Witt Elementary School
Parent/Student
Handbook
2022-23

 

 

 

 

 

 

 

 

 

 

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Witt Elementary School Handbook

Table of Contents

Page 3 Note from the Principal

Page 4 Faculty and Staff Directory

Page 5 School Procedures

Page 6 Attendance

Page 7 Chronic Absenteeism/Tardies

Page 8 COVID-19 Protocol

Page 9 School Website/Custody/School Insurance

Page 10 School and District Rules

Page 11 Transportation/Electronic Devices

Page 12 Dress Code

Page 13 Immunizations/School Closings

Page 14 Grading Policy/Nutrition

Page 15 Athletics/Field Trips/Medicine

Page 16 Lice Policy/Safe Schools/Harassment

Page 17 2022-23 Hamblen County School Calendar

 

 

 

 

 

 

 

 

 

 

Page 3

 

 

Dear Witt Parents and Students,

 

Welcome to another exciting year of learning at Witt Elementary!  We are thrilled to have you join our family for the 2022-2023 school year.  Witt Elementary truly believes all students can and will learn and achieve at high levels.  We look forward to partnering with you to allow your child to be the absolute best they can be now and in the future.  Witt is a place where your child can experience the excitement and joy of learning and a place where the students, parents, and staff form a partnership to ensure that happens.  

 

Please know that the safety of our students is our absolute #1 priority at Witt Elementary.  This handbook provides you with important information regarding the various safety policies and procedures at our school. Please review the policies with your child and refer to it as needed throughout the year. 

 

Your child has been provided with a folder.  Students in primary grades will bring home the folder daily, while intermediate grade students will bring them home on Fridays.  Please take time to review the items in the folder (behavior reports, graded work, notes from teachers, etc.) with your child. 

 

Students are at the center of all school-related decisions at Witt Elementary.  Prior to making any decision, we ask ourselves what is best for the students.  Relationships between families and the school are vital to the success of our students, so I encourage you to become involved in every way possible.

 

Please feel free to contact us when you have questions.  The school phone number is 586-2862. I look forward to working with you this school year.   

 

 

Sincerely,  

Sarah Cates

Principal, Witt Elementary School

 

 

 

 

 

 

 

 

 

 

 

 

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FACULTY AND STAFF

Principal   Dr. Sarah Cates

 

Teachers   Mrs. Melissa Mills, Pre-K

    Mrs. Heather Godwin, Kindergarten

    Mrs. Kylie Warden, Kindergarten

    Mrs. Kimberly Wright, First Grade

    Ms.  Sarah Canter, First Grade

    Mrs. Elizabeth Hodges, Second Grade

    Mrs. Kim Wallace, Second Grade

    Mrs. Amanda Maynard, Third Grade

    Mrs. Andee Lovin, Third Grade

    Mrs. Traci Brady, Fourth Grade

    Mrs. Michelle Newman,  Fourth Grade

    Mrs. Stephanie Jarnagin, Fifth Grade

    Ms.  Robin Roark, Fifth Grade

 

Special Area Teachers  Ms. Karen Cobb, Reading

    Mrs. Sharon Bean, Reading

    Mrs. Jennifer Goodman, Guidance

    Mrs. Janet Killian, Librarian

    Mrs. Hannah Voccola, Music

    Mr. Donald Wilder, Physical Education

    Ms. Abigail Martin, Resource

    Mrs. Pam Collins, Extended Resource

    Mr. Jared Box, Band

    Mrs. Patisa Kielau, ELL

 

Secretary / Bookkeeper  Mrs. Traci Samples

 

PowerSchool/Attendance  Mrs. Emilie Sadlon

 

Educational Assistants  

Ms. Chelsea Atkins 

    Mrs. Tabitha Capron

    Mrs. Holley Collins

    Mrs. Rebecca Nies

    Mrs. Paige Gulley

    Mrs. Susan Drinnon

    Ms. Lea Clark

    Ms. Sheila Spires

    Mrs. Kim Woods

    Mrs. Danielle Yeary 

  

School Nurse   

Mrs.  Michelle Hickman

 

Custodians   

Ms. Dana Greene

    Mr. Jeff Sizemore

 

Cafeteria Workers  Mrs. Amy Cantin, Manager

    Mrs. Tina Enloe

    Mrs. Ellen O’Toole

    Mrs. Sandy Wolfe 

 

 

 

 

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SCHOOL PROCEDURES

 

School Admission

A child entering school for the first time must present:

1.  A birth certificate or officially acceptable evidence of date of birth at the time    

     of registration.

