individual qualifying for the federal Free and
Reduced-Price Meal Program and/or special circumstances.
Meet academic eligibility standards (grades checked by school office)
Have returned all equipment issued in previous sport(s) or have paid for item(s) not returned.
Obtain a current student identification card.
Pay-To-Participate Policy
A participation fee of $125 per student per season per sport will be charged. Individual students will pay a maximum
participation fee of $250 per school year. Families with high school students in several sports will pay a maximum of
$450 per year. A fee to participate in activities is $35/$50/$60 per performing/competing activity. No student will be
allowed to participate in any event until they have met the requirements of the pay-to-participate fee policy.
1.
All athletic/activity fees must be paid in full, or a pay-to-participate scholarship granted prior to
participation in any athletic/activity program sponsored by the Canby School District. The school will
develop a system to assess/collect participation fees in accordance with district guidelines.
2.
Fee reimbursement will be made on the following conditions:
a. Students who are not selected for the team by the coaching/advisory staff prior to the first regularly
scheduled league will be reimbursed in full.
b. Those students, who quit the team for any reason, will be reimbursed on a pro-rated basis by dividing the
entire season into weeks.
3.
The Booster Club offers scholarships for students who cannot meet the fee requirements. Free and/or reduced
price lunch qualifications will be considered for such provisions. Most scholarships that are granted include
up to eight hours of community service. Please contact the athletic office for more information regarding the
application process.
Team Selection/Cut Process
In order to provide a quality athletic/activity program in which students can participate under optimum conditions, it is
sometimes necessary to limit the total number of participants on a team. The head coach, in cooperation with the
athletic/activity director, will determine the participation limit for each team. Reasons for limiting the number of
participants may include safety, funding, OSAA requirements, and the need to provide the best possible
teaching/learning environment for students.
Choosing the members of any particular team is the sole responsibility of the coach/advisor of that team. The
coach/advisor must choose the team members in conformity with the philosophy of the athletic/activity program. The
need for limitation of the number of participants on a team may vary from one sport/activity to another. Criteria and
procedure for the selection/cuts will be available in writing for students and parents prior to and during the first week
of practice or tryouts. In the event that a student is cut from a team, he/she will be informed in person by the
coach/advisor in a timely manner.
OSAA Policies are available online: www.osaa.org
CSD Policies are available online: www.canby.k12.or.us
CHS Student and Athletic/Activity Handbooks are available upon request
Handbooks can also be viewed online at: www.canby.k12.or.us
CHS Academic Resources
Canby High School Research Paper Style Guide
MLA Formatting: Seventh Edition
• Double Space entire document
• Margins – One inch on all sides
• Header – Upper right-hand corner ½” from top and flush with right margin
o Includes your last name and all pages numbered consecutively
• First Page
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o Heading – one inch down, double spaced:
 Name
 Instructor
 Course
 Date (example: 24 May 2011)
o Double space and center title, use title case
 Example: Andrew Carnegie: The Father of Middle Class
o Double space and begin first line of text, indenting ½” (1 tab)
Cougar 1
Casey Cougar
Mr. Teacher
English 101
1 June 2011
Digital Devices Drain Brains
As digital devices have become an integral tool of every day life for many people of all ages, the effect of
being constantly connected to some form of electronic media is taking an unseen toll on our brains. Just like an
athlete who needs time for his muscles to recover after a hard work out, the brain needs time away from stimuli to
process and organize all the new information it is being bombarded with. People should spend less time using digital
media because scientific studies have show that there are negative effects on the user’s ability to pay attention,
memorize and learn.
While the use of technology has been increasing dramatically with the introduction of small hand held
devices that can keep us connected to those around us twenty-four hours a day, it has not necessarily made us more
productive. They have made us more distracted instead. In fact, practices like text messaging while driving have
become an alarming trend. According to psychology professor Paul Atchley, “text messaging while driving is
probably the most dangerous thing you can do in a vehicle other than driving with your eyes closed.” It is responsible
for a 2,400 percent increase in accident risk compared to alcohol use with a 400 percent increased accident risk
(Sousa). Clearly this is a problem that needs to be addressed.
Works Cited
Web Site:
Author’s Name (Last, First, MI). “Title of Work.” (only if different from overall website) Title of Overall Website.
Website Publisher/Sponsor or N.p., Date posted or n.d.. Medium (Web). Date Accessed. URL.
Book:
Authors Name (Last, First, MI). Title of book. Publishing City, Publishing State:Publisher, copyright date. Medium
(Print).
Journal/Magazine – online database
Author’s Name (Last, First, MI). “Title of Article.” Journal Volume #. Issue# Publication Year: Pages or n.pag.
Database Name. Medium (Web). Date Accessed. Database Service URL.
Newspaper Article on the Internet
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Author’s Name (Last, First, MI). “Title of Article.” Title of Newspaper/Website City. (if not national & not in title)
Website Publisher/Sponsor or N.p. Date Posted/Published or n.d.. Medium (Web). Date Accessed. Article
URL.
Reference Book
Author (Last, First, MI). “Title of article.” Title of Reference Book. Edition. Volume. City of Publication, State:
Publisher, Year. Pages. Print.
Cougar 8
Works Cited
Berman, Mark G., John Jonides, and Stephen Kaplan. "The Cognitive Benefits of Interacting With Nature."
Association for Psychological Science 19.12 (2008): 1207-1212. Web. 1 June 2011. <http://wwwpersonal.umich.edu/jjonides/pdf/2008_2.pdf>.
"Paul Atchley quantifies risk phone use adds for motorists." The Oread KU Employee Newsletter. The University of
Kansas, 23 Aug. 2010. Web. 1 June 2011. <http:oread.ku.edu/oread/2010/august/23/stories/profile.shtml>.
Richtel, Matt. "Digital Devices Deprive Brain of Needed Downtime." The New York Times. The New York Times, 24
Aug. 2010. Web. 1 June 2011. <http://www.nytimes.com/2010/08/25/technology/25brain.html>.
Sousa, David A. How the Brain Learns. Thousand Oaks, CA: Corwin Press, 2006. Print.
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Canby School District
PARENT/GUARDIAN REQUEST TO DENY ACCESS TO INTERNET
Canby School District provides students with access
to the Internet for supervised educational purposes.
Parents have the RIGHT to file a request with the
school principal that their student not use the
Internet.
•
Students have the RIGHT to use the district’s
network for educational purposes including
classroom activities, professional or career
development, and limited high-quality exploration
of personal interest areas.
•
Students have the RESPONSIBILITY to follow
acceptable use procedures including guidelines for
personal safety and rules. [Board Policy IIBGA and
Administrative Procedure IIBGA-AP] and to
report any inappropriate use of the Internet by
other students to a teacher or other school official.
ACCEPTABLE uses include:
Activities that directly support teaching and
learning or that support attainment of the District’s
mission and priorities. Students will have access to
Internet services, including email accounts for
specific purposes and ages. Internet filtering
services are provided by the Clackamas ESD to
provide additional security for students using
Canby School District on-line services.
UNACCEPTABLE uses include:
• Student posting of personal information;
• Agreeing to meet someone they meet online
without parental approval and participation;
• Not disclosing any message a student receives
that is inappropriate or uncomfortable.
• Attempts to gain access to the district system
or other computer system through the district
or go beyond authorized access.
• Making deliberate attempts to disrupt the
computer system performance or destroy data
by spreading computer viruses or by another
means.
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Using the district system to engage in any illegal
act;
Sharing his or her password to another person.
Failing to notify appropriate school employee of
a possible security problem;
Failing to use standard virus protection
procedures when downloading software;
Using inappropriate language in all
communications;
Posting information at school or at home that
could cause damage, danger of disruption, or
disruption;
Engaging in personal attacks;
Harassing another person, making threats
directed at students, staff, or the school
environment;
Knowingly or recklessly post false or
defamatory information about a person or
organization;
Use of the system beyond educational, career,
professional, limited high-quality personal
research;
Downloading of large files unless absolutely
necessary;
Posting chain letters or engage in spamming;
Failing to check email account often to manage;
Subscribing to discussion group mail lists that
are irrelevant to their education or
professional/career development;
Plagiarizing works found on the Internet;
Disrespecting the rights of copyright owners;
Use of the system to access profane or obscene
(pornography), that advocates illegal or
dangerous acts, or that advocates violence or
discrimination towards other people;
Failing to disclose inadvertent access to such
information as stated above.
(Reference: Administrative Procedure IIGBA-AP,
Acceptable Use of the Network.)
! I have read Canby School District Internet access information and wish to deny access to my student.
Student name (first/last--please print): ___________________________________________________________________
School: _______________________________________________________
Grade: ______________________________
______________________________
_____________________________
_____________
Print parent/guardian name (first/last)
Parent/guardian signature
Date
Contact your student’s school principal if you have questions about Internet access and procedures.
[RETURN TO SCHOOL OFFICE]
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Canby School District’s Google Apps for Education
Canby High School Student Account Information
Canby School District is pleased to provide you a Google Apps for
Education account. This account provides an email address for you to use
in your schoolwork, access to Google Docs used to create, share, and store
your documents, spreadsheets and presentations, and a Google calendar
to keep track of your schedule, homework, and other important dates.
Please keep your login information safe and secure. Make sure to LOGOUT of your email or other Google
session on every computer that you use, and do not enable “Remember me” in any browser for your own safety.
Included below are important reminders of Canby School District’s acceptable use policy that guides staff and
student use of our electronic resources including Internet usage.
Internet Safety
Personal Information and Inappropriate Content
Students and staff should not reveal personal information, including a home address and phone number, on web
sites, blogs, podcasts, videos, wikis, e-mail or as content on any other electronic medium. Students and staff
should not reveal personal information about another individual on any electronic medium. If students encounter
dangerous or inappropriate information or messages, they should notify the appropriate school authority.
Filtering and Monitoring
Filtering software is used to block or filter access to content that is obscene and all child pornography in
accordance with the Children’s Internet Protection Act (CIPA). Other objectionable material may be filtered. The
determination of what constitutes “other objectionable” material is a County and District decision. Any attempts to
defeat or bypass the district’s Internet filter or conceal Internet activity are prohibited including, but not limited
to: proxies, https, special ports, modifications to district browser settings, and any other techniques designed to
evade filtering or enable the publication of inappropriate content.
Copyright
Downloading, copying, duplicating and distributing software, music, sound files, movies, images or other
copyrighted materials without the specific written permission of the copyright owner is generally prohibited.
However, the duplication and distribution of materials for educational purposes are permitted when such
duplication and distribution fall within the Fair Use Doctrine of the United States Copyright Law (Title 17, USC) and
content is cited appropriately.
Network Security and Privacy
Network Security
Passwords are the first level of security for a user account. System logins and accounts are to be used only by the
authorized owner of the account, for authorized district purposes. Students and staff are responsible for all activity
on their account and must not share their account password without specific District authorization.
No Expectation of Privacy
The district provides electronic resources as tools for education in support of the district’s mission. The district
reserves the right to monitor, inspect, copy, review and store, without prior notice, information about the content
and usage of:
● The network;
● User files and disk space utilization;
● User applications and bandwidth utilization;
● User document files, folders and electronic communications;
● E-mail;
● Internet access; and
● Any and all information transmitted or received in connection with network and e-mail use.
No student or staff user should have any expectation of privacy when using the district's network. The district
reserves the right to disclose any electronic message to law enforcement officials or third parties as appropriate.
Disciplinary Action All users of the district’s electronic resources are required to comply with the district’s
policies, procedures, and regulations and must agree to abide by the provisions set forth in the district's
Acceptable Use Policy. Violation of any of the conditions of use explained in the Acceptable Use Policy or in these
procedures may be cause for disciplinary action, up to and including suspension or expulsion from school,
suspension or dismissal from employment, and/or suspension or revocation of network and computer access
privileges.
