Back to School Forms
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Stafford County Public Schools Back to School Forms
Transcript of Back to School Forms
Stafford County Public Schools
Back to School
Forms
Inspire Empower Excel
August 9, 2021
Dear Parents and Students:
Welcome to the start of the 2021-2022 school year. I hope you had a great summer! All of us at the school
division are very excited that your child will be attending Stafford County Public Schools, and we look forward
to partnering with you to ensure that your child has a positive and successful school experience.
We understand and acknowledge that as a learning community built of parents, guardians, students, and staff,
that we must work together to ensure our students continue to thrive. Please take a moment to review with your
children the information on the following pages, and remember to reach out to your child’s teacher(s) with any
questions regarding instruction or your child’s progress.
Stafford County Public Schools has a strong commitment to high expectations, equity, and academic excellence
for all students. We strongly believe that the cornerstone of the Stafford community is our public school system.
Current and future economic development and quality of life issues such as safety, health and social well-being
greatly depend on our students graduating with strong academic, career and technical education skills, as well as
a sense of social responsibility. Our strategic plan puts “All Learners” on a pathway for continuous
improvement by integrating communication, collaboration, critical thinking, creativity, citizenship and wellness
into our daily actions and expectations in Stafford County Public Schools. We help prepare our students to be
contributing citizens to our county by having the foundational skills necessary to be our next community and
business leaders, innovators, high-skilled workers, civic volunteers and future tax payers.
Our school system’s greatest strength is our employees. Our teachers, administrators, and support staff are
dedicated professionals who are passionate about delivering a high-quality education and providing resources
that are necessary to help every child make gains both academically, socially, and physically.
Thank you for your continued support of our school division. I wish your child great success and happiness this
school year.
Sincerely,
Scott R. Kizner, Ph.D.
Superintendent
STAFFORD COUNTY PUBLIC SCHOOLS 31 Stafford Avenue
Stafford, Virginia 22554-7246 Phone: 540-658-6000
www.staffordschools.net
SCHOOL BOARD
Holly Hazard, Chair
Susan Randall, Vice-Chair
Dr. Sarah Chase
Patricia Healy
Irene Hollerback
Dr. Elizabeth Warner
R. Pamela Yeung
Office of the Superintendent
Scott R. Kizner, Ph.D. Superintendent
STAFFORD COUNTY PUBLIC SCHOOLS
31 STAFFORD AVENUE
STAFFORD, VIRGINIA 22554
ACKNOWLEDGMENT OF RECEIPT
I hereby acknowledge that I have received:
o Notice to Students/Parents Regarding Virtual Classroom Instruction and Recordings
o Family Educational Rights and Privacy Act Notification
o Annual Notice to Students/Parents Regarding Directory Information
o Protection of Pupil Rights Amendment (PPRA) Notification
o Cell Phone/Communication Device Acceptable Use Agreement (Regulation 2401 R)
o Bring Your Own Technology (BYOT) Guidelines and User Agreement
o Acceptable Computer Use Policy 6301
o Online Account and Email Opt-Out Form
o Military Connected
o Access to Internet
o Request for Medication/Treatment During School Hours
o Vision, Hearing, and Scoliosis Screenings
o Eating Disorders Notification
o School Counseling Program
o Family Life Education (Opt-Out form)
o Transportation Information
o Science Safety Agreement
o 2021-22 Student Code of Conduct Handbook and Related Notices which includes:
Symbolic Expression: Appearance/Dress/Gestures (Regulation 2412-R)
Student Absences/Excuses/Dismissals (Regulation 2406-R
Compulsory School Attendance Law (Va. Code Section 22.1-254)
Teacher Removal of Students from Class (Policy 2409)
Code of Student Conduct (Policy 2401 & Regulation 2401-R)
SCPS HS Cellular Phone/Electronic & Wireless Device Acceptable Use Agreement
SCPS MS Cellular Phone/Electronic & Wireless Device Acceptable Use Agreement
Student Suspensions, Student Expulsions & Appeals of Disciplinary Consequences (Policy 2403)
Search and Seizure (Policy 2417)
Sexual Harassment/Harassment Based on Race, National Origin, Disability & Religion (Policy 2402)
Exclusion of Students (Policy 2106)
Assignment of Students to an Alternative Education Program (Policy 2107)
Anti-Bullying (Policy 2404 & Regulation 2404-R)
Notice: Misdemeanor to Make False Statements as to Residency
Notice: Availability of Policy Manual
Notice: Sex Offender Registry Information
Notice: Right to Petition I do further acknowledge that I have received the Notice of Parental Responsibility and Involvement
Requirements as set forth in Va. Code §22.1-279.3 as part of the 2021-2022 Student Code of Conduct Handbook and Related Notices.
In addition, the signatures below indicate agreement to abide by Stafford County Public Schools Acceptable Computer Use Policy
6301. By signing this receipt I shall not be deemed to waive, but to expressly reserve, rights protected by the constitutions and the
laws of the United States of America and of the Commonwealth of Virginia, including the right to express disagreement with policies
and decisions of the school and of the school division
Student’s Name School and Grade
Student’s Signature Date
Signature of Parent/Guardian Date
Updated 3/2021
NOTICE TO STUDENTS/PARENTS REGARDING VIRTUAL CLASSROOM INSTRUCTION
AND RECORDINGS
For the 2021-2022 school year, some students may access live classroom instruction from a virtual
platform. Eligible virtual learning students will access the classroom through Google Meet and Canvas,
the division’s secure learning management system, by logging on with a username and password. Live
virtual classroom sessions may include whole classroom, small group, or individual 1:1 teacher/student
instruction. In some instances, a teacher may have students both physically in the classroom and learning
virtually. (Virtual learning students may access the classroom from locations other than their homes).
Names and images of virtual learning students will be visible to the teacher and other participating
students.
Live virtual classroom sessions may be video-recorded and/or audio-recorded to enable later access to
instruction by those students who cannot attend the live session or to serve as a resource for those
students in the classroom who would like to later review content that was presented. Questions and
comments asked and spoken by your student will be part of the recording. SCPS will grant access to
recordings only to students assigned to that particular class.
Student privacy and protecting the confidentiality of student information are of utmost importance.
Accordingly, the following expectations and rules will be enforced for students participating in virtual
learning and/or accessing recorded instruction from SCPS platforms:
1. Students are expected to follow School Board policies, regulations, and the SCPS Student
Code of Conduct including appropriate use of technology.
2. Students are expected to maintain the security of their login information used to access
Canvas as well as live virtual classroom sessions and recordings.
3. Students are strictly prohibited from allowing unauthorized individuals to access live virtual
classroom sessions. Doing so may result in disciplinary action which includes but is not limited to
restrictions on a student’s access to live virtual classroom sessions.
4. Recordings may not be reproduced, shared with those not in the class, or uploaded to
other online environments. Doing so may constitute a breach of copyright laws, the SCPS Student
Code of Conduct, School Board policies, and regulations for which disciplinary action may be
taken.
5. Students are strictly prohibited from taking screenshots or recordings of live virtual
classroom sessions. Under no circumstances should such screenshots or recordings be shared by
the student with others electronically or manually.
6. Parents, guardians, or community members who violate the prohibitions listed in #4 and
#5 will be reported to the appropriate authorities and legal action may result. In addition, your
student’s access to live virtual classroom sessions and recordings may be restricted.
Please be advised that while SCPS will undertake all reasonable measures to protect your student’s
privacy, the division cannot control the unauthorized actions of others who may publicly post
recordings/screenshots of virtual classroom sessions.
Updated 3/2021
SCPS has designated photographs, audio recordings, and video recordings of your student as directory
information under the Family Educational Rights and Privacy Act (FERPA). (See page 3). If you do not
want SCPS to disclose directory information of your student, please follow the instructions on page 6 to
opt out. Pursuant to 34 CFR §99.37(c)(1), please note that you cannot opt out of disclosure of certain
directory information – specifically, student name and identifier (photograph/icon) – being shared during classroom instruction to those enrolled in and attending the class.
FAMILY EDUCATIONAL RIGHTS & PRIVACY (FERPA) ANNUAL NOTIFICATION
The Family Educational Rights and Privacy Act (FERPA) affords parents and students who are 18 years
of age or older ("eligible students") certain rights with respect to the student's education records. These
rights are:
1. The right to inspect and review the student's education records within 45 days after the day
the school] receives a request for access.
Parents or eligible students who wish to inspect their child’s or their education records should
submit to the school principal a written request that identifies the records they wish to
inspect. The school official will make arrangements for access and notify the parent or
eligible student of the time and place where the records may be inspected.
2. The right to request the amendment of the student’s education records that the parent or
eligible student believes are inaccurate, misleading, or otherwise in violation of the student’s
privacy rights under FERPA.
