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Cornerstone Academy � A K-9 Public Community School of Choice � 614-775-0615 phone

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THE CAPTO www.cornerstoneacademypto.com

PAW P R I N T S

Volume 1 � April 25th, 2019 Issue

Alyssa M. Lewis, publisher

THE CAPTO The year is wrapping up but The CAPTO is preparing for next fall. Board elections are just around the corner with openings for new leaders to connect with the CA community to make a positive impact. You are valued.

IMPORTANT DATES O N T R A C K T O M A K E A P O S I T I V E I M P A C T

champions

h o m e s t r e t c h !

the cubs!are up to “bat” !

The Wolf Pack is ready to rally for our K-2 cubs. They have been learning so much this year about routines, being a leader, kindness, and too many to name academic skills. We are so proud of our cubs. We know you are ready to rock your “bubble test” next week. The building will continue to be a quiet testing environment

now through Friday, May 3rd to provide the least stressful space for our cubs and the wolves in Miss Turner and Ms. VanScoy’s classes who are finishing up testing on Tuesday. NOTE: On days the students are testing, they are welcome to wear their P.E. school uniforms. CHAMPIONS!

LOST & FOUND: The school’s official Lost & Found bin will be sorted next week in an attempt to get treasures and clothing back to their owners. Reminder: On the last day of each month, all items in the bin are donated to a local charity. The exception to this practice is if there is a legible name written on a tag then those labeled items will be returned to their owners. GIRLS SPRING SOCCER Track on over to a local field to support the girls this season.

A W - H O O !

SAT., APR. 27th at 10:15am Teays Valley at Teays Valley Fields 2938 State Route 752, Ashville

WED., MAY 1stat 6:45pm Johnstown at Bevelhymer 7997 Peter Hoover Rd. New Albany (10 minutes from CA)

C H A M P I O N A D V I C E

Mrs. Kwasniak, first grade

You have the k n o w l e d g e . 

You just have to work through the information in your brain to find the answer. 

If you can’t think of it, take your best guess! 

T r u s t your first answer.  It is almost always right.   

Friday, April 26th Student Council Bonfire (see page 3) Vaccination Clinic Forms Due (see page 5-7)

Monday, April 29th K-2nd Pep Rally

Thursday, May 2nd Mock Trial Showcase

Friday, May 3rd OASIS Applications & Registration Due 8th Grade Trip to Kings Island

Monday, May 6th

Spring Band & Choir Concert (see page 4)

Tuesday, May 7th Incoming Assessments for Kindergarten (Last Names A-M)

Wednesday, May 8th Incoming Assessments for Kindergarten (Last Names N-Z)

Friday, May 10th CAPTO $1.00 Dress Down Day Band Trip to Cedar Point

Wednesday, May 15th 2nd Grade Trip to The Works Athletic Dept. Banquet, 6:30pm

Knowledge is

power

PHOTO SOURCE: www.vectorstock.com

!

T h e W o l f P a c k G e a r s U p f o r S t a t e T e s t i n g D a y s

I Believe in My Selfie!

Tuesday, April 16th • 3rd Grade ELA Part 1 • 4th Grade ELA Part 1 & 2  (Turner & VanScoy only)

Wednesday, April 17th • 3rd Grade ELA Part 2 • 4th Grade ELA Part 1 & 2 (Flowers only) • 6th Grade ELA Part 1 & 2

Thursday, April 18th • 5th Grade ELA Part 1 & 2 • 7th Grade ELA Part 1 & 2 • 8th Grade ELA Part 1 & 2 • 9th Grade Language Arts 1  

Wednesday, April 24th   • 3rd Grade Math Part 1 & 2 • 4th Grade Math Part 1 & 2 (Flowers only) • 6th Grade Math Part 1 & 2

Thursday, April 25th   • 5th Grade Math Part 1 & 2 • 7th Grade Math Part 1 & 2 • 8th Grade Math Part 1 & 2 • 9th Grade: Algebra 1

Friday, April 26th    • 5th Grade Science • 8th Grade Science • 9th Grade American History  

w e e k o n e !Grades 3rd - 9th!

!

w e e k t w o !Grades 3rd- 9th!

!

W e e k t h r e egrades k – 2nd!