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Canby High School - BELL SCHEDULE
Regular
1 Hr Late
Start
1 Hr Late
Advisor y
Split
Assembly
AM
Assembly
PM
Assembly
2 Hr. Late
Start
Warning
Bell
7:35
8:35
8:35
7:35
7:35
7:35
9:35
1st Period
7:40 – 8:50
8:40 - 9:40
8:40 – 9:34
7:40 – 8:40
7:40 – 8:46
7:40 – 8:46
9:40 – 10:29
Break
8:50 – 8:55
9:40 – 9:50
9:34 – 9:39
2nd Period
9:00 – 10:20
9:50 – 10:50
9:44 – 10:38
8:45 – 9:45
8:51 – 9:57
8:51 – 9:57
10:34 – 11:23
Advisory
1st Assembly
AM Assembly
10:43 – 11:08
9:50 – 10:50
9:57 – 10:32
2nd Assembly
10:55 – 11:55
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3rd Period 10:25 – 11:35 10:55 – 11:55
11:13 – 12:07
9:50 – 11:55
10:37 – 11:43
10:02 – 11:08
11:28 – 12:17
11:35 – 12:10 11:55 – 12:30
12:07 – 12:42
11:55 – 12:30
11:43 – 12:18
11:08 – 11:43
12:17 – 12:52
4 th Period
12:15 – 1:25
12:35 – 1:35
12:47 – 1:41
12:35 – 1:35
12:23 – 1:29
11:48 – 12:54
12:57 – 1:46
5th Period
1:30 – 2:40
1:40 – 2:40
1:46 – 2:40
1:40 – 2:40
1:34 – 2:40
12:59 – 2:05
1:51 – 2:40
Lunch
PM Assembly
2:05 – 2:40
2011-2012
67
Canby High School
AM Times
7/29/11
Route 1
PM Times
Route 1
6:44
23875 KLUPENGER RD NE
3:09
25000 NE BUTTEVILLE RD
6:49
25000 NE BUTTEVILLE RD
3:13
25696 NE BUTTEVILLE RD
6:53
25696 NE BUTTEVILLE RD
3:15
25977 NE BUTTEVILLE RD
6:55
25977 NE BUTTEVILLE RD
3:15
26022 NE BUTTEVILLE RD
6:56
26022 NE BUTTEVILLE RD
3:15
26049 NE BUTTEVILLE RD
6:57
26049 NE BUTTEVILLE RD
3:16
26090 NE BUTTEVILLE RD
6:57
26090 NE BUTTEVILLE RD
3:17
26201 NE BUTTEVILLE RD
6:59
NE BUTTEVILLE RD @ NE RIVER VISTA LN
3:17
26350 NE BUTTEVILLE RD
7:00
26350 NE BUTTEVILLE RD
3:18
26444 NE BUTTEVILLE RD
7:00
26444 NE BUTTEVILLE RD
3:20
NE BOONES FERRY RD @ NE DENBROOK RD
7:04
13528 DENBROOK RD
3:21
13528 NE DENBROOK RD
7:08
24485 NE BOONES FERRY RD
3:24
24485 NE BOONES FERRY RD
AM Times
Route 2
PM Times
Route 2
6:50
NE AIRPORT RD @ NE MULLIGAN CT
2:54
N CEDAR ST @ NW 2ND AVE
6:51
25098 NE AIRPORT RD
3:04
NE AIRPORT RD @ NE COUNTRYSIDE DR
6:52
SW MOLALLA BEND RD
3:06
NE AIRPORT RD @ NE MULLIGAN CT
6:53
SW ARMITAGE RD @ SW ARMITAGE CT
3:07
25098 NE AIRPORT RD
6:55
31985 SW COUNTRY VIEW LN
3:10
SW ARMITAGE RD @ SW ARMITAGE CT
6:56
SW COUNTRY VIEW LN @ SW WESTCHESTER CT
3:11
31985 SW COUNTRY VIEW LN
6:57
SW COUNTRY VIEW LN @ SW IRONWOOD CT
3:13
SW COUNTRY VIEW LN @ SW WESTCHESTER CT
7:00
SW FRENCH PRAIRIE RD & SW CURRY DR
3:13
SW COUNTRY VIEW LN @ SW IRONWOOD CT
7:02
SW FRENCH PRAIRIE RD@ SW BOONES BEND RD
3:16
SW FRENCH PRAIRIE RD & SW CURRY DR
7:05
NE AIRPORT RD @ NE COUNTRYSIDE DR
3:17
SW FRENCH PRAIRIE DR @ SW LOUVONNE DR
7:14
N CEDAR ST @ NW 2ND AVE
68
AM Times
Route 3
PM Times
Route 3
6:45
24560 S BARLOW RD
2:55
24560 S BARLOW RD
6:59
15785 NE EILERS RD
2:55
24475 S BARLOW RD
7:09
NE PRAIRIE VIEW DR @ NE PRAIRIE VIEW CT
2:56
6835 S ARNDT RD
7:10
25081 NE PRAIRIE VIEW DR
3:03
24752 NE PRAIRIE VIEW DR
3:03
24913 NE PRAIRIE VIEW DR
3:04
25081 NE PRAIRIE VIEW DR
3:04
NE PRAIRIE VIEW DR @ NE PRAIRIE VIEW CT
3:10
15785 NE EILERS RD
Route
Route 4
PM Times
Route 4
6:53
7201/7200 S KNIGHTS BRIDGE RD
2:55
420 N KNIGHTS BRIDGE RD
6:53
7241 S KNIGHTS BRIDGE RD
2:55
499 N KNIGHTS BRIDGE RD
6:55
7400 S KNIGHTS BRIDGE RD
2:56
640 NW 8TH PL
6:58
499 N KNIGHTS BRIDGE RD
2:56
NW 8TH PL @ N ELM ST
6:58
420 N KNIGHTS BRIDGE RD
2:57
555 NW 9TH AVE
7:00
505 NW 9TH AVE
2:58
NW 9TH AVE @ N BIRCH ST
7:00
555 NW 9TH AVE
2:58
N BIRCH ST @ NW 10TH AVE
7:01
640 NW 8TH PL
2:59
N BIRCH ST @ NW 12TH AVE
7:02
NW 8TH PL @ N ELM ST
2:59
N BIRCH ST @ NW 13TH AVE
7:03
NW 9TH AVE @ N BIRCH ST
3:00
650 NW TERRITORIAL RD
7:04
N BIRCH ST @ NW 10TH AVE
3:01
NW TERRITORIAL RD @ N HOLLY ST
7:05
N BIRCH ST @ NW 12TH AVE
3:03
716 NW 22ND AVE
7:06
N BIRCH ST @ NW 13TH AVE
3:04
NW 22ND AVE @ N BIRCH ST
7:07
650 NW TERRITORIAL RD
3:05
1635 N BIRCH ST
7:08
NW TERRITORIAL RD @ N HOLLY ST
3:06
N BIRCH ST @ NW 12TH AVE
7:10
716 NW 22ND AVE
3:07
815 N BIRCH ST
7:10
NW 22ND AVE @ N BIRCH ST
3:09
7400 S KNIGHTS BRIDGE RD
69
7:12
1635 N BIRCH ST
3:10
7241 S KNIGHTS BRIDGE RD
7:13
NW 13TH AVE @ N ASH ST
3:11
7201 / 7200 S KNIGHTS BRIDGE RD
7:14
925 NW 12TH AVE
7:15
815 N BIRCH ST
AM Times
Route 5
PM Times
Route 5
7:00
840 N GRANT ST
2:55
840 N GRANT ST
7:01
N GRANT ST @ NW 9TH AVE
2:56
965 N GRANT ST
7:01
965 N GRANT ST
2:56
N GRANT ST @ NW 10TH AVE
7:O2
N GRANT ST @ NW 10TH AVE
2:57
1295 N GRANT ST
7:03
1295 N GRANT ST
2:57
360 NW 13TH AVE
7:03
360 NW 13TH AVE
2:58
1370 N HOLLY ST
7:04
1370 N HOLLY ST
2:59
1377 N HAWTHORNE ST
7:05
1377 N HAWTHORNE ST
3:00
1526 N IVY ST
7:07
1526 N IVY ST
3:01
1380 N IVY ST
7:08
1450 N IVY ST
3:02
N IVY ST @ NW 12TH AVE
7:08
1380 N IVY ST
3:02
N IVY ST @ NW 10TH AVE
7:09
N IVY ST @ NW 12TH AVE
3:03
1017 N JUNIPER ST
7:11
1017 N JUNIPER ST
3:04
N JUNIPER ST @ NE JUNIPER PL
7:12
N JUNIPER ST @ NE JUNIPER PL
3:05
1473 N LOCUST ST
7:13
1473 N LOCUST ST
3:05
1316 N LOCUST ST
7:13
1316 N LOCUST ST
3:06
368 NE 12TH AVE
7:14
368 NE 12TH AVE
3:07
184 NW 10TH AVE
7:15
184 NW 10TH AVE
3:07
980 N HOLLY ST
7:17
N HOLLY ST @ NW 4TH AVE
70
AM Times
Route 6
PM Times
Route 6
6:57
MOLALLA RIVER STATE PARK
2:58
N LOCUST ST @ NE 19TH AVE
6:57
133 NE 37TH AVE
2:58
N LOCUST ST @ NE 20TH AVE
6:58
241 NE 37TH AVE
3:00
2797 N LOCUST ST
7:02
2797 N LOCUST ST
3:03
MOLALLA RIVER STATE PARK
7:03
N LOCUST ST @ NE 20TH AVE
3:03
133 NE 37TH AVE
7:04
N LOCUST ST @ NE 19TH AVE
3:04
241 NE 37TH AVE
7:06
530 NE TERRITORIAL RD
3:07
2965 N HOLLY ST
7:06
N MAPLE ST @ N FAIRWAY LN
3:09
NE 22ND AVE @ N MAPLE ST
7:07
N MAPLE ST @ NE 21ST AVE
3:10
2650 N MAPLE ST
7:07
N MAPLE ST @ NE 22TH AVE
3:12
N MAPLE ST @ NE 34TH PL
7:08
2650 N MAPLE ST
3:15
N MAPLE ST @ NE 21ST AVE
7:10
N MAPLE ST @ NE 34TH PL
3:15
N MAPLE ST @ NE 20TH AVE
7:12
N MAPLE ST @ NE 22nd AVE
3:16
N MAPLE ST @ N FAIRWAY LN
7:13
N MAPLE ST @ NE 20TH AVE
3:16
1855 N MAPLE ST
7:13
1855 N MAPLE ST
3:17
530 NE TERRITORIAL RD
AM Times
Route 7
PM Times
Route 7
6:55
21091 S HWY 99E
2:58
520 N LOCUST ST
6:56
21631 S HWY 99E
2:59
912 N LOCUST ST
7:04
520 N LOCUST ST
2:59
450 NE 10TH AVE
7:04
912 N LOCUST ST
3:00
530 NE 10TH AVE
7:05
450 NE 10TH AVE
3:00
NE 10TH AVE @ N MANZANITA ST
7:05
530 NE 10TH AVE
3:01
N MANZANITA ST @ NE 12TH AVE
7:06
619 NE 10TH AVE
3:01
N MANZANITA ST @ NE 14TH AVE
7:08
N MAPLE ST @ NE 16TH AVE
3:02
1500 N MANZANITA ST
7:09
574 NE 16TH AVE
3:03
574 NE 16TH AVE
7:10
1549 NE LAURELWOOD CIR
3:03
1549 NE LAURELWOOD CIR
7:11
1500 N MANZANITA ST
3:13
21091 S HWY 99E
71
7:12
1420 N MANZANITA ST
7:13
N MANZANITA ST @ NE 12TH AVE
7:14
NE 10TH AVE @ N IVY ST
7:15
980 N HOLLY ST
7:17
NW 4TH AVE @ N FIR ST
AM Times
Route 8
3:15
21631 S HWY 99E
PM Times
Route 8
7:04
N HOLLY ST @ NW 6TH AVE
2:52
NW 4TH AVE @ N FIR ST
7:05
NE 9TH AVE @ N JUNIPER ST
2:53
NW 4TH AVE @ N HOLLY ST
7:06
NE 9TH AVE @ N KNOTT ST
2:53
N HOLLY ST @ NW 6TH AVE
7:08
N IVY ST @ NW 6TH AVE
2:54
NW 6TH AVE @ N IVY ST
7:09
183 NE 5TH AVE
2:55
NE 4TH AVE @ N KNOTT ST
7:10
588 N JUNIPER ST
2:58
975 N IVY ST
7:11
680 N JUNIPER ST
2:59
183 NE 5TH AVE
7:12
N JUNIPER ST @ NE 9TH AVE
2:59
588 N JUNIPER ST
7:13
NE 4TH AVE @ N KNOTT ST
3:00
680 N JUNIPER ST
7:16
NW 4TH AVE @ N HOLLY ST
3:00
N JUNIPER ST @ NE 9TH AVE
7:17
NW 4TH AVE @ N FIR ST
3:01
NE 9TH AVE @ N KNOTT ST
3:02
171 NE 9TH AVE
3:02
147 NE 9TH AVE
AM Times
Route 9
PM Times
Route 9
6:57
453 NE 4TH AVE
2:54
453 NE 4TH AVE
7:02
850 NE TERRITORIAL RD
2:56
PINE TERRACE APTS @ 800 N PINE ST
7:03
1045 NE TERRITORIAL RD
2:57
N PINE ST @ NE 8TH PL
7:03
1802 N PINE ST
2:57
N PINE ST @ NE 9TH PL
7:06
N PINE ST @ NE 15TH AVE
2:58
N PINE ST @ NE 11TH PL
7:07
N PINE ST @ NE 14TH AVE
2:58
N PINE ST @ NE 12TH WAY
72
7:07
N PINE ST @ NE 13TH AVE
2:59
N PINE ST @ NE 13TH PL
7:09
N PINE ST @ NE 12TH PL
3:00
N PINE ST @ NE 14TH AVE
7:10
N Pine St @ NE 11th PL
3:00
N PINE ST @ NE 15TH AVE
7:10
N PINE ST @ NE 9TH PL
3:01
1802 N PINE ST
7:12
N PINE ST @ NE 8TH PL
3:02
1045 NE TERRITORIAL RD
7:12
PINE TERRACE APTS @ 800 N PINE ST
AM Times
Route 10
PM Times
Route 10
6:56
N REDWOOD ST@NE 11TH AVE
2:57
N REDWOOD ST @ NE 11TH AVE
6:59
N REDWOOD ST @ NE 13TH PL
2:58
N REDWOOD ST @ NE 13TH PL
7:01
N REDWOOD ST @ NE 16TH AVE
2:59
N REDWOOD ST @ NE 16TH AVE
7:02
N REDWOOD ST @ NE 18TH PL
3:00
N REDWOOD ST @ NE 18TH PL
7:03
N REDWOOD ST @ NE 19TH LOOP
3:00
N REDWOOD ST @ NE 19TH LOOP
7:04
2040 N REDWOOD ST
3:01
2040 N REDWOOD ST
7:06
1879 N TEAKWOOD ST
3:02
N TEAKWOOD ST @ NE 20TH AVE
7:07
1848 N TEAKWOOD ST
3:03
1879 N TEAKWOOD ST
7:09
N TEAKWOOD ST @ NE 20TH AVE
3:03
1848 N TEAKWOOD ST
7:10
NE TERRITORIAL RD @ N VINE ST
3:05
NE TERRITORIAL RD @ N VINE ST
7:11
NE TERRITORIAL RD @ N WALNUT ST
3:06
NE TERRITORIAL RD @ N WALNUT ST
AM Times
Route 11
PM Times
Route 11
6:48
11511 S MULINO RD
2:42
377 SW 2ND AVE
6:48
11846 S MULINO RD
2:52
SE 13TH AVE@S LUPINE ST
6:49
11904 S MULINO RD
2:53
SE 13TH AVE @ S PINE ST
6:51
12400 S ADKINS CIR
2:55
1834 / 1826 SE 13TH AVE
6:55
11494 S MULINO RD
2:57
2134 SE 13TH AVE
6:55
11474 S MULINO RD
2:58
2542 SE 13TH AVE
6:58
11466 S MULINO RD
3:00
10319 S MULINO RD
73
6:58
S MULINO RD @ S BLUNDELL RD
3:01
S MULINO RD @ S BLUNDELL RD
6:59
10319 S MULINO RD
3:04
11466 S MULINO RD
7:02
2542 SE 13TH AVE
3:04
11474 S MULINO RD
7:03
2134 SE 13TH AVE
3:04
11494 S MULINO RD
7:05
1834 / 1826 SE 13TH AVE
3:05
11846 S MULINO RD
7:10
SE 13TH AVE @ S PINE ST
3:06
11904 S MULINO RD
7:14
SE 13TH AVE@S LUPINE ST
3:07
12400 S ADKINS CIR
AM Times
Route 12
PM Times
Route 12
6:47
SE 1ST AVE @ HAZEL DELL WY
2:57
2344 SE 1ST AVE
6:48
2112 SE 1ST AVE