Parents or eligible students who wish to ask the school to amend their child’s or their
education record should write the school principal, clearly identify the part of the record they
want changed, and specify why it should be changed. If the school decides not to amend the
record as requested by the parent or eligible student, the school will notify the parent or
eligible student of the decision and of their right to a hearing regarding the request for
amendment. Additional information regarding the hearing procedures will be provided to the
parent or eligible student when notified of the right to a hearing.
3. The right to provide written consent before the school discloses personally identifiable
information (PII) from the student's education records, except to the extent that FERPA
authorizes disclosure without consent.
4. The right to file a complaint with the U.S. Department of Education concerning alleged
failures by the school division to comply with the requirements of FERPA. The name and
address of the Office that administers FERPA are:
Student Privacy Policy Office
U.S. Department of Education
400 Maryland Avenue, SW
Washington, DC 20202
FERPA permits the disclosure of PII from students’ education records, without consent of the parent or
eligible student, if the disclosure meets certain conditions found in §99.31 of the FERPA regulations.
Except for disclosures to school officials, disclosures related to some judicial orders or lawfully issued
Updated 3/2021
subpoenas, disclosures of directory information, and disclosures to the parent or eligible student, §99.32
of the FERPA regulations requires the school to record the disclosure. Parents and eligible students have
a right to inspect and review the record of disclosures. A school may disclose PII from the education
records of a student without obtaining prior written consent of the parents or the eligible student –
To other school officials, including teachers, within the educational agency or institution
whom the school has determined to have legitimate educational interests. This includes
contractors, consultants, volunteers, or other parties to whom the school has outsourced
institutional services or functions, provided that the conditions listed in § 99.31(a)(1)(i)(B)(1)
- (a)(1)(i)(B)(3) are met. (§ 99.31(a)(1))
To officials of another school, school system, or institution of postsecondary education where
the student seeks or intends to enroll, or where the student is already enrolled if the disclosure
is for purposes related to the student’s enrollment or transfer, subject to the requirements of
§ 99.34. (§ 99.31(a)(2))
To authorized representatives of the U. S. Comptroller General, the U. S. Attorney General,
the U.S. Secretary of Education, or State and local educational authorities, such as the State
educational agency (SEA) in the parent or eligible student’s State. Disclosures under this
provision may be made, subject to the requirements of § 99.35, in connection with an audit or
evaluation of Federal- or State-supported education programs, or for the enforcement of or
compliance with Federal legal requirements that relate to those programs. These entities may
make further disclosures of PII to outside entities that are designated by them as their
authorized representatives to conduct any audit, evaluation, or enforcement or compliance
activity on their behalf, if applicable requirements are met. (§§ 99.31(a)(3) and 99.35)
In connection with financial aid for which the student has applied or which the student has
received, if the information is necessary for such purposes as to determine eligibility for the
aid, determine the amount of the aid, determine the conditions of the aid, or enforce the terms
and conditions of the aid. (§ 99.31(a)(4))
To State and local officials or authorities to whom information is specifically allowed to be
reported or disclosed by a State statute that concerns the juvenile justice system and the
system’s ability to effectively serve, prior to adjudication, the student whose records were
released, subject to § 99.38. (§ 99.31(a)(5))
To organizations conducting studies for, or on behalf of, the school, in order to: (a) develop,
validate, or administer predictive tests; (b) administer student aid programs; or (c) improve
instruction, if applicable requirements are met. (§ 99.31(a)(6))
To accrediting organizations to carry out their accrediting functions. (§ 99.31(a)(7))
To parents of an eligible student if the student is a dependent for IRS tax purposes. (§
99.31(a)(8))
To comply with a judicial order or lawfully issued subpoena if applicable requirements are
met. (§ 99.31(a)(9))
To appropriate officials, including but not limited to law enforcement or other emergency
responders, in connection with a health or safety emergency, subject to § 99.36.
(§ 99.31(a)(10))
Updated 3/2021
Information the school has designated as “directory information” if applicable requirements
under § 99.37 are met. (§ 99.31(a)(11))
To an agency caseworker or other representative of a State or local child welfare agency or
tribal organization who is authorized to access a student’s case plan when such agency or
organization is legally responsible, in accordance with State or tribal law, for the care and
protection of the student in foster care placement. (20 U.S.C. § 1232g(b)(1)(L))
To the Secretary of Agriculture or authorized representatives of the Food and Nutrition
Service for purposes of conducting program monitoring, evaluations, and performance
measurements of programs authorized under the Richard B. Russell National School Lunch
Act or the Child Nutrition Act of 1966, under certain conditions. (20 U.S.C. §
1232g(b)(1)(K))
As otherwise permitted under Virginia state law and federal regulations and guidelines issued
by the U.S. Department of Education.
ANNUAL NOTICE TO STUDENTS/PARENTS REGARDING DIRECTORY INFORMATION
The Family Educational Rights and Privacy Act (FERPA), a federal law, requires that Stafford County
Public Schools (SCPS), with certain exceptions, obtain your written consent prior to the disclosure of personally identifiable information from your child’s education records. However, SCPS may disclose appropriately designated “directory information” without written consent, unless you have advised the Division to the contrary in accordance with Division procedures. The primary purpose of directory information is to allow the SCPS to include this type of information from your child’s education records in certain school publications. Examples include, but are not limited to:
* A playbill, showing your student’s role in a drama production; * The annual yearbook; * Honor roll or other recognition lists;
* Graduation programs; and
* Sports activity sheets, such as for wrestling, showing weight and height of team members.
Directory information, which is information that is generally not considered harmful or an invasion of
privacy if released, can also be disclosed to outside organizations without a parent’s prior written
consent. Outside organizations include, but are not limited to, companies that manufacture class rings
or publish yearbooks. If parents/guardians do not want their child photographed, video recorded and/or
audio recorded during school sponsored activities and/or learning experiences, or does not want their
child’s intellectual property published, produced and/or displayed, they must opt out.
In addition, two federal laws require local educational agencies (LEAs) receiving assistance under the
Elementary and Secondary Education Act of 1965 (ESEA) to provide military recruiters, upon
request, with three directory information categories- names, addresses and telephone listings- unless
parents have advised the LEA that they do not want their student’s information disclosed without their
prior written consent. (1)
If you do not want SCPS to disclose directory information from your child’s education records without
your prior written consent, you must notify the principal of your child’s school, in writing, within
fifteen (15) days of receipt of this notice. SCPS has designated the following information as directory
Updated 3/2021
information:
Student’s name
Telephone (with written consent; see opt-in option below)
Address (with written consent; see opt-in option below)
Participation in officially recognized activities and sports
Weight and height of members of athletic teams
Photograph(s), audio recordings, and/or video recordings of students, whether hardcopy or
electronic
Degrees, honors and awards received
Date and place of birth
Major field of study
Dates of attendance
Grade level
The most recent educational agency or institution attended
1. These laws are: Section 9528 of the ESEA (20 U.S.C 7908), as amended by the No Child Left
Behind Act of 2001 (P.L. 107-110), the education bill, and 10 U.S.C. 503, as amended by section 544,
the National Defense Authorization Act for Fiscal year 2002 (P.L. 107-107), the legislation that
provides funding for the Nation’s armed forces.
If possible, SCPS will provide a copy of this document in other languages or will provide an
interpreter to translate the document. Requests for this service should be made through the
student’s school principal.
Si necesita ayuda interpretando este documento, por favor llame al Director de la escuela.
Va. Code Section 22.1-287.1 provides that no school shall disclose the address, phone number, or email
address of a student pursuant to 34 C.F.R. § 99.31(a)(11) or the Virginia Freedom of Information Act (§
2.2-3700 et seq.) unless the parent or eligible student has affirmatively consented in writing to such
disclosure.
If you wish to allow Stafford County Public Schools to include the student’s phone, address and email
address in Directory Information, when appropriate, you must opt-in.
_____ I allow Stafford County Public Schools to include the student’s address, phone number and
email address in Directory Information.
________________
Student Name
____________
School
_______________________ Signature of Parent/Guardian
____________
Date
Updated 3/2021
NOTIFICATION OF RIGHTS UNDER THE PROTECTION OF PUPIL RIGHTS AMENDMENT
(PPRA)
PPRA affords parents of elementary and secondary students certain rights regarding the conduct of
surveys, collection and use of information for marketing purposes, and certain physical exams. These
include, but are not limited to, the right to:
Consent before students are required to submit to a survey that concerns one or more of the following
protected areas (“protected information survey”) if the survey is funded in whole or in part by a program
of the U.S. Department of Education (ED)–
1. Political affiliations or beliefs of the student or student’s parent;
2. Mental or psychological problems of the student or student’s family;
3. Sex behavior or attitudes;
4. Illegal, anti-social, self-incriminating, or demeaning behavior;
5. Critical appraisals of others with whom respondents have close family relationships;
6. Legally recognized privileged relationships, such as with lawyers, doctors, or ministers;
7. Religious practices, affiliations, or beliefs of the student or student’s parent; or
8. Income, other than as required by law to determine program eligibility.
Receive notice and an opportunity to opt a student out of –
1. Any other protected information survey, regardless of funding;
2. Any non-emergency, invasive physical exam or screening required as a condition of
attendance, administered by the school or its agent, and not necessary to protect the immediate
health and safety of a student, except for hearing, vision, or scoliosis screenings, or any
physical exam or screening permitted or required under State law; and
3. Activities involving collection, disclosure, or use of personal information collected from
students for marketing or to sell or otherwise distribute the information to others. (This does
not apply to the collection, disclosure, or use of personal information collected from students
for the exclusive purpose of developing, evaluating, or providing educational products or
services for, or to, students or educational institutions.)
