NEW STUDENT REGISTRATION/ENROLLMENT CHECKLIST & PROCEDURE

Please help us serve you better by using this checklist as you collect the information and documentation necessary for enrolling your student at Kennewick High School.

FORMS INCLUDED IN PACKET

Student Records Release Request – Complete the form and sign it. Registration/Enrollment Form - Complete both sides of the form and sign it. Include any court documents

relating to guardianship or a parenting plan, if applicable. Verification of Residence – Complete form and sign. Attach address verification document. Student Housing Questionnaire – Complete and sign the form. Student Health History – Complete and sign the form. Certificate of Immunization Status (CIS) – Washington State law requires the use of the official CIS form, which is

to be completed and signed by the parent/guardian. Home Language Survey – Complete and sign the form. KHS Student Behavior Expectations – Student will complete and sign the form with their counselor. Kennewick High School Map and Bell Schedule – For your information only. Legal Guardianship Verification Requirements – For your information only. RCW 28A225330 – For your information only. Electronic Policy – For your information only.

DOCUMENTS NEEDED

At least one address verification document – Current telephone, utility or cable bills; lease or mortgage information. We will make a photo copy of the required documents.

Court Documents pertaining to guardianship or parenting plan – Attach to Registration Packet (if applicable). REGISTRATION PROCESS AND PROCEDURE – FOR YOUR INFORMATION

1. Pick up New Student Registration/Enrollment Packet from the Kennewick High School Main Office. 2. Complete and sign all forms and return them to the Counseling Office. 3. Counseling Office will request records from the previous school. You can help expedite this process by bringing

an unofficial transcript, withdraw grades, test scores and immunizations with you when you return the packet. 4. When records are received, we will schedule a meeting with an administrator – parents and students are

REQUIRED to be present at this meeting. 5. A Measure of Academic Progress Test (MAP Test) will be scheduled after the meeting to assist in placement of

your student to the appropriate classes. 6. Last, an appointment with your student’s counselor will be made to create a schedule of courses. 7. Information & Application for Free or Reduced Price Meals is available upon request.

KENNEWICK HIGH SCHOOL 500 South Dayton

Kennewick, WA 99336-5674 (509) 222-7100

Fax (509)222-7101

LIONS -s>*

KENNEWICK HIGH SCHOOL

Attn: Counseling Office

500 S. Dayton Street

Kennewick, WA 99336

Phone: (509) 222-6576

Fax: (509) 222-7116

Records.KEHS@ksd.org

SCHOOL RECORDS RELEASE REQUEST Please fax or email the following indicated records to Kennewick High School:

__ UnOfficial Transcript __Achievement (MAP) Test

__Immunization/Health Record __Psych. Testing & Special Ed.

__Withdrawal Grades __Cumulative Files (Please mail)

__Discipline Records __Bilingual Test Scores

__Attendance Records

__State Exit Exam Scores W/State Cut Scores

__WA State History Middle School Report

(Please complete the following information for our records)

Student’s Full Name________________________________________________________

Date of Birth_________________________ Year of Graduation_________Grade______

Previous School Name____________________________District_____________________

Previous School Phone________________________Fax____________________________

Previous School Address_____________________________________________________

City, State, Zip Code________________________________________________________

Parent or Guardian _____________________________________Date________________

Parent or Guardian Phone #__________________________________________________

Thank-you,

Kennewick High School

Counseling Secretary

Date:

First Attempt:

_______________________________

Second Attempt:

_______________________________

mailto:Records.KEHS@ksd.org

Kennewick HS ~ 9/23/16

TODAY’S DATE: _________________________

STUDENT INFORMATION

Student Legal Last Name: Student Legal First Name: Student Middle Name:

Birth date: Month Day Year Gender: (Circle One) Male Female

Does this student have school records by any other names? YES NO

If yes, please list all names:

Home Phone: ( ) Grade Level:

Student’s primary language is English: YES NO

If not English, list primary language spoken at home:

Birth City: Birth State: Birth Country:

Student’s Residence Address: Apt: City: State: Zip:

Mailing Address: (If different from residence) Apt: City: State: Zip:

Parent/Guardian E-mail Address:

Mother/Guardian Information Relationship (circle one): Stepmother Foster /Legal Guardian Grandparent Other______________

Mother’s Last Name: Mother’s First Name: Does student live with mother? Yes No

Daytime Phone: Employer: Work Phone: ( ) Home Phone: ( )

Cell Phone: ( ) Mother’s Street Address (if different than student): City State: Zip:

Father/Guardian Information Relationship (circle one): Stepfather Foster /Legal Guardian Grandparent Other_______

Father’s Last Name: Father’s First Name: Does Student live with father?

