Welcome To. School Information:
|
|
|
- Samson West
- 6 years ago
- Views:
Transcription
1 Welcome To School Information: School Address: 130 E. Brigham Road, Stansbury Park, UT School Phone: Fax: Principal: Shanz Leonelli Secretary: Kristen Coe School Web Page:
2 STUDENT INFORMATION FORM Grade Date of Birth: Sex: M F Student ID # Student s Legal Name (You must use name as it appears on the student s birth certificate) First Name: Middle: Last Name: Student s Preferred Name (if other than legal name) First Name: Middle: Last Name: Do you give permission for your student s name, picture, school, age, and any honors received or activities participated in to be utilized in school or district publications, yearbook, school directory, news media, Utah Futures and other publications? (check one) No Restrictions Restrict directory data & photos Restrict photos only Has child attended Tooele County Schools before? Yes No Has child attended a school in Utah before? Yes No School he/she last attended: Are you Hispanic/Latino? Yes No Language spoken at home (if other than English) Please select one or more of the following races for student: Amer. Indian/Alaska Native Asian Black or African Amer. Native Hawaiian or Other Pacific Islander White Home Address: City/State: Zip: Mailing Address (if different): City/State: Zip: Home Phone: Father s First Name: Last Name: Lives w/child? Yes No Cell # Address: Mother s First Name: Last Name: Lives w/child? Yes No Cell # Address: Legal Guardian: (if other than parent listed above): First Name: Last Name: Lives w/child? Yes No Cell # Address:
3 Old Mill Elementary School 130 East Brigham Road Stansbury Park, Utah Shanz Leonelli, Principal Telephone (435) AUTHORIZATION TO RELEASE INFORMATION I authorize the release of the following information regarding,, (Name) (Birthdate) PLEASE THE STUDENT S BIRTH CERTIFICATE AND IMMUNIZATIONS RECORDS AS SOON AS POSSIBLE. Cumulative Records Special Education Records Psychological-Educational Evaluation Records Speech Records School Health Records Medical Records Achievement Tests All others that apply I understand that the information transferred will be treated in a confidential matter and will not be transmitted to a third party without my consent. Send records to: Old Mill Elementary School (Signature of Parent/Guardian) 130 East Brigham Road Stansbury Park, Utah Or kcoe@tooeleschools.org (Date) Name and address of school releasing information:
4
5 Old Mill Elementary Schedule Summary Students should arrive at school between 8:45 and 8:55 a.m. If your child is eating breakfast at school, the doors open at 8:30 a.m. We stop serving breakfast at 8:50 a.m. The tardy bell rings at 9:00 a.m., announcements are made and school is under way, so students should be in their seats and ready to start school no later than 9:00 a.m. ****School breakfast starts at 8:30 ends at 8:50**** Front doors open and breakfast served: 8:30 a.m. Teachers arrive: 8:30 a.m. Students arrive: 8:45 8:55 a.m. First bell: students should go line up at appropriate entrance 8:50 a.m. Warning Bell: Five minute bell 8:55 a.m. School in Session: all students should be in class and ready to work 9:00 a.m. School begins PM Kinder: 12:45 p.m. School begins PM Kinder (Wednesday): 11:00 a.m. Dismissal for AM Kinder: 11:45 a.m. Dismissal for PMK-6 th grade 3:30 p.m. Dismissal for AM Kind (Wednesday): 10:30 a.m. Dismissal for PMK-6 th grade (Wednesday): 12:30 p.m. Pre-school: School begins AM Session Dismissal AM Session: School begins PM Session Dismissal PM Session: Office Hours: 9:00 a.m. 11:30 a.m. 11:30 a.m. 2:00 p.m. 8:00 a.m. 4:00 p.m. Daily lunch schedule: (Monday, Tuesday, Thursday, Friday) 11:35 Noon...1 st, 2 nd Grade Lunch 12:05 12:30 3 rd, 4 th Grade Lunch 12:35 1:00..5 th, 6 th Grade Lunch Wednesday lunch schedule: 11:00 11: st, 2 nd Grade Lunch 11:30 Noon 3 rd, 4 th Grade Lunch 12:00 12:30 5 th, 6 th Grade Lunch
