Annual Biographical Data Form

All Tiverton High School students are required to have the following information updated each school year. If the information below changes at anytime throughout the year and for any reason, please fill out the information below. Certain updates will require additional documentation to be provided in person to a member of our Administration Team. If you should have any questions, please feel free to contact us at (401) 624-8484. Thank you. 

THS Annual Biographical Data Form

PLEASE COMPLETE EACH SECTION

Step 1: Student Information
Male  FemaleDate of Birth: (MM/DD/YYYY)
Student Name
(Last)

(First)

(Middle)
Address
(Number and Street)

(Town)

(State)

(Zip)
School Last Attended
(Name of School)

(Town)

(State)

(Zip)

(Phone#)

Federal standards require that school districts collect and report information regarding race and ethnicity:

Is your child Hispanic or Latino? Yes No
What is your child's race?
American Indian Asian Native Hawaiian / Pacific Islander 
Caucasian Alaska Native African American 
Are you a military family (Active Duty, Guard or Reserves)? Yes No
Step 2: Family Information
1. Parent / Guardian: Mother Father Other:  Has Custody? 
Name
(Last)

(First)

(Middle)

(Email Address)
Address (if different from student)
(Number and Street)

(Town)

(State)

(Zip)
Home Phone: Work Phone: Cell Phone: 
Check here if you would like to receive texts
2. Parent / Guardian: Mother Father Other:   Has Custody?  
Name
(Last)

(First)

(Middle)

(Email Address)
Address (if different from student)
(Number and Street)

(Town)

(State)

(Zip)
Home Phone: Work Phone: Cell Phone: 
Check here if you would like to receive texts

 

Step 3: Emergency Contacts & Release Procedures
Each Tiverton School has a full-time School Nurse Teacher assigned. In the event of a major illness or injury, 911 will be called, and we will try to reach you. If you are unavailable , we will contact the individuals below in the order listed in the event of an illness or emergency involving your child. The people listed should be available during school hours. Your child may also be released to these individuals under other circumstances at your request or the school’s request. Suitable identification (driver’s license) will be necessary before the child is released. These are the only people authorized to pick up your child from school. Please complete this section as accurately as possible.
I,  (parent/guardian name) authorize the school to release my to the individuals named below:
NameRelationship to ChildDaytime Phone
(Indicate if Home, Work or Cell)
1. 
Address City State & Zip
 
NameRelationship to ChildDaytime Phone
(Indicate if Home, Work or Cell)
 2.   
Address CityState & Zip
   
The Following individuals are to have NO CONTACT with student without permission of the parent(s): 
NameRelationship to ChildDaytime Phone
(Indicate if Home, Work or Cell)
1.
2.
Step 4: Student Health Section
1. Does your student have a medical concern? If yes, please explain. Yes No
2. What is your child's physician's Name?    Physician's Phone number: 

I,  , parent or legal guardian of . a student at Tiverton High School, give the school and related staff (i.e. bus drivers, parent, chaperones, etc.) permission to act on my behalf regarding all emergency medical problems which might develop at the school, during transportation to and from school, and at school-related activities. By utilizing the information above, I understand that all reasonable effort will be made by the school or school bus company to locate me or an additional member of my family as quickly as possible after the onset of an illness or accident. 

(parent/guardian name digital signature) 

HEALTH INFORMATION 
Student health information is protected under the Health Insurance Portability and Accountability Act (HIPPA). These regulations require that our schools store health records in secure locations (locked file cabinets) with restricted access. This also applies to information stored on our computers, which is protected by several district passwords and accessible to only our school nurses. 
Student health information is highly confidential and shared only with staff members who work directly with your child. Your written consent will be required in situations where it is necessary to share your child's medical records with anyone other than school personnel. Please list your child's specific medical concerns in the space provided below, as well as the name and account number of your medical insurance. 
Medical Concerns: 