Inspect, upon request and before administration or use –
1. Protected information surveys of students and surveys created by a third party;
2. Instruments used to collect personal information from students for any of the above marketing,
sales, or other distribution purposes; and
3. Instructional material used as part of the educational curriculum.
These rights transfer from the parents to a student who is 18 years old or an emancipated minor under
State law.
The school division has developed and adopted Policy 3603 regarding these rights, as well as
arrangements to protect student privacy in the administration of protected information surveys and the
collection, disclosure, or use of personal information for marketing, sales, or other distribution purposes.
The school division will directly notify parents of these policies at least annually at the start of each
school year and after any substantive changes. The school division will also directly notify, such as
through U.S. Mail or email, parents of students who are scheduled to participate in the specific activities
or surveys noted below and will provide an opportunity for the parent to opt his or her child out of
participation of the specific activity or survey. The school division will make this notification to parents at
Updated 3/2021
the beginning of the school year if the division has identified the specific or approximate dates of the
activities or surveys at that time. For surveys and activities scheduled after the school year starts, parents
will be provided reasonable notification of the planned activities and surveys listed below and be
provided an opportunity to opt their child out of such activities and surveys. Parents will also be provided
an opportunity to review any pertinent surveys. Following is a list of the specific activities and surveys
covered under this direct notification requirement:
Collection, disclosure, or use of personal information collected from students for marketing,
sales, or other distribution.
Administration of any protected information survey not funded in whole or in part by ED.
Any non-emergency, invasive physical examination or screening as described above.
Parents who believe their rights have been violated may file a complaint with:
Student Privacy Policy Office
U.S. Department of Education
400 Maryland Avenue, SW
Washington, D.C. 20202
Notification of Virginia State Police Sex Offender and Crimes Against Minors Registry website. Va.
Code §22.1-79.3(E) requires the School Board to advise parents that the Virginia State Police Sex
Offender and Crimes Against Minors Registry website can be found at http://sex-
offender.vsp.virginia.gov/sor/. This website, which includes the public notification database, provides
access to information about persons convicted of specified violent and sexual offenses. Any member of
the public can access this free Web site at any time to educate themselves about the possible presence of
such offenders in their local communities.
REGULATION 2401-R Exhibit 2
Reviewed by School Board: 05/28/19
Amended by School Board: 06/23/20
THE SCHOOL BOARD OF STAFFORD COUNTY
Student Name:
SCPS Middle School Cellular Phone/Electronic & Wireless Device*
Acceptable Use Agreement
1. Cellular phones/electronic and wireless devices are permitted before and after school; however, students
must power off such devices and stow them properly out of sight during the school day. Such devices are to
remain off the entire school day unless teacher permission is given otherwise.
2. Students shall not record still or moving images or voices of students or staff without permission. Any
student using a cellular phone/electronic or wireless device to violate Rule 46, which prohibits photography
and related offenses, shall be prohibited from using such device during the school day for the remainder of
the school year.
3. Students shall place cellular phones/electronic and wireless devices powered off and properly
stowed during all assessments. Such devices must remain stowed away until ALL assessments have
been collected and with teacher permission. Any student using such device to violate Rule 12, which
prohibits cheating and related offenses, shall be prohibited from using such device during the school
day for the remainder of the school year.
4. Students are not permitted to have cellular phones/electronic and wireless devices out in the PE and/or
CTE locker rooms at any time. Students shall not record still or otherwise share moving images or voices of
any person in a restroom.
5. Students shall adhere to the Acceptable Computer Use Policy 6301, BYOT guidelines and user agreement
and practice internet safety with online resources.
I, (student name), understand that violation of the class
acceptable Cellular Phone/Electronic & Wireless Device Acceptable Use Agreement shall result in a referral
to the assistant principal, and may result in my not being able to participate in additional class activities that
involve using such device and may result in being prohibited from using such device during the school day
for the remainder of the school year. I understand that if I am in doubt of acceptable use of my cellular
phone/electronic and wireless device in the classroom I should ask the teacher. I also understand that I will
receive disciplinary consequences if I use my device in violation of any rule defined in the Stafford County
Student Code of Conduct.
I, (parent/guardian name), have reviewed the SCPS
MS Cellular Phone/Electronic & Wireless Device Acceptable Use Agreement with my child. I agree to
allow my child to participate in class activities involving such devices, even if my child does not have
his/her own cell phone to use. I also understand and agree that SCPS shall not be liable for the loss,
damage, misuse, theft of any personally owned device brought to school. Additionally, SCPS, school
administration, or the school’s administrative designee reserves the right to monitor, inspect, copy, and
REGULATION 2401-R Exhibit 2
Reviewed by School Board: 05/28/19
Amended by School Board: 06/23/20
THE SCHOOL BOARD OF STAFFORD COUNTY
review a personally owned device or file when administration has a reasonable suspicion that a violation
has occurred.
*Note: Cellular phones/electronic and wireless devices, include but are not limited to, watches, wearable
devices and other devices that can manage calls or messages as set forth in Rule 11.
Parent’s/Guardian’s Signature Date:
Student’s Signature Date:
REGULATION 2401-R
Exhibit 1 Reviewed by School Board: 05/28/19
Amended by School Board: 06/23/20
Student Name:
SCPS High School Cellular Phone/Electronic & Wireless Device*
Acceptable Use Agreement
1. Cellular phones/electronic & wireless devices are permitted before and after school, and during
lunch while in the cafeteria or other area specifically designated by the administration. Students shall
not use such devices during the school day except in areas specifically designated by the administrator
which are marked by signage. Students must power off such devices and stow them properly out of
sight prior to entering the classroom. Cellular phones/electronic & wireless devices are to remain off
the entire class period unless teacher permission is given otherwise.
2. Students shall not record still or moving images or voices of students or staff without permission.
Any student using a cellular phone/electronic or wireless device to violate Rule 46, which prohibits
photographing and related offenses, shall be prohibited from using such device during the school day
for the remainder of the school year.
3. Students shall place cellular phones/electronic & wireless devices powered off and properly stowed
during all assessments. Such devices must remain stowed away until ALL assessments have been
collected and with teacher permission. Any student using such device to violate Rule 12, which
prohibits cheating and related offenses, shall be prohibited from using such device during the school
day for the remainder of the school year.
4. Students are not permitted to have cellular phones/electronic & wireless devices out in the PE
and/or CTE locker rooms at any time. Students shall not record still or otherwise share moving images
or voices of any person in a restroom.
5. Students shall adhere to the Acceptable Computer Use Policy 6301, BYOT guidelines and
user agreement and practice internet safety with online resources.
I, (student name), understand that violation of the
class acceptable Cellular Phone/Electronic & Wireless Device Acceptable Use Agreement shall result
in a referral to the assistant principal, and may result in my not being able to participate in additional
class activities that involve using such device and may result in being prohibited from using such
device during the school day for the remainder of the school year. I understand that if I am in doubt of
acceptable use of my cellular phone/electronic and wireless device in the classroom I should ask the
teacher. I also understand that I will receive disciplinary consequences if I use my device in violation
of any rule defined in the Stafford County Student Code of Conduct.
I, (parent/guardian name), have reviewed the
SCPS HS Cellular Phone/Electronic & Wireless Device Acceptable Use Agreement with my child. I
agree to allow my child to participate in class activities involving such devices, even if my child
does not have his/her own device to use. I also understand and agree that SCPS shall not be liable for
the loss, damage, misuse, theft of any personally owned device brought to school. Additionally,
SCPS,
REGULATION 2401-R
Exhibit 1 Reviewed by School Board: 05/28/19
Amended by School Board: 06/23/20
school administration, or the school’s administrative designee reserves the right to monitor, inspect,
copy, and review a personally owned device or file when administration has a reasonable suspicion
that a violation has occurred.
*Note: Cellular phones/electronic and wireless devices, include but are not limited to, watches,
wearable devices and other devices that can manage calls or messages as set forth in Rule 11.
Parent’s/Guardian’s Signature Date:
Student’s Signature Date:
Stafford County Public Schools
(B.Y.O.D.) Personally Owned Computing/Network Device Acceptance of
Responsibility and Device Use Agreement Permission Form
I give permission for my child/student to use a personal electronic device for instructional purposes only and with
teacher permission on the wireless network at Stafford County Public Schools.
