Doland School Handbook
SCHOOL PHILOSOPHY
R/D PHEASANT FIGHT SONG
DOLAND SCHOOL DISTRICT ENROLLMENT POLICY
FAMILY EDUCATIONAL RIGHTS and PRIVACY ACT
DISCLOSURE of STUDENT INFORMATION
1:00 CURRICULAR OFFERINGS AND REQUIREMENTS
2:00 GRADING POLICIES
3:00 GRADUATION EXERCISES
4:00 STUDENT CONDUCT
5:00 ATTENDANCE POLICY
6:00 GENERAL REGULATIONS
7:00 STUDENT SERVICES
8:00 INCLEMENT WEATHER PROCEDURES
9:00 POLICIES RELATING TO TITLE IX
10:00 POLICIES RELATING TO GRIEVANCE PROCEDURE
11:00 ATHLETIC TRAINING RULES
SCHOOL PHILOSOPHY
The Doland Public School
seeks to develop fundamental skills and encourages
students to use
these as building blocks for their future. It is the
goal of the Doland Public School to meet individual
needs by offering college preparatory courses,
vocational courses, and technical courses. The major
responsibility of the school is to enrich the students'
intellectual growth by providing the environment and
climate for learning.
Each student should be
treated as a unique individual with his/her own
capabilities and background. We shall strive to guide
the individual in the development of personal interests,
values, potential, and self-worth.
The role of the
teacher is important in stimulating the individual to
achievement and personal
growth. The personality, skills, and abilities of the
classroom teacher are vital to the educational program.
The process of education is
shared by the cooperation of the parents, school,
community, church, and the student, in order to develop
acceptable standards of social and moral behavior.
In
accomplishing these goals, it is our intention to equip
students to become self-supporting and
productive members of society.
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Redfield/Doland School Song
Oh Hail The Golden Pheasants
We're Here One Hundred Million Strong
Our Hearts Are Always With You
Our Eyes Upon You Every Redfield/Doland Man
Oh Yes, We're Here To Cheer You
So Put The Old Pep In Each Play
So Fight, Fight Pheasants,
Fight Fight Pheasants,
Charge and Fight Your Way to Victory!!!
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DOLAND SCHOOL DISTRICT ENROLLMENT POLICY
It is the policy
of the Doland School District 56-2 , Doland, South
Dakota, to admit and
enroll
students without regard to race, national origin, sex,
religion, or disability, pursuant to all
Federal and State laws and regulations.
SDCL 13-27-1 requires
compulsory attendance of a child who is six years of age
by September 1st until the age of 16, unless excused by
the Board of Education pursuant to SDCL 13-27-3 (i.e.,
the child is being provided alternative instruction,
commonly referred to as home schooling). Compulsory
attendance is required only through the eighth grade if
exempted on religious grounds pursuant to SDCL
13-27-1.1. The privilege of attending the public school
shall be free to all persons having school residence
until completion of the secondary school program or a
person reaches age 21. SDCL 13-28-5
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Pursuant to SDCL
13-28-7.1, PRIOR TO ADMISSION, the school SHALL
receive
certification from a licensed physician that the
student is free from a contagious form of
tuberculosis and has received or is in the process
of receiving adequate immunization against polio
myelitis, diphtheria, pertussis, rubella, mumps and
tetanus, unless the same is excused for the reasons
stated in the statute. The school may, with the
concurrence of the county health officer, exclude a
student who is considered a risk or nuisance to the
health of other students or school employees due to
the presence of infectious diseases or communicable
parasite, from attendance at school until such
condition no longer exists.
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At the time of
enrollment or within 30 days of initial enrollment,
the school must
be provided a certified copy of the child's birth
certificate or an Affidavit issued by the Department
of Health, which shall be maintained by the school
and become a part of the child's permanent record.
SDCL 13-27-3.1; SDCL 13-27-3.2.
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At the time of initial
enrollment or within 30 days of initial enrollment,
a student
having previously attended another school shall
provide to the Doland School District a copy of all
educational records relating to the child.
- A student having
been conditionally accepted and enrollment pursuant
to #2 and
#3 above but not having provided the District within
thirty days a certified copy of a birth certificate
(or affidavit) or the necessary school records from
a previous school will not be enrolled nor have the
right to attend school until such requirements have
been met, and the District shall notify the
Department of Education and Cultural Affairs and the
Department of Social Services of the failure of the
students/parents to comply with the requirements.
The student thereafter shall be deemed truant.
Action #94 - 095 February
13, 1995
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FAMILY EDUCATIONAL RIGHTS and PRIVACY ACT
The Family
Educational Rights and Privacy Act (FERPA) (20
U.S.C. § 1232; 34 CFR Part 99)
is a Federal law that protects the privacy of student
education records. The law applies to all schools that
receive funds under an applicable program of the U.S.
Department of Education.
FERPA gives parents certain rights with respect
to their children's education records. These rights
transfer to the student when he or she reaches the age
of 18 or attends a school beyond the high level.
Students to whom the rights have transferred are
"eligible students."
Parents or eligible students have
the right to inspect and review the student's
education records maintained by the school. Schools
are not required to provide copies of records
unless, for reasons such as great distance, it is
impossible for parents or eligible students to
review the records. Schools may charge a fee for
copies
Parents or eligible students have
the right to request that a school correct records
which they believe to be inaccurate or misleading.
If the school decides not to amend the record, the
parent or eligible student then has the right to a
formal hearing. After the hearing, if the school
still decides not to amend the record, the parent or
eligible student has the right to place a statement
with the record setting forth his or her view about
the contested information.
Generally, schools must have
written permission from the parent or eligible
student in order to release any information from a
student's education record. However, FERPA
allows schools to disclose those records, without
consent, to the following parties or under the
following conditions. (34 CFR § 99.31):
School officials with
legitimate educational interest;
Other schools to which a
student is transferring;
Specified officials for audit
or evaluation purposes;
Appropriate parties in
connection with financial aid to a student;
Organizations conducting
certain studies for or on behalf of the school;
Accrediting organizations;
To comply with a judicial
order or lawfully issued subpoena;
Appropriate officials in
cases of health and safety emergencies; and
State and local authorities,
within a juvenile justice system, pursuant to
specific State law.
Schools may disclose, without consent, "directory"
information such as student's name, address, telephone
number, date and place of birth, honors and awards, and
dates of attendance. However, schools must tell parents
and eligible students about directory information and
allow parents and eligible students a reasonable amount
of time to request that the school not disclose
directory information about them. Schools must notify
parents and eligible students annually of their rights
under FERPA. The actual means of notification
(special letter, inclusion in a PTA bulletin,
student handbook, or newspaper article) is left to the
discretion of each school.
For additional information or technical assistance, you
may call (202) 260-3887 (voice). Individuals who use
TDD may call the Federal Information Relay Service
at 1-800-877-8339.
Or you may contact us at the following address
Family Policy Compliance Office
U.S. Department of Education
400 Maryland Avenue, SW
Washington, D.C. 20202-5920
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DISCLOSURE of STUDENT INFORMATION
(on school website and other possible school related
areas)
The Doland School District
proposes to designate the following personally
identifiable information contained in a student's
educational record as public information, and it will
disclose that information without prior written
consent. Personally identifiable information includes
the following information relating to a student: The
student's name, address, telephone number, date of
birth, major field of study, participation in officially
recognized activities and sports, weight and height of
members of athletic teams, dates of attendance, degrees
and awards received, the most recent previous
educational agency or institution attended by the
student, photograph, and other similar information.
The parents/guardians or eligible
students will have three weeks after the first day of
school to advise the school district in writing (a
letter to the school principal's office) of any or all
of the items they refuse to permit the district to
designate as public information about the student.
At the end of the three-week
period, each student's records will be appropriately
marked by the record's custodians to indicate the items
the district will designate as public information about
that student. This designation will remain in effect
until it is modified by the written direction of the
student's parent/guardian or the eligible student.
Picture Release Form
Doland school requests your
permission to have your child's name and picture on our
website as well as any extra curricular publicity (ex.
local newspaper, newsletter).
Some of the teachers would like to
use their class pictures on their website as well as the
school website. If you prefer that they are not
pictures with their class or group, then we will try to
find a way to block their individual picture. If
you prefer that your child's name be left off, please
check the appropriate box below.
You have the right to change these
options at any time by contacting your school principal
at 635-6302.
***********************************************************************************
_________________________Parent
Signature _________________Date
_____ I don't approve the use of
my child's name or picture
_____ I approve use of a picture
only.
_____ I approve use of a name only
_____ I approve use of a picture
and a name.
Please list your child's name as
you would like it to appear. (Ex. Tom Smith, Tom
S., or T. Smith)
Highly Qualified Staff
The federal education
law put in place by President Bush called “No Child Left
Behind”, requires that all parents in a Title I school
be notified and given the opportunity to request
information about he professional qualifications of
classroom teachers instructing their child. If you are
interested in this information, you may contact the
school and it will be provided to you.
Together we will work to carry out
this compact.
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1:00 CURRICULAR OFFERINGS AND REQUIREMENTS
1.01 ELIGIBILITY:
Any student who is currently a resident of District
#56-2, who is less than 21
years of age, and who has satisfactorily completed
grades one through eight may enroll as
a regular student in Doland High School.
1.02 TRANSFER STUDENTS:
Students transferring to Doland High School from another
school district must furnish necessary and required
student records.
1.03
ENROLLMENT REQUIREMENTS:
All students enrolled at DHS must take at least six
classroom credits. Any deviation from this policy must
be approved by the administration.
1.04
ENROLLMENT CHANGES:
All changes of enrollment in classroom courses at DHS
must be made during the first week of the school year
for courses offered throughout the school year or during
the first week of the semester if the course runs for
only one semester.
1.05 REQUIREMENTS FOR GRADUATION:
Students planning to graduate from DHS must have
successfully completed a total of 22 academic credits on
the Carnegie Unit scale. One (1) Carnegie Unit is given
to a course which meets 250 minutes per week for a
school year and one-half (1/2) Carnegie Unit is given to
courses meeting for only a semester. Within the 22
credits necessary for
graduation, students must have successfully completed
studies as established
by the State Board of Education.
A
minimum of twenty-two (22) credits is necessary for
graduation. Up to one (1) credit may apply toward
graduation in music (band and chorus each count as 1/2
credit per year). (P.E. counts 1/2 credit per semester)
Minimum registration shall consist of six (6) assigned
periods, which includes fine arts and exploratory
courses and excludes study halls.
1.06 WITHDRAWAL FROM DHS:
Any
enrolled student at DHS who withdraws from school must
complete a withdrawal form. See the principal for
assistance.
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2:00 GRADING POLICIES
2.01 INTRODUCTION:
Grades indicate not only the quality and quantity of
work a student
is doing; but they may also
reveal, when native ability is considered, to what
extent the student is
showing such character traits as perseverance, industry,
and ambition. Grades become a part of every student's
permanent record and consequently, a recommendation for
or against that record when it is examined.
2.02 REPORTING PERIODS:
Report cards will be issued following each nine-week
grading period. Letter grades only will be used on the
report cards.
2.03 GRADING SYSTEM:
Some of the advanced classes in the high school are
weighted. Classes that are weighted are Physics, Spanish
II, Advanced Math and College level classes on the RDTN.
You should visit with the school counselor to determine
which classes are weighted. A suggested five point
division system of marking and a word statement of what
the letters stand for, what the teachers should have in
mind when using them.
Grade "A" - Superior - 94% -
100%.
Grade "B" - Above Average - 86% - 93%.
Grade "C" - Average - 77% - 85%
Grade "D" - Below Average, yet passing - 67% - 76%
Grade "F" - Failing - 66.9% or less.
(Adopted by Doland Board of
Education during July Board Meeting, 2001)
Grade "I" - Incomplete - All
incomplete grades must be completed within two weeks
after the grade reporting date or the grade will be
recorded as an "F".
A comprehensive nine weeks
test may be given to all students in all classes near
the end of the first nine-week grading period.
(Adopted by Doland Board of
Education during July Board Meeting, 2001)
2.04 GRADE WEIGHTS:
The following is the teacher's grading system for
computing student grades.
A.
Nine-weeks grades will be
based on the computed means of all work graded during
the 9-week grading period.
B.
Semester grades will be
based on the computed means of all work graded during
the semester.
2.05 MID-TERM REPORTS:
On or before the fifth week of each grading period,
teachers will inform the principal of those students who
are falling behind in class academically. A conference
may be held with the student to determine the problem
and efforts should be made to solve the problem area.
Progress reports will then be mailed to the parents.