Yes No

Daytime Phone: ( ) Employer: Work Phone: ( ) Home Phone: ( )

Cell Phone: ( ) Father’s Street Address (if different than student): City State: Zip:

Is there a NO CONTACT Order, Parenting Plan or Shared Custody? Yes or No

ETHNICITY: Is this student of Hispanic or Latino origin? YES NO (Circle All That Apply)

Mexican/Mexican American/Chicano

Cuban

Dominican

Spaniard

Puerto Rican

Central American

South American

Latin American

Other Hispanic/Latino

Other Hispanic/Latino

What race do you consider this student? (Circle All That Apply)

African American or Black

White or Caucasian

Asian Indian

Cambodian

Chinese

Filipino

Hmong

Indonesian

Japanese

Korean

Laotian

Malaysian

Pakistani

Singaporean

Taiwanese

Thai

Vietnamese

Other Asian

Native Hawaiian

Fijian

Guamanian or Chamorro

Mariana Islander

Melanesian

Micronesian

Samoan

Tongan

Other Pacific Islander

Alaska Native

Chehalis

Colville

Cowlitz

Hoh

Jamestown

Kalispell

Lower Elwha

Lummi

Makah

Muckleshoot

Nisqually

Nooksack

Port Gamble Clallam

Puyallup

Quileute

Quinault

Samish

Sauk-Suiattle

Shoalwater

Skokomish

Snoqualmie

Spokane

Squaxin Island

Stillaguamish

Suquamish

Swinomish

Tulalip

Yakama

Other Washington Indian

Other American Indian

Kennewick School District Enrollment Form KENNEWICK HIGH SCHOOL 500 S. Dayton Street

Kennewick WA 99336

(509) 222-7100

Office Use Only:

Student ID # _________________________________

Entry Date:__________ Assigned School: __________

Room #:_________________

Home Language Survey Form: YES NO

Kennewick HS ~ 9/23/16

PARENT MILITARY SERVICE

Father Mother Yes No Yes No

Active Duty Yes No

Reserve Duty Yes No

Branch:

EMERGENCY CONTACT INFORMATION

CONTACT # 1 Last Name First Name Relationship

Home Phone: ( ) Cell Phone: ( ) Work Phone: ( )

CONTACT # 2 Last Name: First Name: Relationship:

Home Phone: ( ) Cell Phone: ( ) Work Phone: ( )

CONTACT # 3 Last Name: First Name: Relationship:

Home Phone: ( ) Cell Phone: ( ) Work Phone: ( )

MEDICAL ALERTS Medical Alert/Allergies

Medication Taken Daily Physician Telephone # / Ext. ( )

ADDITIONAL INFORMATION

Circle previous / current participation in: (Circle All That Apply)

Gifted Title 1 ELL/Bilingual Math or Reading Assistance OT/PT Services Speech Special Education (IEP) 504 Plan

READY for Kindergarten

NAME AND ADDRESS OF SCHOOL LAST ATTENDED

School: Grade: Phone: ( )

Address: City: State: Zip:

Date of withdrawal: Month Day Year

SIBLING INFORMATION

Name: School: Grade:

Name:

Name:

Name:

EMERGENCY TREATMENT AUTHORIZATION

In the event of injury or illness and your family physician is not available or not located in the immediate vicinity and we are unable to

contact a parent/guardian, does the supervising person have your permission to seek medical attention from the nearest licensed

physician and/or hospital? (Parents of students who do not live within the city limits of Kennewick will be charged by the City of

Kennewick $425.00 should an ambulance be dispatched to the school to take your child to the hospital).

YES_______________ NO_________________

If you answer “NO”, Please specify the procedure you wish the supervising person to follow:_________________________________

____________________________________________________________________________________________________________

PRINTED NAME OF PARENT or LEGAL GUARDIAN: ___________________________________________________________________

SIGNATURE OF PARENT or LEGAL GUARDIAN: _______________________________________________________________________

DATE:________________________________

Parent/Guardian Signature: _____________________________________________Date:________________

Student Legal Last Name: Student Legal First Name: Student Middle Name:

Verification of Residence

Student Name:______________________________________________

Present Address: ___________________________________________

__________________________________________________________

Telephone: ________________________________________________

Parent/Guardian/Legal Custodian:______________________________

Please attach one of the following for Proof of Residence to show you are living

in our boundary area:

Utility Bill

Phone Bill

Approved Transfer Request

My signature below indicates that the above mentioned student is in

compliance with the residency requirements of the Kennewick School District to

attend Kennewick High School.

I understand that falsification of any of the requested information will be

considered sufficient cause for immediate withdrawal of the student from

Kennewick High School.

If, at any time, the student’s residency becomes different from that stated

above, the school may review the criteria for enrollment and modify its

previous decisions.

Parent/Guardian Signature: _________________________________

Date:_____________________________________________________

Note: Students residing outside of Kennewick High Schools boundaries may apply

for admissions through a District Transfer Request. All requests will be considered

on an individual basis.

□ □ □ □ □

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~ KENNEliCK SCHOOL DISTRICT

Kennewick School District 1000 W 4th Ave., Kennewick WA 99336

Student Housing Questionnaire

The answers to the following questions can help determine the services this student may be eligible to receive under the McKinney-Vento Act 42 U.S.C. 11435. The McKinney-Vento Act provides services and supports for children and youth experiencing homelessness. (Please see reverse side for more information)

If you own/rent your own home, you do not need to complete this form.

