Select a School...
Select a School

Forms & Notifications

PARENT AND STUDENT ACKNOWLEDGEMENT

This CODE has been written so students and family members know what behavior is expected and prohibited at school or at school activities. It is helpful if parents are aware of school rules so they can help support them from home. Failure to return this acknowledgement will not relieve a student or the parent(s) from the responsibility for knowledge of the contents of the Code of Student Conduct.


I have read:

  • Summary of Changes
  • The Annual Notice About Your Rights Concerning Student Records including releasing information to military recruiters and institutes of higher education. (page 9; Directory Information Opt-Out form on following page)
  • The Annual Notice of School Board Policy Required By The Protection Of Pupil Rights Amendment
  • The Notification of Availability of the School Public Accountability Report (2015- 2016)
  • Florida Statute allowing blood donation by 17 year olds
  • Social Security notification
  • Pledge of Allegiance Notice
  • Extracurricular Activities Notification
I have reviewed the Code of Student Conduct.

Additionally, it is acceptable to display my child’s good work.
 
 

ANNUAL NOTICE ABOUT YOUR RIGHTS CONCERNING STUDENT RECORDS

Dear Parent and Student:

 

State and federal law gives parents (and students over 18 years of age) certain rights concerning the students school records. These rights are listed below.

 

1.    You have a right to look at your school records. To look at your records you should give the principal a written request listing the records that you want to see. The principal must allow you to see the records within 30 days from receiving your request.

2.    You have a right to request changes in your school records if you believe the records are inaccurate, misleading, or that they violate your privacy rights. If you want to change your records you should tell the principal in writing what you want changed and why you think it ought to be changed. If the principal agrees with you, your records will be changed. If the principal disagrees with you, you may request a hearing.

3.    Your consent is required before others may see your school records; however the law authorizes some people to see your records without your consent. One example is a school official with a legitimate educational interest in the record. A school official includes a person employed by the School Board as an administrator, attorney, supervisor, instructor, or support staff member; adult school volunteer; and a person or company with whom the School Board has contracted to perform a special task (such as an attorney, school resource officer, auditor, medical consultant, or therapist). A school official has a legitimate educational interest if the official needs to review an education record in order to fulfill his or her professional responsibility.

4.    You have a right to file a complaint with the U.S. Department of Education if you believe the school has violated any of your rights with respect to school records. If you have a complaint, send it in writing to:

 

Family Policy Compliance Office
U.S
. Department of Education
400 Maryland Avenue, S.W.
W
ashington, D.C. 20202-4605

 

Some of the information in your school records is not confidential and may be released without your consent. This information is known as “directory information.”

 

If you do not want directory information released, you must tell the principal in writing what types of directory information you do not want released. That written notice to the principal must be received no later than September 15 of each year or within 30 days of receiving this annual notice. You may use the form on the next page to do this (Part 1).

 

Military recruiters and institutions of higher education are entitled under federal law to a list of names, addresses, and telephone numbers of high school students unless you object to such release. If you notify your principal in writing at any time that you do not wish your childs name, address, and telephone number released without your written consent, we will honor that request. You may use the form on the next page to do this (Part 2).

 

Both parents have a right to see the school records of their child unless there is a certified copy of a court order on file at the school that specifically denies the right to access to school records.

 

Copies of school records are available for a minimal copying charge. If you have any questions about these rights, please contact your school office.

 

 

NOTIFICATION OF RESPONSIBILITY PARENTS OR GUARDIANS FOR STUDENTS WHO ARE TRANSPORTED AT PUBLIC EXPENSE

 
Pursuant to Florida State Board of Education Rule, the District is hereby notifying parents and guardians that they are responsible to:

 

1.    Ensure the safe travel of their students during the portions of each trip to and from school and home when the students are not under the custody and control of the District, including during each trip to and from home and the assigned bus stop when the District provides bus transportation;

2.    Ensure that students ride only in their assigned school buses and get off only at assigned  bus stops, except when the District has approved alternative buses or arrangements;

3.    Ensure students are aware of and follow the Districts adopted Code of Student Conduct  while the students are at school bus stops and to provide necessary supervision during times when  the bus is not present; and

4.    Ensure that, when the physical disability of the student renders the student unable to get on  and off the bus without assistance, the parent or guardian provides the necessary assistance to help the student get on and off at the bus stop, as required by District policy or the students individual educational plan.