!Tuesday, April 30th • 4th Grade Math Part 1 & 2 (Turner & VanScoy only) NEW • K-2nd ITBS Testing

Wednesday, May 1st   • K-2nd ITBS Testing

Thursday, May 2nd   • K-2nd ITBS Testing

Friday, May 3rd   • K-2nd ITBS Testing  

Make measurable

P R O G R E S S

in reasonable time.

Jim Rohn

s h ow wha t Y O U know

The language section is done!!

!“PAWS” itively f a n t a s t i c !

!!

you read. !you wrote.!

y o u d i d i t ! !

Almost done being awesome.!

!“PAWS” itively b r i l l i a n t !

!!

you counted.!you calculated. !y o u d i d i t ! !

Dear Champions, The school year has flown by! 

We are already up to the week of our IOWA testing.  This is something that we have

been working towards since the beginning of the year.  Think of that.  You have the knowledge. 

You just have to work through the information in your brain to find the answer.  If you can’t think of it, take your best guess!  Trust your first answer.  It is almost

always right. You will be nervous and it’s normal!  Don’t forget, you are invincible, unbreakable, unstoppable

and of course, unshakeable!  A test isn’t going to get you!  Take one question at a time. One test at a time. 

You have learned so much.  Show them what you know! 

YOU CAN DO IT! Best of luck,

Mrs. Kwasniak

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Vaccine Requirement for Students Entering 7th Grade Dear 6th grade Parents and Guardians, A vaccine (shot) requirement is in effect to protect the health of Ohio students entering the 7th grade. Ohio Law (ORC 3313.671) requires that all 7th grade students have the meningococcal vaccine in addition to Tdap. Meningococcal vaccine helps protect against meningitis, a deadly infection of the covering of the brain and spinal cord. Tdap vaccine helps protect against tetanus (lockjaw), diphtheria and pertussis (whooping cough). To help parents whose children have not had these vaccines, Columbus Public Health (CPH) is working with our school to offer these vaccinations at school during the school day. If you prefer to have your child vaccinated by his or her healthcare provider, we encourage you to do so. Please provide school with a copy of your child’s updated vaccine record. For the meningitis vaccine, your child’s shot record may say: meningococcal conjugate vaccine (MCV4), Menactra or Menveo. 7th grade students who have not had the Tdap and meningococcal vaccines may be excluded from school next fall. We also urge your child to get all age-appropriate vaccinations to protect their health, and their family and friends.

School-Based Vaccine Clinic To sign your child up for this clinic, read the attached Vaccine Information Statements and complete both pages of the attached consent form. Please note the form must be signed by the child’s parent or legal guardian and all health questions answered.

• School: Cornerstone Academy (all 6th graders & 7th grade – 9th grade without these vaccines) • Clinic date: Thursday, May 16 • Turn in form by: __Friday, April 26th _______________ • Return form to: __Krista Naumann, School Nurse____

Nurses from Columbus Public Health will administer the vaccine. After the vaccine is given, your child will bring home a card from Columbus Public Health with the date given and type of vaccine(s). Medicaid and private insurance is billed when possible, but you will not be billed. The Vaccines For Children (VFC) Program provides free vaccines to children who are: Medicaid-eligible; without insurance; American Indian or Alaska Native; or underinsured. No child will be denied vaccines due to inability to pay.

Questions If you have questions about vaccine requirements or need an additional copy of the “Vaccine Information Sheet,” please call the school at 614-775-0615. If you have questions about the school-based clinic, please call the CPH nurse at 614-645-5037. Sincerely, Krista Naumann School Nurse

FOR SCHOOL USE: Room #: _____________

STUDENT TDAP/MENINGOCOCCAL CONSENT FORM 2018-2019 ¿Necesita este formulario en Español? Por favor consulte con la enferma de la escuela o a la oficina. Student Information (Print all information in black or blue ink.) __________________________________________________ _______________________________________________ Patient/Student Name (First, Middle, Last) School Name

_____________________________________ Sex: Male Female Prefer to self-describe: ______________ Student Date of Birth (Month-Day-Year)

__________________________________________________ ____________________ OH ____________ Street Address City State Zip Code

(________)__________________ (________)__________________ _____________ ______________ Home Phone Cell Phone Student’s Age Student’s Grade

Race and Ethnicity: Please check all that apply for your child: Hispanic/Latino: American Indian/Alaskan Native White Native Hawaiian/Pacific Islander (check one below) Black or African American Asian Other: ____________________ Yes No

Student’s Main Language: English Spanish Somali Nepali Other: _________________________ Screening Information (Please check “yes” or “no” for each question.) Yes No

1. Is the child prone to fainting or light-headedness with shots or blood draws? 2. Has the child ever had a severe (life-threatening) allergic reaction after receiving a tetanus, diphtheria or

pertussis (Td or Tdap) containing vaccine in the past?