These will include all D's" and "F's". If further
conferences become necessary after the mailing of
deficiency reports, they may be scheduled until the
student’s work becomes satisfactory.
2.06 HONOR ROLL:
School Board Proceedings, Regular Meeting, December 12,
1988. Action
88-087: to adopt the following Honor Roll System with
four categories: (4.0), (3.99-3.75), (3.74-3.5),
(3.49-3.0) effective immediately.
* A student
receiving a grade of "D", "F", or "I" does not qualify
for the honor
roll regardless of grade point average.
2.07 ACADEMIC LETTER
REQUIREMENTS:
In recognition of the need for a rebirth of
academic excellence
and of the basic mission of the school, an academic
letter will be awarded to
deserving students. The requirements for earning this
award are as follows:
1.
The student must carry a
minimum of six solid subjects each semester. Carrying
two fine arts electives or exploratory classes may
count as one solid. For those students taking DDN
classes, 5 solids may count as a full load provided 3 of
the 5 courses are weighted.
2.
An academic letter will be
awarded to a student who completes all courses with no
semester grade below a "B" with no regard for weighted
or AP classes. (Adopted 412-04)
For awards night, administration will use the first
semester grade and a combination of third quarter grade
and fourth nine weeks midterm grade to determine a
student's eligibility.
The academic letters will be
awarded in the same manner as those traditionally
provided for co-curricular activities. A lamp of
knowledge will be the symbol attached to the letter to
designate this high honor. The awards will be presented
each year to qualifying students from the 7th through
the 12th grades.
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3:00 GRADUATION EXERCISES
3.01 GRADUATION HONOREES GROUP:
All graduating seniors who have attained a 3.50 or
better grade point average in high school through the
seventh semester of their high school career shall
receive recognition as members of the Honors Group at
graduation exercises. The student in the senior Class
Honors who has attained the highest grade point average
shall be known as the class Valedictorian and shall
present a valedictory address to the class during
graduation exercises. The student in the senior class
Honors Group with the second
highest grade point average shall be
known as the class Salutatorian and shall present a
salutatory
address to the class during graduation exercises. In the
event of a tie there will be no tie breaking system, the
tie will remain in place.
3.02 RESERVED GRADUATION SEATING:
Senior students will each be given reserved seating
tickets for graduation. How many and where they will be
will be determined by the administration and handed out
at graduation practice on the last day of school for
seniors.
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4:00 STUDENT CONDUCT
4.01 INTRODUCTION:
Good discipline is not confined to the classroom, but
extends to the corridors, study halls, restrooms,
gymnasiums, lunchroom, and the playground before,
during, and after school. The best discipline is that
discipline that you instill in yourself. If you keep in
mind the purpose of being in school, your
self-discipline will make your school years enjoyable
and productive.
-
No running in the halls or
on the stairs at any time.
-
No loud talking, shouting,
pushing, or jostling.
-
No congregating in the halls
or the lavatories.
-
When going up or down
stairs, stay to the right at all times.
-
No tampering with lockers.
4.02 SUPERVISION OF
STUDENTS:
Superintendents, principals, supervisors, teachers, and
other adults shall have supervisory control over all
students, whether in or outside
of the school buildings and
until such students leave the school grounds. This
includes, but is not
limited to, custodians, cooks, and bus drivers. It is
expected that students will show respect for and
obedience to the wishes of all employees of the school
district.
4.03 HALLWAY CONDUCT:
The following rules of conduct apply in the halls and
stairs of all buildings:
4.04 MOTOR VEHICLES:
Cars used by students for transportation shall be used
only in driving to and from school. Cars are not to be
moved between arrival in the morning and dismissal,
without permission from the administration. No student
is to be in, or on, any motorized vehicle during the
school day without permission from the administration.
All student vehicles are to be parked in the designated
area on the south side of the high school.
4.05 TOBACCO:
The Doland School is a tobacco free school. Cigarettes,
or use of other tobacco products, will not be permitted
in the school, on school property or at other school
activities, even if they are away from school premises.
Students in violation of this policy will be subject to
suspension from school.
4.06 ALCOHOL AND DRUGS:
The Doland School board recognizes its share of
responsibility for the health, welfare, and good of the
students who attend the district's schools. Alcohol and
other drug use is wrong and harmful and can interfere
with a student's ability to learn and function
responsibly in the school setting and community.
Anything that can interfere with the development of an
adolescent, therefore, must be evaluated as to its
impact both on the young person and the community.
Psychoactive and mood altering drugs can destroy the
health and well being of an individual. The school and
community recognize alcohol and/or other drug use
(tobacco excluded) as a serious health problem and are
committed to discouraging this behavior and to encourage
young people to choose a drug free lifestyle and to seek
help should a problem arise. The Doland School has been
a tobacco free school since January 9, 1989. Tobacco is
covered under section 4:05 of the student handbook which
states: 4:05 Tobacco: The Doland School district
is a tobacco free school. Cigarettes or smoking or other
use of tobacco products will not be permitted in the
school, on school property, or in school vehicles, at
other school activities, even if they are away from
school premises. Students in violation of this policy
will be subject to suspension from school.
As educators, we recognize
that chemical use (alcohol and other drugs) has become a
serious problem in our country. We accept our obligation
to establish a positive environment in which these
problems can be presented through a comprehensive school
drug free program and be addressed locally in a helpful
and supportive, rather than a punitive way. One of our
goals is to prevent all use by students. Accomplishing
this goal we realize will entail training teachers,
counselors,
and other staff members to educate themselves and the
community about the impact
of drug use.
Other goals are to teach staff to identify indicators of
alcohol and/or other drug use
problems and to know what resources are available to
address these problems it they are
observed. The administration
recognizes that the problems of alcohol and/or other
drug use is a
school and community issue. Therefore, we are committed
to cooperate with agencies and community groups that
address these issues.
The following document
outlines policy on student use of alcohol and other
drugs in the school
district. This policy is in
effect on premises owned, leased or maintained by the
school district, at
all school
related activities on and off campus, on vehicles used
to transport students to and from
school or at activities and in vehicles parked on school
property. Student and parent members of the school
community are expected to know and understand the policy
provisions and its mandatory nature. A copy of the
policy will be provided to all student and parents.
A student shall not possess,
use, distribute, transfer, conceal, sell, attempt to
sell, deliver, nor be
under the influence of alcohol and/or other drugs, which
affect the educational process of the school. Students
shall not engage in alcohol and/or other drug use/abuse,
nor possess paraphernalia specific to the use of alcohol
and/or other drugs. Students who use prescription
drugs authorized by a
licensed physician do not violate this policy if the
student conforms to the
prescription and appropriate school policies.
Disciplinary Sanctions and
Implementation Procedures
The
following procedure will be used in dealing with
possession, use, distribution or being under
the influence of alcohol and other drugs:
A. First Offense -
1. The
administration will try to notify the parent(s)/guardian(s)
by phone to explain the incident and arrange a
conference;
2. The
administration may suspend the student for ten (10) days
in compliance with student due process procedures;
3. The
administration will notify the parent(s)/guardian(s) in
writing of the suspension within thirty-six (36) hours;
and,
4. The
administration may notify available law enforcement
authorities.
The school district will
request that the students with the alcohol and other
drug abuse problems
seek professional assessment from a trained chemical
dependency counselor or a licensed physician trained in
chemical dependency. Because we believe that chemical
dependency is
preceded by misuse, we feel confident that such early
intervention can benefit the student before
significant harm or dependency results.
The suspension of a student
who agrees to be assessed will be commuted to three (3)
days. The administration will provide a list of
agencies/professionals who can do the assessment and
provide
treatment. Fees for this assessment and treatment are
the responsibility of the student and
the family.
Upon receipt of appropriate
authorization, the agency or professional will notify
the schooladministration
that the student is willing to be evaluated and to
comply with the treatment
process.
B. Second and
Subsequent Offenses -
1. The
administration will try to contact the parent(s)/guardian(s)
to arrange a conference;
2. The
administration may notify available law
enforcement authorities;
3. The
administration may suspend the student for ten (10) days
in compliance with student due process procedures;
4. The
administration will notify the parent(s)/guardian(s) in
writing of the suspension within thirty-six (36) hours;
5. The
administration will recommend to the school board that
the student be expelled unless the following procedure
is followed:
a. The
student must agree to be assessed by a trained chemical
dependency counselor or a licensed physician trained in
chemical dependency;
b. Upon
appropriate authorization, the agency or professional
notifies the administration that the student has been
assessed and does or does not require treatment. If the
student is accepting needed treatment, the
recommendation for expulsion may be commuted. Fees for
this assessment and/or treatment are the responsibility
of the student and family.
C.
C. Supplying/Distributing or Selling Alcohol and Other
Drugs of Material Represented to be
a Controlled Substance.
1. Within
thirty-six hours, the administration will notify
parent(s)/
guardian(s) in writing of the suspension;
2. Supplying
or selling chemicals may result in a ten (10) day
suspension;
3.
The administration will
refer the case to available law enforcement authorities;
4. A
hearing on the case will be conducted by the school
board pursuant to due process rules for expulsion.
Expulsion may be recommended by the administration.
D. Students whose
observed behavior indicates possible use of alcohol
and/or other drugs will be referred to the building
administrator. The building administrator and/or "first
responder" medical personnel will determine whether to
contact the parent for further instruction, refer to the
emergency authorization form or immediately seek
additional medical treatment. Following
the handling of the medical emergency, this Policy
Statement for Alcohol and/or Other Drug Abuse will be
followed.
E. An annual review
of the School Districts Program will be made
1. To determine the programs'
effectiveness and implement changes to the programs if
they are needed; and
2. To insure that disciplinary
sanctions are consistently enforced.
4.07 VANDALISM OF SCHOOL PROPERTY: Any student who cuts, defaces, or otherwise injures any
schoolhouse, apparatus, or outbuilding thereof, is
liable to suspension or expulsion. The parents or
guardians of such student shall be liable for all
damages. (See SDCL
13-32-5)
4.08 INITIATIONS AND HAZINGS:
Initiations and the hazing of any students or persons
who may become a student at Doland High School are
prohibited. Said practice is potentially dangerous to
students, disruptive to proper discipline, and a
violation of the rights of students who are equal in
every degree to all other students of the high school.
Any student who shall in any manner participate in
initiating or hazing any student is subject to rigid
disciplinary action by the administration. Such
discipline may include suspension from school.
4.09 CARE OF SCHOOL PROPERTY:
Students found to have intentionally damaged school
property will be subject to fine for the cost of repair
or replacement of the damaged property.
4.10
CONDUCT ON SCHOOL BUSES: Students riding the school bus are always under the supervision of the
bus driver. Upon entering the bus, find a seat and
remain in that seat until you have reached your
destination. Misbehavior will not be tolerated. When you
ride the bus to a school activity, you will come home on
the same bus unless your parents personally see the
administration or the supervisor of the activity and
supply a written note to the supervisor stating that
they wish to take you off the bus.
4.11 FIRE ALARMS - EXTINGUISHERS: Any person tampering with fire
extinguishers and/or fire
alarms will be subject to dismissal from school and
subject to a fine,
replacement of said property or both.
4.12 DISRUPTIVE BEHAVIOR:
When it is necessary to suspend a student from a class
it usually means the teacher has exhausted his or her
means to modify the behavior of the
student within his or her
class and the student is referred to the principal for
disciplinary actions.
Suspension or expulsion
from a class or school will result in the student being
treated as an
unexcused absence. The student will receive a 30% grade
reduction for all work that can be completed and 0% for
the work that cannot be completed while suspended or
expelled. (See section 5.07)
4.13 DRESS CODE: The style and fashion of clothing worn by students is a matter of
individual taste and reflects the pride each student
places in himself/herself. The school officials will not
attempt to regulate clothing except in cases where the
student's clothing is dangerous to himself/herself,
his/her classmates, where state health and sanitation
regulations may require, or where that clothing may be a
danger or threat to school property and its maintenance.
Clothing disruptive to the classroom will not be
tolerated. Clothing advertising beer, cigarettes or
other inappropriate behavior will not be allowed in
school.
4.14 Electronic Harassment:
Any student using an electronic
communication device for harassment, which includes
intimidation, threats of physical harm and extortion may
be reported to law officials. It is a Class 1
misdemeanor to commit such an offense. This includes
email, text message, or any other form of electronic
contact.
4.15 DISCIPLINE POLICY Adopted 8-19-02
Discipline must be based on judgment if it is to be
effective. The purpose of school discipline is not to
have the offender pay his/her debt to society.
Discipline should be designed to help the student. This
does not mean that discipline need be soft. Discipline
will be administered as determined by the situation.