Please indicate below the school personnel you wish to be made aware of your child's medical concerns so that we may provide the care and services necessary to maintain the health and safety of your child. My child's health information may be shared with the following: 

Classroom Teachers School Secretary All Building Teachers
Teacher Assistants Building AdministratorsBus Drivers/Monitors
Name of Medical Insurance: Account Number: 
 
Step 5: Release of Educational Records
Notice to Parents (and students 18 years or older) regarding release of educational records Under federal law (the Family Education Right and Privacy Act), this school district must obtain your written consent before we disclose personally identifiable information from your child's education records. This school district, however, may release some information known as "Directory information", without your prior written consent, unless you have asked us not to do so. 
The primary purpose of releasing directory information is to allow this school district to include this type of information from your child's educational record in certain publications, such as playbills, yearbooks, honor rolls or recognition lists, graduation programs, and sports-activity sheets. 
We have designated the following information as directory information: 
  • Student's name 
  • Participation in officially recognized activities/sports 
  • Address 
  • Telephone Listing 
  • Weight and height of members of athletic teams 
  • E-mail Address 
  • Photograph 
  • Degrees, honors, awards 
  • Date and place of birth 
  • Dates of attendance and grade level 
  • Other information that is considered to be directory information 

If you do not want this school to release any or all of this information without your prior written consent, please send a formal note in writing to:

Tiverton High School

C/O Main Office 

100 North Brayton Avenue Tiverton, RI 02878

 
Step 6: Student Directory Information

STUDENT DIRECTORY INFORMATION 
The Family Educational Right and Privacy Act (FERPA) requires that school districts designate certain types of student information as student "Directory Information" that can be disclosed with parents' /guardians' prior consent. This information is considered to be general information that would not be harmful or invasive if disclosed in school publications, such as school and district newsletters, yearbooks, the Tiverton Public Schools website http:\ \www.tivertonschools.org, and to newspaper and television media. 
The Tiverton School Department has designated the following as student "Directory Information": 

  • Student Name *Participation in School Activities and Sports
  • Photograph *Weight and Height of students on high school sports teams
  • School Student Attends *Honors and Awards Received
  • Grade Level *Major Field of Study
  • Dates of Attendance *Date and Place of Birth
  • Telephone Listing *Address
  • Email
  • Other information considered directory
In addition to the above information, names, addresses, and telephone listings of high school students may be provided to military recruiters if requested. If you do not want the Tiverton School Department to disclose any of the above Directory Information or information to military recruiters, without your prior consent you must send a written letter to:

Tiverton High School

C/O Main Office 

100 North Brayton Avenue Tiverton, RI 02878

Please refer to your child's school handbook for additional information on student records. Please sign below to indicate that you have read the above information: 
Signature:  Date
Step 7: Acceptable Use Policy -Access to the Schools' Computers, Network, and Internet Connections

Acceptable Use Policy-Access to the Schools' Computers, Network and Internet, Connections, Computer Use  - Policy 1170
Students at the Tiverton Public Schools have the opportunity to use electronic resources ( computers with approved software, network and the Internet). It is a privilege for them to use the resources for the purpose of supporting and extending their educational experiences. The following guidelines are established to enhance the learning experience of the students while maintaining a safe, functional environment. 