6 SCHOOL YEAR CALENDAR Approved February 21, 2017 Event Date Special Ed Law Conference Aug 2, 3 Wednesday, Thursday Leadership Institute Aug 4, 7, 8 Friday, Monday, Tuesday Building Leadership Team Training Aug 9 Wednesday - all BLT Teams New Teacher In-service Aug 10, 11 Thursday, Friday CTE & SPED Professional Day Aug 14 Monday District Days First Day of School Aug 22 Tuesday Labor Day (NO SCHOOL-ALL) Sep 4 Monday Aug 15, 16, 17, 18, 21 Aug 15-Principal's Day,Aug 17-District Day, Aug 16, 18 & 21-Classroom District Day #6 (NO SCHOOL-STU) Oct 6 Friday Techtoberfest Teacher Convention (NO SCHOOL-ALL) Oct 19, 20 Thursday, Friday End 1st Term (45 Days) (NO SCHOOL-STU) Oct 27 Friday 1/2 Day Data and 1/2 Day Grades Start of Second Term Oct 30 Thanksgiving Break (NO SCHOOL-ALL) Nov 23, 24 Wednesday (Early Release for Staff), Thursday, Friday Winter Break (NO SCHOOL-ALL) Dec 21 - Jan 1 Resume School Jan 2 Tuesday End 2nd Term (44 Days) Jan 11 Thursday Start Third Term (NO SCHOOL-STU) Jan 12 Friday 1/2 Day Data and 1/2 Day Grades 89 Total Days First Semester Martin Luther King Day (NO SCHOOL-ALL) Jan 15 Monday Presidents Day (NO SCHOOL-ALL) Feb 19 Monday End 3rd Term (44 Days) (NO SCHOOL-STU) Mar 16 Friday 1/2 Day Data and 1/2 Day Grades & Planning Start Fourth Term Mar 19 Monday Spring Break (NO SCHOOL-ALL) Mar Monday - Friday Resume School Apr 2 Monday Last Day of School for Students May 23 Wednesday 1/2 Day for Students 4th Term Ends (44 Days) (NO SCHOOL-STU) May 24 Thursday 1/2 Day Data and 1/2 Day Grades & Planning 88 Total Days Second Semester / 177 Total School Days Memorial Day (SCHOOL IS OUT) May 28 Monday Wednesday afternoons will be Professional Learning Community Time: - Elementary PLC time: 12:45-1:30 p.m. - Secondary PLC Time: 1:45-2:30 Wednesday afternoons will be elementary planning time: 1:30-4:00 p.m. The calendar has 173 days of student contact, 4 data days that count as student days, and 3 PT Conferences that count as student days for a total of 180 student days. Built in the schedule are 6 district PD days and 1 PD for principals with their staff at a date(s) of his/her chosing. 5/25/2017
Additionally, the parent or legal guardian must provide the following documents upon registration of a new student:
Montgomery County Public Schools requires several documents upon registration of a new student. Below is a list of documents which may be downloaded and reviewed and/or completed by the parent or legal
ADMISSION INFORMATION
Texas Dept of Family and Protective Services ADMISSION INFORMATION Form 2935 Aug 2010 / Pg 1 of 3 Operation Name The Stepping Stone Director s Name Ashley Stock Child s Full Name Child s of Birth Child
UNIVERSITY OF DAYTON DAYTON OH ACADEMIC CALENDAR FALL Incoming First Year students move into UD Housing
UNIVERSITY OF DAYTON DAYTON OH 2018-2019 ACADEMIC CALENDAR FALL 2018 Mon. Aug 6 TBD Thu, Aug 16 Fri, Aug 17 Sat, Aug 18-21 Sun, Aug 19 Tue, Aug 21 Tue, Aug 21 Wed, Aug 22 Tue, Aug 28 Mon, Sep 3 Fri, Sep
Hale Ola Kino Maika i
We ve teamed up to make it easier for students to access healthcare in their school! Together, we are your School-Based Health Center! Waianae High School (WHS) is proud to partner with Waianae Coast Comprehensive
Hospital Name. Medical Record Number: Hours/Days of Operation: Clinic: Physician: Contact Person / Title: Phone: Fax: Hours/Days of Operation:
Hospital Name City, State, Zip Code: Phone Numbers: Main Number: Emergency Room: Medical Record Number: Clinic: Hours/Days of Operation: Physician: Contact Person / Title: Phone: Fax: Email: Clinic: Hours/Days
SIGN-UP PAGE FOR HOLIDAY STEP CHILD CARE
SIGN-UP PAGE FOR HOLIDAY STEP CHILD CARE - 2018-2019 Contact 856-429-6564 ext. 2 for assistance and information. This sign-up page needs to be in the STEP/SACC office no later than 5 business days prior
Maternity and Family Education
2014 Maternity and Family Education Phone: 980-487-3983 email: crmcmaternityandfamilyeducation@carolinashealthcare.org 1 2 Maternity and Family Education Programs When it comes to having a baby, you can
APPLICATION. Name (Last, First, MI): Address: City, State, & Zip Code: Home Telephone: Cell Telephone: Date of Birth: / /
Girls in Engineering Academy (GEA) July 10 August 4, 2017 APPLICATION A Summer Pre-Engineering Program for Middle School Girls Please print or type all information. Additional sheets may be attached if
If there is any home custody issues (i.e. divorce, restraining orders, etc.), it is imperative that we are made aware.