The following disciplinary actions
are authorized for breach of school rules (policies) or
obligations applicable to students. The corrective
measure to be employed shall be determined in each case
by the administration, the classroom teacher, or other
appropriate educational staff member, except where a
Board Hearing is required. Repeated minor infractions
may justify the use of more severe measures.
-
Admonition and Counseling: Admonition and Counseling
should be used when appropriate to assist a student
to understand his or her conduct interferes with his
or her educational process, threatens the academic
or social progress and rights of others, or is
contrary to school policy.
- Detention: A form of
discipline that detains a student outside of the
normal school hours. Detention shall last for one
hour beginning at 3:20 and ending at 4:20 or from
7:20 and ending at 8:20. Detention
periods not attended by students will receive
in-school suspension. Faculty members and/or
administration will supervise the detention period.
Students will be given a 1-day notice before serving
the detention. Students will be required to work on
school assignments or read an appropriate book. A
form will be sent home with the student to be signed
by the parent/guardian notifying them of the
student's infraction of school policy, the
corrective action taken and any recommended future
actions
C.
In-School suspension:
Students who receive in-school
suspension at Doland High School are required to report
to the Principals office at 8:00a.m. each day of the
suspension to pick up a make- up slip. Once students
receive their make-up slip they have until 8:20 to make
contact with their teachers and receive their day's
assignments and work. When the bell rings at 3:20p.m.
the student has until 4:00p.m. to turn in the day's
assignments to classroom teachers and return the signed
make-up slip.
Students who receive in-school suspension will receive a
grade reduction of 10% to work completed during the
in-school suspension. Tests which will be made up at the
teachers’ convenience will also receive a grade
reduction of 10%.
Student who receives in-school
suspension will be required to take all semester tests.
The test can only raise their grade it cannot lower
their grade if they complete the test to the best of
their ability at the discretion of the teacher and the
principal.
D. Out of School
Suspension:Students
may receive out of school suspension for up to ten (l 0)
days.
Out of
school suspensions will be recorded on the students
permanent record. Students will receive a 30% grade
reduction on any work that can be made up during the
suspension. Tests missed during the suspension will
result in a zero and will not be allowed to be made up.
Students who receive out of school
suspension will be required to take all semester tests.
The test can only raise their grade it
cannot lower their grade if they complete the test to
the best of their ability at the discretion of the
teacher and principal.
STUDENT DISCIPLINE NOTICE
Doland School
Student's Name:
_______________________
Date: _____________
Adult/Teacher:
__________________________
Class/Grade: __________
Period:
________________
Location:___________
REASON for REFERRAL:
q
Tardiness
q
Unauthorized absence from class
q
Disturbing class or other pupils (Removal from class is necessary)
q
Disrespectful or discourteous
q
Dress code violation
q
Driving violation
q
Damaged school property
q
Cheating or plagiarism
q
Tobacco, Alcohol, other drug violation
q
Not reporting before or after school as directed
q
No textbook or class materials
q
Antagonistic toward class routine
q
Other (Explain): _________________________________________
Student Signature:__________________________
Date: _____________
(Student signature indicates being counseled involving
this referral)
COMMENTS ON VIOLATION:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Parent
Signature____________________________________________
Corrective action
and any recommended future actions:
4.16 JUNIOR HIGH DISCIPLINE POLICY
(may serve as guide for other grades as well)
(Adopted Fall Semester 2000-2001 school year):
PHILOSOPHY:
The junior high faculty and administration met to discuss
the effectiveness of the current junior high discipline
policy and procedure. The consensus among the group was
a need for a change in the current policy. The current
policy consists of receiving packets and detention
relative to each infraction.
To
better the effectiveness of our school discipline
program, a committee was formed to research new
discipline strategies and techniques. It was discussed
and agreed upon by the panel of teachers, parents, and
board representatives that the following behaviors and
actions were the most common problems: getting work
done; distractions; being unprepared; tardiness;
disrespectfulness; and cheating. The panel came up with
the following policy and procedure to handle all of
these problems and any others that would be considered
significant and inappropriate:
GENERAL POLICIES:
All
junior high students will report to assigned homeroom
each morning upon arrival at school. Class advisors will
be in charge of homeroom with study hall rules in
effect. Homeroom will run from 8:05 -- 8:20 each
morning. No students should arrive before 8:00 a.m.
(Step 1) DETENTION:
-
Any
student who is sent to the principal's office for any of
the following reasons will: (1) Serve 45 minutes
detention from 3:20 p.m. to 4:05 p.m. or from 7:20 a.m.
to 8:20 a.m.(2) Have parents
sign referral form.
(If the referral slip is
not signed by parent and with the student on the day of
detention it will be
considered a no show.) (3) A letter and a phone call
will notify the parents.
-
After
the student receives his/her third detention, a meeting
will be scheduled with the student, parent, and
principal.
*ANY STUDENT WHO IS A NO SHOW
OR IS LATE WILL HAVE ONE DAY OF
ISS. (The detention supervisor's clock will be the
official time)
(Step
2)
IN-SCHOOL SUSPENSION OR ISS:
Any student who is sent to the principal's
office six times in one school year will:
(1) Serve 1 day of ISS.
(2) A letter and a phone call will notify the parents.
Any student who is sent
to the principal's office seven times in one school year
will: (1) Serve two
days ISS. (2) A letter and a phone call will notify the
parents.
(Step 3)
OUT-OF-SCHOOL SUSPENSION OR OSS:
Any student who is sent to the principal's office eight
times in one school year for one of the offenses above
will: (1) Serve 1 day of OSS. (2) A letter and a phone
call will notify the parents.
Any student who is sent to the
principal's office nine times in one school year for one of the above offenses will: (1) Serve 3 days of OSS.
(2) A letter and a phone call will notify the parents.
ALTERNATIVE PROCEDURE:
The
following behaviors may result in immediate ISS or OSS,
skipping steps 1, 2, and 3. (examples are, but not
limited to, the following):
REFERRAL TO THE BOARD OF EDUCATION FOR DISCIPLINARY ACTION:
Teachers will be updated on a weekly basis on each
student’s status.
Any
student who is sent to the principal's office ten times
in one school year.
4.17 SUSPENSIONS AND EXPULSIONS:
The following policies shall apply toward student
suspensions and expulsions:
A. Definition of terms:
(1)
Suspension is considered not being allowed to attend school
for a period of up to ten (10) days
(2)
Expulsion is considered a period of ten (11) days or more.
(3)
All suspensions/expulsions will be recorded on the student’s permanent
record.
B. Authority:
-
Expulsions of pupils from
school may not occur without the approval of the
school board.
Superintendent or Principal's actions under the
authority of the school board may suspend
students for a period of time not to exceed ten (10)
days.
C. Grounds for suspension or expulsion will generally be
that:
(1)
Continued presence by the student concerned, constitutes
a health or safety hazard to himself/herself or to those
around him/her or to the building.
(2) The student's actions while present prevent other students from
learning,
and/or teachers from teaching.
(3) The student was disrespectful to a school district employee or using
gross
profanity.
D. The following is a
list of practices forbidden by the school and which may
lead to expulsion or
suspension:
(1)
Smoking in school buildings or on school grounds.
(2) Use or possession of alcoholic beverages
in school buildings or when under
the supervision of school personnel while engaged in
extra-curricular
activities.
(3)
Use or dispensing of
illegal drugs.
(4)
Excessive absences.
(5)
Disruptive behavior in the classroom, study halls, etc.
(6)
Intimidation of the instructors and/or school officials.
(7)
Bomb threats to the school district.
(8) Clothing disrupting to the classroom.
E. In case of suspension
or expulsion the hearing process described in section
10.00 of this handbook will be followed.
Back to Top
4.18
Bullying:
Student Discipline-Bully
Prevention
Persistent bullying can severely inhibit a student’s
ability to learn effectively or a member of the staff’s
ability to do their job. The negative effects of
bullying can have an impact on a person for their entire
life. We are committed to providing a caring, friendly
and safe environment for all of our students so they can
learn in a relaxed and secure atmosphere. Bullying of
any kind in unacceptable. If bullying does occur, all
pupils should be able to tell and know that incidents
will be dealt with promptly and effectively.
Bullying is repeated and intentional harmful behavior
initiated by one or more students and directed toward
another student. Bullying exists when a student with
more social and or physical power deliberately dominates
and harasses another who has less power. Bullying is
unjustified and typically repeated. Bullying differs
from conflict. Two or more students can have a
disagreement or a conflict. Bullying involves a power
imbalance element where a bully targets a student who
has difficulty defending himself or herself.
The
forms of bullying:
Physical-involves harmful actions against
another person’s body
Verbal-involves speaking to a person or
about a person in an unkind or hurtful way
Emotional-involves behaviors that upset,
exclude, or embarrass a person
Sexual-involves singling
out a person because of gender and demonstrates
unwarranted or unwelcome sexual advances
Racial-involves rejection
or isolation of a person because of ethnicity
The
school board expects students to conduct themselves in a
manner in keeping with their levels of development,
maturity, and demonstrated capabilities with proper
regard for the rights and welfare of other students and
staff.
The
school board believes that standards for student
behavior must be set cooperatively through interaction
among the students, parents, and guardians, staff and
community members of the school district, producing an
atmosphere that encourage students to grow in
self-discipline. The development of this atmosphere
requires respect for self and others, as well as for
district and community property on the part of students,
staff, and community members.
The
school board requires its school administrators to
develop and implement procedures that ensure both the
appropriate consequences and remedial responses to a
student or staff member who commits one or more acts of
harassment or bullying.
The
school board requires the principal and/or the
principal’s designee at each school to be responsible
for receiving complaints alleging violation of this
policy. All school employees, students, parents,
visitors or any other member of the community are
required to report alleged violations to the school
principal. The school principal and/or principal’s
designee are to be responsible for determining whether
an alleged act constitutes a violation of this policy.
In so doing, the principal and or principal’s designee
shall conduct a prompt, thorough, and complete
investigation of each alleged incident.
Disciplinary action may include, but is not limited to,
detention, suspension, or expulsion for verified
perpetrators of bullying. In addition, when any kind of
threat is communicated or when a hate crime is
committed, it shall be reported to local law officials.
The
superintendent an/or designee shall develop an annual
process for discussing the school district policy on
bully prevention with student and staff. The school
district will incorporate information regarding this
policy in each school handbook.
Cyber Bullying
Cyber bullying is all form of harassment over the
Internet or other forms of electronic communications,
including cell phones. Students and staff will refrain
from using communication devices or District property to
harass or stalk another. The District’s computer
network and the Internet, whether accessed at school or
away from school, during or after school hours, may not
be used for the purpose of cyber bullying. All forms of
cyber bullying are unacceptable and viewed as a
violation of this policy and the District’s acceptable
computer use policy and procedures.
Users are responsible for the appropriateness of the
materials they transmit. Hate mail, harassment,
discriminatory remarks, or other anti social behaviors
are expressly prohibited. Cyber bullying includes, but
is not limited to the following misuses of technology:
harassing, teasing, intimidating, threatening, or
terrorizing another person by sending or posting
inappropriate and hurtful e-mail messages, instant
messages, test messages, digital pictures or images, or
web site postings, including blogs. It is also
recognized that the author (poster or sender) of the
inappropriate material is often disguised (logged on) as
someone else.
Students and community members, who believe they have
been victims of such misuses of technology, as described
in this policy, should not erase the offending material
from the systems. A copy of the material should be
brought to the attention of a principal or teacher.
In
situations in which cyber bullying originated from a
non-school computer, but brought to the attention of
school officials, any disciplinary action shall be based
upon whether the conduct is determined to be severely
disruptive of the educational process so that it
markedly interrupts or severely impedes the day to day
operations of a school. In addition, such conduct must
also violate a school policy. Such conduct includes,
but is not limited to, threats, or making threats off
school grounds, to harms a member of the school staff or
a student.
Malicious use of District’s computer system to develop
programs or to institute practices that harass other
Users to gain unauthorized access to any entity on the
system and/or change the components of an entity on the
network is prohibited.
Disciplinary action may include, but is not limited to.
The loss of computer privileges, detention, suspension,
or expulsion for verified perpetrators of cyber
bullying. In addition, when any kind of threat is
communicated or when a hate crime is committed, it shall
be reported to local law officials.
5:00 ATTENDANCE POLICY
5.01 ATTENDANCE POLICY:
In keeping with the recognition that an education is of
primary and growing
importance to success in life, the Doland School Board
adopts the following
attendance policy. All absences will fall into one of
the two categories, excused or unexcused. Excused
absences and unexcused absences count towards the
attendance policy. Exempt absences don't count
toward semester tests.