If you do not own/rent your own home, please check all that apply below. (Submit to District Homeless Liaison. Contact information can be found at the bottom of the page).

In a motel A car, park, campsite, or similar location

In a shelter Transitional Housing

Moving from place to place/couch surfing Other________________________________

In someone else’s house or apartment with another family

In a residence with inadequate facilities (no water, heat, electricity, etc.)

Name of Student: First Middle Last

Name of School: Grade: Birthdate (Month/Day/Year): Age:

Gender: Student is unaccompanied (not living with a parent or legal guardian) Student is living with a parent or legal guardian

ADDRESS OF CURRENT RESIDENCE:

PHONE NUMBER OR CONTACT NUMBER: NAME OF CONTACT:

Print name of parent(s)/legal guardian(s): (Or unaccompanied youth)

*Signature of parent/legal guardian: Date: (Or unaccompanied youth)

*I declare under penalty of perjury under the laws of the State of Washington that the information provided here is true and correct.

Please return completed form to:

Yesenia Chavez 509-222-6834 KSD Admin Building: 1000 W 4th Ave, District Liaison Phone Number Location

□ □ □ □ □

For School Personnel Only: For data collection purposes and student information system coding

(N) Not Homeless (A) Shelters (B) Doubled-Up (C) Unsheltered (D) Hotels/Motels

McKinney-Vento Act 42 U.S.C. 11435

SEC. 725. DEFINITIONS.

For purposes of this subtitle:

(1) The terms enroll' and enrollment' include attending classes and participating fully in school activities.

(2) The term homeless children and youths' —

(A) means individuals who lack a fixed, regular, and adequate nighttime residence (within the meaning of section 103(a)(1)); and

(B) includes —

(i) children and youths who are sharing the housing of other persons due to loss of housing, economic hardship, or a similar reason; are living in motels, hotels, trailer parks, or camping grounds due to the lack of alternative adequate accommodations; are living in emergency or transitional shelters; are abandoned in hospitals;

(ii) children and youths who have a primary nighttime residence that is a public or private place not designed for or ordinarily used as a regular sleeping accommodation for human beings (within the meaning of section 103(a)(2)(C));

(iii) children and youths who are living in cars, parks, public spaces, abandoned buildings, substandard housing, bus or train stations, or similar settings; and

(iv) migratory children (as such term is defined in section 1309 of the Elementary and Secondary Education Act of 1965) who qualify as homeless for the purposes of this subtitle because the children are living in circumstances described in clauses (i) through (iii).

(6) The term unaccompanied youth' includes a youth not in the physical custody of a parent or guardian.

Additional Resources

Parent information and resources can be found at the following:

National Center for Homeless Education National Association for the Education of Homeless Children and Youth (NAEHCY) SchoolHouse Connection

https://nche.ed.gov/http://naehcy.org/resources/http://www.schoolhouseconnection.org/

□ □ □ □ □

□ □

□ □ □

~ KENNEJiéK SCHOOL DISTRICT

Distrito Escolar de Kennewick 1000 W. 4ta Ave., Kennewick WA 99336

Cuestionario sobre la vivienda del estudiante

Las respuestas a las siguientes preguntas pueden ayuda a determinar los servicios que este estudiante puede ser elegible para recibir en los términos de la Ley McKinney-Vento 42 U.S.C. 11435. La Ley McKinney-Vento proporciona servicios y apoyos a niños y jóvenes que están en situación de falta de vivienda. (Vea el reverso para obtener más información)

Si usted es dueño de su vivienda o si la renta, no necesita contestar este formulario.

Si usted no es dueño de su vivienda ni la renta, marque todas las casillas que apliquen. (Entregar al enlace del distrito para personas sin vivienda. Puede encontrar la información de contacto al final de la página).

En un motel Un automóvil, parque, campamento o lugar similar

En un refugio Vivienda de transición

Mudándose de un lugar a otro, en sofás de amigos Otro________________________________

En la casa o departamento de alguien más, con otra familia

En una residencia con servicios inadecuados (sin agua, calefacción, electricidad, etc.)

Nombre del estudiante: ____________________________ Primer nombre Segundo nombre Apellido

Nombre de la escuela: _________________ Grado: ______ Fecha de nacimiento (Mes/Día/Año): Edad: _______

Género: El estudiante no tiene supervisión (no vive con un padre o tutor legal) El estudiante vive con un padre o tutor legal

DIRECCIÓN DE LA RESIDENCIA ACTUAL:

NÚMETO DE TELÉFONO O NÚMERO DE CONTACTO: ___________ NOMBRE DEL CONTACTO _______________

Nombre de los padres o tutores legales en letra de molde: (O menor sin supervisión)

*Firma del padre o tutor legal: Fecha: (O menor sin supervisión)

*Declaro, bajo pena de perjurio, de conformidad con las leyes del estado de Washington, que la información aquí proporcionada es verdadera y correcta.