I agree to allow my child/student to use his/her own device and further agree not to hold Stafford County Public
Schools (SCPS) responsible for any device or data loss, theft, damage or other associated costs of replacement or
repair incurred during the school day or at home as a result of participation in this program. I understand that school
based staff shall be unable to store, support or troubleshoot student owned devices. The student named above shall
take full responsibility for the device and shall appropriately secure all devices when not in use.
SCPS uses technological measures such as filtering to promote internet safety. Filtering limits students’ ability to
access harmful internet sites from any device connected to the SCPS network, but only when this equipment is used in
school on the SCPS network. Access through cellular networks does not provide the same measures of filtering.
Students shall only use the SCPS network (not a private cellular service) for internet access during the instructional
day while on SCPS property. I/we understand the above rules and policy for connecting a personal electronic device
to the wireless network at school and agree to follow the rules outlined.
I have verified my child/student is aware that all aspects of the Stafford County Public School’s Student
Responsibilities and Rights, Acceptable Use Policy for Network Access (AUP) and the SCPS Code of Student
Conduct apply to the use and care of his/her personal device(s) while on SCPS property or while involved in any
SCPS sponsored event/activity.
I understand that the purpose of allowing my child/student to use his/her own device is to participate in teacher
approved activities in support of the SCPS curriculum. Use of devices for non‐ instructional activities, unrelated to the SCPS educational program is prohibited during the school day.
I have read the SCPS Privately Owned Electronic Device Guidelines concerning the use and connection of
privately owned electronic devices to the SCPS wireless network and understand and agree to the terms and
conditions herein. I/we understand that this policy form and the privilege to use privately owned electronic devices
in school can be revoked at any time.
I agree to allow our child/student to bring his/her personally owned computing device for instructional use in
Stafford County Public Schools (SCPS). I/we understand that the child/student named above shall be permitted to
use his/her personally owned device, subject to the conditions in this document.
I understand that assignments and projects may be posted to teacher approved blogs, Google Docs and other web
2.0 hosting sites. This may include personally identifiable information that may be classified as an educational
record under FERPA (Family Education Records and Privacy Act).
I understand that violation of these provisions may result in the confiscation of a personal electronic device by the
school administration, any other designated school division representative, or local law enforcement and that legal
action may occur according to law.
I understand that we are responsible for compensating the school division for any losses, costs or damages incurred
due to violations of SCPS Board policies/procedures and school rules by the child/student in conjunction with the
use of his/her personal electronic device, including the cost of investigating such violations. I understand this
permission is in place until I rescind my permission in writing to my student’s school, until my student withdrawals
or graduates, or until Stafford County Public Schools changes the policy and requires a new permission form.
Please complete the acknowledgement in ParentVUE for your student or return this form.
Student Name Grade
Parent/Guardian Printed Name
Parent/Guardian Signature
Department of Instructional Technology and Information Services Rev. May 2018
6301 Information Systems Services 6301
ACCEPTABLE/RESPONSIBLE COMPUTER USE
THE SCHOOL BOARD OF STAFFORD COUNTY
Purpose: To define and describe the board’s
acceptable/responsible use policy for computer systems and network
resources by students, board members, and staff
Definitions
Computer Systems - Any combination of hardware, software, data,
communication lines and devices, terminals, printers, CD-ROM
devices, tape drives, servers, mainframe, personal computers or
any other computer related equipment, peripherals or software used
on Stafford County networks, on school property, or on such
equipment and computers owned or leased by the board.
Cyberbullying - Threats or insults made by one user toward another
through electronic-mail, text messaging, posts made on Web sites
(e.g., web-logs ), social networking sites, mobile apps, chat
rooms, or any other electronic means.
Digital Citizenship-The concepts of knowledge and understanding
for students/children/technology users on the appropriate use of
technology.
Internet Safety-Required content, within the division’s curriculum
and instruction program, defining roles and responsibilities for
all computer resource stakeholders, safety measures, data and
network security plans, safety breach procedures, evaluation
plans, professional development, and community outreach programs.
Netiquette-Etiquette that applies to communication over computer
networks, especially the Internet.
Network Resources - Printing services, computer programs, data
files, data storage, wireless access, Internet access (and
Internet Service Providers ISP) available to a user.
Responsible Use-Having the knowledge of technology policies and
the ability to apply them properly when using technology resources.
User - An individual who is accessing or may access the division’s
computer system and/or network resources either from within the
division or outside the division via the Internet, or who is using
any equipment or computer devices owned or leased by the school
board.
6301 Information Systems Services 6301
ACCEPTABLE/RESPONSIBLE COMPUTER USE
THE SCHOOL BOARD OF STAFFORD COUNTY 2
The division shall operate its computer systems and access its
network resources in compliance with federal, state, and local
laws and regulations for the acceptable/responsible and safe use
of such systems and resources.
The superintendent/designee shall review this policy every two
years, submit a copy of the approved policy to the State
Superintendent of Public Instruction, and cause any changes to be
disseminated to the division’s computer systems' users.
Applicable Guidance
1. The division’s computer systems must be used (1) in
support of education and/or research, or (2) for legitimate
school business. Use of the computer system is a privilege,
not a right. Any communication or material used on the
computer system, including electronic mail or other files,
may be monitored or read by school officials.
2. The superintendent/designee shall establish
regulation(s) associated with this policy for board review,
providing administrative procedures detailing the safe and
appropriate uses, ethics and protocol for the computer
system. These procedures shall include:
a. Prohibition against use by division employees and
students of the division’s computer equipment and
communications services for sending, receiving,
viewing, or downloading illegal material via the
Internet;
b. Provisions, including the selection and operation
of a technology protection measure for the
division’s computers having Internet access to
filter or block Internet access through such
computer, that seek to prevent access to:
(1). Child pornography as set out in Virginia Code § 18.2-374.1:1 or as defined in 18 U.S.C. § 2256;
(2). Obscenity as defined by Virginia Code § 18.2-372 or 18 U.S.C. § 1460; and
6301 Information Systems Services 6301
ACCEPTABLE/RESPONSIBLE COMPUTER USE
THE SCHOOL BOARD OF STAFFORD COUNTY 3
(3). Material that the division deems to be harmful to juveniles as defined in Virginia Code §
18.2-390, material that is harmful to minors
as defined in 47 U.S.C.
§ 254(h)(7)(G), and material that is otherwise
inappropriate for minors.
c. Provisions establishing that the technology
protection measure is enforced during any use of
the division’s computers by minors;
d. Provisions establishing that the online activities
of minors shall be monitored;
e. Provisions designed to protect the safety and
security of students and staff when using
electronic mail, chat rooms, and other forms of
direct electronic communications. In particular,
students and staff shall be strictly prohibited
from using the division’s computer system and
network resources to:
(1). Engage in activities prohibited by federal, state, or local law, ordinance, or regulation,
including unauthorized access and/or hacking
or engage in harassment (cyber bullying) by
computer or technology-based devices; and/or,
(2). Disclose, use, or disseminate personal
information regarding students or staff,
except as authorized and permitted by law.
f. Provisions designed to prevent unauthorized online
access by minors, including “hacking” and other
unlawful activities by minors online;
g. Provisions prohibiting the unauthorized
disclosure, use, and dissemination of personal
information regarding minors; and
h. Internet safety component for students that is
integrated in the division’s instructional program.
3. Use of the division’s computer system shall be
consistent with its educational or instructional mission or
6301 Information Systems Services 6301
ACCEPTABLE/RESPONSIBLE COMPUTER USE
THE SCHOOL BOARD OF STAFFORD COUNTY 4
administrative function as well as the varied instructional needs,
learning styles, abilities and developmental levels of students.
The division’s computer system is not a public forum.
4. Signature acknowledgement of compliance with this policy
by every user, including:
a. Every student and parent/guardian of each student
shall sign an Acknowledgement of Receipt document
which includes agreement to abide by the
Acceptable/Responsible Computer Use Policy.
b. Every employee contract of the division shall
include the requirement that all employees follow
and be bound by all policies, rules and regulations
of the school board. Therefore, all employees must
comply in full with this Acceptable/Responsible
Computer Use Policy and the Acceptable/Responsible
Use of Computers and Technology Regulation as a
condition of employment.
5. Failure of any student, teacher, administrator or other
employee of the division to follow the terms of the
Acceptable/Responsible Use Agreement, this policy or accompanying
regulation may result in loss of computer system privileges,
disciplinary action up to and including termination, and/or
appropriate legal action.
a. Consequences for Inappropriate Use for Students
Minimum of short-term suspension of 10 days, or
less, with the balance of any days to be served carrying over to
the succeeding school year, and/or loss of computer and Internet
privileges to maximum of expulsion. Additionally, the matter shall
be reported to the superintendent/designee and shall also be
reported to the Sheriff’s Department if the potential exists for
criminal charges to be filed.
b. Consequences for Inappropriate Use by Employees
Employees who violate the Acceptable Use Policy are
subject to discipline as deemed necessary. Employee discipline may
include, but shall not be limited to verbal reprimand, letter of
reprimand, suspension with or without pay, or termination.
