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

Download English 

Download Spanish 

 

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: _____________________________

Download Form English

Download Form Spanish

Your answers will help determine if the student meets the 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, COMPLETE and RETURN this survey to your child’s teacher, school counselor, or administrative office.

Where are your students currently living?  Check all that apply

□ Motel/hotel due to lack of adequate alternative accommodations

□ Shelter or transitional housing

□ Shared housing due to loss of housing, economic hardship, or a similar reason

□ Unsheltered (campground, vehicle, or other space not meant for habitation)

 

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

Parent/Guardian Name: __________________________________

Phone: _____________________

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 who are in temporary living arrangements.

Parent/Guardian Signature: ___________________________________________

Date: __________________

updated 1/4/2024

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

__________________________________________

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Download Spanish

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

1.  Equipment. CCPS is loaning the following Equipment for the exclusive use of the Student. The Equipment is the property of CCPS and is on loan to the Student for educational purposes only, subject to the conditions herein.

Student Grade Level	Equipment loaned (1 per student)	Make	Estimated Replacement Cost
Grades K-2	iPad plus charger	Apple	$300.00
Grades 3-12	Laptop plus charger	HP	$565.00

2. Term of Agreement and Return of Equipment. CCPS is loaning the Equipment to the Student for the current School Year. The Student’s use of the Equipment is a privilege and can be revoked at any time. The Student must return the Equipment upon the request of CCPS at the end of the school year or if the Student withdraws from CCPS.

3.  Inspection by CCPS. The Student has no expectation of privacy in his/her use of the Equipment. CCPS reserves the right to monitor the Student’s use of the Equipment, to periodically inspect the Equipment, and anything stored on it without prior notice.  The same monitoring policy applies to any CCPS loaner device given to a student while their assigned device is out for repair.

4.  Use of and Care for the Equipment. 

   •The Equipment is to be used for educational purposes only, and the Student’s use of the Equipment must comply with all applicable School Board Policies and Regulations, including the Acceptable Computer System Use Policy IIBEA/GAB, Regulation IIBEA/GAB

   •The Student is responsible for the reasonable care of the Equipment and should place it in a secure location (locked up when possible) when not in use. The Student should take care not to drop it or get it wet, and must not leave it outdoors or in a car in extreme weather conditions or use it near food or drink. The Student may clean the Equipment with a soft, dry cloth only but may not remove any protective case to clean it.

   •The Student will transport the Equipment as needed and bring it to School each day, fully charged. The Student and Parent/Guardian understand that if the Student comes to school without his/her Equipment, the Student may not be able to participate in classroom activities, and his/her grade may be affected.

   •The Equipment is for the Student’s exclusive use. The Student may not lend the Equipment to anyone, including friends or siblings. The Student will not alter, disfigure, or deface the Equipment or cover up any numbering, lettering, or insignia displayed on the Equipment. The Student will not alter or remove any CCPS software, programs or applications from the Equipment, and will not load any software, programs or applications on the Equipment.

   •The Student is responsible for all personal data contained on the Equipment, and CCPS is not responsible for data loss. The Student should regularly back up all files and data to external media such as flash drives, Google Drive, or hard drives.

 

5. Security Measures. CCPS has installed security measures on the Equipment that will function outside the Division’s network filters. These tools may be used to track CCPS’s inventory and are intended to filter or block access to sites with child pornography, obscenity, and material CCPS deems to be harmful to juveniles as defined in Va. Code §18.2-390. While CCPS uses these technology protection measures to limit access to material considered harmful or inappropriate to students, it may not be possible for the school division to prevent such access absolutely, and the Parent/Guardian should supervise the Student’s use of the Equipment while at home.

 

6. Responsibility for Loss or Damage and Duty to Report. The Student and/or Parent/Guardian are responsible for the repair or replacement costs, whichever is less, for any damage to or loss of the Equipment. Damage includes, but is not limited to, defacing of the Equipment, broken or damaged components, and conditions beyond normal wear associated with the use of the Equipment. Accidents do happen, and the school administration will determine if the damage was due to negligence in each case. The Student and the Parent/Guardian are not to attempt to repair the Equipment. CCPS will manage all Equipment repairs. If the Equipment is lost or stolen, the Student and/or Parent/Guardian must file a police report within 48 hours The Student and/or Parent/Guardian must immediately report to School Personnel any damage to or the loss or malfunctioning of the Equipment.

 

7. Data usage. CCPS is not responsible for any data or overage costs associated with home internet use.

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