Devuelva este formulario contestado a:

Yesenia Chavez 509-222-6834 Oficina de Administración: 1000 W 4th Ave, Enlace del Distrito Número de teléfono Ubicación

SP

□ □ □ □ □

Para uso exclusivo del personal de la escuela Para efectos de recolección de datos y codificación en el sistema de información de estudiantes

(N) No en situación de falta de vivienda (A) Refugios (B) Con otra familia (C) Sin refugio (D) Hoteles/Moteles

Ley McKinney-Vento 42 U.S.C. 11435

SEC. 725. DEFINICIONES.

Para efectos de este subtítulo:

(1) Los términos 'inscribir' e 'inscripción' incluyen asistir a clases y participar plenamente de las actividades escolares.

(2) El término 'niños y jóvenes en situación de falta de vivienda' —

(A) Significa individuos que carecen de una residencia fija, regular y adecuada donde pasar la noche (con el significado de la sección 103(a)(1)); y

(B) incluye a —

(i) niños y jóvenes que comparten la vivienda con otras personas, debido a la pérdida de la vivienda, dificultades económicas o motivos similares; que viven en moteles, hoteles, parques para casas rodantes o lugares para acampar debido a la falta de un alojamiento adecuado alternativo; que viven en refugios de emergencia o temporales, que son abandonados en hospitales; o que están esperando la colocación en tutela temporal;

(ii) niños y jóvenes que tienen una residencia nocturna principal que es un lugar público o privado no designado como alojamiento regular para que las personas duerman ni utilizado ordinariamente para ese fin (con el significado de la sección 103(a)(2)(C));

(iii) niños y jóvenes que viven en automóviles, parques, lugares públicos, edificios abandonados, viviendas precarias, estaciones de tren o autobús o en entornos similares; y

(iv) niños migrantes (según su definición en la sección 1309 de la Ley de Educación Primaria y Secundaria de 1965) que califican como personas sin vivienda para los fines de este subtitulo, porque los niños viven en las circunstancias descritas en las cláusulas (i) a (iii).

(6) El término 'menor sin supervisión' incluye a cualquier joven que no esté bajo la custodia física de un padre o tutor.

Recursos adicionales

Puede encontrar información y recursos para los padres en las siguientes páginas:

National Center for Homeless Education National Association for the Education of Homeless Children and Youth

SP

https://nche.ed.gov/http://naehcy.org/educational-resources/

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as re

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arch

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fill

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our c

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ives

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ombi

natio

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eren

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uide

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ach

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use

onl

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ree

optio

ns to

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rd th

is o

n th

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IS:

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prin

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ctly

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care

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vide

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choo

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nd d

isea

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atic

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val

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ked

by th

e IIS

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tout

(not

by

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) I

f you

r hea

lthca

re p

rovi

der c

an v

erify

that

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r chi

ld h

ad c

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ark

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hen

mar

k ei

ther

2A

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ttach

a s

igne

d no

te fr

om y

our p

rovi

der,

or

2B if

you

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vide

r sig

ns a

nd d

ates

in th

e sp

ace

prov

ided

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sure

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r pro

vide

r’s fu

ll na

me

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lso

prin

ted.

3

) I

f sch

ool s

taff

acce

ss th

e IIS

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see

ver

ifica

tion

that

you

r chi

ld h

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x, th

ey w

ill m

ark

box

3.

#6

Doc

umen

tatio

n of

Dis

ease

Imm

unity

: If y

our c

hild

can

sho

w im

mun

ity b

y bl

ood

test

(tite

r) a

nd h

as n

ot h

ad th

e va

ccin

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ave

your

hea

lthca

re p

rovi

der f

ill in

th

is b

ox. A

sk y

our p

rovi

der t

o m

ark

the

dise

ase(

s), s

ign,

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e, p

rint h

is o

r her

nam

e in

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spac

e pr

ovid

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nd a

ttach

sig

ned

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rts.

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e su

re to

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n an

d da

te th

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turn

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Dave Bond, Superintendent Dr. Chuck Lybeck, Associate Superintendent, Curriculum

Greg Fancher, Assistant Superintendent, Elementary Education

Ron Williamson, Assistant Superintendent, Secondary Education

Doug Christiansen, Assistant Superintendent, Human Resources Ron Cone, Executive Director, Information Technology

Vic Roberts, Executive Director, Business Operations

Robyn Chastain, Director, Communications and Public Relations

English/May 2017

Home Language Survey

The Home Language Survey is given to all students enrolling in Washington schools.

Student Name: (Last, First, Middle) Grade: Date:

Parent/Guardian Name: Date of Birth:

Parent/Guardian Signature ______________________________

Phone Number:

Right to Translation and

Interpretation Services

Indicate your language preference so

we can provide an interpreter or

translated documents, free of

charge, when you need them.

All parents have the right to information about their child’s

education in a language they understand.

1. In what language(s) would your family prefer to communicate

with the school?

__________________________________

Eligibility for Language

Development Support

Information about the student’s

language helps us identify students

who qualify for support to develop

the language skills necessary for

success in school. Testing may be

necessary to determine if language

supports are needed.