Additionally, the matter shall be reported to the
6301 Information Systems Services 6301
ACCEPTABLE/RESPONSIBLE COMPUTER USE
THE SCHOOL BOARD OF STAFFORD COUNTY 5
superintendent/designee and shall also be reported to the
Sheriff’s Department if the potential exists for criminal charges
to be filed.
6. The board is not responsible for any information that
may be lost, damaged or unavailable when using the computer system
or for any information retrieved via the Internet. Furthermore,
the board will not be responsible for any unauthorized charges or
fees resulting from access to the computer system.
7. The superintendent/designee shall submit to the Virginia
Department of Education this policy and accompanying regulation
biennially.
Comments
Questions about this policy should be directed to Executive
Director of Technology, Stafford County Public Schools, 31
Stafford Avenue, Stafford, Virginia 22554.
Adopted: 06/24/08
Amended by School Board: 06/14/11
Reviewed: 04/15/13
Readopted: 12/12/13
Amended by School Board: 06/13/17
Amended by School Board: 06/26/18
****************
Legal Refs: Code of Virginia, 1950, as amended, §§ 18.2-372,
18.2-374.1:1, 18.2-390, 22.1-70.2, and 22.1-78.
18 U.S.C. §§ 1460; 2256, and 47 U.S.C. § 254.
Stafford County Public Schools
This document describes online accounts provided to students and how student safety and privacy is
maintained.
Online Accounts for Students
Communication and collaboration skills are two key elements of education and the workplace, now
and in the future. Online digital resources have become key instructional resources for students and
teachers. Stafford County Public Schools is providing online accounts for Google Workspace and
other collaboration opportunities as follows:
● Elementary school students will have Google accounts that can be used to share their work,
get assignments, and use many digital tools, including the Chromebook. Elementary school
students are not able to send or receive email using the Google account.
● Middle school students will have Google accounts, including limited email that can be used to
collaborate with peers and teachers in their own school as well as other schools within Stafford
County Public Schools. Email is filtered for content.
● High school students will have Google accounts, including fully functional email accounts
that can be used to collaborate with peers and teachers in their own school as well as other
schools. High school students will also be able to communicate with colleges, apply for work,
and email experts in their field of study along with many other uses. Email is filtered for
content.
All online resources are screened for adherence to high standards of educational use of student data.
Maintaining the privacy of student data is very important to SCPS.
Google account login names for all levels will look like an email account ([email protected]) even
when email is not enabled for the student. Please contact your school’s administration if you would
like to discuss your student’s email and online accounts further.
Department of Instructional Technology and Information Services Rev. May 2018
Stafford County Public Schools IDENTIFICATION OF MILITARY CONNECTED
STUDENTS
To comply with the passed legislation, HB 2373 and SB 1354, Stafford County Public Schools is requiring
all families to complete a form for each of their students to indicate the military status of their legal parent
and/or guardian.
Identifying military-connected students will allow schools to target unique support services to students
during all stages of transition and deployment and provide localities with reliable and accurate data to
seek grant funding. This information is required to be collected each year your student attends Stafford
County Public Schools.
This information can be updated on ParentVUE, or check the box that best describes how your student may be
military connected and return the form.
‐ ‐‐ ‐‐ ‐‐‐ ‐‐‐ ‐ ‐ ‐ ‐‐ ‐‐ ‐‐‐ ‐‐‐ ‐ ‐ ‐ ‐‐ ‐‐ ‐‐‐ ‐‐‐ ‐ ‐ ‐ ‐‐ ‐‐ ‐‐‐ ‐‐‐‐ ‐ ‐ ‐‐ ‐‐ ‐ ‐‐ ‐‐ ‐‐‐ ‐‐‐ ‐ ‐ ‐ ‐‐ ‐‐ ‐‐‐ ‐‐‐ ‐ ‐ ‐ ‐‐ ‐‐ ‐‐‐ ‐‐‐ ‐ ‐ ‐ ‐‐ ‐‐ ‐‐‐ ‐‐‐‐ ‐ ‐ ‐‐ ‐‐ ‐ ‐‐ ‐‐ ‐ ‐‐ ‐‐‐‐ ‐ ‐ ‐‐ ‐‐ ‐‐‐ ‐
Return form by Sept 18, 2021
Student Name: Grade:
Homeroom Teacher:
Student is not military connected:
The student’s parent or legal guardian is not a member of active duty military or
military reserves.
Student is a dependent of a member of the Active Duty Forces:
Army, Navy, Air Force, Marine Corps, Coast Guard, the Commissioned Corps of the
National Oceanic and Atmospheric Administration, or the Commissioned Corps of the U.S.
Public Health Services.
Student is a dependent of a member of the Reserve Forces:
Army, Navy, Air Force, Marine Corps, Coast Guard.
Student is a dependent of a member of the National Guard:
Active or reserve
Parent/Guardian Printed Name:
Parent/Guardian Signature Date
Access to Internet As we strive to make sure all of our students are able to participate in virtual learning, we are continuing to gather information on Internet Access. Please complete the following question so we can ensure all of our students are able to effectively access the Internet:
1. Type of Internet at Home a. Cox Cable b. Comcast Cable c. Verizon Cable (FIOS) d. satellite (Dish, HughesNet, ViaSat) e. Kajeet f. Cell Phone Company WiFi/MiFi Hotspot (from Verizon g. No Internet access at home h. Other
REQUEST FOR MEDICATION/TREATMENT DURING SCHOOL HOURS
Stafford County Public Schools require that if medication/treatments are to be taken by a student while he/she is
in school or participating in school activities, the school MUST have the following information completed and on
file in the health clinic:
1. A signed order from the health care provider renewed yearly
2. A signed consent from the parent or guardian
3. The medication in the original pharmacy container.
THIS APPLIES TO ANY MEDICATION, PRESCRIPTION OR OVER THE COUNTER.
All medication must be kept in the school health office. It is the responsibility of the student to come to clinic for
administration at the proper time. Student possession and self-administration of certain medications are permitted
for conditions such as Diabetes, Asthma, and Allergy. More specific documentation from health care provider
and supporting materials are required. Families should request an appointment with the school nurse in these
cases.
To be completed by the Health Care Provider:
Student: Grade: _ School:
Medication/Treatment: _
Dosage, Frequency, Route:
Diagnosis:
Medication/Treatment Required: School Year Short Term Date required
Special Instructions, Side Effects, Comments:
HealthCare Provider Signature:
Health Care Provider PRINTED Name:
Address:
Telephone: Fax Date:
To Be Completed By Parent or Guardian:
I request that school personnel administer the above medication/treatment ordered by the health care provider,
according to the directions provided. I authorize a representative of the school to share information/lab results
regarding this medication/treatment with the above health care provider and school staff as necessary for the
students health and safety at school. I understand and agree to comply with the school’s policies and procedures
as stated on the back of this form.
Date Signature of Parent/Guardian
PLEASE TURN PAGE AND
READ REGULATIONS ON MEDICATION ADMINISTRATION
A. GENERAL POLICY 1. No student shall be given medications/treatments during school hours except upon written request from
a licensed health care provider. This includes medications such as antibiotics. The parent/guardian must
sign and provide new physician orders annually. Treatment orders include conditions requiring crutches,
wheelchairs, and other medical devices prescribed when accommodations for a diagnosed medical
condition are necessary during the school day.
2. Nurses do not accompany students on field trips. Arrangements for medications/treatments need to be
made by parents and teachers with approval of the nurse at least a week ahead.
3. Students are responsible for coming to the clinic for medications/treatments. Elementary/Middle students
will be contacted and reminded, however high school students will receive parent phone calls after 3
missed administrations unless other arrangements have been made.
4. Products for cosmetics or hygiene purposed are not regarded as medications. Also allowed are suntan
lotion and bug spray when outdoor activities warrant their use and parents give permission.
B. RESPONSIBILITY OF THE PARENT OF GUARDIAN
1. Parents/guardians shall be encouraged to cooperate with the health care provider to develop a schedule
so that the necessity for taking medication/treatments at school will be minimized or eliminated. First
doses of medications should always be given at home.
2. Parents/guardians will assume responsibility for the supply of all medications/treatments/ equipment
during the school day. Whenever possible, a “school only” supply is requested.
3. Parents/guardians should deliver and pick up any medications/treatment supplies. All controlled
substance medications (i.e. Ritalin type meds) will be counted and documented at the time of delivery/
pick-up by school personnel and parent/guardian.
C. RESPONSIBILITY OF THE HEALTH CARE PROVIDER (HCP)
1. A Medication Permission Form for each prescribed medication/treatment must be completed by the
student’s health care provider, signed by the parent or guardian, and filed with the school nurse in the
school clinic each school year.
