Student Enrollment Process

 

 

Parents,

Welcome back!  This packet contains useful forms and links to digital documents to help you and your student have a great year with Campbell County Public Schools.  In addition to this printed packet, these documents may be found on the home page of your child’s device.

Please complete the following forms and return them to your student’s school.

• Parent/Guardian Statement of Access to Documents  (sign and return)

• School Residency Survey (complete and turn in as required)

• Use of Lockers and  Desks (sign and return)

• Media/Digital Information Release Form (sign and return if desired)

• Acceptable Computer and Technology Use Agreement (sign and return)

• SNAP Benefits Information (Informational)

• Counseling Program (Informational)

We are proud to serve you and your family.   If you have any questions, please feel free to contact your child’s school or the Office of Student Support Services. Have a great year.

 Very respectfully,

E. Denton Sisk

Director, Student Services

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Parent/Guardian Statement of Access to Documents 

Parent/Guardian

By signing and returning this document, you acknowledge that you have been notified of the following documents available to you on the Campbell County Public Schools website:  CCPSVA.org

• Virginia Code: 22.1-279.3. Parental Responsibility and Involvement Requirements

• Virginia’s Compulsory Attendance Law

• Virginia Procedural Safeguards Notice

• Campbell County Public Schools Policy Manual

• School Enrollment Requirements

• Standards of Student Conduct

• Student Conduct on School Busses

• Search of Locker’s and Personal Property 

• Acceptable Computer Use Policy

• School Counseling Notification

A comprehensive list of all notifications can be found here under the Parents/Families tab on the CCPS website. Please contact your child’s school if you have difficulty accessing these documents digitally.  

I am the Parent/Guardian of the below-named child, and I acknowledge that I will access the Campbell County Public Schools website to review the documents listed above. 

By signing this Statement of Receipt, I do not waive or abdicate but do expressly reserve any rights protected by the constitutions or laws of the United States or the Commonwealth of Virginia.  I further understand that I have the right to express disagreement with the school’s or school division’s policies or decisions.

Student Name: _______________________________   

Parent Name: ________________________________  

Parent Signature: _____________________________

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Download Form Spanish

Your answers will help determine if the student meets eligibility requirements for services under the McKinney-Vento Act.

Is your current address a temporary living arrangement? □  Yes □  No

If yes, is this temporary living arrangement due to loss of housing or financial hardship? □  Yes □  No

If you answered NO to either question, STOP and DISCARD this survey.

If you answered YES to both questions, please complete this entire form and return to your child’s teacher, school counselor, or administrative offices.

Where are your students currently living?  Check all that apply

□ Motel

□ Shelter or other temporary housing

□ With more than one family in house/apartment

□ Moving from place to place

□ In a place not designated for ordinary sleeping accommodations such as a car or at a park or campsite.

When your financial situation improves, will you move into your own housing? □  Yes □  No

Parent/Guardian Name: __________________________________________________________________

Student(s) Name Grade

_______________________________________________________ ___________________

________________________________________________________ ___________________

_______________________________________________________ ___________________

 

Current Address: ________________________________________________________________________

City: _________________________________ Zip: __________________________

How long have you lived at this address? ______________________________________________________

School currently attending/enrolling? ______________________________________________________

Additional services may be available to students that are in temporary living arrangements.

Parent/Guardian Signature: ___________________________________________ Date: __________________

 

Each student and his or her parent/guardian must sign this Agreement before being permitted to use the School Division’s computer system.  Read this Agreement carefully before signing.

Download Form English

Download Form Spanish
 

Prior to signing this Agreement, read Policy GAB/IIBEA, Acceptable Computer System Use and Policy GABA/IIBEAA, Administrative Procedures Governing Computer System Use.  If you have any questions about these policies, contact your student’s principal.

I understand and agree to abide by the School Division’s Acceptable Computer System Use Policy and Administrative Procedures Governing Computer System Use Policy.  I understand that the School Division may access, monitor, and archive my use of the computer system, including my use of the internet, e-mail and downloaded material, without prior notice to me.  I further understand that should I violate the Acceptable Use Policy or Administrative Procedures Policy, my computer system privileges may be revoked and disciplinary action and/or legal action may be taken against me.