2:58
2150 SE 1ST AVE
6:48
2150 SE 1ST AVE
2:58
2112 SE 1ST AVE
6:49
2344 SE 1ST AVE
2:59
SE 1ST AVE @ HAZEL DELL WAY
6:50
23116 S HAINES RD
3:02
23116 S HAINES RD
6:50
23040 S HAINES RD
3:03
23040 S HAINES RD
6:51
S HAINES RD @ S CARRIAGE LN
3:03
S HAINES RD @ S CARRIAGE LN
6:52
22695 S HAINES RD
3:04
2675 E TERRITORIAL RD
6:52
2675 E TERRITORIAL RD
3:07
22111 S HAINES RD
6:55
22111 S HAINES RD
3:08
22695 S HAINES RD
6:58
10201 S BREMER RD
3:10
10201 S BREMER RD
6:59
10565 S BREMER RD
3:11
10565 S BREMER RD
7:00
10612 S BREMER RD
3:12
10612 S BREMER RD
7:02
11455 S BREMER RD
3:14
11455 S BREMER RD
7:04
11463 S TOWNSHIP RD
3:17
11463 S TOWNSHIP RD
7:05
11340 S TOWNSHIP RD
3:17
11340 S TOWNSHIP RD
7:06
11255/11252 S TOWNSHIP RD
3:18
11255/11252 S TOWNSHIP RD
7:07
S TOWNSHIP RD @ RONDEVIC DR
3:19
S TOWNSHIP RD @ RONDEVIC DR
7:08
10684 S TOWNSHIP RD
3:19
10896 S TOWNSHIP RD
7:09
S TOWNSHIP RD @ SKYLANE DR
3:20
10694 S TOWNSHIP RD
74
7:10
23905 S BLOUNT RD
3:21
S TOWNSHIP RD @ SKYLANE DR
7:13
23240 S MULINO RD
3:22
23905 S BLOUNT RD
3:25
23240 S MULINO RD
3:26
23625 S MULINO RD
AM Times
Route 13
PM Times
Route 13
6:40
S CENTRAL POINT RD @ S MAKIN LN
3:01
21134 S SOUTH END RD
6:40
22990 S CENTRAL POINT RD
3:01
20950 S SOUTH END RD
6:41
22700 S CENTRAL POINT RD
3:02
20718 S SOUTH END RD
6:42
22665 S CENTRAL POINT RD
3:02
20701 S SOUTH END RD
6:42
22560 S CENTRAL POINT RD
3:02
20695 S SOUTH END RD
6:43
22551 S CENTRAL POINT RD
3:03
20618 S SOUTH END RD
6:44
22030 S CENTRAL POINT RD
3:03
20614 S SOUTH END RD
6:45
22025 S CENTRAL POINT RD
3:03
20540 S SOUTH END RD
6:48
10540 S NEW ERA RD
3:06
20466 S MAY RD
6:49
10285 S NEW ERA RD
3:08
S GEO ANN RD @ S GOULD CT
6:50
10137 S NEW ERA RD
3:14
21733 S HWY 99E
6:55
21134 S SOUTH END RD
3:16
10137 S NEW ERA RD
6:55
20950 S SOUTH END RD
3:17
10285 S NEW ERA RD
6:56
20718 S SOUTH END RD
3:18
10540 S NEW ERA RD
6:56
20618 S SOUTH END RD
3:22
22025 S CENTRAL POINT RD
6:57
20614 S SOUTH END RD
3:23
22551 S CENTRAL POINT RD
6:57
20540 S SOUTH END RD
3:23
22560 S CENTRAL POINT RD
7:00
20466 S MAY RD
3:24
22665 S CENTRAL POINT RD
7:02
S GEO ANN RD @ S GOULD CT
3:24
22700 S CENTRAL POINT RD
7:02
10650 S GEO ANN RD
3:25
22990 S CENTRAL POINT RD
7:07
20701 S SOUTH END RD
3:25
S CENTRAL POINT RD @ S MAKIN LN
7:08
20695 S SOUTH END RD
7:10
21733 S HWY 99E
75
AM Times
Route 14
PM Times
Route 14
6:32
11638 S NEW ERA RD
3:06
22011 S PENMAN RD
6:32
11620 S NEW ERA RD
3:06
12228 S NEW ERA RD
6:40
20923 S CENTRAL POINT RD
3:08
S NEW ERA RD @ S PARROT CREEK RD
6:42
12368 S CRITESER RD
3:09
13141 S NEW ERA RD
6:45
20296 S LELAND RD
3:12
13429/13395 LELAND RD
6:51
20530 S LELAND RD
3:12
21377 S MILLIGAN RD
6:52
13140 S WARNOCK RD
3:12
BIG DOG STABLES @ 13262 LELAND RD
6:53
13450 S WARNOCK RD
3:14
21288 S LELAND RD
6:55
20890 S LELAND RD
3:15
20890 S LELAND RD
6:56
21288 S LELAND RD
3:16
13140 S WARNOCK RD
6:57
BIG DOG STABLES @ 13262 LELAND RD
3:17
13450 S WARNOCK RD
6:57
13429/13395 LELAND RD
3:21
20296 S LELAND RD
7:01
13141 S NEW ERA RD
3:26
20530 S LELAND RD
7:02
S NEW ERA RD @ S PARROT CREEK RD
3:29
12368 CRITESER RD
7:04
12228 S NEW ERA RD
3:31
20923 S CENTRAL POINT RD
7:04
22011 S PENMAN RD
3:38
11638 / 11620 S NEW ERA RD
AM Times
Route 15
PM Times
Route 15
6:33
S HWY 213 @ S MITCHELL LN
3:10
S HWY 213 @ S MITCHELL LN
6:34
14852 S GREEN TREE DR
3:11
14852 S GREEN TREE DR
6:35
S GREEN TREE DR @ S MOSSY ROCK CT
3:11
S GREEN TREE DR @ S MOSSY ROCK CT
6:36
S GREENTREE DR @ S CASA BERRY CT
3:12
S GREENTREE DR @ S CASA BERRY CT
6:39
21695 S HWY 213
3:14
21695 S HWY 213
6:39
14669 LELAND RD
3:14
14669 LELAND RD
6:40
S LELAND RD @ CLOUDVIEW DR
3:15
S LELAND RD @ S CLOUDVIEW DR
6:41
S LELAND RD @ CREST VIEW DR
3:16
S LELAND RD @ CREST VIEW DR
6:42
S LELAND RD @ LEE DR
3:16
S LELAND RD @ LEE DR
6:43
14241 S LELAND RD
3:17
14241 LELAND RD
76
6:43
14213 LELAND RD
3:17
14213 LELAND RD
6:44
13993 S LELAND RD
3:18
13993 S LELAND RD
6:47
21725 S FOOTHILLS AVE
3:21
21725 S FOOTHILLS AVE
6:49
21875 S FOOTHILLS AVE
3:22
21875 S FOOTHILLS AVE
6:49
S FOOTHILLS AVE @ S FARM POND CT
3:22
S FOOTHILLS AVE @ S FARM POND CT
6:52
S LARKSPUR AVE @ S HAWTHORNE CT
3:24
S LARKSPUR AVE @ S HAWTHORNE CT
6:53
21900 S LARKSPUR AVE
3:25
21900 S LARKSPUR AVE
6:54
21987 S LARKSPUR AVE
3:25
21987 S LARKSPUR AVE
6:55
14387 S IRONWOOD RD
3:26
14387 S IRONWOOD RD
6:55
S IRONWOOD RD @ S CONIFER CT
3:26
S IRONWOOD RD @ S CONIFER CT
6:55
21983 S SOMERSET DR
3:27
21983 S SOMERSET DR
AM Times
Route 16
PM Times
Route 16
6:45
CEMETERY ON KIRK RD
3:02
11931 S CARUS RD
6:50
S LELAND RD @ S TONYA CT
3:11
CEMETERY ON KIRK RD
6:52
15134 S LELAND RD
3:15
S LELAND RD @ S TONYA CT
6:53
22015 S LESLIE AVE
3:17
15134 S LELAND RD
6:53
S LESLIE AVE @ S DALES AVE
3:17
22015 S LESLIE AVE
6:54
S DALES AVE @ S MARILYNS AVE
3:18
S LESLIE AVE @ S DALES AVE
6:56
15050 S DALES AVE
3:18
S DALES AVE @ S MARILYNS AVE
6:56
22082 S DANS AVE
3:19
15050 S DALES AVE
6:58
21921 OR-213
3:20
22082 S DALES AVE
6:59
OR-213 @ S MUELLER RD
3:21
21921 OR-213
7:00
22871 OR-213
3:22
OR-213 @ S MUELLER RD
7:07
11931 S CARUS RD
3:23
22871 OR-213
77
AM Times
Route 17
PM Times
Route 17
6:33
12151 S CARUS RD
3:01
S CARUS RD @ S WARD CT
6:34
12340 S CARUS RD
3:03
12151 S CARUS RD
6:35
12580 S CARUS RD
3:04
12340 S CARUS RD
6:36
S CARUS RD @ S MCDONALDS PL
3:05
12580 S CARUS RD
6:38
13600 S CARUS RD
3:06
S CARUS RD @ S MCDONALDS PL
6:39
14074 S CARUS RD
3:07
13600 S CARUS RD
6:40
14296 S CARUS RD
3:09
14074 S CARUS RD
6:41
14466 S CARUS RD
3:09
14296 S CARUS RD
6:43
15356 S CARUS RD
3:10
14466 S CARUS RD
6:44
15520 S CARUS RD
3:12
15356 S CARUS RD
6:45
15568 S CARUS RD
3:13
15520 S CARUS RD
6:50
15920 S SPANGLER RD
3:13
15568 S CARUS RD
6:51
S SPANGLER RD @ S BEATIE RD
3:19
S SPANGLER RD @ S BEATIE RD
6:52
15561 S SPANGLER RD
3:20
15561 S SPANGLER RD
6:53
15424 S SPANGLER RD
3:20
15424 S SPANGLER RD
6:54
15180 S SPANGLER RD
3:21
15180 S SPANGLER RD
6:54
15056 S SPANGLER RD
3:21
15056 S SPANGLER RD
6:55
15000 S SPANGLER RD
3:22
15000 S SPANGLER RD
6:57
14399 S SPANGLER RD
3:24
14399 S SPANGLER RD
6:58
14060 S SPANGLER RD
3:25
14060 S SPANGLER RD
6:58
14006 S SPANGLER RD
3:25
14006 S SPANGLER RD
7:00
13623 S SPANGLER RD
3:27
13623 S SPANGLER RD
7:01
13281 S SPANGLER RD
3:28
13281 S SPANGLER RD
7:03
12741 S CASTO RD
3:30
12741 S CASTO RD
7:06
12002 S CASTO RD
3:32
12002 S CASTO RD
7:07
S CARUS RD @ S WARD CT
78
AM Times
Route 18
PM Times
Route 18
6:50
25090 S CENTRAL POINT RD
3:04
25090 S CENTRAL POINT RD
6:52
11927 S UNION HALL RD
3:06
11927 S UNION HALL RD
6:53
12293 S UNION HALL RD
3:07
12293 S UNION HALL RD
6:54
12390 S UNION HALL RD
3:07
12390 S UNION HALL RD
6:55
12587 S UNION HALL RD
3:08
12587 S UNION HALL RD
6:56
S UNION HALL RD @ S ZELLER RD
3:09
S UNION HALL RD @ S ZELLER RD
7:01
S ELDORADO RD @ S GRIFFITH LN
3:14
S ELDORADO RD @ S GRIFFITH LN
7:05
EXCALIBUR MOBILE HOME CT @ MAILBOXES
3:17
EXCALIBUR MOBILE HOME CT @ MAILBOXES
7:07
23501/23505 S HWY 213
3:18
23535 S HWY 213
7:07
23535 S HWY 213
3:19
23637/23635 S HWY 213
7:08
23637/23635 S HWY 213
3:20
24449 S HWY 213
7:10
24449 S HWY 213
3:27
24741 S CENTRAL POINT RD
7:16
24741 S CENTRAL POINT RD
3:27
24633 S CENTRAL POINT RD
7:17
24633 S CENTRAL POINT RD
3:28
24571 S CENTRAL POINT RD
7:17
24571 S CENTRAL POINT RD
3:28
24520 S CENTRAL POINT RD
7:18
24520 S CENTRAL POINT RD
3:28
24510 S CENTRAL POINT RD
7:18
24510 S CENTRAL POINT RD
3:30
11945 S TOWNSHIP RD
7:20
11945 S TOWNSHIP RD
AM Times
Route 19
PM Times
Route 19
6:38
2ND ST NE @ LIBERTY ST NE
2:55
25000 S BARLOW RD
6:43
26000 S MERIDIAN RD
2:57
26510 S BARLOW RD
6:44
26259/26262 S MERIDIAN RD
2:57
S BARLOW RD @ S SEVEN OAKS LN
6:45
26979 S MERIDIAN RD
2:59
26560 S BARLOW RD
6:46
27618 S MERIDIAN RD
3:01
S LONE ELDER RD @ S RHOTEN RD
6:47
27789 S MERIDIAN RD
3:02
6350 S LONE ELDER RD
6:52
S MERIDIAN RD @ S REATHA CT
3:05
26000 S MERIDIAN RD
6:57
6431 S WHISKEY HILL RD
3:06
26259/26262 S MERIDIAN RD
79
6:57
6465 S WHISKEY HILL RD
3:07
26979 S MERIDIAN RD
6:58
S WHISKEY HILL RD @ KENAGY RD
3:08
27618 S MERIDIAN RD
6:59
6849 S WHISKEY HILL RD
3:09
27789 S MERIDIAN RD
7:00
6923 S WHISKEY HILL RD
3:13
S MERIDIAN RD @ S REATHA CT
7:01
29190 S BARLOW RD
3:18
6431 S WHISKEY HILL RD
7:03
28452 S BARLOW RD
3:18
6465 S WHISKEY HILL RD
7:03
6923 S ZIMMERMAN RD
3:19
S WHISKEY HILL RD @ KENAGY RD
7:05
6390 S ZIMMERMAN RD
3:21
29190 S BARLOW RD
7:09
26262 S MERIDIAN RD
3:22
28452 S BARLOW RD
7:13
6350 S LONE ELDER RD
3:23
6923 S ZIMMERMAN RD
7:14
S LONE ELDER RD @ S RHOTEN RD
3:24
6390 S ZIMMERMAN RD
7:17
25000 S BARLOW RD
AM Times
Route 20
PM Times
Route 20
6:32
7190 S LONE ELDER RD
2:56
7190 S LONE ELDER RD
6:33
7471 S LONE ELDER RD
2:57
7471 S LONE ELDER RD
6:34
7770 S LONE ELDER RD
2:58
7770 S LONE ELDER RD
6:35
8171 S LONE ELDER RD
2:59
8171 S LONE ELDER RD
6:37
8550 S LONE ELDER RD
3:01
8550 S LONE ELDER RD
6:38
8890 S LONE ELDER RD
3:02
8890 S LONE ELDER RD
6:39
25950 S HWY 170
3:03
8835 S LONE ELDER RD
6:39
S HWY 170 @ S GOOD LN
3:05
END OF GELBRICH RD
6:40
S HWY 170 @ S VALE GARDEN RD
3:07
26130 S BOLLAND RD
6:42
8306 S VALE GARDEN RD
3:08
S BOLLAND RD @ S LARK ST
6:46
END OF GELBRICH RD
3:09
26344 S BOLLAND RD
6:50
S BOLLAND RD @ S LARK ST
3:11
26873 S BOLLAND RD
6:50
26344 S BOLLAND RD
3:11
26940 S BOLLAND RD
6:53
26873 S BOLLAND RD
3:12
27021 S BOLLAND RD
6:53
26940 S BOLLAND RD
3:14
27400 S GRIBBLE RD
80
6:54
27021 S BOLLAND RD
3:14
27575 S GRIBBLE RD
6:56
27400 S GRIBBLE RD
3:15
8175 S GRIBBLE RD
6:57
8268 S GRIBBLE RD