June 1, 2016 Dear Parents: Welcome to the New Lenox Community Park District ACES Program! We are very excited to be able to be the sole provider for District #122 with our quality before and after school
School District Of Okaloosa County School Calendar School Board Approved 11/12/13
School District Of Okaloosa County 2014-2015 School Calendar School Board Approved 11/12/13 Teacher Work Day (no school for students) Student School Day Holiday - Schools Closed First/Last Day of School
Academic Calendar Adult Degree Programs: Evening and Online Only
Academic Calendar 2018-2019 FALL SEMESTER 2018 Adult Degree Programs: Evening and Online Only Tue., Aug. 14 Thurs., Aug. 16 Fri., Aug. 24 Mon., Aug. 27 Thurs., Aug. 30 Mon., Sept. 3 Thurs., Sept. 6 Mon.,
Manual Academy The Heart of the Southside 811 S. Griswold St. Peoria, IL Phone:
The Heart of the Southside 811 S. Griswold St. Peoria, IL 61605 Phone: 672-6605 Elizabeth Zilkowski, Principal Cory Brown, Assistant Principal 7 th & 8 th Grade Academy Craig Norman, Assistant Principal,
DAILY ACTIVITIES FROM THE BOARD
DATE: 10 August 2017 Summer Break Summer Break Summer Break 1. Copy Act. & Log 2. Finish Introductions 3. Tardy Policy 4. Course Outline Packet 5. Suspense Sorry, Wrong Number 1. Seating Chart 2. Heading
SCHOOL OF NURSING POLICY
SCHOOL OF NURSING POLICY SUBJECT: Academic Affairs TITLE: Graduate Program Student Scholarship Responsible Executive: Assistant Dean for Graduate Programs Responsible Office: Business Office CODING: 06-01-05-16:00
DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING RN TO BSN COMPLETION PROGRAM APPLICATION
RN TO BSN COMPLETION PROGRAM APPLICATION I am applying for the Fall of 20 Full-time Part-time 1. Name in Full (Last) (First) (Middle) 2. Home Address (Number & Street or RFD) (City) (State) (Zip) (County)
Buchanan YMCA New Traditions Elementary School
Buchanan YMCA 2017-2018 New Traditions Elementary School PROGRAM! I am enrolling my child in MONTHLY care for before and/or after school.! I am enrolling my child in DROP-IN care for before and/or after
2017 VolunTeen Application. Fort Belvoir Community Hospital
Page1 2017 VolunTeen Application Thank you for your interest in participating in the 2017 Summer VolunTeen Program! The American Red Cross got its start serving the United States Armed Forces and now you
SCHOOL SCHEDULE INFORMATION
2017-2018 SCHOOL SCHEDULE INFORMATION Delayed Openings Cancellations School Calendars School Operating Hours Holidays Other Special Dates Newport News Public Schools 12465 Warwick Blvd., Newport News,
Academic Calendar. Fall Semester 2017 (August 21-December 1)
Academic Calendar Fall Semester 2017 (August 21-December 1) July Orientation Session 1 July 9 11 Sunday Tuesday Orientation Session 2 July 16 18 Sunday Tuesday Orientation Session 3 July 23 25 Sunday Tuesday
Calendar. of events Since Celebrating 85 Years of Excellence
- Calendar of events Celebrating Years of Excellence Since AUGUST events 0 First Day of School Back to School Night (th-th) Back to School Night (PS-th) AUGUST Developing a Lifelong Love of Learning SUNDAY
Southfield High School Marching Band & Auxiliary Will Be Parading In Washington, DC
Southfield High School Marching Band & Auxiliary Will Be Parading In Washington, DC WHEN??: Leave Date: Thursday night May 26, 2016 Return Date: Monday night May 30, 2016 WHY??: Former Southfield Mayor,
Registration Guidelines
Registration Guidelines 2018 2019 Providing a Quality Education in a Christian Atmosphere Registration for 2018-2019 In order to reserve your child s spot in a class at Hillcrest School for the coming
UNITED STATES MARINE CORPS MCB HAWAII EDUCATION CENTER MARINE CORPS BASE HAWAII BOX KANEOHE BAY, HAWAII
UNITED STATES MARINE CORPS MCB HAWAII EDUCATION CENTER MARINE CORPS BASE HAWAII BOX 63073 KANEOHE BAY, HAWAII 96863-3073 IN REPLY, REFER TO: 1560 MCCSMFJ 12 Mar 18 FROM: Supervisory Education Services
3. Student ID# (Banner ID# or SS #) 4. Gender: Female Male 5. Name (Last) (First) (Middle) (Other)* 6. Current Mailing Address:
DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING DOCTOR OF NURSING PRACTICE PROGRAM APPLICATION 1. Projected entrance into the program for Fall, 20 Year Full-time Part-time 2. Current Educational
School Schedule Information