2. What language did your child learn first?

__________________________________

3. What language does your child use the most at home?

__________________________________

4. What is the primary language used in the home, regardless of

the language spoken by your child?

__________________________________

5. Has your child received English language development support

in a previous school? Yes___ No___ Don’t Know___

Prior Education

Your responses about your child’s

birth country and previous

education:

Give us information about the

knowledge and skills your child is

bringing to school.

May enable the school district to

receive additional federal funding

to provide support to your child.

This form is not used to identify students’ immigration status.

6. In what country was your child born? ___________________

7. Has your child ever received formal education outside of the

United States? (Kindergarten – 12th grade) ____Yes ____No

If yes: Number of months: ______________

Language of instruction: ______________

8. When did your child first attend a school in the United States? (Kindergarten – 12th grade)

_______________________

Month Day Year

9. Did you move to this area for the purpose of finding work in

agriculture or agricultural related work (such as farm

equipment operation, food processing)?

______ Yes _____ No

Thank you for providing the information needed on the Home Language Survey. Contact your school

district if you have further questions about this form or about services available at your child’s school.

Dave Bond, Superintendente Dr. Chuck Lybeck, Superintendente Asociado, Plan de Estudios

Greg Fancher, Asistente al Superintendente, Educación Primaria

Ron Williamson, Asistente al Superintendente, Educación Secundaria

Doug Christiansen, Asistente al Superintendente, Recursos Humanos Ron Cone, Director Executivo, Tecnología Informática

Vic Roberts, Director Executivo, Operaciones Comerciales

Robyn Chastain, Directora, Comunicación y Relaciones Públicas

Spanish/May 2017

Encuesta de Idiomas en el Hogar

La Encuesta de idiomas en el Hogar se entrega a todos los alumnos que se inscriben en una escuela de Washington.

Nombre del alumno: (Apellido, Nombre)

Grado: Fecha:

Nombre del padre, madre o tutor: Fecha de Nacimiento:

Firma del padre, madre o tutor ___________________________

Numero de Teléfono:

Derecho a los servicios de

traducción o interpretación Indique el idioma de su preferencia para

que podamos brindarle un intérprete o documentos traducidos, sin cargo alguno, cuando los necesite.

Todos los padres tienen el derecho de recibir información sobre la educación de su hijo en un idioma que entiendan.

1. ¿En qué idioma prefiere su familia comunicarse con la escuela?

Requisitos para recibir apoyo en capacitación de idiomas La información sobre el idioma del alumno nos ayuda a identificar a los alumnos que reúnen los requisitos para recibir apoyo para formar las habilidades

de idioma necesarias para tener éxito en la escuela. Es posible que sea necesario hacer una evaluación para determinar si se requiere ayuda con el idioma.

2. ¿Qué idioma aprendió su hijo primero?

__________________________________ 3. ¿Qué idioma utiliza más su hijo en casa?

__________________________________

4. ¿Cuál es el idioma principal que se utiliza en casa,

independientemente del idioma que habla su hijo? __________________________________

5. ¿Ha recibido su hijo apoyo en capacitación del idioma inglés en una escuela anterior? Sí___ No___ No sé___

Educación previa Sus respuestas sobre el país de nacimiento de su hijo y su educación previa: Bríndenos información sobre el

conocimiento y las aptitudes que su hijo trae a la escuela.

Esto puede ayudar a que el distrito escolar reciba fondos federales adicionales para brindarle apoyo a su hijo.

Este formulario no se utiliza para identificar la situación migratoria de los alumnos.

6. ¿En qué país nació su hijo? ___________________

7. ¿Alguna vez ha recibido su hijo educación formal fuera de Estados

Unidos? (Kindergarten – 12.o grado) ____Sí ____No Si la respuesta es Sí: Número de meses: ______________ Idioma de formación: ______________

8. ¿Cuándo asistió su hijo por primera vez a la escuela en Estados Unidos? (Kindergarten – 12.o grado)

_______________________ Mes Día Año

9. ¿Se mudó con el propósito de encontrar trabajo en la agricultura o

trabajo relacionado con la agricultura (tal como operación de maquinaria en las granjas, procesamiento de alimentos)?

______ Sí ______ No

Gracias por brindarnos la información necesaria en la Encuesta de Idiomas en el Hogar. Póngase en contacto con su distrito escolar si

tiene más preguntas sobre este formulario o sobre los servicios que ofrece la escuela de su hijo.

KENNEWICK HIGH SCHOOL

500 South Dayton Street Kennewick, WA 99336 Phone: (509)222-7100

BEHAVIOR EXPECTATIONS

1. Kennewick High has an attendance policy which expects students to attend all classes regularly. At 12 absences, excused or unexcused, students will lose credit in that class.

2. Kennewick, School District strictly forbids alcohol and other drugs on any of its property. This includes all schools, parking lots, and athletic areas. There is a district policy which dictates student consequences for violation of these policies.

3. We have a no tolerance policy toward weapons on school district property. This includes

pocket knives or items which may be used as a weapon. Students will be expelled immediately for possession and/or use of a weapon.