 

2.  Evidence of a current medical examination:  There shall be a complete medical

     examination of every child entering school for the first time.  This applies to Pre-  

     Kindergarten, Kindergarten, and other students for whom there is no health record.

 

3.  Evidence of state - required immunization.

 

4.  A copy of the student’s Social Security card.

 

5.  Two (2) proofs of residency in Hamblen County (electric bill, water bill, cable bill, etc. from the last 30 days)

 

The name used on the records of a student entering school must be that as shown on the birth certificate unless evidence is presented that such name has been legally changed through court as prescribed by law.  If the parent does not have, or cannot obtain, a birth certificate, then the name used on the records of such student will be that as shown on documents which are acceptable to the school principal as proof of date of birth.

 

 

School Day/ Arrival and Departure

The school building opens daily at 7:10. The school will not be responsible for students who arrive before then.  Students who do not ride a bus should normally arrive between 7:30 AM and 7:45 AM.  All students should be dropped off in the drop zone outside the gym doors where they will be greeted by school personnel.  Students will then proceed to the cafeteria for breakfast.  To ensure your child has enough time to eat his or her breakfast, please have them here by 7:30.  At 7:45 students will be dismissed from the cafeteria to their classrooms.  The tardy bell will ring at 7:55 AM.  After 7:55 students/parents will need to enter through the secure entrance and be signed in at the office. 

 

Our school office is open and ready to assist you beginning at 7:30 each weekday.  Please enter our school through the secure entrance if you need assistance. 

 

Any student leaving school during the school day must be signed out at the office by the parent.  Early dismissals are monitored closely.  If possible, schedule appointments for after school.  If you are going to be picking up someone’s child other than your own, please have the parent call the secretary or send a note to school.  Students will not be released to friends, neighbors, and family members without notification from home. 

 

Car riders will be dismissed at 2:50 p.m.  In order to help make the traffic flow more efficiently, please remain in your vehicle, allowing school personnel to escort your child/children to the vehicle.  All car riders should be picked up by 3:15.

 

Please talk with your child before you leave home in the morning about after school plans.  Establish a pattern so that your child is familiar with his or her after school routine, so they will not face the confusion of not knowing how they will get home, either by riding the bus or being a car rider. 

  

 

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Attendance

Absences will be classified as either excused or unexcused as determined by the principal or his designee in charge of attendance.  When a student is absent, the school should be contacted by the parent/guardian.  Upon return to school the student must present a note signed by the parent/guardian.  (Notes will be determined valid based on the judgment of the principal or her designee.)

 

Absences may be excused, but the student is responsible for any make-up work in subject matters covered during an absence. Make-up work is due in the amount of time a child has missed (if a child misses 3 days, he/she will have 3 days to make up the work once returning to school). In the event a student will be out for more than a day, it is recommended that parents call the school office to arrange to pick-up makeup work.  Please call early to ensure teachers will have ample time to gather the makeup materials and have them waiting for you to pickup at the office.

 

Absences shall be excused for:

1. Personal illness.  A parent/guardian note shall be accepted for five days each semester.  After five days, a physician’s statement shall be required.

2. Death in the immediate family; not to exceed three days.

3. Illness of parent/guardian requiring temporary help; a physician’s statement is required.

4. Recognized religious holidays.

5. Court summons; only time actually in court shall be excused.

6. Doctor or dentist appointment; medical statement required.

7. Military

8. Injury

9. Hospitalization

10. Homebound

11. Subpoena

12. Court Order

13. School sponsored activities

14. School endorsed activities

15. Extenuating circumstances determined on a case-by-case basis by the school principal.

Absences for any of these will require a note from the parent or institution (doctor office, court, hospital, coach, etc.)

 

Unexcused Absences

Absences for any reason other than those listed above shall be unexcused. Unexcused absences may result in the student being denied credit for classwork due to excessive absences. 

 

Unexcused absences include the following:  truancy, cutting class, out of town, no excuse submitted, out-of-school suspension, not checking out in the office, missed the bus, trouble with automobile, unexcused tardy, check in, check out, and absent with parent’s permission. Parents will be notified by letter or phone when their child receives the third unexcused absence. Pupil Personnel Department Staff will contact parents after the fourth unexcused absence.  After the fifth unexcused absence, students will be petitioned to juvenile court or face other disciplinary action.  Students with excessive absences will be referred to Hamblen County Attendance Review Committee (HCARC).