3:15
8268 S GRIBBLE RD
7:02
9767 S GRIBBLE RD
3:16
S GRIBBLE RD @ S PRIMROSE PATH
7:03
9687 S GRIBBLE RD
3:19
9335 S GRIBBLE RD
7:04
9451 S GRIBBLE RD
3:19
9451 S GRIBBLE RD
7:04
9335 S GRIBBLE RD
3:20
9687 S GRIBBLE RD
7:07
S GRIBBLE RD @ S PRIMROSE PATH
3:20
9767 S GRIBBLE RD
7:08
8175 S GRIBBLE RD
3:24
27329 S HWY 170
7:10
7950 S MARK RD
3:29
7950 S MARK RD
7:11
7841 S MARK RD
3:30
7841 S MARK RD
7:11
7750 S MARK RD
3:30
7750 S MARK RD
7:14
S BARLOW RD @ S SEVEN OAKS LN
3:34
S BARLOW RD @ S HANSEN LN
7:15
26560 S BARLOW RD
3:34
27942 S BARLOW RD
AM Times
Route 21
PM Times
Route 21
6:37
9272 S KRAXBERGER RD
2:53
S HWY 170 @ S VALE GARDEN RD
6:39
9911 S KRAXBERGER RD
2:54
S HWY 170 @ S GOOD LN
6:40
10264 S KRAXBERGER RD
2:56
9272 S KRAXBERGER RD
6:41
S KRAXBERGER RD @ DRIVEWAY
2:58
9911 S KRAXBERGER RD
6:43
26500 S HARMS RD
2:59
10264 S KRAXBERGER RD
6:44
26998 S HARMS RD
3:03
26500 S HARMS RD
6:49
S ELISHA RD @ DRIVEWAY
3:05
26998 S HARMS RD
6:59
S MACKSBURG RD
3:12
11280 S RIGGS DAMM RD
7:02
11280 S RIGGS DAMM RD
81
AM Times
Route 22
PM Times
Route 22
6:42
8784 S HEINZ RD
3:01
7925 S ZIMMERMAN RD
6:43
8473 S HEINZ RD
3:01
7912/7920 S ZIMMERMAN RD
6:45
28950 S NEEDY RD
3:01
7899 S ZIMMERMAN RD
6:48
S ZIMMERMAN RD @ S SUNDOWNER CT
3:02
28950 S NEEDY RD
6:49
7225 S ZIMMERMAN RD
3:04
8473 S HEINZ RD
6:50
28923 S BARLOW RD
3:05
8784 S HEINZ RD
6:52
29910 S BARLOW RD
3:09
29011 S NEEDY RD
6:56
29849 S NEEDY RD
3:09
29080 S NEEDY RD
6:57
29625 S NEEDY RD
3:11
29489 S NEEDY RD
6:58
29489 S NEEDY RD
3:11
29625 S NEEDY RD
6:59
29080 S NEEDY RD
3:12
29849 S NEEDY RD
7:00
29911 S NEEDY RD
3:15
29910 S BARLOW RD
7:02
7899 S ZIMMERMAN RD
3:18
7225 S ZIMMERMAN RD
7:02
7912/7920 S ZIMMERMAN RD
3:19
S ZIMMERMAN RD @ S SUNDOWNER CT
7:03
7925 S ZIMMERMAN RD
3:25
27315 S PELICAN CT
7:09
27315 S PELICAN CT
3:25
27320 S PELICAN CT
7:09
27320 S PELICAN CT
AM Times
Route 23
PM Times
Route 23
6:32
25351 S BARLOW RD
2:56
25351 S BARLOW RD
6:36
S BARLOW RD @ S HANSEN LN
3:00
28855 S BARLOW RD
6:38
28855 S BARLOW RD
3:00
28923 S BARLOW RD
6:42
31499 BARLOW RD
3:02
6923 S WHISKEY HILL RD
6:43
6349 HWY 211
3:02
6849 S WHISKEY HILL RD
6:44
31501 S YODER RD
3:05
5862 S WHISKEY HILL RD
6:49
4383 HWY 211
3:06
29955 S MERIDIAN RD
6:51
4799 S TIMBER TRAIL DR
3:08
S MERIDIAN RD @ S HOPE AVE
6:52
4631 S TIMBER TRAIL DR
3:08
S MERIDIAN RD @ S BERRY LN
82
6:58
31064 S MERIDIAN RD
3:08
30579 S MERIDIAN RD
7:00
30631 S MERIDIAN RD
3:09
5757 MILLER RD
7:01
5757 S MILLER RD
3:12
30631 S MERIDIAN RD
7:02
30579 S MERIDIAN RD
3:14
31064 S MERIDIAN RD
7:02
S MERIDIAN RD @ S BERRY LN
3:17
4383 S HWY 211
7:03
S MERIDIAN RD @ S HOPE AVE
3:19
4799 S TIMBER TRAIL DR
7:05
29955 S MERIDIAN RD
3:19
4631 S TIMBER TRAIL DR
7:06
S WHISKEY HILL RD @ 91 ACCESS
3:23
31501 S YODER RD
7:06
5862 S WHISKEY HILL RD
3:27
6349 S HWY 211
7:12
27942 S BARLOW RD
AM Times
Route 24
PM Times
Route 24
6:32
27329 CANBY-MARQUAM HWY
3:00
9000 S BARNARDS RD
6:38
S HWY 170 @ S SCONCE RD
3:00
S BARNARDS RD @ S BLACKBEAR DR
6:39
S SCONCE RD @ S ARROW CT
3:04
S BARNARDS RD @ S CANDLELIGHT CT
6:42
7725 S SCONCE RD
3:07
S HWY 170 @ S SCONCE RD
6:44
7320 S SCONCE RD
3:08
S SCONCE RD @ S ARROW CT
6:45
7176/7175 S SCONCE RD
3:11
7725 S SCONCE RD
6:47
30570 BARLOW RD
3:12
7320 S SCONCE RD
6:48
7171 S BARNARDS RD
3:13
S SCONCE RD @ S BOND RD
6:49
7236 S BARNARDS RD
3:13
7176/7175 S SCONCE RD
6:50
S BARNARDS RD @ S STARLIGHT CT
3:15
30570 S BARLOW RD
6:54
30906 S NEEDY RD
3:16
7171 S BARNARDS RD
6:55
30840 S NEEDY RD
3:17
7236 S BARNARDS RD
6:57
30047 S STUWE RD
3:18
S BARNARDS RD @ S STARLIGHT CT
6:58
30799 S STUWE RD
3:19
7878 S BARNARDS RD
7:01
30073 S STUWE RD
3:19
30050/30047 S STUWE RD
7:02
30050 S STUWE RD
3:22
30799 S STUWE RD
7:04
S BARNARDS RD @ S CANDLELIGHT CT
3:23
30047 S STUWE RD
83
7:06
S BLACKBEAR DR @ S GRIZZLY BEAR CT
3:25
30840 S NEEDY RD
7:08
9000 S BARNARDS RD
3:25
30906 S NEEDY RD
AM Times
Route 25
PM Times
Route 25
6:41
5649 S NEWMAN RD
3:03
31499 BARLOW RD
6:43
5861 S NEWMAN RD
3:09
5649 S NEWMAN RD
6:46
34175 S BARLOW RD
3:11
5861 S NEWMAN RD
6:46
34221 S BARLOW RD
3:14
34175 S BARLOW RD
6:54
S ELLIOTT PRAIRIE RD @ S VERNA ST
3:14
34221 S BARLOW RD
6:55
S ELLIOTT PRAIRIE RD @ S MORCOM ST
3:20
S MERIDIAN RD @ S NEWMAN RD
6:57
S ELLIOTT PRAIRIE RD @ S LONE HOLLOW LN
3:21
S ELLIOTT PRAIRIE RD @ S VERNA ST
6:58
4371 S ELLIOTT PRAIRIE RD
3:22
S ELLIOTT PRAIRIE RD @ S MORCOM ST
6:59
4496 S ELLIOTT PRAIRIE RD
3:24
4496 S ELLIOTT PRAIRIE RD
7:03
32929 S MERIDIAN RD
3:25
4371 S ELLIOTT PRAIRIE RD
7:03
32901 S MERIDIAN RD
3:25
S ELLIOTT PRAIRIE RD @ S LONE HOLLOW LN
7:04
32704 S MERIDIAN RD
3:30
32929 S MERIDIAN RD
7:05
32636 S MERIDIAN RD
3:30
32901 S MERIDIAN RD
3:31
32704 S MERIDIAN RD
3:31
32636 S MERIDIAN RD
3:33
5518 S HWY 211
AM Times
Route 26
PM Times
Route 26
6:30
S BARLOW RD @ S BOND RD
3:07
33475 S BARLOW RD
6:36
33475 S BARLOW RD
3:09
7156 S GIBSON RD
6:38
7156 S GIBSON RD
3:16
33380 S BARLOW RD
6:45
33380 S BARLOW RD
3:17
33285 S BARLOW RD
6:46
33285 S BARLOW RD
3:17
33230 S BARLOW RD
6:46
33230 S BARLOW RD
3:20
6900 S SCHNEIDER RD
84
6:49
6900 S SCHNEIDER RD
3:21
7270 S SCHNEIDER RD
6:50
7270 S SCHNEIDER RD
3:24
32455 S NEEDY RD
6:53
32455 S NEEDY RD
3:27
7425 S HWY 211
6:57
7425 S HWY 211
3:32
5791 S SCHNEIDER RD
7:02
5791 S SCHNEIDER RD
3:32
5773 S SCHNEIDER RD
7:02
5773 S SCHNEIDER RD
3:32
5684 S SCHNEIDER RD
7:03
5684 S SCHNEIDER RD
3:35
5428 S HWY 211
7:06
5428 S HWY 211
3:37
6460 HWY 211
7:08
6460 S HWY 211
AM Times
Route 27
PM Times
Route 27
7:04
718 SE TOWNSHIP RD
2:40
S TOWNSHIP RD @ S LOCUST ST
7:05
518 S MAPLE ST
2:44
CANBY HIGH SCHOOL
7:06
S MAPLE ST @ SE 5TH AVE
2:54
250 S LOCUST ST
7:10
416 S MANZANITA CT
2:56
S LOCUST ST @ SE 4TH AVE
7:11
SE 4TH AVE @ S LOCUST ST
2:57
416 S MANZANITA CT
7:13
250 S LOCUST ST
2:58
SE 5TH AVE @ S MAPLE ST
7:16
S LOCUST ST @ SE 2ND AVE
3:00
718 SE TOWNSHIP RD
3:01
1310 SE TOWNSHIP RD
AM Times
Route 28
PM Times
Route 28
7:07
450 S PINE ST
2:38
S REDWOOD ST @ SE 11TH LOOP (1ST ENTRANCE)
7:08
S TOWNSHIP RD @ S PONDEROSA ST
2:39
S REDWOOD ST @ SE 9TH AVE
7:11
S REDWOOD ST @ SE 9TH AVE
2:42
450 S PINE ST
7:12
S REDWOOD ST @ SE 11TH LOOP (1ST ENTRANCE)
2:43
S TOWNSHIP RD @ S PONDEROSA ST
85
AM Times
Route 29
PM Times
Route 29
6:56
23000 OR-99E
2:57
23000 OR-99E
6:57
22844 HWY 99E
2:58
22844 HWY 99E
7:00
10038 S NEW ERA RD/CANBY REGENCY
3:00
10038 S NEW ERA RD/CANBY REGENCY
7:09
1111 SE 3RD AVE
3:09
1111 SE 3RD AVE
7:12
S PINE ST @ SE 7TH AVE
3:11
S PINE ST @ SE 7TH AVE
7:13
S PINE ST @ SE 10TH AVE
3:12
S PINE ST @ SE 10TH AVE
7:14
1141 S PINE ST
3:12
1141 S PINE ST
7:16
S PINE ST @ SE 13TH AVE
3:13
S PINE ST @ SE 13TH AVE
AM Times
Route 30
PM Times
Route 30
7:02
25381 HWY 99E
2:36
1400 S ELM ST
7:03
TOP O HILL RESTAURANT GRAVEL LOT
2:39
1655 S ELM ST
7:08
24310 S HWY 99E
2:48
25381 S HWY 99E
7:10
1400 S ELM ST
2:51
TOP O HILL RESTAURANT GRAVEL LOT
7:14
1655 S ELM ST
2:55
24310 S HWY 99E
AM Times
Route 31
PM Times
Route 31
7:10
N CEDAR ST @ NW 6TH AVE
2:54
N ELM ST @ NW 4TH AVE
7:10
NW 6TH AVE @ N BIRCH ST
2:54
NW 4TH AVE @ N CEDAR ST
7:12
NW 6TH PL @ N ASH ST
2:55
N CEDAR ST @ NW 5TH AVE
7:13
705 N ASPEN ST
2:56
N CEDAR ST@NW 6TH AVE
7:14
N CEDAR ST @ NW 5TH AVE
2:56
NW 6TH AVE @ N BIRCH ST
7:15
N CEDAR ST @ NW 4TH AVE
2:57
NW 6TH PL @ N ASH ST
7:17
NW 4TH AVE @ N ELM ST
2:58
705 N ASPEN ST
86
AM Times
Route 32
PM Times
Route 32
7:07
1265 N OAK ST
2:55
1265 N OAK ST
7:08
N OAK ST @ NE 10TH AVE
2:56
N OAK ST @ NE 10TH AVE
7:11
NE 10TH AVE @ N NOBLE CT
2:57
NE 10TH AVE @ N NOBLE CT
7:10
1065 N MAPLE ST
2:57
1065 N MAPLE ST
7:10
1131 N MAPLE ST
2:57
1131 N MAPLE ST
7:11
N MAPLE ST @ NE 14TH AVE
2:58
N MAPLE ST @ NE 14TH AVE
7:12
N MAPLE ST @ NE 16TH AVE
2:59
N MAPLE ST @ NE 16TH AVE
AM Times
Route 33
PM Times
Route 33
6:59
6885 S ANDERSON RD
2:58
6885 S ANDERSON RD
7:01
6380 S ANDERSON RD
3:00
6380 S ANDERSON RD
7:04
24560 S BARLOW RD
3:03
305 N 2ND ST
7:04
24483 S BARLOW RD
3:04
N 2ND ST @ S RAILROAD DR
7:05
S BARLOW RD @ S KING ST
3:04
S RAILROAD DR @ N OAK ST
7:06
6835 S ARNDT RD
3:05
N 1ST ST @ N MAIN ST
7:07
6741 S ARNDT RD
3:05
24483 S BARLOW RD
7:08
23861 S KNIGHTS BRIDGE RD
3:06
S BARLOW RD @ S KING ST
7:08
23793 S KNIGHTS BRIDGE RD
3:07
6741 S ARNDT RD
7:09
6585 S KNIGHTS BRIDGE RD
3:08
23861 S KNIGHTS BRIDGE RD
7:09
6655 S KNIGHTS BRIDGE RD
3:09
23793 S KNIGHTS BRIDGE RD
7:10
6972 S KNIGHTS BRIDGE RD
3:09
6585 S KNIGHTS BRIDGE RD
7:11
23730 S BARLOW RD
3:09
6655 S KNIGHTS BRIDGE RD
7:11
23795 S BARLOW RD
3:10
6972 S KNIGHTS BRIDGE RD
7:12
23890 S BARLOW RD
3:11
23730 S BARLOW RD
7:13
24475 S BARLOW RD
3:11
23795 S BARLOW RD
7:14
305 N 2ND ST
3:11
23890 S BARLOW RD
7:14
N 2ND ST @ S RAILROAD DR
7:15
S RAILROAD DR @ N OAK ST
87
7:16
N 1ST ST @ N MAIN ST
AM Times
Route 34
PM Times
Route 34
7:05
S LUPINE ST @ SE 7TH AVE
2:56
405 S IVY ST
7:09
406 S KNOTT ST
2:57
SE 7TH AVE @ S LUPINE ST
7:12
231 S KNOTT ST
2:59
406 S KNOTT ST
7:16
421 S IVY ST
3:00
S KNOTT ST @ SE 3RD AVE
7:16
S IVY ST @ SE 3RD AVE
3:01
231 S KNOTT ST
88
Canby School District
1130 S Ivy Canby OR 97013 503-266-7861 www.canby.kl2.or.u~
,,,ooL
,yJ,cT
Dear Parent/Guardian:
Children need healthy meals to learn. Canby School District offers healthy meals every school day. Breakfast costs $7.00 /Elementary $7.75/Middle School - $7.25/CHS; lunch costs $2.00 /Elementary - $2.30/Middle School - $2.6O/CHS. Your children may qualify for free
meals or for reduced price meals. Reducedprice is $.40 for lunch and $30 for breakfast.