If yes, describe what happened: 3. Has the child ever experienced a coma, decreased level of consciousness or prolonged seizures within one

week of receiving a pertussis-containing vaccine (DTaP, DTP, Tdap) that was not due to another cause?

4. Has the child ever had a severe (life-threatening) allergic reaction to a previous dose of meningococcal (MCV4 or MPSV4) vaccine in the past?

If yes, describe what happened: 5. Does the child have an allergy to latex? 6. Does the child have any other allergies?

If yes, list: 7. Does the child have a seizure disorder? 8. Has the child had a seizure in the past 3 months? 9. Does the child have a brain or other neurological disease?

If yes, list: 10. Has the child ever had Guillain-Barré syndrome? (a rare condition affecting the immune system and nerves) 11. Females only: Is the student pregnant or is there a chance she could become pregnant during the next month? 12. Staff use only: Is the child sick today?

Consent by Guardian I consent to let Columbus Public Health give the following vaccine(s) to my child: (Please check each vaccine that you want given to your child.)

Tdap vaccine (required for 7th grade)

Meningococcal vaccine (required for 7th and 12th grades) Please turn page to sign and complete form.

STUDENT TDAP/MENINGOCOCCAL ______________________ __________________________ CONSENT FORM 2018-2019 - Page 2 of 2 Student First Name Last Name Signature (All forms must be signed.) I have read or had explained to me the Tdap Vaccine Information Statement and/or the Meningococcal Vaccine Information Statement and I understand the risks and benefits. I give consent for the child named at the top of this form to get vaccinated with this vaccine according to ACIP guidelines. I acknowledge and assert that I am a parent or legal guardian of the student/patient named above, and I give permission for Columbus Public Health staff to treat and care for the needs of the above mentioned patient/student. I also understand that any care received outside Columbus Public Health (e.g., referred care) will not be paid for by Columbus Public Health. Administered immunizations will be entered into the statewide immunization information system (Ohio ImpactSIIS). I authorize the release of medical information necessary to process this claim for billing. I agree to pay my co-pay and any charges not covered by insurance or grants, unless I sign the hardship waiver below. I understand that the Privacy Notice of Columbus Public Health is available on the internet at www.columbus.gov/HealthPrivacyPolicy. I can also have it mailed to me by calling 614-645-2738. X____________________________ X_________________________________ X_______/_____/_______ Parent/Guardian Printed Name Parent/Guardian Signature Date

- OR - (if student/patient is 18 years or older)

X____________________________ X_________________________________ X___________ X______________ Student (Patient) Printed Name Student (Patient) Signature Date Student Phone

*Any reference to ‘my child’ means ‘myself’ once a minor turns 18 years old.

Health Insurance Please check which insurance carrier covers your child or sign below if you don’t think your child has insurance. The Vaccines for Children (VFC) Program provides free vaccines to children who are: Medicaid-eligible; without insurance; American Indian or Alaska Native; or underinsured. Medicaid and private insurance is billed when possible, but you will not be billed.

Medicaid Managed Care Plans (check one below): Managed Care ID#:________________________________ *

*Medicaid UnitedHealthcare, not offered by your job

Ohio Medicaid: MEDICAID # (12 digits): __ __ __ __ __ __ __ __ __ __ __ __

The student does not have health insurance. (Must sign for hardship waiver.)

SIGN HERE: I am unable to pay for health services: X__________________________________________________

Private Insurance (other than Medicaid): Information from insurance card: Insurance company: ________________________________________________ Subscriber ID or member #: ____________________ Group #: __________________________________________ Name of person under whom child is covered: _______________________ Birth date of insured adult: __________ Phone # on insurance card: _______________________________________________________________________ Claims address on insurance card: __________________________________________________________________

OFFICE USE ONLY: NextGen # ____________________ Tdap: R L Time: Meningococcal: R L Time:

Lot: Lot: VFC Private ≥19 Sequence: 1 2 Sequence: 1 2

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