                                                                                                       

 

 

 

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Chronic Out of School Policy

The state of Tennessee has passed a law concerning student attendance.   (Tennessee Code Annotated, Section 49-6-3006 b).  School districts are required to implement three tiers of the Progressive Truancy Intervention Plan which includes, but it not limited to the following indicators:

 

Tier 1 is triggered by three (3) unexcused absences: 

  *communication by either phone or letter

  *a conference with student and parent/guardian

  *an attendance contract for 45 days, or until the end of the semester

  *regularly scheduled follow-up meetings to track attendance

   progress

 

Tier 2 is triggered by five (5) unexcused absences:

  *communication by either phone or letter

  *a conference with parent and student and a home visit

  *a Progressive Truancy Intervention Assessment

  *release signed by the parent for communication between the school

   and the medical community, if needed

  *regularly scheduled follow-up meetings to track attendance

     progress

 

Tier 3 is triggered by ten (10) unexcused absences:

  *communication by mail

  *a referral to the attendance review committee

 

Failure to comply with the Hamblen County Department of Education attendance policies

may result in a referral to the attendance review committee prior to juvenile truancy court.  In addition, the Hamblen County Department of Education attendance policy allows five (5) excused notes per semester.  After the five (5) parental excused notes have been utilized, a physician’s statement will be required for additional absences.  

 

Tardies/Early Dismissals

Students are considered tardy if they arrive at school after the 7:55 AM bell rings.  If a student is tardy, they must receive an admit slip from the office before going to their classroom.

 

Excused Tardies

a.  Late bus  b.  Illness with doctor’s note

c.  Death in family  d.  Religious holiday

e.  Medical / dental appointment 

 

Consequences of Unexcused Tardies/Early Dismissals

Tardy #3 Parent contacted by mail 

Tardy #6 Loss of perfect attendance status, parent contacted by attendance teacher

Tardy #10 Parent Contact/Referral to Hamblen County Attendance Review Committee 

             and/or Referral to juvenile court

 

Early Dismissals/Sign-out Procedures

Elementary school students are to be checked out by the parent or guardian through the school office.  Early dismissal is discouraged except in the event of an emergency.  Please attempt to schedule appointments after the school day when possible. The Hamblen County Attendance Review Committee will monitor early dismissals. 

 

 

 

 

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Important Reminders for Attendance 

1.  Please call the school office if your child will be absent for any reason. This is especially  

     important if the student will be out for an extended period of time of more than 2 days. 

2.  For a child to be counted present for a full day, he or she must be in school one-half of a day.  

     A child must be at school until 11:31 AM to be counted present for the day.

 

Sickness of a Child at School

If your child becomes ill at school or has an accident or injury, school personnel will contact parents to pick up the child.  Please be sure we have a working phone number we can use to contact one member on the Emergency Card for picking up a child at school.

 

COVID-19 Protocol

Any person testing positive for COVID-19 will be expected to quarantine for 5 days. Once returning to school, it is requested that a mask be worn for an additional 5 days. Quarantining is no longer expected for those being exposed to COVID-19.

 

Visitors/Volunteers

For the safety of our staff and students, all visitors must enter through the front doors and check in at the office. Parents may not go directly to their child’s classroom as this can interrupt instruction. Parents are not allowed on the school playground, unless there is a specified event, during the school day. If you need to speak with your child’s teacher, you may make an appointment during the teacher’s planning time. We will not interrupt instruction for a phone call.

 

Telephone Usage

The school telephone is for business and emergencies only.  Please encourage your child not to make a habit of asking to use the phone for non-emergencies.  Teachers will be given messages so that they can return calls during their planning time.

 

Student cell phones are not allowed at school. We understand that there are times that students need access to a cell phone before or after school. If this is the case, students must leave their cell phones turned off and in the office for the school day. It is the student’s responsibility to pick up the cell phone at dismissal.

 

 

 

 

 

 

 

 

 

page 9

 

 

 

School Website/Parent Portal

     You can access our school webpage through The Hamblen County Board of Education website.  Simply go to www.hcboe.net, and locate the ‘schools’ tab at the top.  Select ‘Witt’ from the pull-down menu.  Our webpage provides a variety of resources including the calendar, lunch menu, news items, supply lists, and other useful items of information.  