5.02
EXCUSED ABSENCE:
Any of the following legitimate reasons will be
considered an excused absence when a note (The note must
state the specific reason and time of the absence
or it will be unexcused.) from the
parent or guardian is sent in advance of the absence if
known or
a phone call or e-mail the day of the absences where
advance notice is not possible (doctors or other
professional appointments must bring a note from the
doctor stating the time of the appointment and time
left) and a make-up slip must be completed and turned in
on time to the principal's office:
-
Illness of the student;
-
Serious illness in the
family;
-
Conditions over which
the student has no control;
-
Work at home in cases of
absolute necessity (if not abused) -- no student
will be excused to work for anyone other than his or
her parents;
-
Family trips with
parents;(2 days will count as one, 4 days will count
as two
-
Medical appointments
that cannot be arranged outside of school hours
with a note
from the Dr. upon the students return to school.
-
Students will be excused
to attend school related events.
-
Students will receive
one personal day per semester that cannot be used
during the last two weeks before semester tests each
semester.
5.03 UNEXCUSED ABSENCE:
If an absence is not excused it is unexcused.
Each student will be allowed one
unexcused absence (PERSONAL TIME, UNLESS IT HAS BEEN
USED) that will be treated as an excused absence towards
semester tests each semester. They will need to bring a
note from home for this absence within twenty-four hours
in order to be excused stating the hours missed and
signed by the parents.
5.04
POSITIVE APPROACH TO BETTER ATTENDANCE:
Attendance will be kept by the hour. Any
student who misses more than ten minutes of a class
period will be considered absent from that period.
(study halls included) Any absence other than a school
related activity will require a note in advance of the
student’s absence or when advance notice is not possible
a phone call during the morning of the absence. If the above
criterion is not met the absence will be unexcused. Any
unexcused absence will require the student to take the
semester tests. (AS WELL AS SUFFERING A GRADE REDUCTION
AS STATED BELOW UNDER UNEXCUSED ABSENCES.)
Students will be allowed two days of
absences per semester. One of these days can be used for
a sickness that the student may then stay home up to
four days in a row and it will only count as one day.
(Exceptions are explained below.)
Students will also have one day for any
other excused absences. (If the student does not use any
sick days they will have two days for any other excused
absences.) During this time if a student chose only to
use their two days for doctors appointments or other
excused reasons they may miss up to two days and no more
than two days. (To be an excused absence the criteria
must be met as stated above.)
The absolute number of days a student may
miss is five per semester. (Hospitalization, injuries,
and other items at the discretion of the administration
are the exceptions.) An example of this would be one
sickness where he/she missed four days and then one
other day of excused absences. If the student so chooses
to miss for reasons other than an illness he/she will
then only receive two days
to be used any way they see fit as long as the absence
is excused as stated in the
above criteria. If the student misses the same class
more than five times (OTHER THAN A
STUDY HALL) they are no longer eligible
for the incentive of choosing to take semester tests in
any of their classes.
Any absence other than a school related
activity would be counted toward the incentive of
not taking the semester tests and
perfect attendance. (STUDENTS WHO GO AS A SPECTATOR
TO A SCHOOL EVENT WILL BE EXCUSED BUT THE ABSENCE WILL
COUNT TOWARD THE LIMIT OF TWO DAYS.)
The following list of
items are a list of school related activities or items
that will not
count toward the limit of semester tests:
A.
Funerals & serving as alter boy/girl if
not abused
B.
Seniors may take one day or part of a day
to visit a college of their choice
C.
Snow show winners who are competing in
the state event.
D.
Any school related activity
(participation)
E.
Items that are beyond the students
control (Fires, other items as deemed uncontrollable by
the administration.
F. Students attending state
or nationally recognized youth programs of an
educational
nature. (Approved in advance by the administration
with
all schoolwork to be made up prior to the student
leaving.) Examples of this would include church youth rallies,
4H programs,
educational conferences or other nationally
recognized programs. A student could attend a state
or national youth program for up to four consecutive
days one time per year and it would not count
towards semester tests. If a student decides to use
this option more than once during the school year
they will given an excused absence for each day
gone. If a student is gone for more than four
days, each day after four will be counted as an
excused absence.
Injuries or hospitalization will count toward the four
illness days but the student may miss more than the four
days and it will only count as one.)
Any student who has an unexcused absence
will no longer qualify to not take the semester tests.
(THREE UNEXCUSED TARDIES IN A SEMESTER WILL COUNT AS AN
UNEXCUSED ABSENCE. THE TARDIES DO NOT ALL HAVE TO BE IN
THE SAME CLASS AND STUDY HALLS COUNT IN THIS AREA.)
Any student who misses a class ten times
or more for any reason other than a school related
activity will need to report before the school board
(at the discretion of the administrator) with
his/her parents and explain to the board why they should
be able to continue in the class and receive credit.
Students who meet the criteria as listed above will be
eligible to not take the semester tests if they have a
"B" or above in the class for the SEMESTER. If they
choose to take the test the test can only help their
grade it cannot lower their grade. Any student who has
made the incentive of absences and has a "C" for the
semester in the class will be required to take the
semester test but the grade can only raise their grade
it cannot lower their grade if they complete the test to
the best of their ability at the discretion of the
teacher and the high school principal. Students who have
met the incentive of absences and have a "D" or an "F"
will be required to take semester tests. The majority of
students who have a semester grade of a "D," will have
their semester test counted towards their grade. All
students who have a semester grade of an "F," will have
their semester test counted towards their grade. Any
student who has met the incentive of absences and has a
"D" for the semester in the class will be required to
take the semester test. The grade of the semester test
may or may not be counted (mainly for higher level
coursework). It will be at the discretion of the teacher
and the principal on a case by case basis.
At the end of the year any
student who has perfect attendance and no unexcused
tardies will
receive an award at awards night for perfect attendance.
To qualify for this award the student
will not have missed any classes at all other than for a
school related activity. (NO EXCEPTIONS)
TWO DAYS WILL BE SET ASIDE
EACH SEMESTER FOR FINALS WITH THOSE PEOPLE WHO WILL BE
EXEMPT FROM THE TEST EXCUSED DURING THE TEST TAKING
TIME. DURING THIS TIME WE WILL HAVE AN OPEN CAMPUS FOR
THE STUDENTS UNDER THE ATTENDANCE REQUIREMENTS WITH
ABSOLUTELY NO DRIVING UNLESS THE STUDENT IS LEAVING FOR
THE DAY.
5.05 ACTION TO BE TAKEN IN
THE EVENT OF AN EXCUSED ABSENCE:
The student will be required to make up any schoolwork
missed. The student will have two school
days for each day missed,
not to exceed ten school days, to accomplish the make up
work. Schoolwork
will be graded without penalty if completed within the
time allowed.
5.06 EXTENDED ILLNESS:
When an illness does or can
be reasonably expected to extend beyond three school
days, the parent or guardian should notify the school
and make arrangements to get textbooks and assignments
for the student so schoolwork can be accomplished at
home. Should an extended illness be of such a nature
that homework is not
possible, other arrangements
will be made and the student will be given additional
time to make
up the work.
5.07 ACTION TO BE TAKEN IN
THE EVENT OF AN UNEXCUSED ABSENCE:
The student may make up any schoolwork missed. The time
frame for making up the work is at the discretion of the
teacher. Schoolwork will be graded with a fifteen
percent (15%) penalty applied to the students work.
(Example: Student scores 140 points out of a possible
150; 140 x 15% = 21 point penalty -- student scores 119
points out of the 150 point test/assignment.)
5.08 APPEAL OF DETERMINATION
OF UNEXCUSED ABSENCE:
Any parent or guardian who
feels an absence has been unjustly determined to be
unexcused may appeal that
ruling. Appeals will be made
as follows: First appeal will be made to the student's
principal. If not
satisfied with that ruling, the second appeal will be
made to the superintendent. If not satisfied with that
ruling, the third appeal will be made to the school
board at their next regularly
scheduled board meeting.
When an appeal is made to the school board, the parent
or guardian will
contact the superintendent to have the appeal placed on
the school board's agenda. Said contact should be made
at least three school days before the school board
meeting.
5.09 STUDENT TARDIES:
These policies will apply to student tardies:
a.
All tardies will be recorded
on the students permanent record;
b.
If student is late for
school report to the principal's office before reporting
to class or reporting to study hall.
c.
If student is detained by a
teacher, student is to request a pass from the teacher
for the next class or study hall; and,
d.
Three tardies in a nine-week
grading period will equal one unexcused absence and will
require the student to spend one-half hour in detention
with subsequent tardies also receiving one-half hour of
detention.
5.10 UNEXCUSED ABSENCES AND
EXTRACURRICULAR ACTIVITIES:
Students having an unexcused absence in excess of
one-half day on the day of extra-curricular practices,
competitions, or activities, will be ineligible to
participate in said practices, competitions or
activities.
5.11 EXCESSIVE UNEXCUSED
ABSENCES AND EXTRA-CURRICULAR ACTIVITIES:
For the purpose of this section vocal and instrumental
music will not be deemed extra-curricular activities.
Students having more than three unexcused absences
during a nine-week
grading period will be suspended from all
extra-curricular competitions and activities for a
period of five consecutive school days. Two more
unexcused absences during the same nine-week
grading period will result in an additional five
consecutive school day suspensions from all
extra-curricular competitions and activities; etc.
5.12 INCOMPLETE GRADES:
No credit will be given for a course until all work is
completed and approved. Any incomplete grades carried
beyond two weeks past the grading period will be changed
to failures. Individual arrangements may be made through
the principal in respect to special circumstances.
5.13 LATE BUSES:
Students who arrive at school on a late bus will report
to their first period class as rapidly as possible.
Students will not be counted as tardy.
Back to Top
6:00 GENERAL REGULATIONS
6.01 TELEPHONE USE: The telephone is for business
and emergency use only. Inform your parents of your
study hall periods, as you will be called from class
only in an emergency. Students will use the phone in the
gym lobby unless there is an emergency then they may use
the phone in the principal's office. Student cell phones
will not be “heard” or “seen” during the school day from
8:30 am to 3:20 pm. Students caught with their cell
phone during the school day will face the following
consequences: 1st Violation: The school will hold the
students cell phone until the parent picks up the cell
phone at the end of the following school day. 2nd
Violation: The student will have ISS the following
school day and the school will hold their cell phone for
the next five school days. All further Violations: The
student will have double the previous violation. (Ex:
3rd Violation: 2 days ISS, lose phone for 10 school
days). Students may keep them in their vehicle and may
use them if necessary with permission from the
principal.
6.02 LEAVING SCHOOL:
No student is to leave school grounds during the school
day, except by permission of the principal. Students
will not be released from school without parental
permission. Students must be signed out with the
principal before leaving the school premises during
school hours. Students not in compliance with this
policy will be considered as truant.
6.03 CLASSES OUTSIDE OF DHS: Any student wishing to take a
class that costs money through another source other than
the Doland School District will agree to the following
requirements in regards to paying for the course.
-
Student Pays:
-If it is a repeat course or for make-up credit.
-If the course is already offered at DHS.
-If they drop out of the class.
-If their semester grade is not a "C" or better.
-
School Pays:
-If it is an inconvenience in the schools scheduling
(mainly make-up credit or transfer students
-If it is a requirement for graduation adn the
school does not offer any other similar courses to
meet the requirements
-If the student meets the above conditions.
Students will be required to pay a 25% deposit for the
class at the beginning of the semester.
6.04 LOST AND FOUND: Students are urged not to leave
money, jewelry, or anything of value in their coat or
jacket pockets. It is also advisable not to leave any
valuables in your locker. Should you lose any personal
property, the school will not be responsible. A lost and
found center will be maintained in the principal's
office.
6.05 CHURCH NIGHT:
Church night will be on Wednesday. The school will not
schedule activities for that evening and the
building is to be cleared of students no later than 6:00
p.m.
6.06 SCHOOL DANCES AND PARTIES: Any class or organization may make
arrangements to hold a
dance or a party. Such activities must be scheduled as a
regular event on the school calendar, must have the
approval of the advisor and administration, must have
chaperones approved by the administration, and must
operate under the "closed door" rule.
6.07 STUDY HALL REGULATIONS:
Study Hall Guidelines
1. Students are to be in their desks with school related material or
homework to work on.
2. All passes must be turned into the study hall supervisor before sitting
down for class.
You cannot leave the study hall until the supervisor has
granted permission. You must report
back during the last 5 minutes of the study hall.
3. You must have permission to speak from the supervisor.
4. You must be reading or working on
something constructive at all times. (No sleeping,
walkmans, un-educational games, cards or other items of
this nature allowed.)
