BCTC ADMISSIONS AGREEMENT, Slides of Technology

Download BCTC ADMISSIONS AGREEMENT and more Slides Technology in PDF only on Docsity! BCTC ADMISSIONS AGREEMENT Student’s Name: Date of Birth: Choosing to attend Berks Career & Technology Center (BCTC) requires making an informed and responsible career decision. A student’s success and continued enrollment will depend on the following: • Regular attendance – You will be expected to be prompt and attend regularly. • Positive Behavior and Self-Discipline – You will be expected to work cooperatively with all staff and students. In addition, respect and self-control and good citizenship is expected at all times. • Effort and Safety – You will be expected to participate actively in all educational activities as directed by the teacher, achieve to the best of your ability, and adhere to all safety rules and regulations. Furthermore, you agree not to attempt to perform any procedure, use any tools/equipment, or handle any supply or material without proper training and the approval of the assigned teacher. • Financial Requirement – You will be required to purchase certain items that uniquely pertain to your particular program (e.g. personal safety equipment, clothing, selected tools, and textbooks/workbooks). Both students and parents/guardians acknowledge the inherent risk and potential for injury involved in career and technical programs and agree to the aforementioned requirements as a condition for acceptance. As a parent/guardian, I consent to allow my child to receive emergency first aid at BCTC in the event of sudden illness or accident. If their condition should require treatment by a doctor and none of the emergency contact persons listed can be reached, I further give permission for my child to be transported by an ambulance or responsible person to the nearest hospital or physician available. I will assume the necessary expense if any. I understand BCTC does not carry insurance to protect my child from expenses due to accidents and that student accident insurance is available through my own school district. I give permission for my child to be administered selected over-the-counter medications as recommended by the school’s Doctor of Record during school hours if requested by my child. Prescription medications will only be administered after receiving an order from a physician. Furthermore, I relieve BCTC and its employees of any and all liability for the administration of medication. I have a preference that Hospital be used. Student’s Health Insurance Company . Consistent with Section 438 of the General Education Provisions Act, Title IV of Public Law 90-247 (Confidentiality of Records), we hereby give permission for the release of any and all school records concerning the applicant. This may include such things as the student’s name, address, birth date, grade completed; results of various standardized tests, grades, attendance records, discipline reports, teachers’ recommendations, family background, health and dental records. We understand this record will be treated with complete confidentiality and that only authorized school personnel may review the verified information without signed consent. I may review and correct these records in accordance with the BCTC’s Records Policy which is available at www. BerksCareer.com. Furthermore, students who fail to complete the year successfully and/or do not earn the required OSHA safety card cannot return the next year. Your signatures indicate full knowledge that failure to comply with the requirements may result in removal from BCTC and reassignment to a more appropriate educational program. I am committed to the admission agreement and request admission to the program/course as indicated on this application. (Student Signature) (Date) (month, day, year) CONSENT AUTHORIZATION - I am the parent or legal guardian of the student applicant, have examined the information on this application including course selection(s) and agree with the terms of the Admissions Agreement. (Parent/Guardian Signature) (Date) Consistent with Pennsylvania School Code § 13-1304-A (Safe Schools), I hereby swear or affirm that my child □ was □ was not previously suspended or expelled, or □ is □ is not presently suspended or expelled from any public or private school of this Commonwealth or any other state for an act or offense involving weapons, alcohol or drugs, or for the willful infliction of injury to another person or for an act of violence committed on school property. I make this statement subject to the penalties of 24 P.S. § 13-1304-A (b) and 18 PA. C.S.A. §4904, relating to unsworn falsification to authorities, and the facts contained herein are true and correct to the best of my knowledge, information and belief. (Parent/Guardian Signature) (Date) The BCTC Student Handbook will answer many of the questions you may have about the rules and activities here at the Career Center. PLEASE VISIT www.BerksCareer.com TO VIEW THE ENTIRE DOCUMENT and for reference purposes. Please give special attention to the following sections: Section III titled “Student Code of Conduct/Discipline”, and Section XII titled “Acceptable Use of Internet, Computers and Network Resources”. Within these sections you will find helpful information concerning our discipline policy and responsibilities required of all Internet users. Accepted students are also requested to review Section I titled “Attendance”. Since curriculum delivery at the Career Center greatly involves teacher demonstration and hands-on activities, student attendance is very important. Failure to attend school on a regular basis will have a great impact on a student’s overall grade. Standing Orders Agreement By initialing here, parent/guardian gives permission for his/her child to be administered selected over- the-counter medications (Tylenol, Motrin, or Tums) as recommended by the school’s Doctor of Record consistent with BCTC’s standing orders during school hours if requested by my child. Furthermore, I relieve BCTC and its employees of any and all liability for the administration of medication. Please list any severe allergies that your child might have: Does your child have special health problems, physical limitations, or any existing health conditions (i.e. sickle cell, seizures, or a pacemaker) that the Nurse needs to be aware of: ____Yes ____No. If yes, please list them: Student Photo/Video Disclosure By initialing here, parent/guardian agrees to allow BCTC to use photographs or video images of my son/daughter in the BCTC yearbook, on the website, in the Video and Media Content Production program, for marketing and recruitment, for special achievement, for recognition of my son/daughter in conjunction with local media, and for social media to market the school. Parent/Guardian Initials BCTC ADMISSIONS AGREEMENT (cont.) Parent/Guardian Initials