 

Parent Portal is another tool that can be accessed on the www.hcboe.net website.  Once you sign up, you will receive a password to access your child’s information, such as attendance record, academic grades (for grades 2-5), etc. 

 

Custody

It is the responsibility of parents to notify the school office of special circumstances regarding custody of a child.  If there are special court orders, please provide us with a current copy of these records.  The school will operate under the guidelines set forth by parenting plans that have been signed by a judge.  Non-custodial parents may have access to report cards, calendars, and attendance records.

 

School Insurance

School insurance is available for purchase. If you are interested, you may pick up a brochure in the office, or a copy can be downloaded from the school website.  Please understand that school insurance is a secondary insurance.  The deadline for enrollment is detailed in the insurance information.

 

 

 

 

 

 

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INFORMATION ABOUT SCHOOL AND DISTRICT RULES

 

School Expectations

1. Follow directions the first time given.

2. Be in your seat with proper material ready to work by 7:55 AM.

3. Keep hands, feet, objects, gestures, and inappropriate comments to yourself.

4.  Stay in your seat, raise your hand, and wait to be called upon.

5. Follow all Hamblen County board policies regarding student conduct.      

 

Classroom Consequences (Teacher administered)

*1st consequence:  Verbal Warning/Conference with student

*2nd consequence:  Abbreviated Time-Out/Recess/Loss of Privilege

*3rd consequence:  Extended Time-Out /Loss of Activity/Privilege

*4th consequence:  Parent contact via note, phone call, or conference

*5th consequence:  Referral to principal

*Severe Clause:  Immediate referral to the principal  

 

To encourage students to follow the classroom rules, teachers reinforce appropriate behavior with praise; “good news” notes home, positive phone calls, special privileges, and other rewards. Students will be given opportunities to self-correct behavior, and given guidance to make wise choices. 

**Students receiving an office referral within the semester of a field trip will not be permitted to attend the field trip.

Office Consequences (Administrator-Cumulative)

  Level 1: Warning/Conference with student

  Level 2:  1 day ALP/Detention, Guidance Referral

  Level 3:  Up to 3 days ALP (Principal’s discretion), Guidance Referral

 Level 4:  1 day out-of-school suspension, Guidance Referral 

  Level 5:  2 days out-of-school suspension, Guidance Referral

 Level 6:  3 days out-of-school suspension, Orientation at the Transition Academy, 

                Guidance Referral

 Level 7:  Placement at Transition Academy

 

Bullying/Intimidation/CyberBullying

At Witt Elementary School, students shall be provided a safe learning environment. It shall be a violation of this policy for any student to bully, intimidate, or create a hostile educational environment for another student.  Harassment, bullying, and intimidation occurs if the act takes place on school grounds, at any school-sponsored activity, on school-provided equipment for transportation, or at any official school bus stop and if the act either physically harms a student, damages his/her property, or knowingly places the student in reasonable fear of harm to self or property, causes emotional distress to a student or students, or creates a hostile educational environment.

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Transportation Policy

Bus service is considered an extension of the classroom and the Hamblen County School Board expects students to conduct themselves on the bus in a manner consistent with the established standards for classroom behavior. Students are expected to remain quiet and seated, facing the front of the bus, keeping hands and feet to self, and refrain from eating or drinking, throwing objects, and/or participating in any activity that distracts the driver while operating the bus.

Students are under the supervision and control of the bus driver while on his bus and all reasonable directions given by him/her are to be followed. Bus Referrals for inappropriate behavior will result in the following consequences:

 

First Offense—Warning

Second Offense—Suspension from the bus for five (5) days.

Third Offense—Suspension from the bus for fifteen (15) days.

Fourth Offense—Suspension from the bus for thirty (30) days.

Fifth Offense—Suspension from the bus for one year. (180 school days.)

 

Fighting on the bus shall result in the following penalties:

 

First Offense—Suspension from the bus for thirty (30) days.

Second Offense—Suspension from the bus for one year. (180 School Days).

 

Use of Tobacco in any for, including electronic cigarettes, on school buses shall result in the following penalties:

 

First Offense—Suspension from the bus for five (5) days.

Second Offense—Suspension from the bus for thirty (30) days.

Third Offense—Suspension from the bus for one year. (180 School Days.)