School Schedule Information 2018-2019 2017-2018 SCHOOL SCHEDULE INFORMATION Delayed Openings Cancellations School Calendars School Operating Hours Holidays Other Special Dates Newport News Public Schools
WELCOME TO RON RUSSELL SUN COMMUNITY SCHOOL! Like us on Facebook:
WELCOME TO RON RUSSELL SUN COMMUNITY SCHOOL! Like us on Facebook: www.facebook.com/sunronrussellms SUN Extended Day Schedule: 3pm - 3:17pm: Free Meal 3:20pm - 4:10pm: Period 1 4:15pm - 5:20pm: Period 2
Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!)
Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!) APPLICATION OVERVIEW KP Youth Exploration Academy in Healthcare (KP YEAH!) is a paid, 4 week-long, interactive exploration program for
Thank you for choosing Oakland Medical Center as your Patient-Centered Medical Home
Thank you for choosing Oakland Medical Center as your Patient-Centered Medical Home We ask that you complete the enclosed paperwork and bring it with you at the time of your appointment. We also ask that
arts education scholarship fund application
2018 spring semester arts education scholarship fund application Dr. Phillips Center for the Performing Arts started this fund to provide high-quality, professional arts experiences for those who wouldn
Kaiser Permanente Northwest KP YEAH!
Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!) Application Overview KP Youth Exploration Academy in Healthcare (KP YEAH!) is a paid, four week-long, interactive exploration program
BANGOR REGION YMCA CHILDCARE REGISTRATION FORM
On-Site Registration Required BANGOR REGION YMCA CHILDCARE REGISTRATION FORM Childcare Information & Program Attending - Please Print ( )Early Childhood Education ( )Y-Works ( )Before School ( )After School
Kids Connection After School Extended Care Program And 3K Wrap Around Care
Kids Connection After School Extended Care Program And 3K Wrap Around Care Mission: Holy Apostles Catholic School embraces our mission by creating a compassionate atmosphere which promotes faith, knowledge
Georgia Highlands College RN-BSN Online Application Deadline March 31 www.highlands.edu/site/bsn (706) 204-2290 cjablons@highlands.edu Page 1 Georgia Highlands College Department of Nursing Application
West Virginia University Institute of Technology Fall 2017 Academic Calendar (August thru December 2017)
West Virginia University Institute of Technology Fall 2017 Academic Calendar (August thru December 2017), August 11... New Student Orientation Monday, August 14... General Registration Wednesday, August
September First Day of School Kinder Staggered Entry JH Academies Begin. 6 Kinder Staggered Entry Elem Academies Begin
September 2017 1 2 T6E 1L3 3 4 LABOUR DAY 10 11 12 5 First Day of School Kinder Staggered Entry JH Academies Begin Picture Day 6 Kinder Staggered Entry Elem Academies Begin 13 School Opening Onsite Celeb
F1: Overview. Illustrated for 2016 Fall Calendar F1. Current Fall Calendar. First Class Day: Earliest: Aug 27 Latest: Sep 3
Fall Recognition R F1: Overview Illustrated for 2016 Fall Calendar F1 Current Fall Calendar First Class Day: Earliest: Aug 21 Latest: Aug 27 Last : Earliest: Dec 13 Latest: Dec 19 First Class Day: Earliest:
Belmont University Academic Year
Belmont University Academic Year 208 209 FALL SEMESTER 208 Jul 208 ~ August 208 ~ Sep 208 4 New Faculty Orientation 2 New Faculty Orientation 3 New Faculty Orientation 5 6 7 Last Day of Classes for Full
PATIENT REGISTRATION FORM PARENTAL MEDICAL CONSENT FORM FOR A MINOR CHILD
PATIENT REGISTRATION FORM PARENTAL MEDICAL CONSENT FORM FOR A MINOR CHILD General Consent for Treatment I have the legal right to consent to medical and surgical treatment because (a) I am the patient
Sun Mon Tue Wed Thu Fri Sat
August 7-11 Mon - Fri College Application 101 Class 9:30 a.m. to 12:00; 11:30 a.m. to 2:00 p.m. Guidance Office August 13 Sunday Incoming Freshman Welcome, 2:00 p.m. to 4:00 p.m.. August 14-18 Mon - Fri
Please return your completed application to
Dear Potential Volunteer, Thank you for your interest in volunteering with Charlotte Pediatric Clinic. Volunteers are an important part of our team and help us in many ways. We appreciate everyone who
School City of Mishawaka Elementary Athletics at a Glance
School City of Mishawaka 2016 17 Elementary Athletics at a Glance Developing children physically through exercise, teaching the fundamentals of sports, and developing a proper attitude toward team play.