2. Medication containers must be clearly labeled with the following information: Student’s full name, Health Care Provider’s name and telephone number, Name of medication, Dosage, Route, schedule for administration and time frame for the order.
D. RESPONSIBILITY OF SCHOOL PERSONNEL
1. The school nurse/designee will assume responsibility for placing medication/supplies in a locked area.
Controlled medication will be counted and documented at the time of acceptance or pick-up.
2. The school nurse/designee will administer all medications/treatments as ordered by the HCP and will
document date/time. School nurses will provide training for medication/treatment administration to
designated back-up personnel.
3. Discontinued or unused medications must be picked up by the parent/guardian. If not claimed by the end
of the school year, the school nurse will properly dispose of the medication and document per guidelines.
4. Nurses will prepare field trip medication dosages per the Board of Pharmacy Guidance Document.
Medications/Treatment orders, properly labeled will be given to the student’s teacher the morning of a
field trip. Treatments may require other consideration/planning prior to the field trip. Parents as well as
staff should have this conversation with the nurse.
E. EMERGENCY MEDICATIONS
The School Health TEAM with the assistance of the Rapp. Area Health Director and Allergy Partners of
Fredericksburg have provided school nurses in Caroline, Fredericksburg, King George, Spotsylvania, and
Stafford Schools with protocols for emergency medications/treatment of students during an acute incident
of asthma and anaphylaxis. These situations would be considered life threatening with 911 and parents
being called immediately. The protocols provided would never replace individual student medical orders
or health care plans provided by parents and HCP.
CLINIC SUPPLIES:
Below is the approved first aid items in our clinics for use in the care of our students. Approval for these items
was obtained from the local Emergency Management Services and the School Health Advisory Board. Please
advise your school nurse should any of these items not be used in the care of your student.
ABD Pads Calamine lotion Gauze pads (3 x 3)
Ace wrap Chloraseptic spray Hand lotion
Alcohol Clear anti-itch gel Ice pack – instant
Antibiotic ointment CPR mask or face shield Isotonic eyewash
Antiseptic wipes Disposable blankets Red, green, yellow, black tape
Bactine Disposable plastic apron or gown Saline contact solution
Bandage (triangular) Duct tape Tape
Band-aids (large/small) Eye pad Tongue blades
Blood pressure cuff First aid cream Triangular bandage
Cake icing or glucose Gauze (Kling) Vaseline
tabs Vinyl gloves
Medication and Treatments during the School Day
Stafford County Public Schools require that if medication/treatments are to be taken by a student while he/she is in
school or participating in school activities, the school MUST have the following information completed and on file in the
health clinic:
1. A signed order from the health care provider renewed yearly
2. A signed consent from the parent or guardian
3. The medication in the original pharmacy container.
THIS APPLIES TO ANY MEDICATION, PRESCRIPTION OR OVER THE COUNTER.
All medication must be kept in the school health office. It is the responsibility of the student to come to clinic for
administration at the proper time. Student possession and self-administration of certain medications are permitted for
conditions such as Diabetes, Asthma, and Allergy. More specific documentation from health care provider and
supporting materials are required. Families should request an appointment with the school nurse in these cases.
STUDENT HEALTH SCREENINGS
The School Nurse is responsible for insuring compliance of the Code of Virginia 22.1-273 concerning
the screening of students in public schools.
These Codes may be found in the Virginia School Health Guidelines and are summarized as:
Vision and hearing screening on grades K, 3, 7 and 10 mandated to be completed within sixty (60)
administrative days.
Assistance to complete these screenings may be provided by teachers, aides, and/or trained volunteers or
agencies such as the Lions Club.
SCOLIOSIS FACTS FOR PARENTS
In accordance with Virginia State law, parents of students in grades five through ten will receive this yearly
information sheet containing important facts about Scoliosis and Scoliosis screening.
Scoliosis is an abnormal curvature or turning of the spine. It affects 2-3% of the population or an estimated 600,000
people in the United States. If left untreated, scoliosis can progress to a serious problem, causing back pain and
degenerative arthritis of the spine. It may lead to disk disease or sciatica. It can also threaten the psychological
well-being of a young adult when there is an obvious deformity.
Although scoliosis may result from an injury, a birth defect, or a crippling disease, 90% of cases are from unknown
causes. It may run in families and affects girls seven times more often than boys. It most frequently develops
during the growth spurt between ages 10 and 15, but can also develop or progress later in life. Early detection and
intervention may prevent further structural deformity and resulting secondary problems.
Scoliosis screening is an observation of the student’s spine while standing as well as performing a forward bend. A
scoliometer, a device for measuring the amount of abnormal
curvature in the spine, may also be used during screening. Treatment of scoliosis varies between no treatments
needed, bracing of the spine, to spinal fusion surgery.
Since the development of scoliosis is gradual and usually painless, scoliosis may develop without the parent or
child being aware. It is important for parents to monitor their child’s development during these growing years and
to have students checked by the family physician routinely. The signs of scoliosis may include uneven shoulders, a
shoulder blade that appears more prominent than the other, uneven waistline creases, one hip higher than the other,
and/or a leaning to one side.
If you have concerns about your child’s spinal health, contact your family health care provider or school nurse for
follow up. If you do not have a primary care physician, with your written permission, the school nurse can provide
an initial screening. Should further evaluation be necessary she can direct you to other health care resources.
Eating Disorders Awareness in the Public School Setting
Authorization
Code of Virginia, Section 22.1-273.2, Parent Educational Information Regarding Eating Disorders. The
Code of Virginia requires that each school board shall annually provide parent educational information
regarding eating disorders for pupils in grades five through twelve.
Summary. Virginia Public Schools shall provide educational information to parents of students in grades five
through twelve on an annual basis.
Dear Parent of Students in Grades Five through Twelve:
Eating disorders are serious health problems that usually start in childhood or adolescence and affect
both girls and boys. With early diagnosis, eating disorders are treatable with a combination of nutritional,
medical, and therapeutic supports. Recognizing the importance of early identification of at-risk students, the
2013 Virginia General Assembly passed a law requiring each school board to provide parent educational
information regarding eating disorders on an annual basis to students in the fifth through twelfth grades.
It is important to note that eating disorders are not diagnosed based on weight changes as much as
behaviors, attitudes, and mindset. Symptoms may vary between males and females and in different age groups.
Often, a young person with an eating disorder may not be aware that he/she has a problem or keeps the issues
secret. Parents/guardians and family members are in a unique position to notice symptoms or behaviors that
cause concern. Noting behaviors common to people with eating disorders may lead to early referral to the
primary care provider. It is important for eating disorders to be treated by someone who specializes in this type
of care.
After reviewing the information on the reverse side of this letter, if you think your child may be showing
signs of a possible eating disorder, please contact your primary health care provider, school nurse, or one of the
resources listed below.
Academy for Eating Disorders (AED)
http://www.eatingdisorderhope.com/information/help-overcome-eating-disorders/non-profits-
organizations/aed
Families Empowered and Supporting Treatment of Eating Disorders (F.E.A.S.T.)
www.feast-ed.org
National Eating Disorders Association
www.nationaleatingdisorders.org
Toll free, confidential Helpline, 1-800-931-2237
Additional resources may be found at:
Virginia Department of Education
http://www.doe.virginia.gov/support/health_medical/index.shtml, under the section titled, Eating
Disorders
What Are Eating Disorders?
Eating disorders are real, complex, and devastating conditions that can have serious consequences for health, productivity, and
relationships. They are not a fad, phase or lifestyle choice. They are potentially life-threatening conditions affecting every aspect of the
person’s functioning, including school performance, brain development, emotional, social, and physical well-being.
Eating disorders can be diagnosed based on weight changes, but also based on behaviors, attitudes
and mindset. Be alert for any of these signs in your child.
Key things to look for around food:
Eating a lot of food that seems out of control (large amounts of food may disappear, you find a
lot of empty wrappers and containers hidden)
Develops food rules—may eat only a particular food or food group, cuts food into very small
pieces, or spreads food out on the plate
Talks a lot about, or focuses often, on weight, food, calories, fat grams, anddieting
Often says that they are not hungry Skips meals or takes small portions of food at regular meals
Cooks meals or treats for others but won’t eat them
Avoids mealtimes or situations involving food
Goes to the bathroom after meals often
Uses a lot of mouthwash, mints, and/or gum
Starts cutting out foods that he or she used toenjoy Key things to look for around activity:
Exercises all the time, more than what is healthy or
recommended – despite weather, fatigue, illness, orinjury
Stops doing their regular activities, spends more time alone
(can be spending more time exercising)
Physical Risk Factors:
Feels cold all the time or complains of being tired allthe
time. Likely to become more irritable and/or nervous.
Any vomiting after eating (or see signs in the bathroom of
vomiting – smell, clogged shower drain)
Any use of laxatives or diuretics (or you find empty packages)
Other Risk Factors:
Believes that they are too big or too fat (regardless of reality)
Asks often to be reassured about how they look
Stops hanging out with their friends Not able to talk about how they are feeling Reports others are newly judgmental or “not connecting”
If Your Child Shows Signs of a Possible Eating Disorder
Eating disorders affect
both males and females
of all ages.