 

Electronic Devices

Students MAY NOT possess pagers, cell phones (including those with no active service plan), electronic games, Smart Watches, or similar electronic communications equipment in Grades K-5.  HCBOE policy defines a personal communication device to include, but not be limited to, wearable technology such as eyeglasses, rings, or watches that have the capability to record, live stream, or interact with wireless technology; cell phones, laptops, tablets, earbuds, and MP3 players.

 

Whether on school buses or on school property, students are not permitted to use recording devices (photograph, audio, or video) without administrative approval.  A student in violation of this policy is subject to the grade-level discipline outlined below.

 

K-5 students may not possess personal communication devices during school bus transportation to and from school.

 

First Offense: Warning 

  Student may pick up device at the end of the day.

  

Second Offense: Parent may pick up the electronic device.

 

 

 

 

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DRESS CODE

It is the goal of the Hamblen County Board of Education to provide a quality education for its students in an atmosphere that is conducive to learning.  It is the Board’s belief that a learning atmosphere is maintained when students wear clothing that is neat, modest, and decent, and that does not draw attention to the individual rather than the learning environment. In matters of opinion, the judgment of the principal, exercised in a reasonable manner, shall prevail.

 

Pants (including slacks, jeans, leggings, etc.)

Pants shall be hemmed and worn at the waist. Pants will not have holes that reveal skin.

Leggings will be worn with a top that is the length of mid-thigh.

 

Skirts and Dresses

Skirts and dresses shall be a minimum length of mid-thigh.

 

Shorts

Shorts shall be a minimum length of mid-thigh and shall be worn at the waist.

 

Shirts and Blouses

Tank tops, spaghetti strap, and halter tops shall not be permitted.

 

For all apparel

No clothing shall be worn that exposes underwear or body parts in an indecent manner and disrupts the learning environment.

Clothing must be neat.

No holes, rips, or tears shall be allowed.

Clothing shall fit properly and shall not be unreasonably tight or unreasonably baggy.

Students shall wear appropriate undergarments, and undergarments shall not be visible.

 

Shoes

Students will wear appropriately fitting shoes. Flip-flops shall not be permitted.

Tennis shoes are recommended on days when attending physical education.

 

Hats

No headwear of any type shall be worn inside the buildings with the exception of headwear for religious or medical reasons as approved by the school administration. Hair bows, headbands, and barrettes shall be permitted, provided they do not cause a substantial disruption to the learning environment.

 

Hair

Hair shall be worn in a manner that does not disrupt the educational process and does not call attention to the individual. Hair should be of a natural hair color.

 

Jewelry

Facial jewelry shall be limited to the ear with the exception of religious exemptions approved by the school administration.

 

Symbolism

The Board prohibits the display of any symbol on school property or any object (such as a backpack, locker, clothing, etc.) which directly or by innuendo disrespects or is perceived to disrespect a student’s race, color, gender, national origin, or disability.

Principals have the right to take appropriate actions to correct any student whose clothing appearance, while not specifically covered by this policy, is considered by said principal to be out of compliance with the Board’s stated goal or causes a substantial disruption to the learning environment.

 

 

 

 

 

 

 

 

 

 

page 13

 

 

ADDITIONAL INFORMATION

 

Immunizations

No student entering school, including those entering Kindergarten or First Grade, those from out of state, and those from non-public schools shall be permitted to enroll or attend without proof of immunization, as determined by the Commissioner of Public Health. This documentation must be listed on the Tennessee Certificate of Immunization and must be signed by the medical provider.  It is the responsibility of the parents or guardians to have their children immunized and to provide such proof to the principal of the school that the student is to attend.

 

Exceptions, in the absence of an epidemic or immediate threat, shall be granted to any child whose parent or guardian who provides a completed Tennessee Certificate of Immunization that lists the refusal to give immunizations based on religious tenets or practices; or due to medical conditions that the provider has excused the child from those immunizations.

 

School Closing

Messages are sent from our Central Office by email, text, and a recorded phone call in the case of any school closings due to weather, illness, or other reasons. You can modify your information through your child’s parent portal account. You can also tune in to our local radio station, WCRK (105.7 FM), WJDT (106.5), or WMTN (93.3 FM) in case of bad weather.  The Citizen Tribune also offers a text notification.  Please inform your child what to do in the case of an early dismissal. We will send home a form for you to fill out in case of an unannounced early dismissal. We will follow this information. The buses will run if we are dismissed early.  Also, please maintain a current working telephone number on file with the office in case we need to contact you concerning an early dismissal.