1. Should Ifill out an application if Igot a letter this school year saying my children are approved for free meals? Please m d the Her you got
carefully and folbw the instructions.Call Kim Mabry, 50S266-6742 if you haw quedions.
2. Do I need to fill out an application for each child? No. Use one Free and Reduced Price School Meals Application for all
students in your household. We cannot approve an application that is not complete, so be sure to fill out all required information.
Return the completed application to your school office or mail to the address above.
3. Who can get free meals? Children in households getting Supplemental Nutrition Assistance Program (SNAP) benefits, TANF or
FDPlR can get free meals regardless of your income. Also, your children can get free meals if your household income is within the
free limits on the Federal Income Guidelines.
4. Can foster children get free meals? Yes, foster children that are under the legal responsibility of a foster care agency or court can get
free meals. Any foster child in the household can get free meal regardless of income.
5. Can homeless, runaway and migrant children get free meals? If you have not been informed that they will get free meals, call
the Homeless Liaison (503-266-7861) or the Migrant Coordinator (503-263-7429) to see if your child(ren) qualify,
6. Who can get reduced price meals? Your children can get bw cost meals if your household income is within the reduced price limits on the
Federal Income Chart
7. If my child is eligible for free or reduced price meal benetits, M e n will the meal benefits begin? Meal beneb for new applications cannot start
unflan ap~licationis approved. Please ~rovidea lunch or money for a wid lunch until you receive notice that the applicationis amved.
8. 1get WK=. Can my child(ren) get free meds? This can only be detemilned by completing and submitting the endosed applicationfor meal benefits.
Please fill out an application.
9. My children receive Oregon Health Plan benefits. Can they get free meals? This can only be determined by completing and submitting the
endosed a p p l i for meal benefits. Pleasefill out an appkabn.
10. Will the information I give be checked? Yes, we may ask you to send written proof.
11. If I do not qualify now, may Iapply later? Yes. You may apply at any time during the school year.
12. What if I disagree with the school's decision about my application? You should talk to school officials. You also may ask for a
hearing by calling or writing to: David Moore, at the address listed above.
13. May I apply if someone in my household is not a U.S. citizen? Yes. You or your child(ren) do not have to be a U.S. citizen to
qualify for free or reduced price meals.
14. Who should I include as members of my household? You must include all people living in your household, related or not (such
as grandparents, other relatives, or friends). You must include yourself and all children who live with you. Foster children may be
included as household members. If you live with other people who are economically independent (for example, people you do not
support, who do not share income with you or your children and who pay a pro-rated share of expenses), do not include them.
15. What if my income is not always the same? List the amount that you normally get. For example, if you normally get $1000 each
month, but you missed some work last month and only got $900, put down that you get $1000 per month. If you normally get
overtime, include it, but not if you get it only sometimes.
16. We are in the militaty; do we include our housing allowance? tf you get an off-base housing allowance, it must be counted
as income. However, if your housing is part of the Military Housing Privatization Initiative, do not include your housing allowance as
income.
17. My spouse is deployed to a combat zone. Is combat pay counted as income? Combat pay is excluded if it is received in
addition to the service member's basic pay; because of the deployment; and not received before being deployed.
18. My family needs more help. Are there other programs we might apply for? To find out how to apply for Oregon SNAP or other
assistance benefits, contact your local assistance office or call 1800-SAFENET (723-3638).
If you have other questions or need help, call 503-266-6742.
,Sincerely,
A
yJd c 1b.q
id Moore, Business Manager
Canby School District
89
INSTRUCTIONS FOR APPLYING
For Supplemental Nutrition Assistance Program (SNAP) benefits OR Temporary Assistance for Needy
Families (TANF) Households, do the following:
Part 1: Complete Household information
Part 2: List child(ren)'s name, school, grade, birthday and mark the checkbox, if they are a formally place foster
child in the family.
Part 3: Give the name of the person in the household with benefits and their case number,
(SNAP) benefits (A11-11-1111) or TANF (AA111 or AAA111)
Part 4: Skip this part.
Part 5: Sign the form. A Social Security Number is not necessary.
Part 6:.Answer this question if you choose to.
Part 7: Answer this question if you choose to.
If you are applying for a FOSTER CHILD, follow these instructions:
Part 1: Complete Household information
Part 2: List child(ren)'s name, school, grade, birthday and mark the checkbox, if they are a formally place foster
child in the family
Part 3: Skip this part
Part 4:.Skip this part
Part 5: Sign the form. A Social Security Number is not necessary
Part 6: Answer this question if you choose to.
Part 7: Answer this question if you choose to.
OR
- Complete a household application for the entire household including the foster child following instructions
for " All Other Households"
ALL OTHER HOUSEHOLDS, including WIC households, follow these instructions:
Part 1: Complete Household information.
Part 2: List child(ren)'s name, school, grade, birthday and mark if child is foster.
Part 3: Skip this part.
Part 4: Follow these instructions to report total household income from last month.
Column ?-Name: List the first and last name of each person living in your household, related or not (such as
grandparents, other relatives, or friends). You must include yourself, those children living with you but not
attending school and children in school receiving regular income. Do not repeat children listed in part 2
unless they receive regular income. Attach another sheet of paper if you need to.
Column 2 -Gross Monthly Income. Next to each person's name, list each type of income received last
month. For example, Monthly Income: List the gross income each person earned from work. This is not the
same as take-home pay. Gross income is the amount earned before taxes and other deductions. The
amount should be listed on your pay stub, or your boss can tell you. If your income is paid weekly, every 2
weeks or twice a month, follow the instructions on the back of the application.
Column 3 - List the amount each person got last month from welfare, child support, alimony.
Column 4 - List the amount each person got last month from pensions, retirement, Social Security.
Column 5 - List the amount each person got last month from Worker's Compensation, unemployment, strike
benefits, Supplemental Security Income (SSI), Veteran's benefits (VA benefits), disability benefits, regular
contributions from people who do not live in your household, and ANY OTHER INCOME.
Report net income for self-owned business, farm, or rental income. Next to the amount, write how often the
person qot it. If you are in the Military Housing Privatization Initiative do not include this housing allowance.
Part 5: An adult household member must sign the form and list the last four (4) numbers of his or her Social
Security Number, or mark the box if he or she doesn't have one.
Part 6: Answer this question if you choose to.
Part 7: Answer this auestion if vou choose to.
90
Application Number
201 112012 CONFIDENTIAL FAMILY APPLICATION FOR FREE & REDUCED MEALS
NOTICE:
If you received an ELIGIBILITY NOTIFICATION- FREE MEALS from the school district do not complete this application.
See Application Instructions on back of form.
HOUSEHOLD INFORMATION
m
Name
l
Print name of person completing this application (Last name, First name)
I Home Phone or Cell Phone (Circle One)
u
+ Number living in this household
Mailing Address -Apt #
(Write names of all household members
on part 2 andlor part 4 of this form)
I
City State Zip
STUDENT INFORMATION
Child's Name (Last name, First name)
School
Grade
Birth Date
Check if
Foster Child
BENEFITS If any member of your household receives SNAP or TANF, provide the name and case number of the member receiving benefits
0
0
Name
SNAP
Case Number
Go to Part 5 below
TANF
Does this household receive FDPlR (Food Distribution on Indian Resewationsl
-
Yes (Go Part 5 and comDlete)
.
,
HOUSEHOLD MEMBERS & GROSS MONTHLY INCOME if not monthly, see back for conversions
Column 1
List all household members, including
children not attending school, and income.
Do not indude students listed in part 2,
unless they receive regular income.
(Last name, first name)
Column 2
MONTHLY
INCOME
(Total earnings 8
wages before
deductions)
Column 3
MONTHLY CHILD
SUPPORT,
WELFARE,
ALIMONY
RECEIVED
Column 4
MONTHLY
PENSIONS,
SOCIAL
SECURITY,
RETIREMENT
Column 5
OTHER MONTHLY
INCOME -Including
unemployment and
workers comp.
Column 6
Check if
NO
income
SIGNATURE, DATE and Last four numbers of SOCIAL SECURITY NUMBER (Adult must sign)
I certify (promise) that all of the information on this application is true (correct) and that all income is reported. I understand that the
school will get Federal funds based on the information I give. I understand that school officials may verify (check) the information. I
understand that if I give purposely false information, my children may lose meal benefits and I may be prosecuted.
Signature of Adult Household Member
Date Signed
Social Security Number
I do not have a
(See privacy statement on back)
Social
Security
X
XXX-XX Number.
Monthldaylyear
- RACIAL OR ETHNIC GROUP (OPTIONAL)
Mark one ethnic identitv:
Hispanic or Latino
Not Hispanic or Latino
Mark one or more racial identities:
Asian
Black or African American
American Indian 8 Alaskan Native
White, not of Hispanic origin
Native Hawaiian or Other Pacific Islander
Other
Iprefer all written correspondence i n OSpanish q Russian q Other
I do not want my information shared with State children's health insurance programs. Sign here:
I have a child (or children) who does not have any kind of health coverage
Total Income:
Free based on:
SNAPrrANF
FDPlR
household income
foster child's Income
Number in household:
Reduced based on:
17 household income
foster child's income
Determining Official's Signature :
- neither private health insurance nor Oregon Health
-
Denied Reason:
income too high
incom~letea.~.~ l i c a t i o n
Date
Date Withdrawn:
Temporary:
13 Free
Reduced
Until:
Until:
(maximum45 days each)
91
If your household receives SNAP, TANF or FDPIR, complete parts 1, 2, 3 and 5; parts 6 and 7 are optional.
If you do not receive these benefits and your income is w
&
the guidelines, complete parts 1, 2, 4 and 5; parts 6 and 7 are
optional.
If you are a household with a FOSTER CHILD, complete parts 1, 2, 4, and 5; parts 6 and 7 are optional.
DETERMINING MONTHLY INCOME FOR EARNINGS & WAGES
Monthly income for all household members must be reported in Part 4 of this application. Income means any money regularly
received from work, child support, alimony, pensions, retirements, social security or any other source. Exclude studenUschool loans.
Household members who are not paid monthly should change earnings into monthly income by doing the following:
Household members who are paid everv week: Multiply total earnings and wages for one pay period, before deductions, by 52.
Then divide by 12. The resulting amount is the total monthly income.
Household members who are paid everv 2 weeks: Multiply total earnings and wages for one pay period, before deductions, by 26.
Then divide by 12. The resulting amount is the total monthly income.
Household members who are paid twice a month: Multiply total earnings and wages for one pay period, before deductions, by 24
then divide by 12. The resulting amount is the total monthly income.
Household members who are seasonal workers or work less than 12 months: Project annual rate of income to accurately
represent actual circumstances then divide by 12. The resulting amount is the projected monthly income.
I
I
Note: Money received from a business or farm owned by you should be reported as "net income." Net Income is defined as the total
income leff after business and farm operating expenses are subtracted from gross receipts.
FEDERAL INCOME GUIDELINES
Your children may qualify at least for reduced price meals if your household income falls within the limits of this chart.
