technology high school titan welcome orientation - Cotati

technology high school titan welcome orientation - Cotati

TECHNOLOGY HIGH SCHOOL
TITAN WELCOME ORIENTATION
If you are planning to apply to Technology High School, you won’t want to miss
this opportunity to check out the school! Whether or not you have already
experienced a ‘shadow day’ or attended an evening presentation about Tech
High, this experience is designed to help you in your decision making process
about what high school you will attend.
December 15th - Tech High is hosting an orientation experience for
students and parents!
1:00 P.M. Welcome Assembly at PERSON THEATER
1:20 P.M. Tour Tech High and the SSU campus.
1:45 P.M. Classroom Lesson Demonstrations
2:45 P.M. Conclusion and return to school by 3:00
Students attending Lawrence Jones Middle School, Technology Middle School,
or Thomas Page Academy are invited to have your parent or guardian sign a
Field Trip Permission Form and return it to your school office by Tuesday,
December 8th.
Then on December 15, bus transportation is arranged to pick you up at your
school at 12:30 to return you to your school by 3:00.
All parents interested in attending this orientation are asked to meet us at the
PERSON THEATER on the SSU campus near the kiosk at the main entrance to
SSU off of East Cotati Avenue. Our welcoming assembly will begin at 1:00 and
the event will conclude at 2:45.
We look forward to welcoming you at Tech High School on Tuesday, December
15 at 1:00!!!
STUDENT QUESTIONNAIRE
________________________________
Student (PRINT)
STUDENT:
1. Please describe why you want to attend Technology High School, a school that focuses on science,
math, and engineering and is project-based:
2. Successful participation in Technology High School demands a high level of motivation. Please
describe how you see yourself as a motivated and reflective learner.
3. What are your goals after high school and how do you feel attending Technology High School will
help you reach that goal?
_________________________________________
Student Signature
THIS SIGNED FORM MUST BE RETURNED TO YOUR SCHOOL OFFICE
By Tuesday, December 8, 2015
COTATI-ROHNERT PARK UNIFIED SCHOOL DISTRICT
FIELD TRIP PERMISSION FORM -LJMS
This form must be completed and filed with the LJMS
OFFICE by 12/8/2015 at 3:45PM or the student WILL NOT
ATTEND. THIS IS AN ABSOLUTE DUE DATE. IF THERE
ARE ANY ISSUES, PLEASE CALL MS. MYERS AT 588-5602.
The student must obtain the parent’s signature when the
activity necessitates the student’s leaving the building.
__________________________
(Student’s Name)
(Nature of the field trip or activity)
Technology High School, Sonoma State Campus
(Location)
PARENT AUTHORIZATION FOR MEDICAL
TREATMENT
(Confidential Information)
Student’s Name ________________________________Grade_______
Address ____________________________________________________
Birth date ___________
12/15/2015
(Date)
12;30PM
(Leaving)
3:00PM
(Returning)
M
F Telephone # ________________
Message/Cell Phone # ________________
______________
5TH PERIOD Teacher
Technology High School– 8th Grade
COTATI-ROHNERT PARK UNIFIED SCHOOL DISTRICT
Doctor’s Name _________________________ Phone ______________
Name of Health Insurance ____________________________________
Policy # ________________
Any known allergies _________________________________________
Father, Mother or Guardian’s Name(s) (please print) ________________
Mode of Transportation: Bus
In the event of an emergency, if parents or guardian cannot be reached,
please contact:
Contact #1 ______________________ Telephone # _______________
Free
(Cost to Student, if any)
I understand that all students going on this trip will be responsible in
conduct to teachers or adult sponsors. It is further understood that
all trips begin and end at school and all students will go and return
from the event in the transportation provided.
________
Date
__________________________________________________________
___________________________
Parent/Guardian Signature
IF YOU WOULD LIKE TO CHAPERONE FOR THIS TRIP,
please email [email protected] or call 588-5602.
Please leave the name of your child as well.
(Name)
Contact #2 ______________________ Telephone # _______________
(Name)
(I) (We), the undersigned, parent(s) of __________________________, a minor,
do hereby authorize the principal, or designee, as agent for the undersigned to
consent to any X-Ray examination, anesthetic, medical or surgical diagnosis or
treatment and hospital care which is deemed advisable by, and is to be rendered
under the general or special supervision of any physician and surgeon licensed
under the provisions of the Medicine Practice Act, whether such a diagnosis or
treatment is rendered at the office of said physician or as said hospital.