 

Directory Information Opt-Out Letter 2016-2017 School Year

 

 

ANNUAL NOTICE OF SCHOOL BOARD POLICY REQUIRED BY THE PROTECTION OF PUPIL RIGHTS AMENDMENT

The Protection of Pupil Rights Amendment (PPRA) requires the Pinellas County School District to notify you concerning the following School Board policy. The policy requires the district to obtain consent or allow you to opt your child out of participating in surveys.

 

Policy 2416 Student Survey Administration

The purpose of this policy is to comply with the Federal law for the collection and reporting of certain information by means of student surveys. The information that will be collected relates to student attitudes and behaviors on topics such as school safety, substance use and the prevalence of risky attitudes or behaviors, particularly with respect to alcohol and drug abuse. In addition, these surveys also collect information on general health practices and human sexuality. Such information is collected anonymously, and no personally identifiable information is obtained from or reported on any individual student. The District cooperates with other agencies such as the Florida Department of Health in conducting these surveys.

 

All student surveys must be approved by the Department of Assessment, Accountability, and Research.

 

Parents will be notified of upcoming surveys that reveal information concerning one (1) or more of the following items:

 

A.    political affiliations or beliefs of the student or the students parent;

B.    mental and psychological problems of the student or the students family;

C.   sexual behavior or attitudes;

D.   illegal, anti-social, self-incriminating, or demeaning behavior;

E.    critical appraisals of other individuals with whom respondents have close family relationships;

F.    legally recognized privileged or analogous relationships, such as those of lawyers, physicians, and ministers;

G.   religious practices, affiliations, or beliefs of the student or students parent;

H.   income (other than that required by law to determined eligibility for participation in a program or before receiving financial assistance under such program).

 

Participation Voluntary

No student shall be required to participate in such a survey if the student or the students parent, if the student is less than eighteen (18) years of age, objects to participation.

Right to Inspect

A student or the students parent, if the student is less than eighteen (18) years of age, has the right to inspect any such survey instrument before the survey is administered or distributed to students if a request is made within a reasonable period of time. Parents also have the right to be advised of arrangements that will be made to protect student privacy.

Student survey instruments and teacher directions for administering the survey will be available at each participating school within a reasonable period of time prior to the survey administration.

Notification of Parents

Parents will be notified of this policy annually at the beginning of the school year and within a reasonable period of time if any substantive change is made to this policy. Such notice shall include the specific or approximate dates during the school year when any such survey will be administered.

 

F.S. 1000.21(5), 1001.32(2), 1001.41, 1001.42, 1001.43, 1002.22
20 U.S.C. 1232g


NOTIFICATION OF AVAILABILITY OF THE SCHOOL PUBLIC ACCOUNTABILITY REPORT 2015 - 2016

The annual school report for 2015-2016, including the average amount of money expended per student in each school, is available at your child’s school and the on district website at the following link, Financial Reports). Please contact your school to obtain a copy or visit the website if you would like to review the report.

 

FLORIDA STATUTE ALLOWING BLOOD DONATION BY 17 YEAR OLD STUDENT

Following is the Florida law which allows minors, 17 years old, to donate blood without parental consent. Parents who object must notify the school in writing.

 

Florida Statute 743.06. Removal of disabilities of minors; donation of blood without parental consent. – Any minor who has reached the age of 17 years may give consent to the donation, without compensation therefor, of her or his blood and to the penetration of tissue which is necessary to accomplish such donation. Such consent shall not be subject to disaffirmance because of minority, unless the parent or parents of such minor specifically object, in writing, to the donation or penetration of the skin.

 
 

NOTICE OF RIGHT TO NOT PARTICIPATE IN PLEDGE OF ALLEGIANCE.

The Pledge of Allegiance to the American Flag shall be rendered daily. Those students not wishing to participate should maintain a respectful silence, refraining from any act that would interfere with such observance. See School Board Policy 8810.