-
PRIVACY STATEMENT SOCIAL SECURITY NUMBERS and OTHER INFORMATION
The Richard B. Russell National School Lunch Act requires the information on this application. You do not have to give the information
but if you do not, we cannot approve your child for free or reduced price meals. You must include the last 4 digits of the social security
number of the adult household member who signs the application. The last 4 digits of the social security number is not required when
you apply on behalf of a foster child or you list a Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy
Families (TANF) Program case number or Food Distribution Program on Indian Reservations (FDPIR) identifier for your child or when
you indicate that the adult household member signing the application does not have a social security number. We will use your
information to determine if your child is eligible for free or reduced price meals and for administration and enforcement of the lunch and
breakfast programs. We may share your eligibility information with education, health, and nutrition programs to help them evaluate,
fund, or determine benefits for their programs; auditors for program reviews; and law enforcement officials to help them look into
violations of program rules. We may share the information on this form with Medicaid or the State Children's Health Insurance Program
(SCHIP), unless you tell us not to. The information, if disclosed, will only be used to identify eligible children and seek to enroll them in
Medicaid or SCHIP.
NON-DISCRIMINATION STATEMENT
This explains what to do if you believe you have been treated unfairly. 'In accordance with Federal law and U.S. Department of
Agriculture policy, this institution is prohibited from discrimination on the basis of race, color, national origin, sex, age, or disability." To
file a complaint of discrimination, write USDA, Director, Office of Adjudication, 1400 IndependenceAvenue, SW, Washington, D.C.
20250-9410 or call, toll free (866) 632-9992 (Voice). Individual who are hearing impaired or have speech disabilities may contact USDA
through the Federal Relay at (800) 877-8339) or (866) 845-6136 (Spanish). USDA is an equal opportunity provider and employer."
Form 581-3514e-P (Rev. 04111)
92
Canby School District
1130 S Ivy Canby OR 97013 503-266-7861
www.canby.kl2.or.u~
S C I I O O L D!STDfCT
Estimado Padre de FamilialEncargado:
Los nirios necesitan comida nutritiva para aprender. Canby School District ofrece comidas nutritivas todos 10s dias escolares. El desayuno cuesta $1
- $1.25 y el almueno $2.00 - $2.60. Sus nirios podrian calificar para comidas gratis o a precio reducido. El precio reducido es y $30 para el
desayuno y $40 para el almueno.
1.
2.
3.
4.
5.
6.
~Debocompletv una s o l i d si este aiio escobr reciti una carta en la que me d
m
i que mis hips esth aprobados para recibir comidas g d ? Lea la
cab que recM d e h i d m k y sga hs msbmiones.Si no recW una carta para cada uno & bs nibs & su hogar, enbnces debe conpletar una mkhd
b d o a bdos bs miembros& su hogar.Lbme a Kin Mabry, 503-266-6742si t i preguntas.
6Es necesario llenar una solicitud para cada niiio? No. Complete la forma para solicitar comidas gratis o a precio reducido. Use una solicitud
para comidas aratis o a ~recioreducido Dara todos 10s estudiantes en su hoaar. Asegurese de llenar la solicitud con toda la informacion
requerida ya que no podemos aprobar solicitudes incompletas. Devuehra la solicitud completa a: 1130 S Ivy, Canby, OR 97013.
~ Q u ipuede
i
redbir comidas gratis? Nibs en hogares que redben SNAP o TANF y la mayoria de 10s menores bajo la supervision de servicios
sociales pueden recibir comidas gratis sin importar sus ingresos. Tambibn si su ingreso familiar esth denvo de 10s limites de la Tabla Federal de
Ingresos, sus niiios pueden recibir comidas gratis.
~Pueden10s niiios bajo tutela temporaria recibir comidas gratis? Si, 10s ninos bajo tutela temporaria que esthn bajo la responsabilidad legal
de una agencia de tutela temporaria o tribunal pueden recibir comidas gratis. Todos 10s niiios bajo tutela temporaria del hogar pueden recibir
comidas gratis independientemente del ingreso.
~Pueden10s niiios sin hogar, niiios que han abandonado su hogar y niilos emigrantes recibir comidas gratis? Si no le han informado
que sus hijos recibirhn comidas gratis, por favor comuniquese con: (503-266-7861) o (503-263-7429) para verificar si sus hijos califican.
~ Q u puede
h
recibir comidas a precio reducido? Sus h i pueden puedenbri comdas a precio reduddo s su ingreso W l i esth dentro de 10s limites de la
Tabla Federal de lngresos rmtradaen esta solicbd.
Si mi hip es elegii para recibir bmefkh de comidas gratis o a precio reducido, ~cuiindo
bs beneficios?Losbenekks & anidas~ a r hs
a
soCcibks nuem no weden comenzar ha& aue se aMuebe b soildud. Haw aue su hio lleve ahxlerzo o d& dinero wa comwar uno hasta que redba
n o t k x i h & aue se ha aWobado la s o E i .
se puede &termmar caqkta& y presentado la s d i i para benefidos & anidas
8. Recibo W. ~Puede(n)mi(s) hijo(s) obtener comidas gratis? Esb
que se adjunta. Sirvase ampletar una solchd.
completa& y presentado b
9. Mi hijos reciben hen- del Plan de Salud de Oregon. ~Puedenohtener comaas gratis? Esto d b se puede &krn-har
solicibd para W ide comidas que se adjunta. Sirvasecompletar una wkkd.
10. ~ S e r dverificada la informacibn que yo provea? Si, nosotros podriamos pedirle que envie prueba escrita de la inforrnacion provista.
11. Si yo no califico ahora ~puedosolicitar miis tarde? Si. Usted puede solicitar en cualquier momento durante el ano escolar si el tamano de su
familia aumenta, sus ingresos disminuyen, o si comienza a recibir SNAP' o TANF. Si usted pierde su trabajo, sus ninos podrian recibir comidas
gratis o a precio reducido durante el tiempo que usted estk sin empleo.
pasa si no estoy de acuerdo con la decisibn de la escuela con respecto a mi solicitud? Usted deberh hablar con 10s oficiales de la
12. ~ Q u h
escuela. Tambien podria solicitar una audiencia ya sea llamando o escribiendo a: 503-266-6742.
13. ~Puedosolicitar aunque alguien en mi hogar no sea ciudadano americano? Si. Ni usted ni sus ninos necesitan ser ciudadanos americanos
para recibir comidas gratis o a precio reducido.
14. LA quienes tengo que incluir como miembros de mi familia? Usted debe incluir a todas las personas que vivan en su hogar aunque no sean
parientes suyos (por ejemplo, abuelos, otros parientes o amigos). Usted tambibn debe incluirse a si mismo y a todos 10s niiios que viven con
usted. Se puede incluir a 10s ninos bajo tutela temporaria como miembros de la familia. Si usted vive con otras personas que son
econbmicamente independientes (por ejemplo, personas a quienes no mantiene, que no cornparten ingresos con usted o sus hijos y que pagan
una parte prorrateada de 10s gastos), no las incluya.
15. ~ Q u 6pasa si mi ingreso no es siempre igual? Anote la cantidad que usted recibe regularmente. Por ejemplo, si usted normalmente recibe
$1000 al mes per0 se ausentb al trabajo el mes pasado y solo recibib $900, anote que usted recibe $1000 al mes. Si usted generalmente cobra
por horas extras de trabajo incluya esa cantidad, per0 no es necesario incluirla si solo trabaja horas extras a veces.
16. Estamos en las Fuerzas Armadas, iincluimos nuestro subsidio para vivienda? Si recibe un subsidio para vivienda fuera de la base,
debe contarlo como ingreso. Sin embargo, si su vivienda es parte del la lniciativa de Privatizacibn de Viviendas para Militares (Military
Housing Privatization Initiative) no incluya el subsidio para vivienda como ingreso.
17. Mi cbnyuge ha sido enviado a una zona de combate. LSe cuenta la paga de combate como ingreso? . La paga de combate esth excluida
si se recibe en adicibn a la paga bhsica de miembro en servicio; se recibe como resultado del envio del miembro a la zona de combate; y no se
recibia antes del envio a la zona de combate.
18. Mi familia necesita miis ayuda. hay otros programas en 10s que podamos participar? Para saber cbmo solicitar el Oregon SNAP u otros
beneficios de asistencia, comuniquese con la oficina de asistencia local 1-800-SAFENET (723-3638).
Si usted tiene otras preguntas, por favor llame a/: 503-266-6742.
7.
(4~
h/\bG@
Saceramente,
A
Da ' Moore, Business Manager
Canby School District
93
INSTRUCCIONES PARA SOLlClTAR BENEFlClOS
Para beneficios de SNAP (Programa de Asistencia de Suplementaria) g hogares con TANF, haga lo siguiente:
Parte 1: Complete la informacion de las personas que viven en su hogar
Parte 2: Liste el nombre, la escuela, el grado escolar y la fecha de nacimiento del niiio o niiios y marque la casilla si son niiios
formalmente colocados bajo tutela temporaria en la familia.
Parte 3: D8 el nombre de la persona en el hogar que tiene beneficios y su numero de caso
beneficios (SNAP) (A11-11-1111) o TANF (AAl 111 o AAAl11).
Parte 4: Saltee esta parte.
Parte 5: Firme el formulario. No es necesario dar un Numero de Seguro Social.
Parte 6: Responda esta .pregunta
si lo desea.
Parte 7: ~esbondaesta pregunta si lo desea.
Si esta hacienda una solicitud para un NINO BAJO TUTELA TEMPORARIA, siga estas instrucciones:
Use una solicitud separada para cada niiio bajo tutela temporaria
Parte 1: Complete la informacion de las personas que viven en su hogar.
Parte 2: Liste el nombre, la escuela, el grado escolar y la fecha de nacimiento del niiio o niiios y marque la casilla si son niiios
formalmente colocados bajo tutela temporaria en la familia.
Parte 3: Saltee esta parte
Parte 4: Saltee esta parte.
Parte 5: Firme el formulario. No es necesario dar un Nlimero de Seguro Social.
Parte 6: Responda esta pregunta si lo desea.
Parte 7: Responda esta pregunta si lo desea.
0
Complete una solicitud del hogar para todo el hogar, incluido el niiio bajo tutela temporaria, siguiendo las instrucciones para
"Todos 10s otros hoaaresn
TODAS LOS OTROS HOGARES, incluidos aquellos que reciben WIC, sigan estas instrucciones:
Parte 1: Complete la informacion de las personas que viven en su hogar.
Parte 2: Liste el nombre, la escuela, el grado escolar y la fecha de nacimiento del niiio o niiios y marque si es un niiio bajo tutela
temporaria.
Parte 3: Saltee esta parte.
Parte 4: Siga estas instrucciones para informar el ingreso total del hogar del mes pasado.
Columna 1 - Nombre: Liste el nombre y apellido de cada persona que vive en su hogar, emparentada o no (como abuelos,
otros parientes o amigos). lncluyase a si mismo, a 10s niiios que viven con usted per0 que no asisten a la escuela y a 10s
niiios que estan en la escuela que reciben un ingreso regular. No vuelva a listar a 10s niiios que ya figuran en la parte 2, a
menos que reciban ingresos regulares. Adjunte otra hoja si es necesario.
Columna 2 - lngreso bruto mensual Al lado del nombre de cada persona, liste cada tipo de ingreso recibido el mes pasado.
Por ejemplo, lngreso Mensual Liste el ingreso bruto que gano cada persona en el trabajo. Esto no es lo mismo que la paga
que se lleva a la casa. El ingreso bruto es la cifra ganada antes de impuestos y otras deducciones. La cifra debe estar
listada en su tal6n de pago o se la puede decir su jefe. Si su ingreso se paga semanalmente, cada 2 semanas o dos veces al
mes, siga las instrucciones al dorso de la solicitud. Columna 3 - Liste la cifra que obtuvo cada persona el mes pasado de
asistencia social, manutencion infantil y pension alimenticia.
Columna 4 - Liste la cifra que obtuvo cada persona el mes pasado de pensiones, retiro y Seguro Social. Columna 5 - Liste la
cifra que obtuvo cada persona el mes pasado de compensacion laboral, seguro de desempleo, beneficios de huelga, lngreso
de Seguridad Suplementario (SSI), beneficios de Veteranos (Beneficios VA), beneficios por discapacidad, contribuciones
regulares de personas que no viven en su casa y CUALQUIER OTRO INGRESO.
lnforme el ingreso neto de negocios o granjas propios o ingresos por renta. Al lado de la cifra, escriba la frecuencia con que la
persona obtuvo ese inqreso. Si esta en la lniciativa Militar de Privatization de Vivienda no incluya este complemento para
vivienda.
Parte 5: Un miembro adulto del hogar debe firmar el formulario y listar 10s ultimos cuatro (4) numeros de su Numero de Seguro Social o
marcar la casilla si no tiene uno.
Parte 6: Responda esta pregunta si lo desea.
Parte 7: Responda esta pregunta si lo desea.
94
Application #
SOLlClTUD FAMILIAR CONFIDENCIAL 201112012 PARA COMIDAS GRATIS Y DE PRECIO REDUCIDO
AVISO:
Si ha recibido una NoTIFICACI~NDE ELEGlBlLlDAD PARA COMIDAS GRATIS del distrito escolar, no complete esta solicitud.
Vea las lnstrucciones para completar la solicitud al dorso de este formulario.
(
Nombre Escriba
Telbfono particular o m6vil (marque uno con un circulo)
Telbfono del trabajo
+ Nlimero de integrantes del hogar
Direcci6n postal -Apt #
Escriba 10s nombres de todos los integrantes
del hogar en las partes 2 ylo 4 de este
formulario
Ciudad Estado C6digo Postal
~Recibeeste hogar FDPlR (Distribucidn de Alimentos en Resewaciones Indigenas)
INFORMACI~NDE LOS ESTUDIANTES
Nombre del niiio (Apellido, Primer nombre)
Escuela
Grado
Si (Complete las partes 2 y 5)
Fecha de
nacimiento
caso para cada niiio si recibe
beneficios pliblicos
1.
2.
3.
4.
5.
- BENEFlClOS Si algun miembro del hogar recibe SNAP o TANF, db el nombre y numero de caso del miembro que recibe 10s beneficios.
Nombre
Numero de caso
SNAP
TANF
~Recibe
este hogar FDPlR (Distribucibn de comida en resewaciones indigenas)
Siga abajo en la Parte 5
S i (Siga en la Parte 5 y complete)
-
MIEMBROS DEL HOGAR E INGRESO MENSUAL BRUT0 s i no es mensual, vea las conversiones al dorso
Columna 1
Liste todos 10s miembros del hogar,
incluidos nifios, que no asisten a la
escuela, y el ingreso. No incluya a 10s
estudiantes listados en la parte 2, a
menos que reciban ingresos regulares.
(Apellido, Primer nombre)
Columna 2
lngreso mensual
(Ganancias y
sueldos totales
antes de
deducciones)
Columna 3
Manutencibn infantil.
