Southern Choctaw Elementary School

Kindergarten Registration for Southern Choctaw Elementary School
 
The following documentation is required before a child can be enrolled in school:

• Birth Certificate
• Social Security Card
• Alabama Record of Immunization (Blue Card)
• Two (2) proofs of address (originals only - no photocopies will be accepted).  

The following is a list of acceptable proofs of address:

• Filed homestead exemption application form
• Home mortgage documents or property deed
• Rental/lease agreement for house  or apartment (notarized/legal document)
• Utility bill (only one utility bill may be submitted as proof of address)
• Automobile registration or tag receipt
• Food stamp certification
• Medicare/Medicaid information
• Insurance policy on dwelling
• Certified copy of filed petition for guardianship if pending; or, final decree when granted

 
 
DIRECTIONS:
Bullying, harassment, and intimidation are serious and will not be tolerated. This is a form to report alleged bullying, harassment, or intimidation that occurred on school property; at a school-sponsored activity or event off school property; on a school bus; or in the current school year. If you are a student victim, the parent/guardian of a student victim, a close adult relative of a student victim, or a school staff member and wish to report an incident of alleged bullying, harassment or intimidation, complete this form and return it to the principal at the student victim's school. Contact the school for additional information or assistance at any time.
 
 
DEFINITION:
Bullying, harassment, and intimidation are intentional verbal, written, and/or physical conduct or an intentional electronic communication that creates a hostile educational environment by substantially interfering with a student's educational benefits, opportunities and performance, or with a student's physical or psychological well-being and is as follows:

• Motivated by an actual or a perceived personal characteristic, including race, national origin, marital status, sex, sexual orientation, gender identity, religion, ancestry, physical attributes, socioeconomic status, familial status, or physical or mental ability or disability
• Threatening or seriously intimidating
• Occurs on school property, at a school activity or event, or on a school bus
• Substantially disruptive to the orderly operation of a school

 
"Electronic communication" means a communication transmitted by means of an electronic device, including but not limited to telephone, cellular phone, computer or pager.
 

ReportForm

Name of Student/Victim

Age

Grade

Name(s) of alleged offender(s). If known, please give age, school .On what day did the incident(s) happen?If other or electronic communication, please explain:

Today's Date

If yes, how many days was the student victim absent from school as a result of the incident?

What did the alleged offender(s) say or do?Why did the bullying, harassment or intimidation occur?Is there any additional information you would like to provide?

PERSON REPORTING INCIDENT

Name

Telephone

Email

Please check the appropriate boxStudent (victim)Student (witness/bystander)Parent/GuardianClose adult relativeSchool staffDid a psychological injury result from this incident?NoYes, but outside psychological services have not been sought Yes, and outside psychological services have been soughtSchoolChoctaw County ElementarySouthern Choctaw ElementaryChoctaw County HighSouthern Choctaw HighDid a physical injury result from this incident?NoYes, but it did not require medical attentionYes, and it required medical attentionIf there was a physical injury, do doctors think there will be permanent effects? YesNoWas the student victim absent from school as a result of this incident?YesNoWhere did the incident happen (choose all that apply)?

On a school bus

On school property

At a school-sponsored activity or event off school property

Place an next to the statement(s) that best describes what happened (choose all that apply):

Coercing another person to hit or harm the student

Hitting, kicking, shoving, spitting, hair pulling, or throwing something

Repeated teasing, name-calling, making critical remarks, or threatening, in person or by other means

Repeated demeaning statements encouraged to make the victim the basis of jokes

Making rude and/or threatening gestures

Intimidating, bullying, extorting, or exploiting

Spreading harmful rumors or gossip

Electronic Communications

Other

 

Submit