EXTRACURRICULAR ACTIVITIES NOTIFICATION

STUDENT ELIGIBILITY STANDARDS AND DISCIPLINARY ACTIONS


PINELLAS COUNTY SCHOOL BOARD POLICY IN BRIEF
• Home Educated students must be assigned through the district office.
• Students administratively transferred to another regular school for disciplinary reasons shall be ineligible for athletic participation for a period of the remaining of the school year.
• Students returning to any regular school from a successful reassignment/expulsion shall be eligible upon return to the regular school provided the student meets all FHSAA eligibility requirements.
• Students ejected from an athletic contest for unsportsmanlike conduct are subject to a fine to be paid by the student/parent/ guardian to his/her school. The fine may range from fifty ($50) to two hundred fifty ($250), determined by the FHSAA, for gross unsportsmanlike conduct. An athlete who is ejected or disqualified for unsportsmanlike conduct will not participate in or represent the school in any future athletic contests until all fines assessed have been paid to the school.

ELIGIBILITY CRITERIA
  • Academic Eligibility:
  • An incoming 9th grade student must have been regularly promoted to be eligible during the first semester.
  • Eligibility is based on an unweighted cumulative GPA in all courses taken since first entering the 9th grade.
  • Eligibility status is determined at the end of each semester (18 weeks) to determine if a student is eligible or ineligible. This means a student who maintains a cumulative 2.0 grade point average is eligible for an entire semester (18 weeks). If a student does not maintain a cumulative 2.0 grade point average, he/she is ineligible for an entire semester (18 weeks). This applies to 11th and 12th grade students. PLEASE CONTACT YOUR SCHOOLS’ ASSISTANT PRINCIPAL FOR ACTIVITIES OR YOUR SCHOOLS’ ATHLETIC COORDINATOR IF YOU HAVE QUESTIONS.


  • A student will be eligible until he/she reaches the age of 19 years, 9 months.
  • Students have four consecutive years of high school eligibility from the date they first enter the 9th grade. Beginning with students entering grade 9 in 2014-2015, and thereafter, a student who reached 19 on or after September 1st, and who has not exceeded his/her four year limit of eligibility, may participate in Interscholastic athletics during that school year.
  • Physical Evaluation: The annual physical evaluation must be administered either by a licensed physician, a licensed osteopathic physician, a licensed chiropractic physician, a licensed physician assistant, or a certified advanced registered nurse practitioner. A physical evaluation is valid for one year (365 calendar days) from its date. For example, if a physical is on May 1 it is valid through the following April 30.

In addition, the following rules apply:

A. A student not currently suspended from interscholastic or intrascholastic extracurricular activities, or suspended or expelled from school, pursuant to a district school board’s suspension or expulsion powers provided in law, including ss. 1006.07, 1006.08, and 1006.09, F.S., is eligible to participate in interscholastic and intrascholastic extracurricular activities;
B. A student may not participate in a sport if the student participated in that same sport at another school during that school year, unless the student meets the criteria in s. 1006.15(3)(h), F.S.; and
C. A student’s eligibility to participate in any interscholastic or intrascholastic extracurricular activity may not be affected by any alleged recruiting violation until final disposition of the allegation pursuant to s. 1006.20(2)(b), F.S.

Statement on the Collection, Use or Release of Social Security Numbers of Students and/or Parents***

Please Read the Information below.

The School Board of Pinellas County is authorized to collect, use or release social security numbers (SSN) of students and/or parents*** for the following purposes, which are noted as either required or authorized by law to be collected. The collection of social security numbers is either specifically authorized by law or imperative for the performance of the Districts duties and responsibilities as prescribed by law [Fla. Stat. §119.071 (5) (a) 2 & 3].

1.    Student registration and student identification numbers. [Required to request by Fla. Stat. §1008.386 and Fla. Stat. §119.071 (5) (a) 6.1008.386 notes as an exception: “However, a student is not required to provide his or her social security number as a condition for enrollment or graduation.”]

2.    Registration in an adult education program [Required by Fla. Admin. Code 6A-10.0381, if available and/or student identifier, as required by Fla. Stat. § 119.071 (5) (a) 6.]