5. Students will be allowed to sign out from the Study
Hall only to the following areas, without a pass,
for a total of five minutes:(one checkouts per study
hall and you must list all of the places you will be)
a.
Counselor's office
b.
Principal's office
c.
Superintendent's office
d.
Bathroom
e.
Locker
f.
Phone
6. Study hall teachers may write a pass for the locker rooms in cases of
emergency only.
1st Violation: One day without study hall privileges
2nd Violation: One week without study hall privileges
3rd Violation: Referred to the principal's office for loss of study hall
privileges for nine weeks.
6.08 FIRE DRILLS: There will be unannounced fire drills twice each semester
through out the year. Students are advised to observe
the posted directions in each room and shall
follow all directions during such drills.
6.09 STUDENT LOCKERS:
Students are to be assigned lockers and are responsible
for their use and content. Periodic inspection may be made at
the discretion of the administration.
Students are cautioned not to leave valuables in their
lockers. Lockers will be assigned by classes.
6.10 OFFICE VISITS:
The counselor's. principal's, and superintendent's
offices are open to all students. Students are free to
come in and talk over any problems. If necessary a
special appointment may be made by the student. Please
observe common courtesy if the offices are occupied by
other persons. Other offices and the teacher workroom
are off limits to the students.
6.11 BAND RENTALS: There will be a charge established at the beginning
of each school year for band instrument rental. The
chargers must be paid at the time the instruments are
picked up.
6.12 STUDENT INTERVIEWS: The following policy shall exist to
protect the rights of students with respect to
interviews with personnel outside of our school
districts:
a.
Individual pupils may not be interviewed by any person,
except an employee of the school board, without the approval of the superintendent.
b.
The superintendent shall not grant such an interview
unless he deems it essential to the welfare of the child
or as may be required by court order.
6.13 STUDENT MOVEMENT: No student should be moving about the
building
except
between classes or in restroom leave unless the student
has a pass in her/his possession.
No student is to interrupt a classroom while
class is in session unless the student has a pass slip
from that teacher requesting his/her presence.
6.14 PUBLICITY: All signs or news releases which promote activities at our
high school must be approved by the principal before
they are distributed.
6.15 STUDENT ILLNESS DURING SCHOOL: Report to your principal. Do not leave the building
without first checking out.
6.16 DHS DAKOTA DIGITAL NETWORK POLICY
1.
Purpose.
The purpose of this is to provide administrative,
instructional/classroom and student policies governing
the conduct of high school classes over the Dakota
Digital Network (DDN). The intent of these policies is
to standardize procedures for distance learning classes
that involve different school districts.
2. Student Selection.
Students enrolled in DDN classes should be screened by
the local
administration to ensure they have the maturity and
traits required to be successful in distance
learning classes.
3.
School cancellation. If the host school cancels due to bad weather any classes
that they were hosting are not taught that day. If the
host school is in session and one of the remote schools
cancels then the teacher will have to determine what
adjustments are necessary for that particular day.
4.
Late starts.
Generally, if a host school started late they would
attempt to teach any DDN classes they had scheduled even
though they may adjust the schedule for the day.
5.
School calendar. The starting and ending date for
DDN classes will be based upon a common
start/end date for all DDN schools. Other holidays,
in-service days or non-class days are based on
the calendar of the host school. Each school will
provide a copy of their instructional calendar to each
school involved in each class offered.
Part III. DDN Student Guidelines June 1, 2001
1.
Purpose: The purpose of this letter is to outline
classroom guidelines for students participating in DDN
distance learning classes.
2.
Distribution:
A copy will be provided to each student participating in
DDN classes.
3.
Background:
The Dakota Digital Network or DDN, is a two-way,
interactive distance-learning network connecting schools
across South Dakota. This network is connected by fiber
optic cable, which is capable of carrying the picture
and sound throughout the system. As an interactive
network, students and teachers can see and talk to
others at any of the network locations. The purpose of
the DDN is to provide increased educational
opportunities for students, staff and community members
at the DDN schools. Using technology, classes, which
would not usually be available at your school, can be
taught by a teacher at another location giving you the
opportunity to take new classes. Along with this new
opportunity is additional responsibility. Students
participating in distance learning classes are expected
to demonstrate a high degree of initiative, discipline,
and cooperation since you will be in a different
physical location than the teacher. Participating in a
class over the DDN may seem different at first because
of the use of various cameras, microphones and
television monitors but with your cooperation in
following DDN classroom procedures the technology should
soon become second nature and your classes will be no
different than a traditional face-to-face class. During
the first class day the teacher and your site
coordinator will show how the various cameras and
microphones work.
4.
Class procedures: Since the teacher and students in
DDN classes will be located at different
schools there are some classroom procedures, which must be
followed to ensure effective classes.
These procedures and your cooperation will assist
the teacher to focus on the content of the class
and not the technology.
a.
Use of Microphones:
The student microphones in the DDN classroom require you
to position the microphone no more than 12 inches from
you. When talking to the teacher, say your name and
location. Since the teacher may be looking at 3 TV
monitors this
will
help the teacher determine which TV to look at. The
student microphone is primarily used for speaking with the teacher or other students.
b.
Who's watching and listening to you?
You should assume anytime you are in your
DDN classroom that someone is watching or listening to you. Just because
you do not see another
site on the TV monitors doesn't mean another site can't
see or hear you. If they have your site tuned in you can
be seen or heard or video taped. Don't embarrass
yourself or your school by doing or saying something you
wouldn't want anyone else to see or hear. Additionally,
a local classroom TV monitor may be placed in the
administrative office at each DDN school. This allows
the principal or other administrative personnel to
observe and hear students in the local DDN classroom.
c.
Stay in view of the camera. It is important to sit in view of the class camera at all
times. Your local site coordinator will set up the
classroom and the camera.
d.
Local class facilitator/coordinator. Each school will have someone designated to assist
the host teacher in collecting papers, tests, and
handing out materials or other papers from the teacher.
This individual may be a teacher or administrator.
e.
Leaving class. If you have been excused to leave
class early at your local school make sure
you
tell the DDN teacher at the start of class so he
or she will know you are leaving class and when. If you
leave without informing the teacher they won't know why
you are leaving and you will be considered unexcused.
During fire drills or other emergency evacuations you
are expected to follow the procedures and instructions
at your school.
5. Class Policies.
a.
General.
The general class policies such as class requirements,
grading, and make-up requirements will be provided by
the teacher. These policies will be those of the host
school. If you have a question or don't understand a
policy you need to talk to your local site coordinator or principal.
b.
Discipline. Each student taking a DDN class will
sign a student contract, which
outlines your expected behavior (enclosed). The purpose of this contract
is to minimize class
disruptions and ensure students are aware of the
standards for taking classes over the network.
c.
Class handouts.
Handouts and class materials will be provided to you by
your local site coordinator. If you do not have
materials that the teacher says you should have contact
your site coordinator.
d.
Submitting material to the teacher.
Your local site coordinator will be responsible for
mailing, faxing, or delivering materials such as
homework, tests, or other papers to the teacher. You are
responsible for getting these items to your site
facilitator by the required due date.
e.
Contacting the teacher after class. If you need to contact your DDN teacher outside
of
normal class times you should make arrangements with
your local site coordinator to either phone the teacher or set up a meeting using the DDN.
6. What to do if things don't work. Although the DDN has not yet
had any major network outages it is always possible that
the network operation could be disrupted due to a power
failure or fiber optic cable cut or some other
technology failure. In the event the network should fail
and
you can
no longer see your teacher or the other sites have one
student contact your local DDN site
coordinator or your principal.
7.
Questions: If you have any questions about a DDN
class or the way things are done in a
DDN class contact your local site coordinator or your
local principal as soon as possible.
Dakota Digital Network Student Behavior
Policy
The Dakota Digital Network (DDN)
is a means for school districts to provide courses that
normally would not be offered to students because of low
enrollment or lack of qualified teachers.
The DDN two-way interactive video classes allow a
teacher to teach a class from one location to students
at one or more other schools. The interactive technology
allows the teacher to see and speak to all students just
as the students can see and speak to the teacher, and
students at other locations. Because of the unique
aspects of the two-way interactive classes certain
standards are expected of students enrolling in these
courses. This policy is intended to make both the
students and the parents aware of these standards.
As a student taking a Dakota
Digital Network (DDN) course I am aware that:
1.
Certain standards are expected of me as a student and
insubordination of any kind will not be
tolerated. Insubordination has been defined as anything that
interferes with teaching or learning in
the classroom.
2.
Inappropriate language or gestures will not be tolerated.
3.
Because of the technology, anything I do in the classroom
can be video taped.
4.
The following classroom procedures must be followed:
a.
Students must sit within camera view at all times.
b.
Students must not mishandle the equipment in the
classroom.
c.
Students must pay for any damages to the equipment for
which they are responsible.
d.
Students must follow all other rules specified by the
teacher.
The procedures for students who
cannot follow the above listed rules are listed below:
First Offense:
The student will be given a verbal warning and informed
that his/her behavior is inappropriate.
Second
Offense:
The student will be informed that his/her behavior is
inappropriate, and a letter explaining the incident will
be sent to the parents/guardians through the student’s
principal. The parents will be informed that a repeat
offense will result in loss of the privilege of
participating in the course.
First Offense:
The student will be removed from the course permanently
and will receive no credit for the class.
Severe
Misconduct:
For the first offense, the student will be removed from
the class and disciplinary action according to the local
district’s policies.
I hereby authorize and give
consent to the DOLAND SCHOOL DISTRICT 56-2 and the
Dakota
Digital
Network to record and play back any likeness, image,
voice, and performance and any and
all materials furnished by me on film, tape, or
otherwise during this school year. I give these
rights freely and without compensation now or in the
future. I have read and understand the above
policy and agree to everything stated.
_______________________________________
____________________
Student
signature
Date
_______________________________________
____________________
Parent or Guardian
signature Date
_______________________________________
____________________
School
District
School Year
Adopted by Doland School Board,
July 2001
6.17 WEAPONS POLICY:
The purpose of this policy is to assure a safe school
environment for students, staff, and the public. No student
or non-student, including adults and
visitors, shall possess, use or distribute a weapon when
in a school location. State and federal laws forbids the
bringing of dangerous or illegal weapons to school or
school-sponsored activities. Any weapon taken
from a pupil shall be reported to the pupil's parents.
Confiscation of
weapons may be reported to the police. The building
principal shall pursue appropriate disciplinary or legal
action or both. A dangerous weapon is defined as any
firearm or air gun, knife, or device, instrument,
material, or substance that is calculated or designed to
inflict death or
serious bodily harm. The term "firearm" includes any
weapon which is designed to expel a projectile by action
of an explosive, the frame or receiver of any such
weapon, a muffler or silencer for a weapon, or any
explosive, including any poison gas. No firearms are
permitted on any school premises, school vehicles, or
any vehicle used for school purposes, in any school
building or other building or premises used for
school functions. An exception would be weapons
under the control of law enforcement personnel, starting
guns while in use at athletic events, firearms under the
control of NRA certified instructors, gun shows, and
authorized supervised school training sessions for the
use of firearms. Any student bringing a firearm to
school shall be expelled for not less than twelve
calendar months and will be referred to law enforcement
authorities. The Chief executive officer of the
school shall have the authority to recommend to the school board that this expulsion requirement be modified on a
case-by-case basis. This policy shall be implemented
consistent with all state and federal laws.
Action #96-028 July
8, 1996
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7:00 STUDENT SERVICES
7.01 STUDENT RECORDS:
Records for each student at DHS are maintained by the
school district and among other things, indicate courses
taken, grades earned, attendance and tardies,
involvement in extra-curricular activities, and honors
and recognition earned. Student who desires copies of
their records to be sent to school, employers, or other
proper authorities should obtain a release for from the
principal or counselor's office. The release form must
be properly completed before records will be released.
No records will be released without your permission or
request or that of your parents. In order that your
rights to privacy are upheld, only
the
following agencies or persons may have access to your
records without written consent of you
or your parents or pursuant to a subpoena or court
order:
a. Other school officials, including teacher within the
school system who have legitimate education interest;
b. Officials of other schools or school systems in which
the student intends to enroll.
c. In connection with a student's application for
post secondary schooling for financial aid.
7.02 AWARDS PROGRAM: At the end of the school year, special recognition for outstanding
student achievement will be feted at an Awards Program.
Students who have excelled in academics,
extra-curricular activities, and other school related
programs would be recognized. These include:
a. STUDENT COUNCIL: This is an organization that
represents the views of the high school student body.