It is understood that this authorization is given in advance of any specific diagnosis
treatment or hospital care being required but is given to provide authority and
power on the part of our aforesaid agent(s) to give specific consent to any and all
such diagnosis. Treatment or hospital care which the aforementioned physician in
the exercise of his best judgment may deem advisable.
This authorization shall remain effective until _______________, 20__ unless
revoked in writing.
Parent/Guardian Signature
Firma de Padre/Madre/Tutor Legal
Print Name
Nombre
Date
Fecha
COTATI-ROHNERT PARK UNIFIED SCHOOL DISTRICT
PERMISO PARA EXCURSIÓN ESCOLAR
(Escuela Secundaria)
PERMISO PARA TRATAMIENTO MÉDICO
(Información Confidencial)
Este formulario debe completarse y entregarse a la
OFICINA DE LJMS para el 12/8/15 a las 3:45PM o el
estudiante NO PODRA ASISTIR. SE TRATA DE UNA
ABSOLUTA DEBIDA FECHA. SI HAY CUALQUIER
PROBLEMA, FAVOR LLAME AL MS. MYERS AL 588-5602. El
estudiante debe obtener la firma de los padres siempre que la
actividad requiera que el estudiante deje el recinto escolar.
__________________ _________________
(Nombre del Estudiante)
___ _______
(Clase/actividad)
Technology High School para 8vo Grado
(Tipo de excursión/actividad/evento)
Technology High School – Sonoma State Campus__
(Lugar)
Modo de Transporte:
5TH P. TEACHER
Dirección____________________________________________________
Feche de Nacimiento _________
M
F Teléfono _______________
Teléfono para Mensajes ________________
Médico de Familia ______________________ Teléfono ______________
Seguro Médico ____________________________________
Número del Seguro Médico ________________
Alergias conocidas _________________________________________
Nombre(s) de Padre, Madre o Guardián/Tutor Legal (escribe con letra de
molde por favor)
12/15/2015
(Fecha)
_______ _12:30 pm_
(Hora de
salida)
Nombre del Alumno ______________________________ Grado________
__________________________________________________________________
3:00 PM_
Hora de
regreso)
Autobús Escolar
En caso de emergencia, si no es posible comunicarse con los padres o
guardianes, por favor llamen a:
Contacto #1 ______________________ Teléfono _______________
(Nombre)
Contacto #2 ______________________ Teléfono _______________
Nada__________
(Coste al estudiante, si hubiese)
Comprendo que todos los estudiantes que van en esta excursión
seran responsables en su comportamiento a los maestros o adultos
que les supervisan. Tambien entiendo que todas las excursiones
empiezan y acaban en la escuela y que los estudiantes iran y
regresaran en el transporte proveído.
__________
_____________________________
Fecha
Firma de Padre/Madre/Tutor Legal
SI DESEA IR DE ACOMPAÑANTE EN ESTE VIAJE, favor
mande un correo electrónico a [email protected] or
hable al 588-5602. Favor deje el nombre de su estudiante.
(Nombre)
Nosotros, los abajo firmantes, padre(s) con custodia legal del menor de
edad arriba escrito, autorizamos por la presente al director o personal
escolar designado como agente para los abajo firmantes para dar
consentimiento para cualquier examen por rayos X, anestesia, diagnosis
médica o quirúrgica o tratamiento o cuidado médico que se juzgue
aconsejable por, y que se vaya a administrar bajo la supervisión general o
especial de cualquier médico y cirujano licenciado bajo las provisiones de la
Ley de Práctica Médica, ya sea que se administre la diagnosis o el
tratamiento en la oficina de dicho médico o en dicho hospital.
Se comprende que esta autorización se da por adelantado de requerirse
cualquier diagnosis tratamiento o cuidado de hospital especifico si no que
se da para otorgar la autoridad y el poder por parte del antedicho agente(s)
para dar consentimiento especifico para cualquier y todos los dichos
diagnosis, tratamientos o cuidados de hospital que el médico antedicho
pueda al ejercer su mejor juicio determinar aconsejable.
Esta autorización permanecerá en efecto hasta el __ de _______, 20__, al
no ser que se revoque por escrito entregado al dicho agente(s).
Parent/Guardian Signature
Firma de Padre/Madre/Tutor Legal
Print Name
Nombre
Date
Fecha