3.    Tracking of adult students enrolled in a postsecondary program. [Required by Fla. Admin. Code 6A-1.0955(3) (e), and by Fla. Stat. §119.071 (5) (a) 6J

4.    Criminal history. Level 1 and level 2 background checks / Identifiers for processing fingerprints by Department of Law Enforcement/ Registration information regarding sexual predators and sexual offenders authorized by Fla. Stat. § 943.04351, if SSN is available. [Required by Fla. Admin. Code 11 C-6.003 and Fla. Stat. § 119.071 (5) (a)2 6]

5.    Reports on students required to be submitted to Florida DOE [Authorized by Fla. Stat. § 119.071 (5) (a) 2& 6]

6.    Tort claims and tort notices of claim against the School Board [Required by Fla. Stat. § 768.28 (6), and Fla. Stat. § 119.071 (5) (a) 6]

7.    Use of motor vehicle information from the Department of Motor Vehicles for the District to carry out its functions and to verify the accuracy of information submitted by agent or employee to District, including to prevent fraud, in connection with insurance investigations, and to verify a commercial drivers license. [Authorized by federal law 18 U.S.C. 2721 et seq. and Fla. Stat. §119.071(5) (a) 6]

8.    Information received from DOE to locate missing Florida School Children. {Required by Fla. Admin. Code 6A-6.083 and Fla. Stat. §119.071 (5) (a) 6]

9.    National School Lunch Act application verification process /Eligibility for Free and Reduced Price Meals and Free Milk in Schools. [Required of the adult, if the person has a number, by federal law 42 U.S.C. 1751 et seq. and federal regulations 7 C.F.R. 245.2 and .3 and Fla. Stat. § 119.071 (5)(a)6]

10. Reports from Department of Motor Vehicles of each student whose drivers license is suspended for excessive unexcused absences and reports to Department of non- enrollment or non-attendance upon the part of a student who is required to attend some school. [Required by Fla. Stat. §322.091 (5) and §1003.27 and Fla. Stat. § 119.071 (5)(a)6]

11. Written verification from employer for vocational education, student follow up. [Required by Fla. Admin. Code 6A-10.0341 and Fla. Stat. § 119.071 (5) (a) 6]

12. Child abuse report to DCF, of student victim and subjects of report. [Required by Fla. Admin. Code 65C- 29.002 and Fla. Stat. § 119.071(5) (a) 6]

13. Identification of blood donors [Authorized by 42 U.S.C. 405 (c) (2) (D) (i)]

14. The disclosure of the social security number is expressly required by federal or state law or a court order. [Required by Fla. Stat. §119.071(5) (a) 6.]

15. Collection and/ or disclosure are imperative or necessary for the performance of the Districts duties and responsibilities as prescribed by law, including but not limited for password identification to the Districts network. [Authorized by Fla. Stat. §119.071 (5) (a) 6 and required by Fla. Stat. § 119.071 (5) (a) 2]

16. The individual expressly consents in writing to the disclosure of his or her social security number. [Authorized by Fla. Stat. §119.071 (5) (a) 6]

17. The disclosure of the social security number is made to prevent and combat terrorism to comply with the USA Patriot Act of 2001, Pub. L. No. 107-56, or Presidential Executive Order 13224. [Required by Fla. Stat. § 119.071 (5) (a) 6]

18. The disclosure of the social security number is made to a commercial entity for the permissible uses set forth in the federal Drivers Privacy Protection Act of 1994,18 U.S.C. Sec. 2721 et seq.; the Fair Credit Reporting Act, 15 U.S.C. Sec. 1681 et seq.; or the Financial Services Modernization Act of 1999, 15 U.S.C. Sec. 6801 et seq., provided that the authorized commercial entity complies with the requirements of this paragraph 5 in Fla. Stat. §119.071. [Authorized by Fla. Stat. §119.071 (5)(a)6J

19. Income for Medicaid eligibility, determine the amount of medical assistance payments, process Medicaid billing, and provide program follow-up [Required by federal regulation 42 C.F.R. § 435.910, unless student applicant for Medicaid refuses to obtain a social security number, based on well-established religious objections]

*** Note, this statement states the reasons for collecting, using or releasing the social security numbers only of students and/or parents. Separate statements set forth the reasons for collecting, using or releasing the social security numbers of employees and volunteers.

 
 
 
 
CLOSE