Refer to the student handbook for further expectations. Ignorance is no excuse for not following expectations. I have been advised of school and district expectations concerning behavior, attendance, alcohol and other drugs, and weapons.

______________________________________ _________________________ Student Signature Date

______________________________________ _________________________ Student Name (Printed) Grade Level

______________________________________ _________________________ Counselor Signature Date

KENNEWICK HIGH SCHOOL LEGAL GUARDIANSHIP VERIFICATION REQUIREMENTS

Students entering/attending Kennewick High School must present at the time of registration written proof that they reside with their custodial parent or legal (court mandated) guardian. This proof must be presented before the student is permitted to make an appointment for registration. This Kennewick School District Legal Office has prepared a packet of 3 forms that must be filled out and notarized. We will provide these forms for you if needed. Please follow the guidelines below:

1) Students 18 or over and living on their own must present written proof of residency (rental agreement, recent phone or utility bill, etc.).

2) Students 18 or over living with a custodial parent or legal (court mandated) guardian must present written proof of their parent’s or guardian’s permanent residency (rental agreement, recent phone or utility bill, etc.).

3) Students applying for admission to Kennewick High who do not reside with

their parent(s) must fill out the KSD Forms that are required to be notarized.

RCW 28a.225.330

Enrolling students from other districts — Requests for information and permanent records — Withheld transcripts — Immunity from liability — Notification to teachers and security personnel — Rules. (1) When enrolling a student who has attended school in another school district, the school enrolling the student may request the parent and the student to briefly indicate in writing whether or not the student has: (a) Any history of placement in special educational programs; (b) Any past, current, or pending disciplinary action; (c) Any history of violent behavior, or behavior listed in RCW 13.04.155; (d) Any unpaid fines or fees imposed by other schools; and (e) Any health conditions affecting the student's educational needs. (2) The school enrolling the student shall request the school the student previously attended to send the student's permanent record including records of disciplinary action, history of violent behavior or behavior listed in RCW 13.04.155, attendance, immunization records, and academic performance. If the student has not paid a fine or fee under RCW 28A.635.060, or tuition, fees, or fines at approved private schools the school may withhold the student's official transcript, but shall transmit information about the student's academic performance, special placement, immunization records, records of disciplinary action, and history of violent behavior or behavior listed in RCW 13.04.155. If the official transcript is not sent due to unpaid tuition, fees, or fines, the enrolling school shall notify both the student and parent or guardian that the official transcript will not be sent until the obligation is met, and failure to have an official transcript may result in exclusion from extracurricular activities or failure to graduate. (3) Upon request, school districts shall furnish a set of unofficial educational records to a parent or guardian of a student who is transferring out of state and who meets the definition of a child of a military family in transition under Article II of RCW 28A.705.010. School districts may charge the parent or guardian the actual cost of providing the copies of the records. (4) If information is requested under subsection (2) of this section, the information shall be transmitted within two school days after receiving the request and the records shall be sent as soon as possible. The records of a student who meets the definition of a child of a military family in transition under Article II of RCW 28A.705.010 shall be sent within ten days after receiving the request. Any school district or district employee who releases the information in compliance with this section is immune from civil liability for damages unless it is shown that the school district employee acted with gross negligence or in bad faith. The professional educator standards board shall provide by rule for the discipline under chapter 28A.410 RCW of a school principal or other chief administrator of a public school building who fails to make a good faith effort to assure compliance with this subsection. (5) Any school district or district employee who releases the information in compliance with federal and state law is immune from civil liability for damages unless it is shown that the school district or district employee acted with gross negligence or in bad faith. (6) When a school receives information under this section or RCW 13.40.215 that a student has a history of disciplinary actions, criminal or violent behavior, or other behavior that indicates the student could be a threat to the safety of educational staff or other students, the school shall provide this information to the student's teachers and security personnel. (7) A school may not prevent a student who is dependent pursuant to chapter 13.34 RCW from enrolling if there is incomplete information as enumerated in subsection (1) of this section during the ten business days that the department of social and health services has to obtain that information under RCW 74.13.631. In addition, upon enrollment of a student who is dependent pursuant to chapter 13.34 RCW, the school district must make reasonable efforts to obtain and assess that child's educational history in order to meet the child's unique needs within two business days.

http://app.leg.wa.gov/rcw/default.aspx?cite=13.04.155http://app.leg.wa.gov/rcw/default.aspx?cite=13.04.155http://app.leg.wa.gov/rcw/default.aspx?cite=28A.635.060http://app.leg.wa.gov/rcw/default.aspx?cite=13.04.155http://app.leg.wa.gov/rcw/default.aspx?cite=28A.705.010http://app.leg.wa.gov/rcw/default.aspx?cite=28A.705.010http://app.leg.wa.gov/rcw/default.aspx?cite=28A.410http://app.leg.wa.gov/rcw/default.aspx?cite=13.40.215http://app.leg.wa.gov/rcw/default.aspx?cite=13.34http://app.leg.wa.gov/rcw/default.aspx?cite=74.13.631http://app.leg.wa.gov/rcw/default.aspx?cite=13.34

In order to preserve an educational environment conducive to teaching and learning, our staff looked at ways to limit the use of electronic devices without completely eliminating them from campus. We understand that there are times when parents need to communicate with their students and we undestand that electronic devices can be used at times as a tool to enhance education. We tried to balance this need with the needs of the teacher to not have interruptions and distractions that impede a student’s ability to learn.