PLEASE READ COMPLETELY BEFORE FILLING OUT THE APPLICATION
ERIE COUNTY COMMUNITY FOUNDATION BUCKEYE BROADBAND BCSN SCHOLARSHIP PROJECT FUND SCHOLAR OF THE MONTH 2018-2019 INFORMATION SHEET PLEASE READ COMPLETELY BEFORE FILLING OUT THE APPLICATION PURPOSE To provide
BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS
BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BE IT RESOLVED, by the Mayor and Borough Council of the Borough of Roselle,
The School of Sacred Heart St. Francis de Sales 307 School Street Bennington, Vermont Family Commitment and Service Handbook
Family Commitment and Service Handbook 2018-2019 The School of Sacred Heart St. Francis de Sales 307 School Street Bennington, Vermont 05201 Providing excellence in academics and a deepening faith in God
2018 State Funded Youth Employment Program
2018 State Funded Youth Employment Program APPLICATION OF INTEREST Completion of this application does not guarantee a slot in the program. This program is currently PENDING funding. Youth will be notified
REGISTRATION FORM (Minors)
LEGAL NAME REGISTRATION FORM (Minors) Social Security#: Date of Birth: Sex: M or F Nickname: Religion: Church: Race (circle one): White Black-Asian AM Indian Alaska Native Native Hawaiian Pacific Islander-Unknown
Eastern Michigan University: University Calendar After Labor Day Proposed Calendar
Eastern Michigan University DigitalCommons@EMU Faculty Senate Materials Faculty Senate 2006 Eastern Michigan University: 2009-2010 University Calendar After Labor Day Proposed Calendar Faculty Council
College Scholarship Application Deadline: January 31, 2015
Delta Sigma Theta Sorority, Inc. Macon Alumnae Chapter College Scholarship Application Deadline: January 31, 2015 2015 College Scholarship Application Requirements! Scholarship Eligibility Requirements:
South Florida College of Nursing
South Florida College of Nursing Created by Nurses for Nurses 7925 NW 12th Street Doral, FL 33126 Suite 312 2017-2018 Associate of Science Degree in Nursing South Florida College of Nursing Welcome South
Bachelor of Science Nursing (RN to BSN)
Bachelor of Science Nursing (RN to BSN) Application Packet The Bachelor of Science in Nursing program (BSN) is accredited by the Commission on Collegiate Nursing Education (CCNE). Olympic College Mission
Veterans Day 2009: Nov. 11
CB09-FF.21 Oct. 13, 2009 Veterans Day 2009: Nov. 11 Veterans Day originated as Armistice Day on Nov. 11, 1919, the first anniversary of the end of World War I. Congress passed a resolution in 1926 for
APPLICATION FORM FOR REGULAR VOLUNTEERS
Thank you for choosing to volunteer at KK Women s and Children s Hospital! Kindly provide us with your details below and we will be in contact with you soon. Please note: Please fill in ALL sections. The
MOTHER SETON REGIONAL HIGH SCHOOL CALENDAR
MOTHER SETON REGIONAL HIGH SCHOOL CALENDAR 2016-2017 JULY July 11-15 July 18-22 July 25-29 Volleyball Camp: Instruction and Competition Camp: 10:00 a.m.-12:30 p.m. MSR Varsity Team Training Camp: 12:30-3:00
PROSPECT PARK ZOO Project TRUE Urban Ecology Program Application School Year (Please Print)
PROSPECT PARK ZOO Project TRUE Urban Ecology Program Application School Year 2014 2015 (Please Print) Name Date Address City/State/Zip Home phone: Cell phone: Work phone: Email: Date of Birth: EDUCATION:
COLLEGE SCHOLARSHIP APPLICATION
MACON ALUMNAE CHAPTER DELTA SIGMA THETA SORORITY, INC. A Public Service Sorority 2018 COLLEGE SCHOLARSHIP APPLICATION Application Deadline: Wednesday, January 31, 2018 Must be postmarked by January 31,
STERILIZATION CONSENT FORM INSTRUCTIONS
STERILIZATION CONSENT FORM INSTRUCTIONS In accordance with Title 42 Code of Federal Regulations (CFR) 50, Subpart B, all sterilizations require a valid consent form. The consent form can be downloaded
Summer College Prep Program July 7 th, 2014 July 25 th, 2014
Summer College Prep Program July 7 th, 2014 July 25 th, 2014 11 th graders entering 12 th grade in the fall of 2014 Application Requirements 1. Student must complete STEP College Prep Summer Program application.