Members and procedures of operation are outlined in the
constitution of the student council.
b. FFA: The Future Farmers of America consists of
all students enrolled in vocational agriculture. The FFA
is a national organization.
c. FCCLA: The Family Career and Community Leaders
of America consist of all students enrolled in FACS. The
FCCLA is a national organization.
d. CLASS AND ORGANIZATION MEETINGS: The secretary of
each of the recognized organizations at DHS shall keep
the minutes of each meeting and shall place the minutes
in a permanent folder. Minutes are to be kept on file in
the principal's office at the end of each school year.
7.03 WHEEL TRACKS:
The annual yearbook published each year is called the
WHEEL TRACKS. The annual is a pictorial and literary
review of the school year.
7.04 INSURANCE: All students at DHS will be given an opportunity to take
out accident insurance. Insurance is not mandatory;
however, athletes must either be insured of must sign a
waiver offer.
7.05 HEALTH SERVICES:
Enrolling students will provide the name of their
personal physician. Students with any medical problem
should contact the principal. All students will be
required to have their parents/guardian sign a medical
consent form in case of emergency.
7.06 SCHOOL LUNCH: The school district has established an excellent hot lunch program. Meals
will be served everyday that school is in session.
Please be orderly during this time. Students should
purchase meal credits at the secretary's office. No one
will be allowed to have on credit more than five meals
at a time without purchasing another meal ticket.
7.07 ASSEMBLIES PROGRAMS: General assembly programs may be held
throughout the year. These include assembly programs by
professional entertainers, clubs and classes.
7.08 PEP ASSEMBLIES: Pep assemblies may be held during the school day and must
be approved by the administration at least one week in
advance. Pep assemblies will be limited. Student conduct
at pep assemblies will determine future planning of
these events.
7.09 GUIDANCE AND COUNSELING:
Student should work with the counselor in planning high
school and post high school careers. Students with
problems of any nature should feel free to visit with
the counselor. Anything said with the counselor will be
kept in the strictest confidence.
7.10 FUND RAISING: All fund raising by student organizations must receive
prior approval by the superintendent. Wherever possible,
student activities should be planned on a "break-even"
basis.
7.11 SCHOOL LIBRARY: The school library is accessible to students in each of their individual
classes. Teachers will open the library for student use
when deemed necessary.
7.12 STUDENT INFORMATION BULLETIN BOARDS: A student information bulletin board
exists on the second and third floor of the senior high
building. Announcements
pertaining to students will be found on these bulletin
boards and students should make a habit of
checking the bulletin boards often.
7.13 STUDENTS ANNOUNCEMENTS: It is the student' s
responsibility to make sure they are informed about the
daily announcements. Other
announcements will be given, as they are needed.
7.14 CLASS RINGS: Class rings will be selected, ordered,
delivered and paid for during the Sophomore year of DHS
students.
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8:00 INCLEMENT WEATHER PROCEDURES
8.01 INTRODUCTION: The procedure, which will be used in the Doland
School District #56-2 in the event of inclement weather,
has been outlined below and will be followed
whenever it is deemed necessary.
8.02 SCHOOL OPENING: When inclement weather is threatening or apparent
and might affect the opening of school for the day,
students should be aware of the following:
a. If inclement conditions cause a
decision to be made to either run buses late or to
cancel school for the day, notice will be announced by
the following stations:
b. On days when buses run late, school
will not begin late but will begin when the buses
arrive. Town students should be in the building ahead of
school bus students.
c. On some days a MUD AND SNOW ROUTE will be used.
When this
announcement is made it will mean that
busses will run only on certain highways and will pick
students up at designated stop points. These points are
as follows:
(1)
Old Highway 37 (County Road 3) South to Bloomfield corner, &
return to10 mile road, Highway Stops.
(2) Highway 28 - East to the Yale corner.
(3)
West Highway 212 & South to 37 & Highway 37 South to Bob
Knox farm
(4) Highway 37 North to Turton - Bank Corner,
Turton Corner Cafe, &
Highway Stops. (Please note since County Road 12 East and
West of Turton have
been repaired we will use this on the mud & snow routes.
(5) Highway 212 East and Clark County Road 1.
d. Whenever possible, school
announcements shall be made and aired the evening before
school would be affected. If this is not possible, the
announcements shall be made on the above-mentioned
stations before 7:30 A.M. on the involved.
e. During bad road conditions, when
buses are running and cannot reach the student's home,
these students will not be counted absent but must first
report to the principal's office to obtain a makeup slip
for the time missed.
f. If inclement weather conditions
prevail for an extended period of time, the procedure
for operation of school will be run on a day-to-day
basis.
8.03 INCLEMENT WEATHER FORMS:
During the first part of each school year,
each student who rides the bus will provide the principal
with the name and address of a person or
family with whom the student would stay if he/she cannot
get home due to inclement weather. This form will list
each member of the student's family presently attending
DHS, the name and address of the guest host and the
signature of approval by the parents.
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9:00 POLICIES RELATING TO TITLE IX
9.01 INTRODUCTION:
Title IX is the portion of the Education Amendments of
1972 that prohibits discrimination in federally assisted
education programs. Specifically, Title IX stated: ''no
person in the United States shall, in the basis on sex,
race, color, national origin, or handicap, be excluded
from participation in, be denied the benefits of, or by
subjected to discrimination under any regulation became
effective on July 21,1975.
"It is the policy of our school district that our employees
should be able to enjoy a work
environment free from all forms of discrimination,
including sexual harassment. It is expressly against
school policy for any employee to make unwelcome sexual
advances or requests for sexual favors, or to engage in
any other physical or verbal conduct of a sexual nature
when (1) submission to such conduct is made an express
or implicit condition of employment; or (2) submission
to or rejection of such conduct is used as a basis for
employment decisions affecting the individuals who
submit or reject; or (3) such conduct has a purpose of
effect of interfering with the employees work
performance or creates an intimidating , hostile or
offensive working
environment. Conduct that is harassing to other
employees will not be tolerated. Such conduct, whether
permitted by supervisors, non-supervisory personnel or
non-employees is prohibited. An employee who believes
that he or she has been or is being subjected to
harassing acts or conduct should bring such acts or
conduct to the prompt attention of a supervisor,
manager, or administrators who are either his or her
immediate supervisor, the personnel authority, or other
appropriate management representatives. It is also the
policy of the district that all students should
be able to enjoy a school environment free from sexual
harassment. Any student who believes that he or she has been or is being subjected to
harassing acts or conduct should bring such acts or
conducts to the prompt attention of a school
administrator.
9.02 DOLAND SCHOOLS TO BE IN COMPLIANCE:
Doland High School
observes this policy and does not discriminate on the basis
of sex, race, color, national origin, or
handicap, in education programs or activities as
required by Title IX.
9.03 PUBLIC NOTIFIED OF DOLAND SCHOOL COMPLIANCE: Students, their
parents, and employees of the Doland School District are
here by notified that this school district
does not discriminate on the basis of sex, race,
color national origin, or handicap, and is required
by Title IX not to be discriminate on the basis of sex,
race, color, national origin, or handicap in its
education activities and employment practices.
9.04 GRIEVANCE PROCEDURE: Any certified employee of the Doland Public Schools, as
defined in section 10:00 of this policy handbook shall,
upon cause and reason, file any grievance under the
authority of this section in the manner and procedure
prescribed for teachers. Any student, non-certified
employee, or district patron of the Doland Public
Schools
shall upon cause and reason, file any grievance under
the authority of this section in the manner
and procedure prescribed in section 10:00 Of this policy
handbook.
9.05 INQUIRIES BY THE PUBLIC:
Any person having inquiries concerning Doland School
District compliance with Title IX is directed to contact
the Superintendent of Doland School, Doland South
Dakota, 57436,
phone no. 635-6302.
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10:00 POLICIES RELATING TO GRIEVANCE PROCEDURE
10.01 INTRODUCTION: A grievance procedure is a means of
inviting communication on matters of concern to the
school, on matters of concern to the school, its
employees, and
students; short of their having to engage in disruptive
behavior in order to be noticed and to have
a grievance redressed. In no way is the grievance
procedure meant to lessen the legal authority of
the school officials to deal with disruptive students.
10.02 DEFINITIONS: For the purposes of this policy, the following
definitions shall be operative:
A. "Grievance" is a complaint lodged by
a non-certified employee, student, or
patron
of District #56-2 with an employee, member of the school
board, or the school
board of the Doland Public School.
B.
"Complainant" is the person or persons who initiate the
grievance.
C. "Respondent" is the person or
persons to whom the grievance is addressed. For the
purposes of this policy, the respondent must be an
employee, school board member or school board of Doland
Public School.
D.
"Superintendent" is the person defined in section 2.01
of this policy handbook.
E. "School Board" is the governing body of the Doland
Public Schools as defined in section 1.01 of this policy
handbook.
10.03 PURPOSES AND GROUNDS FOR GRIEVANCE: The purpose of this
procedure
is to allow a
complainant a means to secure prompt solutions to
grievance which may be
filed. The grievance must allege one or more of the
following unfair practices:
A.
That a school rule is unfair
B. That a School rule or regulation discriminates
against or between employees or students;
C. That an unfair procedure has been used in arriving
at a punishment or determination.
10.04 PROCEDURE FOR GRIEVANCE: The following steps shall be followed in the filing,
resolution, and disposition of a grievance.
A. Step One: A complainant shall
initially present his complaint orally to the principal
of the school. The principal shall promptly investigate
the claim and make an oral report of his findings and
his decision to the complainant
B. Step Two: If the complaint is
not resolved, the complainant may within five (5) days
of completion of Step One file his complaint in writing
with the superintendent of schools and shall deliver a
copy of the same to the principal. The principal, within
five (5) days, shall then prepare a written report of
his findings and decision and deliver the report to the
superintendent, providing the claimant with a copy. The
superintendent shall, upon receiving the report from the
principal, meet with the complainant and take whatever
other action he feels is necessary to investigate the
complaint. Upon completion of the superintendent's
investigation, he shall within ten (10) days, serve a
written answer upon the complainant.
C. Step Three: If the complainant
is not resolved in Step Three the complainant
may file the complaint in writing with the Clerk of
the School Board within
ten (10) days after receipt of the superintendent's
answer. The school board shall consider the
complaint at the soonest appropriate meeting at which
the complainant or
counsel shall have the right to present his or her
position to the Board. The Board shall within thirty
(30) calendar days after the meeting advise the
complainant in writing of the action taken with regard
to the complaint.
10.05 BURDEN OF PROOF: In all grievances, the burden of proof
shall be on the complainant.
10.06 CONFIDENTIALITY OF PROCEEDINGS: All proceedings under this
Grievance Procedure shall be kept confidential, unless
open to the public by request of both
parties.
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11:00 ATHLETIC TRAINING RULES
Introduction
On
behalf of the Athletic Department of the Redfield and
Doland Public Schools, we welcome you to the new sports
season. We are very proud of our Redfield/Doland
Pheasants and are excited to have your child as part of
our programs.
Athletics is an important element in the overall
education of our students. Sports provide an
opportunity to extend the learning process onto the
fields and courts through interscholastic competition.
Role of Athletics
in the Redfield and Doland Public Schools
Athletics are an extension of the classroom experience
for the student-athlete. We are assisting students to
be responsible citizens in their community and the
world. We exist to enhance the experiences
student-athletes receive in the classroom. We believe
athletics assists the educational process in instilling
and developing skills necessary for future success.
Skills such as leadership, communication, goal setting,
organization, work ethic, self discipline, perseverance,
cooperation, loyalty, honesty, perspective, and
relationships are gained through athletic participation.
Athletic Department
Mission Statement
We want
to provide all students with the opportunity to
experience athletics in an effort to enhance their
overall educational experience.
Objectives
The
objectives we are striving to meet within the Redfield
and Doland departments of athletics are:
(1) Develop the key skills for success as an
adult in a competitive society.
(2) Develop the fundamental physical skills
for athletic endeavors.
(3) Develop life long vocational and
recreational interests and a healthy lifestyle.
1
Parent’s Creed
As
parents, you are an invaluable part of your child’s
educational and athletic development. Your attitudes
and actions have the most impact upon the outcome of
your child’s learning in the athletic arena. Therefore,
it is important that you see athletics for what it can
do to help your child’s development. The Parents Creed
is:
I will be the positive role model my child needs to
become a successful adult.
In victory, I will be gracious, humble, and
thankful. In defeat, I will be
strong, honest, and accepting.
The Key Elements
for Athletic Parents
(1) I
will make sure my child knows I love them in the thrill
of the victorious moment and the period of agony brought
on by defeat.