 

Changes to Your Child’s Pick-up Method

If you have a change to your child’s pick-up method, please send a note signed by the legal parent/guardian the morning of the change. This is for the safety of your child. We cannot easily verify people calling in. If there is an emergency, you may call the office, but we will seek various ways to verify your identity.

 

 

 

 

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Grading

Report cards are sent home every nine weeks with a mid-term progress report being sent home every four and half weeks.  As always, you can check on student progress using ParentPortal.

The basic grading system for Kindergarten is a skills checklist.

The basic grading system for First Grade is:

 E = Excellent

 S = Satisfactory

 N = Needs Improvement

 U = Unsatisfactory

In Grades 2—5 the countywide grading scale is used:

 A = 90-100

 B = 80-89

 C = 70-79

 D = 60-69

 F = Below 60

 

 

 

NUTRITION

 

Breakfast

Breakfast for ALL students continues to be served free of charge as long as students take the required items.

 

Lunch

Parents may pay for their child’s lunch for up to 30 days in advance. Lunch is $2.05 per day. Your child must know his/her ID number and enter this number into the computer each day as they receive their meal.  Parents may monitor their child’s lunch account and make payments using MY Payments Plus through the Parent Portal. 

Parents meeting certain requirements may apply for Free and Reduced lunch rates through the Hamblen County website: https://frapps.horizonsolana.com/welcome or by requesting a paper copy from the school office.

 

PTO and Parent Involvement

We have a very active group of parents in our PTO and are always looking for more participants. Our PTO plays a vital role in the overall success of our students and our school. The possibilities for and level of participation are varied. Your child will benefit from your enthusiasm and involvement with the school. If you have not joined our PTO in the past, we invite you to do so.  Your assistance is vital to our school’s success.

 

Academic Planners

A planner is provided for students in grades 3-5.  The planner is an excellent communication tool.  Students are required to record daily assignments.  Please review the planner each evening, and sign it as directed by your child’s teacher.  Lost planners may be purchased for $5.00.

 

 

 

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School Athletics

Students in grades 3-5 may choose to try out for either basketball or cheerleading.  Basketball try-outs will take place in the fall.  Cheerleading tryouts take place in the spring. Basketball season runs from October to February.  Any student wishing to tryout MUST have a physical exam BEFORE tryouts occur. Parents are responsible for transportation after practices and to/from games. Students who make the basketball or cheerleading team are required to remain in good academic standing to continue to participate.

           

Field Trips

There will be opportunities for students to go on Educational Field Trips.  To be Eligible to attend field trips, Students must meet the following criteria:   NO outstanding balances (Cafeteria, Charges for lost items, etc.), no more than 1 office referral, a minimum of a ‘C’ in Conduct/Citizenship, and have No Unexcused absences.        

                    

Medicine

1. Medications should be limited to those required during school hours and necessary to maintain the child throughout the school day.

 

2. All prescription drugs given in school will be prescribed by a licensed prescriber on an individual basis as determined by the child’s health status.  Form JGCD - Exhibit 3 must be filled out in its entirety for the school to administer the medication.  This form is included in the registration materials at the beginning of the school year.  

 A. Prescription medication must be brought to school in the original, pharmacy-labeled container. 

The container will display:

   *child’s name

   *prescription number

   *medication name and dosage

   *administration route or other directions

   *date

   *licensed prescriber’s name

   *pharmacy name, address, and phone number

 

B. All prescriptions for long-term medications will be renewed annually.

 

C.  Changes in prescription medication must have written authorization from the licensed prescriber.

 

3. All nonprescription drugs given in school will:

 

 A. Be brought in with the manufacturer’s original label with the ingredients listed and the child’s name affixed to the new/unopened container.

 

B. Require a written parental/guardian request (form JGCD - Exhibit 2; form included in registration materials) which will include the following:

  *child’s name

  *name and signature of parent/guardian

  *name of medication

  *dosage and route of administration

  *frequency and time of administration

  *discontinuation date

  *reason medication is needed

  *parent/guardian’s phone number(s) in case of emergency

 

4. Students are not permitted to bring over-the-counter medications, vitamins, or other drug-store related items, to school without proper documentation.  Any student who possesses 

 

           these items without school permission is in violation of the Medication Policy and is subject to the  

          Assertive Discipline Plan.