Compliance Division Staff Report
Compliance Division Staff Report Polygraph Advisory Board Meeting Tuesday, September 26, 2017 Public Outreach Compliance Division routinely attends annual industry meetings held by TALEPI (Texas Association
FAMILY CHRISTIAN CENTER SCHOOL BEFORE and AFTERCARE APPLICATION
: FAMILY CHRISTIAN CENTER SCHOOL BEFORE and AFTERCARE APPLICATION Student Please Print Name Grade: Age: Review the following to ensure completion of the application process. Registration fee (due upon
240 Meeting House Lane, Southampton, NY (631)
(631) 726-8630 www.southamptonhospital.org Dear Mother-to-be, On behalf of Southampton Hospital s Kathleen D. Allen Maternity Center, we would like to extend our congratulations to you and let you know
UNIVERSITY OF PITTSBURGH ACADEMIC CALENDAR
UNIVERSITY OF PITTSBURGH ACADEMIC CALENDAR 2011-2012 Official dates for degrees awarded apply to all schools and regional campuses of the University. Dates in bold apply to all undergraduate and graduate
Roosevelt Care Center. Volunteer Service Application
Volunteer Service Application Name : : City, State, Zip Code: Home phone #: Cell phone# In Case of Emergency, please notify: Phone # Relationship: of last PPD (Tuberculosis skin test) Have you had: Mumps
PLEASE READ THIS INFORMATION SHEET COMPLETELY BEFORE FILLING OUT THE APPLICATION
Toledo Community Foundation, Inc. Buckeye Broadband / BCSN Scholar of the Month Scholarship 2017-2018 Information Sheet PURPOSE PLEASE READ THIS INFORMATION SHEET COMPLETELY BEFORE FILLING OUT THE APPLICATION
Sweet Pea s Learning Center
Sweet Pea s Learning Center STAFF USE ONLY Entrance / / 210 5 th Street PO Box 643 Trenton, GA 30752 706-657-2865 Child Enrollment Form PLEASE DO NOT LEAVE ANY BLANKS. STAFF USE ONLY Withdrawal / / Child
Welcome to the YMCA Great Escape Before & After School Program
Welcome to the YMCA Great Escape Before & After School Program 2016-2017 The YMCA Great Escape Program is designed to offer well-supervised, safe, quality care for school age children. Our program is set
NEWSLETTER. We re on the Web! We re on the Web! IMPORTANT DATES
NORTH FORK LOCAL SCHOOL DISTRICT Scott Hartley, Superintendent Tonya Mickley, treasurer Volume 6, Issue 1 August, 2018 Wednesday August 22, 2018 Newton Elementary 740-745-5982 Michele Gorius, Principal
ACADEMIC CALENDAR
ACADEMIC CALENDAR 2016 17 Dates in bold apply to all schools, on all University campuses. Those not in bold apply only to the Pittsburgh Campus. Official dates for degrees awarded apply to all schools,
Volunteer Application and Placement Process
Volunteer Application and Placement Process Thank you for your interest in volunteering at University of Colorado Hospital. Volunteers play an important and meaningful role in providing amazing service
The African American Hall of Fame Museum ACADEMIC SCHOLARSHIP AWARDS
The African American Hall of Fame Museum 2017-2018 ACADEMIC SCHOLARSHIP AWARDS SPONSORS The African American Hall of Fame Museum supports African American graduating seniors of Bloomington and Normal high
UCSD Staff Association Career Experience for High School Students June 23- August 15, 2014 (eight weeks)
UCSD Staff Association Career Experience for High School Students June 23- August 15, 2014 (eight weeks) Program Description: The UCSD Career Experience for High School Students program, a part of the
UNIVERSITY OF PITTSBURGH ACADEMIC CALENDAR
UNIVERSITY OF PITTSBURGH ACADEMIC CALENDAR 2010-2011 Official dates for degrees awarded apply to all schools and regional campuses of the University. Dates in bold apply to all undergraduate and graduate
MESA Summer Academy: Solar System Mission Possible Application Deadline: June 1, 2018 Early Bird Discount Deadline: May 1, 2018