Weight is NOT the only
indicator of an eating
disorder, as people of
all sizes may be
suffering
Seek assistance from a medical professional as soon as possible; because they are so complex, eating disorders should be assessed
by someone who specializes in the treatment of eating disorders. The earlier a person with an eating disorder seeks treatment, the
greater the likelihood of physical and emotional recovery
How to Communicate with Your Child
Understand that eating disorder sufferers often deny that there is a
problem.
Educate yourself on eating disorders
Ask what you can do to help
Listen openly and reflectively
Be patient and nonjudgmental
Talk with your child in a kind way when you are calm and not angry,
frustrated, or upset
Let him/her know you only want the best for him/her
Remind your child that he/she has people who care and support
him/her
Be flexible and open with your support
Be honest
Show care, concern, and understanding
Ask how he/she is feeling
Try to be a good role model- don’t engage in ‘fat talk’ about
yourself
Understand that your child is not looking for attention orpity
Seek professional help on behalf of your child if you have ANY
concerns
Stafford County Public Schools School Counseling Program
Together with parents and educators, Stafford County’s school counselors assist all students to respond to educational,
career development, and social and emotional needs. Children’s lives are constantly changing and their lives are
affected by today’s societal issues. Such issues may cause children to have difficulty achieving their academic
potential. All students can benefit from the assistance provided by a school counselor.
STAFFORD COUNTY’S SCHOOL COUNSELING PROGRAM GOALS AND PROGRAM AREAS
The overall goal of school counseling program of Stafford County Public Schools is to help young people develop to their
maximum potential and to enhance their lives, for their future is our future. The Counseling program is preventative in its focus
and is based upon the developmental stages of students in grade K-12. Because student needs vary a different age levels, the
areas of emphasis will vary accordingly. The program builds a foundation for learning within the Academic, Career and Social
Emotional domains.
If maintained, information and records or personal/social counseling shall be kept confidential and separate from a student
educational record and not disclosed to third parties without prior parental consent or as otherwise provided by law.
SCHOOL COUNSELORS are licensed professionals
trained in:
- human development;
- career information and development;
- tests and measurements;
- social and cultural issues.
SCHOOL COUNSELORS are skilled in:
- individual counseling;
- group counseling;
- consultation;
- classroom guidance.
SCHOOL COUNSELORS provide a program which
includes:
- preventative services;
- developmental activities;
- individual counseling;
- small group counseling;
- classroom guidance lessons;
- information services;
- referral assistance.
SCHOOL COUNSELORS’ training:
- includes that specified by the Virginia Board of
Education licensing requirements for school
counselors;
- includes counseling techniques which are part of
their professional training; but does not include
those prohibited by school policy, such as
hypnosis or psychotherapeutic techniques
typically used for treatment of mental illness or
psychopathology.
- includes a commitment to abide by all
professional ethical and legal standards including
confidentiality.
Stafford County Public Schools is committed to ensuring that students and families continue to have access to support through
our counseling resources offered at the school sites and virtually.
Based on the American School Counselor (ASCA) standards, school counselors working with students in a virtual setting should:
Adhere to the same ethical guidelines in a virtual setting as school counselors in a face-to-face setting
Recognize and acknowledge the challenges and limitations of virtual school counseling
Implement procedures for students to follow in both emergency and nonemergency situations when the school counselor
is unavailable
Recognize the limitations of virtual school counseling privacy and confidentiality, which may include unintended
viewers, listeners or recipients
Inform the student and parent/guardian of the benefits and limitations of virtual school counseling
Stafford County Public Schools School Counseling Program
Educate students and guardians on how to participate in the electronic school counseling relationship to minimize and
prevent potential misunderstandings that could occur due to the lack of verbal cues and inability to read body language
or other visual cues that provide contextual meaning to the school counseling process and relationship
Educate students about appropriate conduct in an online setting
Incorporate lessons that align with academic, career and social-emotional domains
ANNUAL NOTICE TO PARENTS and GUARDIANS for the PARTICIPATION OF STUDENTS IN THE SCHOOL COUNSELING PROGRAM
A parent or guardian has the right to determine their student’s participation in the Stafford County Public Schools’ Counseling program as described above. In the event that a parent or guardian wishes to eliminate or exclude participation of a student in any or all aspect of the Program, the parent or guardian may provide written notification to the principal of a school within fifteen (15) days of the publication of this notice. The family’s written notice must state specifically the goals or areas of program from which the student is to be excluded.
FOR ADDITIONAL INFORMATION OR FOR YOUR COMMENTS, you are cordially invited to call
the Coordinator of School Counseling Programs at (540) 658-6500
Stafford County Public Schools Family Life Education
OPT-OUT FORM
Dear Parent/Guardian:
Stafford County Public Schools provides age appropriate family life education (FLE) instruction to students in grades K-10 in family living and community relationships, abstinence education, mental health, responsibility, and disease prevention.
The K-10 FLE curriculum and materials are available for review at each of our schools and on the SCPS website. Curriculum binders are located in the front office of each school. You may review these materials, videos and DVDs. The video materials are available for preview through each school’s library.
FLE instruction for K-5 students will be scheduled during second semester. Students in grades K-5 will be taught FLE by classroom teachers, physical education teachers, school counselors, school nurses, and administrators as support and resources.
FLE instruction for students in grades 6-10 will be scheduled any time after October 1st. FLE instruction for secondary students is provided by the health and physical education teachers, with support from school counselors and the school nurse. Some objectives are taught in separate classes for boys and girls.
If you choose for your child not to receive any/all of the FLE lessons, an OPT-OUT FORM is provided below. The form must be completed by October 1st and returned to your child’s classroom teacher or health and physical education teacher.
Questions and concerns may be shared with your child’s FLE teacher, the building principal, counselor(s), or school nurse. You may also contact the Facilitator for Health, Physical Education, Athletics and Student Wellness at (540) 658-6694.
OPT-OUT FORM
Student School Grade
I DO NOT give my child permission to be taught the following Family Life Education
objectives during the 2021-2022 school year:
Objective(s) (Please list by number):
Date Signature - Parent/Guardian
TO OPT-OUT OF FAMILY LIFE EDUCATION, PLEASE RETURN THIS FORM TO YOUR CHILD'S SCHOOL BY OCTOBER 1, 2021.
Transportation Back To School Letter SY 2021-2022 Page 1 of 2
Dear Parents and Guardians: Thank you for entrusting us with the privilege to transport your student(s) to and from school this year. Safety has, and will continue to be, our top priority and will guide all decisions we make. We closely follow all federal, state and local laws and regulations regarding pupil transportation. In an effort to make the ride to and from school as safe as possible, we are soliciting your support. Please take a few moments to review the following rules that govern school bus and bus stop conduct with your child. ● Students are to abide by the “Student Code of Conduct” at all times while on the school bus and at
the bus stop. A school bus driver will report any serious incident of misconduct to the school principal. In the event that a student is suspended from the bus, the suspension shall extend to all Transportation Department services including those for activity and field trips.
● Following CDC and VDH guidelines to combat COVID 19 we continue to: o Require students to wear a face covering while loading, riding and unloading the school bus. o Require drivers and attendants to wear face coverings at all times when students are on the bus. o Require all students to use hand sanitizer upon entering the bus. o Limit students to one pick-up location in the morning and one drop-off location in the afternoon
as long as contact tracing is required by guidelines. (No alternate bus assignments). o Open windows and roof hatches to facilitate air flow. o Clean and sanitize seats and high touch areas after every route. Disinfect buses at least once a
week, following a disinfection schedule.
● In the morning, students are to report to their bus stop and be ready to board the bus at least five minutes prior to the scheduled time of arrival. Students must be at the bus stop when the bus arrives to assure safe and timely loading.
● In the afternoon, students are to ride their assigned bus and to exit at their assigned bus stop. ● To comply with Stafford County Social Services guidelines, SCPS requires that kindergarten and first
grade students must be released to an adult or older sibling when getting off the bus. If no adult or older sibling is present, students will be brought back to their school for a parent to pick up.
● Students are to remain in their seats at all times. Students are to sit facing forward with their feet on
the floor. Students are not to put any part of their body out of the window, speak out of the window, or to throw any object out of the window. Large backpacks are to be taken off and placed on the floor between the legs of the student.
STAFFORD COUNTY PUBLIC SCHOOLS 50 Transfleet Drive
Fredericksburg, Virginia 22406 Phone: 540-373-6095
www.staffordschools.net
KEBA BALDWIN Executive Director of
Transportation
BARBARA LANCASTER Supervisor of
Special Programs
Department of Transportation
Transportation Back To School Letter SY 2021-2022 Page 2 of 2
● When loading or unloading from the bus, students should exercise extreme caution and be alert to traffic conditions. When boarding, students are to wait until the bus is completely stopped and the mechanical crossing gate is fully extended before moving toward the bus. Students who must cross the road are to do so approximately 15 feet in front of the bus in full view of the driver. When unloading, students are not to stand up until the bus comes to a complete stop. In both situations, students should wait for the driver to signal when it is safe to cross in front of the bus.