Asistencia social,
Pensi6n alimentiua
Recibidas por mes
Columna 4
Mensual pensiones,
Retiro del Seguro
Social por mes
Columna 5
Otro lngreso
mensual - lncluido
Seguro de
desempleo Y
Compensaci6n
laboral
Columna 6
Marque si
no
hay ingreso
1.
-
FIRMA, FECHA Y ultimos cuatro numeros del NUMERO DE SEGURO SOCIAL (Un adulto debe firmar)
Certifico (prometo) que toda la informaci6n en esta solicitud es verdadera (correcta) y que he informado todos 10s ingresos. Entiendo que la escuela
obtendra fondos federales en base a la informaci6n que proporclone. Entiendo que 10s funcionarios de la escuela pueden verificar (controlar) la
informacl6n. Entiendo que si doy informaci6ndeliberadamente falsa, mis hijos pueden perder 10s beneficios de wmidas y se me puede procesar.
Finna de un miembro adulto del hogar
Firmado en
X
Nlimero de Seguro Social
(Ver declaracibn de privacidad al dorso)
nx-xx-
No tengo
numero de
Seguro Social
Mesldialaiio
GRUPO RACIAL 0 ETNICO (OPCIONAL)
Negro o afroamericano
Marque una o m i s identidades raciales:
Marque una identidad ktnica:
Asiitico
Blanco, no de origen hispano
Hispano o latino
lndio americano y nativo de Alaska
Otra
Nativo de Hawai o de otra isla del Pacifico
Prefiero recibir toda la correspondencia en
Espaiiol Ruso
Otro
NOdeseo que mi informacidn se comparta con el programa de seguro de salud de nii'ios del Estado Firme aqul::
Tengo un hijo (o hijos) que no tienen ninglin tipo de cobertura de salud - ni de seguro de salud privado ni de Oregon Health Plan I
Total Income:
Free based on:
SNAPITANF
FDPlR
household income
foster child's Income
Form 581-3514e-P (Rev. 04111)
Number in household:
Reduced based on:
household income
foster child's income
-
Denied Reason:
n income too high
incomplete application
Date Withdrawn:
Temporary:
Free
Reduced
Until:
Determining Official's Signature :
Date
Until:
(maximum 45 days each)
95
a
a
Si su hogar recibe SNAP, TANF o FDPIR, complete las partes 1,2 y 5; las partes 6 y 7 son opcionales.
Si no recibe estos beneficios y su ingreso se encuentra por debaio de las pautas, complete las partes 1, 2,4 y 5; las partes 6 y 7
son opcionales.
Si en su hogar hay un NINO BAJO TUTELA TEMPORARIA, complete las partes I,2,4 y 5; las partes 6 y 7 son opcionales.
C~MO
DETERMINAR EL INGRESO MENSUAL PARA GANANCIAS Y SUELDOS
En la Parte 4 de esta solicitud debe informarse el ingreso mensual de todos 10s miembros del hogar. El tbrmino ingreso significa
cualquier dinero que se recibe regularmente por trabajo, manutenci6n infantil, pensi6n alimenticia, pensiones, retiros, seguro social o
cualquier otra fuente. Excluya prbstamos estudiantileslescolares.
Los miembros del hogar que no cobran mensualmente deben convertir 10s ingresos a ingresos mensuales de la siguiente manera:
Miembros del hogar que cobran cada semana: Multiplique por 52 10s ingresos y sueldos totales de un period0 de pago, antes de las
deducciones. Luego divida por 12. La cifra resultante es el ingreso mensual total.
Miembros del hogar que cobran cada 2 semanas: Multiplique por 26 10s ingresos y sueldos totales de un period0 de pago, antes de
las deducciones. Luego divida por 12. La cifra resultante es el ingreso mensual total.
Miembros del hogar que son trabaiadores de tem~oradao aue trabaian menos de 12 meses: Proyecte el porcentaje de ingreso
anual de ingreso para representar correctamente las circunstancias presentes y luego divida por 12. La cifra resultante es el ingreso
mensual proyectado.
Nota: El dinero que recibe de un negocio o una granja que es de su propiedad se debe informar como 'ingreso neto". El ingreso net0
se define como el ingreso total que queda despubs de substraer 10s gastos para operar el negocio o la granja de 10s recibos brutos.
PAUTAS FEDERALES PARA INGRESO
-
DECLARACI~NDE PRlVAClDAD NUMEROS DE SEGURO SOCIAL
La Ley Nacional de Almuerzo Escolar Richard B. Russell requiere la informaci6n en esta solicitud. Usted no tiene que dar la
informaci6n per0 si no lo hace no podemos aprobar a su hijo para que reciba comidas gratis o a precio reducido. Debe incluir 10s
ultimos 4 digitos del numero de seguro social del miembro adulto del hogar que firma la solicitud. Los ultimos 4 digitos del numero de
seguro social no se requieren cuando usted hace la solicitud en nombre de un niiio bajo tutela temporaria o lista el Programa de
SNAP, un numero de caso del Programa de Asistencia Temporaria para Familias Necesitadas (TANF) o un identificador para su hijo
del Programa de Distribuci6nde Alimentos en Reservaciones lndigenas (FDPIR), o cuando usted indica que el miembro adulto del
hogar que firma la solicitud no tiene un ndmero de seguro social. Usaremos su informaci6n para deteninar si su hijo es elegible para
recibir comidas gratis o a precio reducido, y para administrar y hacer cumplir 10s prograrnas de almuerzo y desayuno. Podemos
compartir su informaci6n de elegibilidad con prograrnas de educacibn, salud y alimentaci6n para ayudarles a evaluar, financiar o
determinar beneficios para sus prograrnas; con auditores de revisi6n de programas y con funcionarios del orden para ayudarles a
detectar violaciones a la reglas de 10s programas. Podemos compartir la informaci6n de este formulario con Medicaid o el Programa de
Seguro de Salud de Niiios del Estado (SCHIP), a menos que usted nos diga que no lo hagamos. La informacibn, si se revela, se
utilizara para identificar niiios elegibles y tratar de inscribirlos en Medicaid o SCHIP.
DECLARACI~NDE NO DISCRIMINACI~N
Esto explica qub hacer si considera que ha sido tratado injustamente. De acuerdo con la ley Federal y El Departamento de Agricultura
de 10s EE. UU. (USDA por sus siglas en inglbs) esta instituci6n prohibe la discriminaci6n a base de raza, color, origen national, sexo,
edad, o impedimentos. Para presentar una reclamaci6n de discriminacibn, escriba a USDA, Director, Office of Adjudication, 1400
Independence Avenue, SW, Washington, D.C. 20250-9410 o llame gratis al (866) 632-9992 (voz). Las personas con dificultades
auditivas o discapacidades del habla pueden comunicarse con el USDA a trav6s del Sistema Federal de Transmisiones al (800) 8778339 o al numero (866) 845-6136. USDA es un proveedor y empleador que ofrece igual oportunidad a todos.
Form 581-3514e-P (Rev. 04111)
96
NEED HELP WITH
COLLEGE PLANNING?
Take Advantage of the ASPIRE Program!
Post High School Education Planning
ASPIRE advisors can help you search for the perfect
college, university, trade school, or apprenticeship
program. Additionally they will help you apply for
scholarships, grants, and loans.
Located in the Fourth Street Center at CHS, ASPIRE utilizes adult
volunteers from the Canby community to help high school students plan,
prepare for, and achieve their postsecondary education goals, which
may include college or a vocational/technical school. ASPIRE Advisors
meet regularly with students, in the presence of school staff, and assist
with the development of a post high school education plan. They
provide encouragement, information, and technical assistance for
financial aid and admissions applications.
All students are encouraged to participate in the ASPIRE Program.
For more information or if you are interested in volunteering for the
ASPIRE Program, please contact our office at 503-263-7200 ext.
5022.
If you think college is too expensive...if someone says you’re
not smart enough...think again.
ASPIRE (Access to Student assistance Programs In Reach of Everyone)
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Senior Graduation Photos for Canby High School’s Yearbook
This list of specification should be given to your photographer in order that two specific and
uniform photographs are sent to the Cougar Yearbook staff.
The technical specifications for the yearbook and composite are as follows:
1. Two identical photographs must be submitted.
2. Photos may be in color or black and white (color is preferred).
3. The print size must be wallet size, approximately 2”x3” in a portrait layout.
(Preferred head size is three-quarter inch to approximately one inch (3/4”-1”) from
the top of the head to the chin).
4. Photos should be only of the graduating senior. Photos containing other people or
props will not be accepted.
5. If you are submitting a photo electronically (via e-mail or on disk) be sure that the
resolution is at least 300 dpi when printed at the appropriate size.
6. All photos submitted via e-mail should be sent to [email protected].
Please make definite plans with your photographer for delivering your senior photograph to the
yearbook staff. Send them to:
Canby High School
Attention: Yearbook Staff
721 SW 4th Ave.
Canby OR 97013
Or
Deliver them yourself to Ms. Czerkies at Canby High School. You may place them in her box or
bring them to room 409. Please place the photographs in a sealed envelope that has your full
name and the words Yearbook Photo and Ms. Czerkies printed on the envelope.
Students who do not submit a photograph, or submit a photograph that does not meet the
specifications listed above, may have their photo replaced with their student identification
photograph.
The final date that senior photographs will be accepted is November 14, 2011.
If you have additional questions, please contact Ms. Czerkies at 503-263-7200 Ext. 5409 or at
[email protected]
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GRADUATION ALL-NIGHT PARTY
CLASS OF 2012
GAP 2012
AN EVENT ORGANIZED BY PARENTS AND COMMUNITY VOLUNTEERS
The planning has
begun...
We have begun planning for the Class
of 2012 Graduation All-Night Party
(GAP 2012).
The party begins at 10:30 p.m. the
day of graduation, June 15th, 2012.
It will follow the graduation ceremony
and will end after breakfast at 5:00
a.m. the following Saturday. The
party will be held at Baker Prairie
Middle School.
ORDER YOUR TICKETS TODAY
Tickets can be purchased for $30.00
each. Seniors who purchase tickets
before April 1st (no foolin’!) will be
entered in a drawing where one
senior will be refunded his/her ticket
price. Tickets can be purchased at
Registration or simply send your
payment to: GAP, PO Box 227, Canby,
OR, 97013. The ticket will be held in
the graduate’s name.
WE NEED VOLUNTEERS!
This event is a FUN one! We are
providing a fun-filled, alcohol-free
party for our seniors. Because we will
be serving at least 350 seniors, we
need volunteers! Please contact
Debbie Turrentine at 503.381.3549 or
Brigitte Zieg at 503.266.6581.
Lei Orders for the Graduates
We have two different kinds of leis
available for sale for the graduates:
Orchid and Kukui Nut.
the Stadium Gym. To order, fill out
the form below, detach it and mail
it with payment to:
Leis are $15 each. Please make
checks payable to GAP.
Jolene Neuberger, 656 SE 6th
Place, Canby, OR, 97013.
The Leis will be delivered just
before the Graduation Ceremony in
Order deadline: June 1st.
Orchid
Please check out our
facebook page! Do a search
for Canby Allnight Party on
facebook.com.
Kukui
2012 Lei Order Form
Name of person ordering: Quantity: Orchid or Kukui Total Amount Paid: $ Person(s) to receive the lei(s): @ $15.00 each.
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CANBY HIGH SCHOOL GRADUATION ALL-NIGHT PARTY
AGREEMENT & WAIVER OF LIABILITY FORM
The undersigned senior graduate (and her or his parent or legal guardian if the
graduate is under 18 years old at the time of signing this document), hereby agrees
as follows:
I understand that the Graduation All-Night Party (hereafter “GAP” or “Party”) has
been organized and is being carried out by numerous volunteers who have sacrificed
their time and talents to put on this voluntary, non-alcoholic and drug-free party
for the benefit of the graduating seniors. I understand that the Party will take
place at Baker Prairie Middle School in Canby, Oregon, and will involve carnival
type activities, sports type activities and other activities that involve inherent
risks. In exchange for the right to participate, I am willing to agree to the
standards of conduct set forth below, and am willing to waive and release all
claims of liability against such volunteers and others, and to indemnify them, as
described below.
Standards of Conduct
1. Smoking, alcoholic beverages and drugs are prohibited. Alcohol, even on
the breath, becomes a police matter.
2. Please arrive at the party between 10:30 and 11:30 pm. If work or a
family gathering requires a student to arrive late, special permission
must be pre-arranged by contacting Karen Langford.
3. If a student needs to leave the party early, he/she must pre-arrange
special permission. This requires prior permission from both your parent
and Karen Langford. No one, after leaving, will be allowed to re-enter
the party.
4. Homes of students who have paid but do not show up at the party will be
called. This will take place between 11:30 pm and 1 am. Parents of
students deciding not to attend should inform Karen Langford to avoid this
call.
5. No backpacks or purses will be allowed into the party. Students who have
personal items they cannot get into pockets will be provided with a
labeled, gallon-sized Ziploc bag in which to store such items. These bags
will be kept in the coatroom but may be retrieved whenever needed.
6. Parents will be called if a student becomes unruly or is an endangerment
to others. He/she will remain at the party until a parent is able to pick
them up.
7. Dress is casual; however we ask that you use good judgment.
*Karen Langford can be contacted @ 503-266-1643.
CHS Graduation All-Night Party Waiver of Liability; Indemnification
In addition to the risks of participation mentioned above, I recognize there is an
inherent risk in operating a vehicle after an all-night party, and that I am hereby
strongly encouraged to make other arrangements for my transportation home from the
party.
(continued on page 2)
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CHS Graduation All-Night Party Waiver of Liability; Indemnification (continued)
I hereby acknowledge that I am responsible to inform Karen Langford of any medical
conditions and any medications that might impact my participation at the Party, and
agree that this information may be disclosed by the adult volunteers to medical
providers as reasonably deemed necessary by such volunteers in connection with any
medical treatment given or offered to me. I recognize that the GAP Committee will
have a nurse or emergency medical technician available during the Party, and shall
in no way be responsible for any medical care given by such person(s). During the
Party, if I require medical treatment and am unable to authorize medical decisions
for myself, I authorize and direct the medical personnel at the Party to make
emergency medical decisions for me. I understand that the volunteers will attempt
to contact my parent or guardian as soon as reasonably possible in this situation,
but agree in any event that the costs associated with my transport and treatment
for medical emergencies will be paid by the undersigned.