MESA Summer Academy: Solar System Mission Possible Application Deadline: June 1, 2018 Early Bird Discount Deadline: May 1, 2018 Program Description Get a head start on your career in space exploration
TRANSFER Associate Degree Nursing PROGRAM APPLICATION AND ADMISSION INFORMATION
Department of Nursing 2088 North Beale Road Bldg. 2100, Room 2105 Marysville CA 95901 (530) 741-6784 http://nursing.yccd.edu TRANSFER Associate Degree Nursing PROGRAM APPLICATION AND ADMISSION INFORMATION
Every Friday starting April 21, 2017 (2:00pm 4:00pm)
Summer Youth Employment & Training Program (SYEP) 2017 SYEP It is an employment and training program, which offers income eligible New London area youth, ages 14-21 (must be 14 by 7/1/17), the opportunity
Hope Academy of Public Service GENERAL STUDENT INFORMATION
Hope Academy of Public Service GENERAL STUDENT INFORMATION First Name: Middle Name: Last Name: SSN: Current Grade: Birth date: Age: Gender: M or F Ethnicity (check one): Primary Race (check only one):
Pacific & Asian Affairs Council Summer Service Learning Study Tour to Vietnam Program Information Sheet
Pacific & Asian Affairs Council Summer Service Learning Study Tour to Vietnam Program Information Sheet PROGRAM INFORMATION AND COST: - Tentative Trip Dates: Mandatory pre-trip orientation: May 19 20,
Student Application
Student Application 2019-2020 Name: Date Received (official use only) Page 1 of 12 Application Purpose & Guidelines The purpose of this application is to enable the Selection Committee to assess each candidate
ACADEMIC CALENDAR
ACADEMIC CALENDAR 2018 19 Dates in bold apply to all schools, on all University campuses. Those not in bold apply only to the Pittsburgh Campus. Official dates for degrees awarded apply to all schools,
Date: PATIENT REGISTRATION Chart # PLEASE PRINT FILL OUT ALL AREAS PATIENT INFORMATION CHILD S NAME BIRTHDATE SSN SEX CELL PHONE# (14 YRS & OLDER)
PEDIATRIC ASSOCIATES OF MADISON 21 Hughes Rd., Suite 2 Madison, Alabama 35758 256-772-2037 Fax 256-772-9523 www.pedsofmadison.com Tonya T. Zbell, M.D. Robbie F. Dudley, M.D. Charlotte M. Meadows, M.D.
Work-Study Internship Application
Work-Study Internship Application 1 Centre Street, Room 2435, New York, NY 10007 212-386-0057 212-669-3633 (fax) psc@dcas.nyc.gov nyc.gov/psc Department of Citywide Administrative Services Lisette Camilo
Summer Day Camp Registration 2018 Pierce County School Based Day Camps YMCA OF PIERCE AND KITSAP COUNTIES
Summer Day Camp Registration 2018 Pierce County School Based Day Camps YMCA OF PIERCE AND KITSAP COUNTIES Completed registration is due the Wednesday prior to first day of camp. Return registration to
Pathways to Nursing Success Program
Pathways to Nursing Success Program October 13, 2017 From: Dr. Catherine M. Griswold, Ed.D, MSN, RN, CLNC, CNE Dean of the Catherine McAuley School of Nursing As you may already be aware, Trocaire s Vision
DAILY ACTIVITIES FROM THE BOARD
DATE: 18 Aug 2016 Summer Break Summer Break Summer Break 1. Seating Chart 2. Heading Format 3. Daily Activities 4. Student Information Sheet 5. Introductions 6. Course Outline Packet 2. Finish Introductions
8-in-1 Scholarship Application Form College Academic Year
8-in-1 Scholarship Application Form 2017-2018 College Academic Year Joan Kolberg Lowen Scholarship (One $4,000 award) Davenport Schools Foundation Scholarship (One $1,000 award) -- for minority students
LVN to RN PROGRAM APPLICATION AND ADMISSION INFORMATION
Department of Nursing 2088 North Beale Road Marysville CA 95901 (530) 741-6784 http://nursing.yccd.edu LVN to RN PROGRAM APPLICATION AND ADMISSION INFORMATION Yuba College offers a LVN to Associate Degree
STEM Academy Project Based Learning
STEM Academy Project Based Learning LIGHT Awards Program 2015 Laura Beaudrow 1234 Main Street San Francisco, CA 94105 info@lightawards.org Printed On: 7 October 2014 LIGHT Awards Program 2015 1 Application