● Students are not to distract the bus driver and may not speak to the driver while the bus is in motion
unless essential to safety.
● Any items which are not permitted in school are not permitted on the bus. Certain large objects such as large musical instruments, science projects and athletic gear will only be allowed on the bus if the item can fit safely on the student’s lap, between the student’s legs, or does not take up a seat. The student must control the item and it must not create a safety hazard or stick out into the aisle.
● The use of a cellular phone or any electronic device on the school bus may be prohibited at the discretion of the bus driver. The device must not be visible to others, be heard by others, or otherwise disrupt the safe operation of the bus in any way. No photos or videos are to be taken or shown on the bus at any time.
● Consumption of any food item or beverage is prohibited while riding the bus. During hot weather conditions, the consumption of water (without additives) may be permitted.
● The student, parent and/or legal guardian shall be financially responsible for any and all damage, which is attributable to a student’s careless or malicious acts, done to the bus.
● Students, parents and guardians can track the location of the assigned bus using the “My Stop” app. Please see our department’s website for instructions or call Transportation Services.
● Under no circumstance may any parent, guardian, or unauthorized person board the bus.
Should you experience any problems or concerns with the level of service, please call Transportation Services at (540) 373-6095 or send an email to [email protected]. We are looking forward to a safe and successful school year!
Sincerely, Keba Baldwin Executive Director of Transportation
Helpful Information and Resources Need Transportation Help?
1) Issue Registry For assistance with bus stop information, changes, or any school bus related issues, please visit our Issue Registry at https://scpstransportation.webforms.issuetrak.com. Our office will address the issue and follow-up with you as soon as possible.
2) Contact Us You may also call us at 540-373-6095, Monday through Friday, 06:00 am to 05:00 pm.
3) Website Visit our department’s website at https://www.staffordschools.net/Page/13826. You will find helpful information such as easy ways to verify your student’s bus assignment, set up the bus tracking app, view activity bus schedules, FAQs, and more.
Transportation Related Technology
1) Versatrans e-Link Versatrans e-Link is your connection to SCPS student transportation schedules. It provides a quick, easy way to verify your student’s bus assignment, stop location, and stop time. Bus stop information for the new school year is typically released a few days prior to the start of school. We ask students to be at their bus stops 5 minutes prior to the scheduled pick-up time. e-Link Instructions: 1. Visit to the Versatrans e-Link website at
https://scpsbussystem.staffordschools.net/elinkrp/Login.aspx 2. Username: Student’s ID number (contact your child’s school if unknown). 3. Password: Student’s Date of Birth (Format: mmddyyyy). Example: 04/15/2019 would be
entered as 04152019. 4. Hover over “Students,” then choose “View My Students.” Select your student. You will then see
your student’s bus information. Incorrect address: Please contact your student’s school if the address that appears in e-Link is incorrect. All routing and bus stop information is based on the address your school has on file.
2) My Stop - Bus Tracking App
The My Stop app allows you to track your student’s bus in real time, provides an estimated time of arrival, and recalculates arrival times to accommodate any delays due to traffic. Directions for setting up and using the app are found on our website at www.staffordschools.net/Page/16429. Need more help? Email [email protected]
School Year______________ Teacher___________________________
In order to ensure that science experiments are safe and positive learning experiences, students and their parents
should read, discuss, and sign this science safety rules and procedures agreement. No student in grades 6 – 12 will be
permitted to participate in science laboratory work until this agreement is signed by parent and student and returned to the
teacher.
1. Act in a responsible manner at all times. Misconduct that endangers anyone will not be tolerated.
2. Never work without adult supervision. Do not handle any materials until instructed by the teacher to do so.
3. Perform the experiments as directed. Read the written directions. Do not do anything that is not part of the
approved experimental procedure. Follow all instructions given by the teacher. If you do not understand a direction
or piece of equipment, ask the teacher before proceeding.
4. Eating, drinking, or chewing gum in the lab or experimental work area is forbidden.
5. Make-up is not to be applied in the laboratory.
6. Keep hands away from face, eyes, and mouth when using chemicals or preserved specimens.
7. Wear appropriate lab safety equipment as directed by your teacher. Keep protective equipment on until everyone
has finished the lab and all chemicals have been put away.
8. Learn the locations and operation of emergency equipment including eyewash fountains, safety showers, fire
extinguishers, fire blankets, etc. Report all accidents, injuries, or close calls to your teacher.
9. Follow teacher instructions for leaving the room under emergency conditions, fire drills, etc.
10. Closed-toe shoes must be worn during all laboratory exercises. Special care should be taken with loose clothing.
11. Tie back long hair to keep it away from flames and chemicals.
12. Never taste a laboratory chemical. Never pipet by mouth; use a pipet bulb.
13. Check odors only if instructed to do so by gently wafting the vapor upward toward your nose with your hand.
14. Do not use chipped or cracked glassware. Follow teacher instructions on bending and insertion of glass tubing into
stoppers. Do not pick up broken glass with your fingers – sweep up larger pieces, use moist cotton for fine
particles. Put broken glass, used blades, or other sharp materials in designated containers only.
15. Carry sharp objects with tip or sharp edge pointing downwards. Do not try to catch falling sharp objects.
16. Use caution when heating materials in the lab. Never turn on the heat source until instructed by the teacher. Eye
protection must be worn. Keep hands and face away from the mouth of a test tube or beaker being heated. Turn off
heat source when you are finished – never leave an active heat source unattended. Remember, a variety of lab
materials can retain heat for a long period of time.
17. Do not enter science prep rooms or storage areas. Never take chemicals, supplies, or equipment out of the
laboratory without the knowledge and consent of your science teacher.
18. Clean your work area at the end of each lab: put away equipment and reagents, notify your teacher of any spills on
floors or counter tops. Wash your hands. Report any damaged glassware, equipment, or unsafe conditions.
Additional safety instructions may be added by your science teacher.
I, __________________________________________ (print student name) have read, understand, and agree to follow
these science safety rules and procedures. I agree to abide by any additional instructions, written or verbal, provided by
my science teacher or adult supervisor.
_____________________________________________ ______________________________________
Student Signature and Date Parent/Guardian Signature and Date
_____Check here if you wear contact lenses. _____Check here if there are no known allergies or medical problems.
If needed, please list any allergies or medical problems of which your teacher should be aware. _____________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
STAFFORD COUNTY PUBLIC SCHOOLS
SCIENCE SAFETY RULES AND PROCEDURES AGREEMENT
Immunization Requirements
Your child must be immunized against Diphtheria, Pertussis (whooping cough), Tetanus
(DPT), Poliomyelitis (IPV/OPV), Measles (Rubeola), Mumps, Rubella (MMR), Hepatitis
B, Chicken Pox (Varicella), and Hepatitis A. Preschool students must also have
Pneumococcal, Rotavirus, and Hepatitis A vaccine series. Seventh graders and twelfth
graders are required to have the Meningococcal vaccine. The following are required of
all students:
● Four doses of DTaP, with one dose after the fourth birthday; for all new students
as of fall 2010
● Four doses of IPV/OPV, with one dose after the fourth birthday; for all new
students as of fall 2010
● Two doses of Measles and Mumps vaccine, and one dose of Rubella vaccine
(usually given as MMR), first dose given at 12 months and second dose after the
4th birthday
● Three doses of Hepatitis B following the recommended schedule
● Two doses of Varicella vaccine for students entering kindergarten as of fall 2010;
at least one dose Varicella vaccine for all students, two doses required for grades
K-11, second dose after the 4th birthday.
● A Tdap (Tetanus, Diphtheria and Pertussis) booster is required of students
grades 7-12 as of fall of 2019
● A two dose series of HPV(Human Papillomavirus) vaccine is required for
students entering 7th grade for fall of 2021. After reviewing the educational
materials provided by the Board of Health, the parent or guardian, at the parent’s
or guardian’s sole discretion, may elect for the child not to receive the HPV
vaccine.
● A Pneumococcal vaccine (PCV) booster is required of all students age 24 to 60
months as of 2014
● Two doses of Hepatitis A series for Pre-K and Kindergarten for fall of 2021
● Two doses of Meningococcal Vaccine series. First dose required for 7th grade
enrollment and the Final required dose prior to the start of 12th grade fall 2021.
Immunization records must show the month, day, and year of vaccines received as well
as the signature of the health care provider.
Students who do not have the necessary immunizations and/or a physical
examination are not allowed to attend school. However, students may be
conditionally enrolled if their health records indicate that they have had a current dose of
the vaccines and parents present a written schedule from a physician for completing the
immunizations within 90 days of enrollment.
