Student Enrollment Process

 

August 2, 2022

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.

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 Desk and Technology

• Media/Digital Information Release Form (Sign and Return if desired)

• Acceptable Computer and Technology Use Agreement (Sign and Return)

• Bus Transportation Expectations/Safety Requirements(review)

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.

E. Denton Sisk

Director, Student Support Services

Download English 

Download Spanish 

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

 

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: _____________________________

Date___/___/________

School: _____________________  Grade: ___________       

Download Form English

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:  _______________

 

Download English

Download Spanish

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

__________________________________________

Date

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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: ________________