Electronic Policy

Electronic devices cannot be used at any time for illegal activities, violation of school rules, or to violate the privacy of others. Violations on this level will be treated as a disciplinary issue. To preserve an appropriate learning environment, video games, MP3, Ipods, cell phones and other electronic devices may not be used in any location during class time (classrooms, hallways, bathrooms, etc.) and must be turned off. Electronics will be permitted between classes, lunch, before and after school. Exceptions would be if used as a classroom tool as written in to a teacher’s classroom expectation approved by the principal, or emergency situations with teacher approval. Please note that if you need to contact your student during school hours, you can always call the attendance office at 222-5140 or 222-5207 and we will get a message to your student. This policy has been set up with your studen’t success in mind. We value our teacher’s time and the time that students are in class, and we are making every effort to make sure that when they are in class, there are the least number of of distractions and fewer reasons to leave class. If you have any questions about this policy, please call the main office number at 222-7100.

KENNEWICK HIGH SCHOOL 500 South Dayton

Kennewick, WA 99336-5674 (509) 222-7100

Fax (509)222-7101

LIONS -s>*

BELL SCHEDULES Breakfast Break between 1st & 2nd Periods

REGULAR 0 Period 6:45 – 7:39 1st Period 7:45 – 8:39 2nd Period 8:47 – 9:41 3rd Period 9:47 – 10:43 Lunch 10:43 – 11:21 4th Period 11:26 – 12:20 5th Period 12:26 – 1:20 6th Period 1:26 – 2:20 7th Period 2:30 – 3:25

QUEST ADVISORY 2-HOUR LATE START (no breakfast break) 0 Period 6:45 – 7:39 1st Period 9:45 – 10:19 1st Period 7:45 – 8:31 2nd Period 10:25 – 10:59 2nd Period 8:39 – 9:25 Lunch 10:59 – 11:38 Quest 9:31 – 10:16 3rd Period 11:43 – 12:20 3rd Period 10:22 – 11:09 4th Period 12:26 – 1:00 Lunch 11:09 – 11:45 5th Period 1:06 – 1:40 4th Period 11:50 – 12:36 6th Period 1:46 – 2:20 5th Period 12:42 – 1:28 7th Period 2:30 – 3:25 6th Period 1:34 – 2:20 7th Period 2:30 – 3:25 10:30 EARLY RELEASE 1:10 EARLY RELEASE 0 Period 6:45 – 7:39 0 Period 6:45 – 7:39 1st Period 7:45 – 8:07 1st Period 7:45 – 8:28 2nd Period 8:15 – 8:37 2nd Period 8:36 – 9:19 3RD Period 8:43 – 9:07 3rd Period 9:25 –10:09 4th Period 9:13 – 9:35 Lunch 10:09 –10:44 5th Period 9:41 – 10:03 4th Period 10:49 –11:32 6th Period 10:09 – 10:30 5th Period 11:38 –12:21 7th Period None 6h Period 12:27 – 1:10 7th Period None

PEP ASSEMBLY

0 Period 6:45 – 7:39 1st Period 7:45 – 8:33 2nd Period 8:41 – 9:29 Assembly 9:37 – 10:05 3rd Period 10:13 – 11:03 Lunch 11:08 – 11:39 4th Period 11:44 – 12:32 5th Period 12:38 – 1:26 6th Period 1:32 – 2:20 7th Period 2:30 – 3:25

F-2 3250 STUDENTS Release of Student Directory Information

USE OF STUDENT LIKENESS - DENIAL FORM From time to time, photographs or videos of students are taken during the school day for use in district news releases, publications, video productions, social media, and the district website. On occasion, television and other news media are invited to cover stories in our schools and take photos, video and/or interview students. Please sign the form below if you do not wish your child to be photographed, videoed, or interviewed. This form does not cover photos, videos or recordings taken at public, school, or district events including, but not limited to school assemblies, plays, concerts, or sporting events. This form must be completed annually and is in effect from the date signed to the end of the school year. Complete only if you do not want your child to be photographed. ------------------------------------------------------------------------------------------------------------

I do not allow _________________________ to be photographed, recorded, or otherwise reproduced in likeness, name, or voice, or to have any project created by my child displayed in any public forum or district/school created web site during the current school year. _____________________________ _______________________________ Parent or Guardian Signature Name of Student ______________________________ _____________ _____________ School My Child is Attending Date Daytime Phone No. 3/16/12

412 413

411 414

P6 P14

P P14A P14B P14C

P13

P7B

P7 P7A

P12

P8

P9

P10

P13B

P13A

P18 P19

P11

P17

P2

P16

P3

P4

P5

707

710 712

FRUITLAND PORTABLES

27 28 29 30 3 4 5 6

6A P6B P6C

ANNEX GYM

ANNEX GYM

P12A

P12B

P12C

26

25

31,32,33 GIRLS RR

24

BOYS 23 RR

19

22 21 20

FRUITLAND

7

8

2 1

. Main office

GIRLS RR

9

18

17

16

15 `

14

.