Student Name:__________________________________

Student Signature:  ______________________________

Date:  __________________

 

I have read this Agreement and Policy GAB/IIBEA and Policy GABA/IIBEAA.  I understand that access to the computer system is intended for educational purposes and the Campbell County School Division has taken precautions to eliminate inappropriate material.  I also recognize, however, that it is impossible for the School Division to restrict access to all inappropriate material and I will not hold the School Division responsible for information acquired on the computer system.  I have discussed the terms of this agreement and policies with my student.

 

I grant permission for my student to use the computer system in accordance with Campbell County School Division’s policies and regulations and for the School Division to issue an account for my student.

 

Parent/Guardian Name:  ________________________________________

 

Parent/Guardian Signature:  _____________________________________

 

Date:  _______________

 

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Student Acknowledgement Concerning Use of Student Lockers, Desks, and Technology

I acknowledge and understand that:

1. Student lockers,  desks, and technology devices  are the property of Campbell County Public Schools;

2. Student lockers and desks, and technology devices remain at all times under the control of Campbell County Public Schools;

3. I am expected to assume full responsibility for the contents of my locker, desk and technology devices; and

4. Campbell County Public Schools retains the right to inspect student lockers,  desks, and any form of school issued technology for any reason at any time without notice, without student consent, and without a search warrant.

__________________________________________

Student

__________________________________________

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During the course of the school year, opportunities arise for the publication of photos, digital images, and/or videotaping of individual students and/or their work (examples are:  son wins track meet, daughter selected to Governor’s School, etc.).  These images are normally released to the news media (Print and TV) and can be posted on Websites (News Media, Campbell County Public Schools, Individual Schools, etc.) and will be accompanied by certain demographic data, such as, without limitations, class in school, age, height, weight, etc.  As you know, this kind of positive information benefits the schools and can be of benefit to the individual student, but posting pictures of students on Websites carries some risk.

If you do not want your child’s photo/video image to be used as described above, please check below, sign and return this form to the school Principal.  We cannot guarantee that your child’s photo will never appear if you do not want it to, and the Campbell County Public Schools Board assumes no duty or liability in this regard.  However, we will notify school staff and try to comply with your wishes.

_______ I do not consent to the display of my child’s photo/video image on any website or the release of such a photo to any organization where the photo could end up on a website.

 

Student Name: __________________________________________

Parent Name:____________________________________________

Parent Signature: _________________________________________

Date: ________________

 

Bus Behavior Expectations and Rules

Students and Parents/Guardians

We are proud to be able to offer your students the convenience and safety of public transportation to and from school and to extracurricular events.  We are dedicated to providing the safest and most reliable transportation possible.  Loud, disruptive, and distracting behavior poses a danger to students and drivers as well as the general public operating on public roadways and we ask that you assist us by setting high expectations for your student’s behavior in this regard.

The standards of behavior outlined in the CCPS Code of Student Conduct and the following additional transportation rules and regulations will apply to all students anytime they are utilizing any form of CCPS Transportation Services including buses, vans, or any other vehicle approved to provide transportation for students. Utilizing CCPS Transportation Services  is a privilege and students shall follow the additional rules outlined in this document. Disciplinary consequences resulting from failure to follow these simple safety regulations may result in revocation of riding privileges and/or suspension from school depending upon the severity of violation.  

Pre-K-4th Grade Students only:  Parents/guardians or a designee of students in preschool through the fourth grade must appear at the bus stop each morning and afternoon  to load and receive PreK-4 students.  The designee  may include an adult (designated in writing) or a sibling (5th grade or older.  If you or your designee is not present to receive your child in the afternoon, the bus driver will bring your child back to the school.  Failure to take possession of your Pk-4th grade student may result in  the loss of transportation services. 

Very Respectfully

James Rinella

Director of Operations