(2) I
will accept my child’s strengths and weaknesses as they
are and focus on helping them to just do their best.
(3) I
will let the coach’s coach – my rule is to support and
encourage progress on a daily, weekly, monthly, and
yearly basis.
(4) I
will teach them to enjoy the thrill of competition – the
fulfillment of just being part of it all – and the
satisfaction of having done your very best.
(5) I
will not re-live my athletic career through my children
in any way.
(6) I
will not compete with the coach – together we will be a
team to work toward the improvement of my child as a
person, student, and athlete.
(7) I
will never compare and contrast the skills, courage, or
attitude of my child with that of their teammates, or
opponents, in a negative manner.
(8) I
will temper my reactions towards my child’s tales of woe
or heroism – we all tend to inflate reality to make it
kinder to our personal standing.
(9) I
will take the time to know my child’s coach in a way
that allows me to understand their philosophy, ethics,
knowledge, goals, aspirations, and responsibilities.
(10) I
will prioritize the agenda that drives my interest in
the athletic program or any individual sport: the team
agenda comes first – my personal agenda follows.
(11) I
will NOT allow the sport or game my child is part of
take on a life of its own.
2
Priorities
In order
to bring some perspective to the athletic department and
its decision making system, we need to have a set of
priorities.
Academics
Overall Athletic Program
Team
When we
make decisions about the direction the department or a
sport is going to proceed, we do so based on the above
criteria.
When
coaches make decisions about athletes and the various
situations that come up as the seasons roll along, these
are the priorities in the order of their importance by
which decisions will be made:
Faith and Family
Education
Team
All
other elements, jobs, friends, etc., will be prioritized
by the coaches and individual athletes based upon their
particular needs or wants.
Parents and
Sportsmanship
The
following are just a few reminders of the important role
parents play in modeling behaviors when involved in
athletic programs:
(1) You are a fan and spectator – that’s
your role – play it well.
(2) You are not the coach – so don’t coach.
(3) You are not an official – so don’t
referee.
(4) You are the host for all visiting teams
– treat them with respect and dignity.
(5) Cheer for our team – not against the
opponent.
Remember – you are a role model for your child and
others who are part of the team and overall program –
how do you want to be remembered?
3
Common (vs.)
Personal Agendas
Redfield/Doland Pheasant athletics offers many
opportunities to grow and develop in ways that are
beneficial to the group as a whole and as individuals.
It is important to understand that for real success to
be achieved and growth to take place, everyone needs to
be on the same page – which means to have a common
agenda.
Teams
that work together to reach common goals are the most
successful. Teams that are unsuccessful – even
though they may be winning – are those that have
personal agendas prioritized ahead of the
team agenda.
Every
athlete should have personal goals and aspirations.
However, they must be secondary to the common
agenda set for the team. If you are more
worried about your points, statistics, place, or playing
time instead of the team – we no longer have a team.
What we have is a group of individuals – no one ever
wins for long under these circumstances, no matter how
good they are as individuals.
Common agendas lead to team success –
personal agendas that are within the framework
of the team agenda will lead to personal success.
The Athletic
Department’s Chain of Command
Head Coaches
Athletic Director
Principal
Superintendent
Board of Education
Athletic
Opportunities
The
following are the athletic opportunities afforded the
students of our Districts by season:
Fall Season: Boys Football Boys and Girls
Cross Country Girls Volleyball
Sports Cheerleading Competition
Cheerleading Boys Golf
Winter Season: Boys Wrestling Boys Basketball Girls
Basketball
Sports
Cheerleading Competition Cheerleading
Spring Season: Boys and Girls Track Girls Golf
4
Athletic Schedules
These
will be provided by the athletic director as soon as
they are available. Varsity schedules are generally
finalized in June, with the exception of Track. Other
schedules (JV & Jr. High) take longer and may be
finished just prior to the season. Schedules are always
subject to change due to unforeseen circumstances
Athletic Questions
and Concerns
Questions, concerns, or complaints are best handled
between the coach and the parents. All conversations
will be held in the strictest confidence. If you need
further assistance please follow the Chain of Command.
Pre-Participation
Eligibility Requirements
Before
any athlete can participate in any practice session for
any sport offered through the Redfield and Doland Public
Schools, the following must be on file:
(1) Current SDHSAA Physical Examination Form
(2) Current SDHSAA Annual Parent or Guardian
Permit
(3) Current SDHSAA Initial
Pre-Participation History
(4) Emergency Medical Authorization Form
(5) Sports/Activity Rules Consent Form
(6) Proof of health/accident insurance
Coaches
at each individual sport kick-off meeting will have the
forms necessary and instruct parents on how to properly
complete each form.
5
SDHSAA Eligibility
Requirements
Under
the rules of the South Dakota High School Activities
Association, athletes are NOT ELIGIBLE IF:
(1) They have
reached their 20th birthday
(2) Have
attended more than 4 first and 4 second semesters in
grades 9-12
(3) Have not
passed 20 hours per week of high school work in the
previous semester
(4) Have not
enrolled in or attended a minimum of 20 hours of class
per week
(5) Have
graduated from a 4 year high school or an equivalent
institution
(6) Have not
enrolled by the 16th day of the current
semester
(7) Have been
absent for 10 consecutive school days – except
illness/emergency
(8)
Transferred without open enrolled completed or a
parental resident change
(9) Do not
have all physical, history, or permission slips on file
(10)Have ever
participated in an athletic contest under an assumed
name
(11)Have ever
violated their amateur status
(12)Have
competed as an individual or member of another team
during their regular high
school
season
**Ineligible athletes may
ride the bus as long as no school is missed
Program Structures
and Goals
Athletic
programs are defined as all grade 7-12 teams in any
given sport. Head Varsity Coaches in any given sport
are the head of their particular athletic program in
conjunction with the Athletic Director and Principal.
Head Coaches will give general directions to Assistant
Varsity Coaches and Junior High Coaches in regard to an
overriding philosophy of the program.
In our
Athletic Programs, we will try to have five team levels
(Gr. 7, Gr. 8, C, B, & A) – each with its own structure
and goals. The following system, or segments of it,
will be used throughout the athletic department:
Junior High School Programs
While
participation in games is important, it will be based on
attitude and effort put forth in practice.
(1)
Seventh Grade – entry level programs. Emphasis on
introducing interscholastic sports to as many students
as possible and teaching them the sport, the basic
skills needed by the sport, and to have fun. We want a
healthy balance between the two key elements –
participation and competition. Our goal is to have every
athlete participating at their level of development.
6
(2)
Eighth Grade – second level programs. Emphasis on
further development of the sport, its basic skills, and
the fun element. A continued balance between the two
key elements – participation and competition. Our goals
are to have every athlete participating at their level
of
development.
Senior High School Programs
While
participation in games is important, it will be based on
attitude and effort put forth in practice.
(3) ‘C’
Team – Third level programs. The emphasis is on honing
and further development of the sport, its skills, the
fun element, and introduction of the more complex
elements this level of competition requires. We have
begun to shift the balance between participation and
competition towards the competitive element. Our goal is
to really offer the athletes a look at the rigors of an
intense schedule and the demands of competition that
accompany it.
(4) ‘B’
Team – fourth level programs. This is the first
intensely demanding level within our system. The
emphasis is on further development of the sport, it’s
basic and complex skills, and a continuation of the fun
element. This is the first level in which the number of
athletes may be limited.
(5) ‘A’
Team – fifth level programs. This is where we put to
use everything that has been developed and learned over
the last five years. Basic skills continue to be
extremely important. Complex sport skills are
critical. The number of athletes at this level may be
limited.
Participation
Selection
Certain
Teams at certain levels has limitations on the number of
participants. These limitations are the result of
factors including time, facilities, equipment staffing,
budgets, and tradition. We do not like to limit
participation of our team. In fact, it is the most
difficult decision any coach has to make, but in some
instances it has to be made.
You
should know that many factors are considered before
limitation decisions are made by the coaching staff.
Perhaps the most important element may be the roles to
be played on the team and how each part fits into the
entire puzzle.
We will
make the necessary decisions about limiting teams to
certain numbers in as fair and professional manner as
possible.
Advancement of
Junior High School Athletes
Athletes
who are in the 7th or 8th grade
may be advanced to other levels of competition within
our sports.
7
Coach, Parent, and
Athlete Relationships
It is
critical to the success of every sport and the entire
athletic department that solid lines of communication
exist between coaches, athletes, and parents. The needs
of the three key elements in the sport, coaches,
athletes, and parents, are best met when we all know
what each other’s role in the activity is and we play
that role.
To allow
our sports to be successful there needs to be good
communication between coaches, athletes, and parents.
To allow this to happen it is very important to
understand what should and should not be topics of
discussion between coaches, athletes, and parents.
We
believe that there are three topics that are off limits
in discussions between coaches, athletes, and parents:
(1) Playing time
(2) Coaching strategy
(3) Other athletes
The
reason we feel this way is simple – playing time and
coaching strategy decisions are the responsibility of
the coaching staff. Also, discussion of other athletes
with anyone outside of the immediate coaching staff is
unprofessional.
If you
need to talk to someone about any situation that
concerns you about a coach or the team, come and discuss
it with the athletic director or secondary principal (if
the athletic director is the coach). Nothing is off
limits with the athletic director and all
conversations are confidential.
Mandatory Meetings
Each team at every level will have
a mandatory parent/athlete meeting prior to the first
scheduled event. The reason for a mandatory meeting is
to start the season off on the right foot, convey our
philosophy, goals, rules, regulations, and make every
athlete and parent aware of the possible dangers
associated with athletic activities.
Awarding of Letters
Each
sport will have a specific system for awarding letters.
The head coach will determine the criteria for that
sport. The lettering system will be explained to the
athletes and parents at the first meeting of the season.
8
Practice Philosophy
Our
philosophy for practice is very simple – every athlete
will be at every practice unless excused by the head
coach for that activity. All athletes are expected to
participate in practice when they are in attendance at
the end of the school day. Each head coach will
determine the consequences for non-excused absences.
In order
for students to compete in an extra-curricular activity,
the student must be in class for the entire day of that
activity unless approved by the principal. In order for
students to travel with the team to an extra-curricular
activity the student must be in class during the last
three (3) periods of the day unless approved by the
principal. A violation of this rule will be considered
truancy.
Athletes should never be allowed to stay home and miss
school to rest before or after any event – no matter how
important it may seem.
Gifts or Awards
Under
the rules of eligibility for interscholastic competition
set forth by the South Dakota High School Activities
Association no athlete can accept any gift or award that
has a value of more than $75.00.
Weight Room
The
weight room is one of the most important facilities in
our entire athletic department. It is in the weight
room that our athletes get stronger and faster. Parents
need to encourage the use of this facility. Athletes
are not to use the weight room unsupervised. School
personnel, volunteer coaches, or other school designated
personnel must be present.
Care of Equipment
Every
athlete will be given equipment and/or uniforms that are
provided by the District. Athletes are responsible for
these items. Lost or damaged items will result in a
fine being levied upon the athlete. The athlete’s report
card will be withheld until the matter has been
resolved.
9
Transportation
The athletic department policy is that all athletes ride
with their team to and from all activities. The
only exceptions to this will be cases where family
situations require the athlete to ride to or from an
event. We would like to keep such happenings to a bare
minimum. In such cases athletes need to secure a Parent
Consent Form from the coach or office, have the parent
complete the form, and return it to the coach prior to
being excused from the event.
Sunday
Participation
No
contest under the auspices of the South Dakota High
School Activities Association may be staged on Sunday.
The athletic department will not schedule or allow any
practices or open gyms unless special circumstances as
approved by the school administration exist.
Wednesday Evening
Activities
All
public school sponsored practices will end by 6:00 PM on
Wednesday evenings. There will be no junior high
practices or events unless special circumstances as
approved by the school administration exist.
Inclement Weather
Situations
When
school is cancelled or dismissed early due to inclement
weather, practice and open gym will be decided on a case
by case basis. When the school start time is delayed
due to inclement weather, no AM practices or open gyms
will be held.
If
school is dismissed for heat reasons – teams may
practice – but will follow an abbreviated schedule.
Overnight Travel
and Meals
The
District will pay for lodging athletic teams on
overnight excursions for state events when an overnight
stay is necessary. Any other overnight stay would have
to be funded through fundraising. The District will NOT
pay for meals on any athletic trips – EXCEPT when
reimbursed by the SDHSAA for state event expenditures.