.

BOYS RR

10

12

11

6

4

2

3

1

5

LEGACY

12 11 10 9

409

407

405

403

401

410

408

406

404

705 801

ANNEX

ANNEX 2ND LEVEL

800

802

804 803

703

709

711 713

RR

701

706 708 714 716 RR

700

704 702

Templeton Pennington Hall Peterson Goodall Leyde Computer Lab

Slagle Cronenwett

Finch

Glenn

Davey

Green Hedges

Larsen Lindberg Lindberg Athletics

Harris

Library Computer Lab Smith

Library Nelson Elder

Mejia Piper

Miller ISS Attendance Wood Security

Affholter

Funk

Weights Fischer Marquardt Marquardt

Cafeteria

Almaguer Harris

Devers

Migrant/Bilingual/Gear Up

Aguilar Villegas Navarro Vargas Roegiers

Data Processing Registrar Gonzalez Kurtz

Counseling Cushing Sanchez Payson Machart

Main Office East

Attendance Security Martinez

Harley

Rannow

Williams

Anderson

Larson

Success Hub /Career Center

Berry Fuquay

Ard

Student Store

Coffee Shop

White

Giancola

Sant

Harmon

Betz

Booth

Brown

Browning

Campbell K. Clemmens

L. Clemmens Johnson

Kinion Kirby Long

McCartney

Muscutt

Puckett Raines Riel

Scrimsher Scrimsher

Shepherd/Wichers

Urrego

Kalra Mequet Thompson

Erkes

Affholter Little-Thunder

Bauer

Burleyson

Burris

Estes

Fankhauser Francis

Holbrook

Malloy-Flora

Nett Sandbeck

Scott

Sonderland

Taylor-Julian

Yost

Activitie

s

Lounge

Staff Lounge

Band Storage

Littr

ell

King

Nurse

Affholter, Randy F8/Annex Gym Aguilar, Estrella L4 Almaguer, Caitlin L2 Anderson, Cindy/ASL P2 Ard, Suzanne P13 Main Office East L8 Berry, Reba P14 Bauer, Mary-School Psych P9 Betz, Michael 804 Booth, Cody 802 Brown, Darain 713 Browning, Oliver 706 Burleyson, Shannon 412 Burris, Stacy 405 Campbell, Dave, 1st-3rd 704 Career Center P6 Clemmens, Kurt 702 Clemmens, Luke 800 Computer Lab F5 Conenwett, Ty F7 Counseling Center L5 Cushing, Melanie L5 Data Processing L3 Davey, Diane F23 Devers, Naomi L1 Eerkes, Josh L9 Estes, Scott 409 Fankhauser, Don 414 Finch, Laura F25 Fischer, Ty Weight Room Francis, Dave 411 Funk, Chelsey F10

Fuquay, Myreta P14 Giancola, David P18 Glenn, Sara F24 Goodall, Amber F3 Green, Maria F22 Hall, David F29 Harley, Tiara P7 Harmon, Misty 703 Harris, Anna F16 Harris, Rich L6 Hedges, Jennifer F21 Holbrook, Jeremy 408 ISS F14 Johnson, Julia 709 Kalra, Nidhi L11 Kinion, Kate 800 Kirby, Robin 707 Larsen, Dennis F19 Larson, Scott P11 Leyde, Bradyn F4 Library/Library Computer Lab F31-33 Lindberg, Josh F17/F18 Little Thunder, Dawn Annex Gym Long, Lindsay 705 Malloy-Flora, Patti 401 Marquardt, AJ Weight Room Marquardt, Giana Weight Room McCartney, Dave 711 Mejia, Corrina F2 Mequet, Jonathan L12 Migrant/Bilingual/Gear Up L4 Miller, Jonathan F15

Muscutt, Lance 803 Nelson, Corey F31-33 Nett, Stacy 404 Pennington, Gwen F28 Peterson, Madge F30 Piper, David F1 Puckett, Todd 712 Raines, Sandy 714 Rannow, John P5 Registrar L3 Riel, Tom 716 Sanchez, Sonia L5 Sandbeck, Mike 403 Sant, Heidi 700 Scrimsher, Katelyn 704/804 Scott, Randy 407 Security/Attendance/Wood F13 Shepherd, Joel 801 Slagle, Jason F6 Smith, Kami F31-33 Sonderland, Brandy 413 Success Hub P6 Taylor-Julian, Geri F26 Templeton, Bill F27 Thompson, Paul L10 Urrego, Teresa 710 White, Dan/Ag P16/P17 White, Dan/Greenhouse P15 Wichers, Curt 801 Williams, Ashley P3 Yost, Nicole 410

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