  • Students may have access to computer equipment subsequent to agreeing to the acceptable use policy, with parental permission.
  • Students are permitted to use computer-related equipment when supervised or given permission by a staff member.
  • Students will not damage the computers, peripherals, network equipment or connections.
  •  No food or drink is permitted in a computer work area.
  • The use of computers for any illegal activity or commercial purposes is prohibited.
  • Developing or using programs that harass other users, attempt to infiltrate a computer system or alter the software or hardware of a system is prohibited.
  • Using someone else's account or sharing passwords is not permitted.
  • Using a computer or network in such a way that may disrupt or lead to the disruption of the system services, traffic, or equipment is forbidden. Disruption includes, but isnot limited to, propagation of computer viruses and using the network to make unauthorized entry to any other computer or accessories.
  • Students are prohibited from downloading games and game playing both online and local unless approved by a subject teacher.
  • Excessive printing of documents is unauthorized, unless approved by the supervising teacher.
  • E-mail is strictly forbidden to students. Instant messaging, chat room programs and chat lines are also forbidden.
  • Students who receive information or messages that make them uncomfortable will immediately report the occurrence to the supervising staff.
  • Posting personal information in the public domain such as addresses, phone numbers, gender, age, and unauthorized images is prohibited
  • Students will not attempt to access private or personal materials, information, or files of others.
  • Students will not vandalize, damage, or disable the work of another individual or organization.
  • Students will not access, create, or distribute harassing, pornographic, obscene, racist, sexually explicit or threatening material, imagery or language.

The use of the Tiverton Public Schools' computer equipment is not a right, but a privilege.

  • Disciplinary actions related to student access to electronic resources may be determined at the school and/or classroom level in accordance with provincial, board, and school discipline policies.
  • Violations of the school policy may result in a loss of access to electronic resources. Such loss may result in the inability of the student to successfully complete the curriculum.
  • When deemed necessary by school administration, law enforcement agencies may become involved.
  • It is the responsibility of the student to submit a signed copy of the school's Acceptable Use Agreement to the school administration or designates.

Disclaimer 
Although this policy has been carefully prepared and reviewed, the Board and Tiverton Public Schools assumes no liability for any errors, omissions, or misinformation. Use of any information obtained via the Internet is at the user's own risk. The Board is not responsible for any damage suffered by a user. This includes, but is not limited to, loss of data resulting from delays, non-deliveries, or service interruptions. 

Student Section 
All students must read and sign and have their parents/guardians read and sign this Permission Form for Student Access to the Schools' Computers and Internet Connection before the school provides access privileges. 
I have/have not attended a school-sponsored information session concerning the school's Acceptable Use Policy. 
I have read and understand the school's Acceptable Use Policy and agree to abide by the conditions and spirit of the Policy. 

Student Typed Name: Grade:Student Number: 

Parent Section

I have read and understand the schools' Acceptable Use Policy as stated above and agree to abide by the conditions and spirit of the policy. I understand and agree that any financial transactions undertaken by this student from the using the Internet at school is my responsibility. 

Parent Typed Name:  Date: 
Step 8: ASPEN Parent Portal - Acceptable Use Guidelines & Participation

The Tiverton School Department is offering the ASPEN Parent Portal Program as a means to improve communication with parents. The parent portal allows parents and guardians to view their child's school information such as grades, homework assignments, schedule, attendance status, and discipline records. The parent portal is available to all parents of students enrolled at Tiverton High School or Tiverton Middle School. Parents and guardians accessing the site are expected to act in a responsible, ethical, and legal manner. 
By requesting an account for the ASPEN Parent Portal Program you agree to adhere to the following guidelines: 

I. Parents will not share their personal password with anyone.

2.Parents will not attempt to harm or destroy data of their children, another user, district network or internet.

3.Parents will not use the ASPEN Parent Pmial for any illegal activity, including violation of Data Privacy laws.

4.Parents that identify a security problem with the ASPEN Parent Portal must notify the main office of their child's respective school.

5.Parents who are identified as a security risk to the ASPEN Parent Portal or any other Tiverton School Department system will be denied access to the portal.

6.Parents should expect a period of time from the end of the assignment date before posting of the grade. Please see the information below.

Recording Assignments and Grades 

Daily Work and Quizzes TestsProjects & Papers
Within 5 daysWithin 10 daysWithin 15 days

Name(s) and grade(s) of your children at either Tiverton High School or Tiverton Middle School.

Name: Grade: 
Name: Grade: 
Name: Grade: 
I have read and agree to abide by the above user guidelines. 
Parent Digital Signature: Date: 

 



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