10
Student-athletes are to remain with their team during
overnight excursions. We want our coaches to know where
everyone is all the time. Parents please remember they
are on a trip with their team – this is time for their
athletic family. Our goal is to allow the
student-athletes this time to bond as a team and
individuals. Parents who are too close on out of town
trips can disrupt the normal functioning of the team
process.
Cancellation of
Events
In the
event any scheduled athletic event has to be canceled or
postponed the athletic office will inform the news media
in the community as soon as possible. Listen to the
radio station, view TV. channel 7, check the school’s
web site or call the school office at 472-4520(Redfield)
or 635-6302(Doland).
Hazing
It is
the policy of the Redfield and Doland School Districts
that hazing will not be permitted in any way, shape, or
form. Athletes who violate this District guideline will
be disciplined accordingly. Parents are encouraged to
report any incidents of this type to the athletic
director.
Summer
Participation Philosophy
The
athletic department believes the summer participation
situation needs to be kept in proper perspective.
Athletic development during the summer months needs to
focus on the development of individual skills and
strength. Team skills are
secondary in nature. Student-athletes need to organize
their summer around the following priorities:
(1)Weight Room
(2) Individual Skill Development
(3) Open Gym or Runs
(4) Individual Camps
(5) Team Skill Development
We think
the most important summer activity for all our athletes
is the weight room. After that they need to work
on their individual skills so that they can perform the
tasks necessary to be the best they can more
efficiently.
We will
coordinate our activities to the best of our abilities.
Your
attitude gets better by the following process:
(1) Get stronger and faster (weight room)
(2) Develop individual skills
(self-motivated activities)
(3) Learn new skills and correct your
mistakes (open gym)
(4) Be motivated to get better (individual
camps)
(5) Put your new and developed skills to
work (team camps)
11
RULES FOR ALL SCHOOL ACTIVITIES, CONTESTS, DANCES, AND
EVENTS
Philosophy:
The Redfield
and Doland School Districts encourage all students to
participate in activities due to the benefits derived
from such participation. Because participation in
student activities exposes students to greater public
exposure and scrutiny, students are expected and
encouraged to bring credit rather than discredit to the
school whose programs make such participation possible.
It shall
therefore be the policy of the School Districts:
1.
That the student’s participation in student
activities is a privilege rather than a right.
2.
Those students who voluntarily exercise the
privilege of participating in student activities shall
consequently be expected to exemplify high standards of
behavior.
3.
Local and state (SDHSAA) Eligibility Rules will
be followed.
During the
school year and the season of practice, play rehearsal,
or activity--regardless of the quantity - a student
shall not use or consume, have in possession, buy, sell,
or distribute alcohol, tobacco, marijuana or any other
controlled substance or commit a crime against any
person or property. It is not a violation for any
student to be in possession of a legally defined drug
specifically prescribed for the student's own use by
his/her doctor.
Violation Enforcement
Training
rule violations can only be processed in the following
ways: self admittance, a written statement by an adult,
or notification from law enforcement. Any infraction
during the summer months that is reported to the school
by law enforcement will result in policy enforcement at
the beginning of the next school year.
Definition of Activity
Activities
that fall under the rules and guidelines set forth in
this section are as follows: all athletic participation,
FBLA, FCCLA, FFA, Cheerleading (squad and competition),
Pep Club, Student Council, school sponsored dances
including prom, co-curricular activities not part of the
curriculum (marching band performance, music contests,
etc.), and other school sponsored events and activities
not associated with the curriculum. Items not included
are: graduation ceremony, band and chorus concerts that
are included in the curriculum, and field trips or other
curriculum items.
Procedure for Reporting Incident
A staff
member who suspects or observes any of the above
violations, on the school grounds, or surrounding areas
during the school day or during school activities, will
be required to refer the violation to the
administration.
Procedure for staff to follow will be:
1.
Report to
administration any violations observed.
2.
Make a
statement to the sheriff’s office.
A
parent/guardian or any other adult member of the
community may also refer the violation to the
administration. The administration may then report the
violation to the sheriff’s office and investigate the
alleged allegation.
12
Parent /
guardian, staff members, or any other adult member of
the community observing or suspecting any of the above
violations, off school grounds, after the school day and
not during a
school
activity, may report the violation to the sheriff’s
office or school official, as a concerned citizen. The
school and the sheriff’s office will be in contact with
each other, for any violations dealing with the extra or
co-curricular activities.
Activities: Rules and Regulations
A. The
student(s) involved in an alleged violation will be
given an informal conference with the principal in order
to respond to the allegation of a violation. This
meeting and decision will take place within five school
days of when the principal is notified of the
allegation.
B. Upon
suspending a student from activities, if possible, the
principal shall provide oral notice of the suspension to
the student's parent or guardian. The principal shall
also provide written notice to the parents or guardian.
C. In the
absence of the principal, an appointed designee will
work with the violation.
D. In
order for the missing of an event to count towards a
violation the student must complete the activity in good
standing.
E.
Violation to this policy will be cumulative over a two
year period (7-8, 9-10, 11-12).
F. If a
student / athlete comes forward with an admission of
quilt prior to a determination being made by school
officials the suspension period will be reduced to the
number of events only.
Specific Violations and Penalties
A. First
Violation
1.
Penalty--after confirmation of the first violation, the
student shall immediately lose eligibility for
participation in extra-curricular and co-curricular
activities and school sponsored dances for 15 days,
including the 15th day or two events, whichever is
longer. This does not include
practices.
2.
The student shall carry out a restitution program of
five hours under the direction of the prevention
coordinator and counselor.
3.
The parent/guardian and/or student will meet with
representative of the S.A.T.
4.
The school will offer the parent/guardian information on
an assessment for potential chemical abuse (excluding
tobacco).
B. Second
Violation
1.
Penalty--after confirmation of the second violation, the
student shall immediately lose eligibility for
participation in extra-curricular and co-curricular
activities and school sponsored dances for 45 days,
including the 45th day, or 5 events whichever
is longer. This does not include practices.
2.
Before being re-admitted to activities following
suspension for the second violation, excluding tobacco,
the student shall show evidence in writing that he/she
has sought an assessment and/or counseling from an
certified Chemical Dependency Counselor. The
assessment, counseling and/or drug treatment will be at
the student's expense.
3.
Parent/guardian and/or student will meet with
representative of the S.A.T.
C. Third
Violation
1.
Penalty--after confirmation of the third and
subsequent violations, the student shall immediately
lose eligibility for participation in extra-curricular
and co-curricular activities and school sponsored dances
for twelve consecutive months. If another violation
occurs during the school year, the year suspension will
start on the date of this violation.
2.
Before being re-admitted to activities following
suspension for the third violation, excluding tobacco,
the student shall show evidence in writing that he/she
has sought an assessment and/or counseling. The
assessment, counseling and/or drug treatment will be at
the student's
expense.
13
D.
Instances in which other school rules and
regulations have been violated on a school sponsored
trip, in a school building, or on school property, the
administration shall deal with the student in addition
to this policy.
E.
A student will not be allowed to participate in
any activities during the current school year or
following years until the required restitution is
completed.
F.
Any student convicted for drugs will be suspended
from school activities in accordance with state statute
which can be found in the SDHSAA Handbook. If the
student completes the prescribed treatment plan they
will receive a six (6) month suspension from activities.
G. Appeals
1.
In the event the student or parents believe the
student's rights have been violated, they may appeal the
principal's decision within five school days to the
superintendent or designee. The superintendent or
designee has five school days to respond to the appeal.
2.
The student or parent may appeal the superintendent or
designee's decision to the local board of education
within 30 days. The board of education has 30 days to
render their decision.
3.
The student
will remain ineligible during the appeal process.
Activities Causing
Absences during the School Day
If taking part in an activity necessitates your being
absent during the school day, it is the student’s
responsibility that his/her work is made up. Students
may not be excused from class, if in the opinion of an
instructor, they have not made an honest effort
regarding assignments or if student is considerably
behind in a particular course.
Athletic Participation in Two Sports during the Same
Season
1.
A pre-season meeting must be scheduled by the
parent/guardian with the Athletic Director.
2.
Persons attending the meeting should include
parent/guardian, student, head coaches for both sports,
and Athletic Director.
3.
At the meeting a season plan must be developed
that must contain the following items:
-
Declaration of major sport (upon the occurrence of
any conflict, the major sport will take
precedence).
-
A season practice and game schedule must be
established.
-
All other conflicts should be discussed and
solutions documented in plan.
WEEKLY ACADEMIC
ELIGIBILITY
The purpose of the Weekly
Academic Eligibility Policy is to promote academic
success and individual responsibility.
Doland Junior/Senior High
students must be passing all classes to a level and
satisfaction of the teacher to be eligible for
participation in co-curricular/extracurricular
activities. A probation/ineligibility list will be
published weekly.
Policy Guidelines:
1.
A student will be on probation for two weeks
following notification of a failing or non-satisfactory
grade.
2.
A student is either on probation or ineligible
for one week, from Tuesday morning through Monday night.
3.
When a student is put on the probation list,
he/she will continue to participate in activities,
contests and events as normal. Probation is a warning
to a student to bring his/her grades up.
4.
A student becomes ineligible when his/her name
appears on the list for three or more consecutive weeks.
5.
When a student becomes ineligible, he/she will
continue to attend practices, but will not participate
in any school activity, contest or event. The student
may ride with the team / group as long as no school is
missed.
6.
The teacher may, with the approval of the
principal, immediately declare a student ineligible if
special circumstances exist. Parents/guardians and
students will be notified as soon as possible.
7.
BAND & CHORUS EXCEPTION: Student participation at
ball games and concerts is part of their grade.
Therefore Band & Chorus members will be excluded from
the Academic Eligibility policy in these instances. Out
of town Band and Chorus activities ARE included as part
of the eligibility policy.
8.
Weekly academic eligibility will begin the third
week of each semester and continue throughout the
semester. Eligibility will be based on the semester
grade.
Procedures:
1.
The list of students with failing and
non-satisfactory grades will be turned in to the office
by 8:30 a.m. every Monday.
2.
Coaches/advisors of activities will be notified
by 3:30 p.m. on Monday of students in their activities
that are on the probation/ineligibility list.
3.
Students will be notified of their
probation/ineligibility by letter during their first
scheduled class on Tuesday morning.
4.
Parents/guardians will be immediately notified by
letter of their child’s probation/ineligibility status.
5.
In the event that school is not in session,
procedures will begin the next day school is in session
DOLAND
PUBLIC SCHOOL
PARENTAL/GUARDIAN/STUDENT CONSENT SHEET
for Training Rules and Academic Eligibility
RULES FOR ALL SCHOOL ACTIVITIES, CONTESTS, DANCES AND
EVENTS
It
shall therefore be the policy of the School District:
1.
That the student’s participation in student
activities is a privilege rather than a right.
2.
Those students who voluntarily exercise the
privilege of participating in student activities shall
consequently be expected to exemplify high standards of
behavior.
3.
Local and State (SDHSAA) Eligibility Rules will
be followed.
During the school year and the season of practice, play
rehearsal, or activity – regardless of the quantity – a
student shall not use or consume, have in possession,
buy, sell, or distribute alcohol, tobacco, marijuana or
any other controlled substance or commit a crime against
any person or property.
It is not a violation for
any student to be in possession of a legally defined
drug specifically prescribed for the student’s own use
by his/her doctor.
The above training rules have been read and we
acknowledge that we are aware of and recognize these
rules that our dependent child will be governed by.
Student’s Full
Name____________________________________________________
(Please Print)
Student’s
Signature_________________________________________________
Parent(s)/Guardian(s)
Full
Name________________________________________________
(Please Print)
Parent(s)/Guardian(s)
Signature_________________________________________________
Grade________________
Date______________________
Appendix B
PLEASE CIRCLE GRADE THIS
YEAR
7
8 9 10 11 12
CONSENT FOR MEDICAL TREATMENT
I am
the ______________________________(Mother-Father-Legal
Guardian) of
____________________________________(Student), who
participates in school activities for
REDFIELD & DOLAND SCHOOL DISTRICTS.
I hereby consent to any medical services that may be
required while said child is under the supervision of an
employee of REDFIELD AND DOLAND SCHOOL DISTRICTS
while on a school-sponsored activity and hereby appoint
said employee to act on my behalf in securing necessary
medical services from any duly licensed medical
provider.
Date____________________________________.
Parent/Legal Guardian
Signature__________________________________________________
CONSENT OF CHILD
I,
____________________________(student), have read the
above consent form signed by
my_________________________ (Mother-Father-Legal
Guardian) and join with
________(him/her) in the consent.
Date______________________________.
Student
Signature______________________________________________________________
Insurance Company Name &
Policy Number:_________________________________________
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Telephone Number:
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