BRIDGES 21 st Century Community Learning Center
78 Betsy Ross Lane Sylacauga, AL 35150 (256)245-4343 BRIDGES 21 st Century Community Learning Center Application Packet BRIDGES Registration Date: Free Lunch?: Yes No OR Reduced Lunch?: Yes No Have you
International Academy of Mathematics & Science
International Academy of Mathematics & Science Fort Hays State University Hays, Kansas USA Founded in 1902, Fort Hays State University (FHSU) is a liberal arts, state-assisted institution in western Kansas
National Honor Society Agenda October 13, 2015
National Honor Society Agenda October 13, 2015 -Attendance/emails -Email addresses/remind texts -Activity agreements -Website-http://il.8to18.com/argo/activities/national-honor-society/c (agenda/application/constitution
Avera Project SEARCH Aberdeen
Avera Project SEARCH Aberdeen New Intern Application Name School/Agency Date Received (official use only) For more information contact: 1. Director of Special Education Services 1224 S. 3 rd St., Aberdeen,
Administration of Oral Prescription Medication Procedure Page 1 of 6
Page 1 of 6 RATIONALE: Hamilton-Wentworth District School Board is committed to ensuring the provision of plans, programs, and/or services that will enable students with health or medical needs to attend
BS in Nursing Science Registered Nurse Option Track
UAA School of Nursing (907) 786-4550 Phone (907) 786-4559 Fax uaa_nursestdtservice@alaska.edu BS in Nursing Science Registered Nurse Option Track APPLICATION FOR ADMISSION Application deadline: November
Dallas County Master Wellness Volunteer Program
Dallas County Master Wellness Volunteer Program The Master Wellness Volunteer Program is an educational campaign with the Texas AgriLife Extension Service (AgriLife Extension) focused on helping Dallas
Schedule of Classes Monday. Tuesday. Wednesday. Thursday. Friday. Saturday
Schedule of Classes 2018-19 Studio 1 2 111 Harvard Place Studio 149 W. First Street 3:30 4:30 Primary Exam DD 4:30 5:30 Grade 1 Ballet DD 5:30 6:30 Intermediate Ballet DD 6:30 7:30 Grade 7 Ballet DD 3:30
C Y O. The registration fee for the school year is $40.00 per student and is due at registration.
C Y O Dear Parents/Guardians of 6 th, 7 th and 8 th grade students: C.Y.O. registration will be held on Wednesday evening, September 14, 2011, immediately following the back-to-school meetings. The registration
PRE-K ENROLLMENT APPLICATION
Student Name First Middle Last Date of Birth PRE-K ENROLLMENT APPLICATION 2017-18 Early Childhood Program Fill out this application if your student is applying to an Early Childhood School. Required Documents
California Student Opportunity and Access Program Los Angeles Consortium Fall 2015 High School Scholarship Application
California Student Opportunity and Access Program Los Angeles Consortium Fall 2015 High School Scholarship Application http://www.calstatela.edu/univ/csoap/scholarships.php The California Student Opportunity
GIFTED AND TALENTED RESEARCH PROGRAM INTERN/MENTOR APPLICATION PACKET
GIFTED AND TALENTED RESEARCH PROGRAM INTERN/MENTOR APPLICATION PACKET River Hill High School Ms Mary Jane Sasser msasser@hcpss.org 410.313.7120 Applications will be accepted starting January 3. Deadline
2018 SUMMER CAMP NANSEMA REGISTRATION NORTH SUBURBAN YMCA
2018 SUMMER CAMP NANSEMA REGISTRATION NORTH SUBURBAN YMCA CONTACT INFORMATION Camper s Name: Grade entering Fall 2018: Gender: Female Male Not specified DOB: Age as of 1st day of camp: Address: City: Zip
Summer + Fall 2016 Course Schedule
Summer + Fall 2016 Course Schedule 1 Emmanuel College Graduate and Professional Programs Table of Contents Undergraduate Degree Programs Undergraduate Program in Nursing 3 Bachelor of Science in Nursing