I hereby release, indemnify, hold harmless and forever discharge the Canby High
School Graduation All-Night Party Committee and its agents, employees, officers,
directors and affiliates, all volunteers assisting in the planning, organizing,
preparation and/or conduct of the Party, and the Canby School District, of and from
all claims, demands, debts, contracts, expenses, causes of action, lawsuits,
damages and liabilities of every kind and nature, whether known or unknown, in law
or equity, that I (or my child) ever have or may have, arising from or in any way
related to my (or my child’s) participation in the Party; provided, however, that
this waiver of liability does not apply to acts of gross negligence or intentional,
willful or wanton misconduct, or to any other actions for which a waiver of
liability would be invalid under Oregon law. This document is binding on the
undersigned and on her/his heirs, executors, successors and assigns, and shall
continue in full force and effect even after the termination of the Party. If any
provision herein is held invalid or unenforceable, the remaining provisions shall
remain fully enforceable. In any legal dispute concerning this document, the
prevailing party shall be entitled to recover his or her costs and attorney fees,
both at trial and on any appeal there from. This document shall be governed by
Oregon law.
I have read and understand the terms of this document and hereby sign it willingly.
(The parent or legal guardian must also sign if the graduate is under 18 years old
at the time of signature.)
Graduate’s Date of Birth: __________________________
Graduate’s Cell Number: _________________________
Graduate’s Name: _______________________________
Age: ____________
Graduate’s Signature: ____________________________
Date: ____________
Parent/Guardian Name: ___________________________
Parent Signature: ________________________________
Date: ____________
Parent/Guardian’s contact numbers during the party: _______________________
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August 2011
Dear Parent/Guardian:
All medications will require the enclosed form to be completed by the parent, even for students
requesting the privilege of self-medicating. Self-medication also requires administrative
approval, which considers the welfare of all students in the building. This privilege can be
revoked for any student violating school board policy. We at Canby High School feel that most
medications, especially inhalers and over the counter products, can be safely self administrated
by high school students.
Every medication requires its own form. When prescriptions change in medication / dose / or
time, new written directions must come from the prescribing physician. Medications still need to
come to school in the original container with the students’ name or pharmacy label.
Authorization to Dispense Medication forms need to be turned in at the counseling office for
approval. Additional forms can be obtained in the counseling office.
Thank you for your cooperation. If you have any questions or concerns, please call me at 503266-7861.
Sincerely,
Dianne Holme, RN
Canby School District Nurse
------------------------------------------------------------------------------------------------------------------------------ADMINISTERING MEDICATION TO STUDENTS
The district recognizes that administering of medication to students and self-medication may be necessary when the
failure to take such medication would jeopardize the health of the student or the student would not be able to attend
school if medication were not made available during school hours. Requests for school personnel to administer
medication to students may be approved by the district as follows:
A.
An Authorization to Dispense Medication form (prescription) must be submitted to the school office with the
following information:
1. Written signed permission from the parent or guardian;
2. Written instruction from the physician for the administration of the prescription medication for the student
shall include:
a. Name of the student;
b. Name of the medication;
c. Route;
d. Dosage;
e. Frequency of administration; and
f. Other special instruction, if any.
The prescription label will be considered to meet this requirement if it contains the information listed in a through
f above.
B.
An Authorization to Dispense Medication form (nonprescription) must be submitted to the counseling office with
the following information:
1. Written signed permission from the parent or guardian;
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2. Written instruction from the parent or guardian for the administration of the nonprescription medication for
the student shall include:
a.
b.
c.
d.
e.
f.
Name of the student;
Name of the medication;
Route;
Dosage;
Frequency of administration; and
Other special instruction, if any.
C.
Medication is to be submitted in its original container.
D.
It is recommended that medication be brought to the school by the parent or guardian or an adult. In the
event a student does bring medication to the school, the original container must be in a sealed envelope.
Before the medication is administered, confirmation shall be made between the district and the parent or
guardian.
E.
It is the parent or guardian’s responsibility to ensure that an adequate amount of medication is on hand at
the school for the duration of the student’s need to take medication. Also, it is the responsibility of the parent
or guardian to pick up all unused medications within five (5) days after the last day of school.
F.
It is the parent or guardian’s responsibility to ensure that the school is informed in writing from the physician
in any changes in prescription medication instructions.
G.
The district will attempt to provide trained staff for off-site curricular activities, such as field trips. However,
trained staff may not be available; therefore, the parent or guardian may need to administer the medication
to the student, or make other arrangements.
H.
It is the responsibility of the parent or guardian to administer medication to his/her student(s) in all extra
curricular activities.
SELF-MEDICATION
A.
Sharing and/or borrowing of medication with another student is strictly prohibited and in violation of Policy
JFCG, Tobacco, Alcohol, and Drugs.
B.
Grades K-8: Self-medication of prescription and nonprescription medication is not allowed except in cases
where a student must carry such medication on his/her person and the necessary permission form and
written instructions have been submitted as required in Administering Medication to Students, Sections A
and B.
C.
Grade 9-12:
1. Students must meet age appropriate guidelines to self-medicate without assistance from school personnel.
All requests for self-medication shall be made by the parent in writing. Requests for prescription
medication shall specify self-medication in the written instructions from the prescribing physician.
Complete Authorization to Dispense Medications forms are submitted to your building administrator for final
approval.
2. All prescription medication must be kept in its appropriately labeled, original container. Prescription labels
must specify the name of the student, name of the medication, dosage, route, and frequency or time of
administration and any other special instruction.
D.
Permission to self-medicate may be revoked if the student violates Board Policy, Administering Noninjectable Medicines to Students and/or this procedure.
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Agosto 2011
Estimado Padre/Tutor:
Una enmienda a ley estatal que cubre los medicamentos requeridos para los estudiantes en la escuela ha
cambiado los procedimientos del distrito. Ahora todos los medicamentos requerirán la forma que está incluida
para ser llenada por el padre, aún para aquellos estudiantes que soliciten el privilegio de auto-medicarse. La
auto-medicación también requiere la aprobación administrativa la cual busca el bienestar de todos los
estudiantes de la escuela. Este privilegio puede ser prohibido a cualquier estudiante que esté violando la póliza
de la mesa escolar. Nosotros en la Escuela Preparatoria de Canby (CHS) sentimos que la mayoría de los
medicamentos, especialmente los inhaladores y los productos sin receta, pueden ser auto-administrados con
seguridad por los estudiantes de la preparatoria.
Cada medicamento requiere su propia forma. Cuando las recetas cambian el medicamento/dosis/u horario, el
médico tiene que prescribir nuevas indicaciones por escrito. Los medicamentos necesitan ser traídos a la
escuela en su envase original con el nombre del estudiante o la etiqueta de la farmacia.
Las formas de Autorización para Administrar Medicamento necesitan ser entregadas a la oficina de consejería
para recibir la aprobación. Formas adicionales las pueden obtener en la oficina. Sabemos que la nueva ley ha
hecho de esta rutina de tomar medicamento en la casa ahora un inconveniente en la escuela. Queremos
continuar simplificando este procedimiento mientras nos sea permitido para que su estudiante sea un triunfador
en la escuela.
Gracias por su cooperación. Si tiene alguna pregunta o preocupación, favor de llamar al teléfono 503-266-7861.
Atentamente,
Diane Holme, RN
Enfermera del Distrito Escolar de Canby
Anexo
ADMINISTRACIÓN DE MEDICAMENTOS PARA LOS ESTUDIANTES
El distrito reconoce que la administración de medicamento para los estudiantes y la automedicación puede ser
necesaria cuando la falta de tomar dicho medicamento podría poner en peligro la salud del estudiante o que le
impidiera asistir a la escuela si el medicamento no pudiera estar disponible durante las horas de clases. Las
solicitudes para que el personal escolar administre medicamento a los estudiantes deben ser aprobadas por el
distrito así como se especifica en lo siguiente:
A.
La forma de Autorización para Administrar Medicamentos (con receta) debe ser sometida a la oficina
escolar con la siguiente información:
1. El permiso por escrito y firmado por el padre o el tutor;
2. Las instrucciones escritas del médico para la administración del medicamento recetado para el
estudiante deben incluir:
a.
Nombre del estudiante,
b.
Nombre del medicamento,
c.
Forma,
d.
Dosis,
e.
Frecuencia de la administración y
f.
Otras instrucciones especiales, si las hay.
La etiqueta de la receta será considerada para cumplir con estos requisitos si contiene la información
mencionada arriba de la “a” a la “f”.
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104
B.
La forma de Autorización para Administrar Medicamento (sin receta) debe ser sometida a la oficina
escolar con la siguiente información:
1.
El permiso por escrito y firmado por el padre o el tutor;
2.
Las instrucciones por escrito del padre o el tutor para la administración del medicamento sin receta
para el estudiante deben incluir:
a.
Nombre del estudiante,
b.
Nombre del medicamento,
c.
Forma,
d.
Dosis,
e.
Frecuencia de la administración y
f.
Otras instrucciones especiales, si las hay.
C.
El medicamento debe ser presentado en su envase original.
D.
Se recomienda que el medicamento sea traído a la escuela por el padre o tutor o por un adulto. En el
caso de que el estudiante traiga el medicamento a la escuela, el envase original debe estar en un sobre
cerrado. Antes de que el medicamento sea administrado, se necesita la confirmación del distrito con el
padre o tutor.
E.
Es la responsabilidad del padre o tutor asegurarse de que una cantidad adecuada de medicamento esté
al alcance del estudiante en la escuela por el tiempo que deba tomar el medicamento. También, es la
responsabilidad del padre o tutor recoger el medicamento sin usar dentro de un lapso de cinco (5) días
después del último día de clases.
F.
Es la responsabilidad del padre o del tutor asegurarse de que la escuela sea informada por escrito de
parte del médico, de cualquier cambio en las instrucciones del medicamento recetado.
G.
El distrito procurará proveer personal que esté entrenado para administrar medicamento para las
actividades fuera de la escuela tales como los paseos. Sin embargo, el personal entrenado pudiera no
estar disponible; por lo tanto, el padre o tutor necesita administrar el medicamento al estudiante o hacer
otros arreglos.
H.
Es la responsabilidad del padre o tutor administrar el medicamento a su estudiante(s) en todas las
actividades llevadas a cabo después de clases.
AUTOMEDICACIÓN
A.
El compartir y/o prestar el medicamento a otro estudiante está estrictamente prohibido y es una violación
a la Póliza JFCG, sobre Tabaco, Alcohol, y Drogas.
B.
Para los grados del K-8: La automedicación de medicamento con receta o sin receta no está permitida
excepto en casos donde el estudiante deba llevar tal medicamento consigo y el permiso necesario y las
instrucciones por escrito hayan sido sometidas como se pide en la Administración de Medicamento para
Estudiantes, Secciones A y B.
C.
Grados 9-12:
D.
1.
Los estudiantes deben tener la edad apropiada para automedicarse sin la ayuda del personal de la
escuela. Todas las solicitudes para automedicarse deben ser hechas por el padre por escrito. Las
solicitudes de medicamento recetado deben especificar la automedicación con las instrucciones por
escrito de parte del médico que lo ordena. Las formas llenas de la Autorización para Administrar
Medicamento son sometidas al administrador de la escuela para la aprobación final.
2.
Todos los medicamentos recetados deben mantenerse con sus apropiadas etiquetas y en el envase
original. La etiqueta del medicamento debe especificar el nombre del estudiante, nombre del
medicamento, dosis, forma de administración, y la frecuencia y el horario de la administración y
cualquier otra instrucción especial.
El permiso para automedicarse puede ser suspendido si el estudiante viola la póliza, sobre la
Administración de Medicinas No-inyectables para Estudiantes y/u este procedimiento.
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Canby High Math Department recommends the following calculators for the courses listed below:
Most calculators go on sale in August, so you may want to watch for the calculator your student will need.
Pre-Algebra, Algebra I, Informal Geometry, and Geometry:
The calculator we are recommending is the Texas Instrument TI-30XS IIS. The price ranges from
$15 - $18. It is a scientific calculator with dual display, fraction key and trigonometric ratio keys (sin,
cos, tan). If you should purchase this calculator, please cut out the proof of purchase symbol to give to
your student’s math teacher. Collectively, these proofs of purchase can be redeemed, by teachers, to
receive classroom technology related to calculators. **
Advanced Algebra, Algebra II, Pre-Calculus, AP Calculus:
The calculator we are recommending is the Texas Instrument TI-84 Plus or TI Inspire. This is the type
of calculator your teacher will be using. If you should purchase one of these calculators (or any TI
graphing calculator), please cut out the proof of purchase symbol to give to your student’s math
teacher. Collectively, these proofs of purchase can be redeemed, by teachers, to receive classroom
technology related to calculators. Parents whose students already have a graphing calculator do not need
to buy another graphing calculator. **
** NOTE: If you know that it will be impossible for you or your student to purchase any of the
above-mentioned calculators at this time (or ever), please contact your student’s math teacher at
the beginning of the school year. We have a limited number of each calculator model to loan.
El Departamento de Matemáticas de la Escuela Preparatoria de Canby recomienda las siguientes
Calculadoras para los cursos mencionados abajo:
La mayoría de las calculadoras salen a la venta en agosto, así que usted debe buscar la calculadora que su
hijo(a) necesitará.
Pre-Algebra, Álgebra I, Geometría Informal y Geometría:
La calculadora que estamos recomendando es la Texas Instrument TI 30X IIS. El precio varía entre $15 y
$18. Una calculadora científica con clave de fracción y con claves trigonométricas (sin, cos y tan). Si usted
compra esta calculadora, por favor entregue el recibo de compra al maestro de matemáticas de su hijo(a).
Juntando estos recibos como prueba de compra, los maestros pueden canjearlos para recibir tecnología
escolar relacionada con las calculadoras. **
Álgebra Avanzada, Álgebra II, Pre Cálculo, AP Cálculo:
La calculadora que estamos recomendando es la Texas Instrument TI 84 Plus ó la TI Inspire. Esta es la
clase de calculadora que su maestro estará usando. Si usted compra esta calculadora (o cualquier
calculadora gráfica TI), por favor entregue el recibo de compra al maestro de matemáticas de su
hijo(a). Juntando estos recibos como prueba de compra, los maestros pueden cambiarlos para recibir
tecnología escolar relacionada con las calculadoras. Los padres de los estudiantes que ya tengan una
calculadora gráfica, no necesitan comprar otra. **
** NOTA: Si usted sabe que será imposible para usted o su hijo(a) comprar en este momento (ni
después), cualquiera de las calculadoras ya mencionadas, por favor comuníquese con el maestro de
matemáticas de su hijo(a) al principio del año escolar. Tenemos un número limitado de cada modelo de
calculadora que podemos prestar.
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