Rutland Academy “Whatever It Takes, We Can & We Will!”

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A GNETS Program

Serving 13 School systems in

The Northeast Georgia RESA

STUDENT/PARENT HANDBOOK

2016-2017

1250 Oglethorpe Ave.

Athens, GA 30606

Phone: 706-549-3030 ~ Fax: 706-613-7142

Dr. Najma Hunter, Director

Committed To Student Success, No Exceptions, No Excuses

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TABLE OF CONTENTS

MESSAGE FROM THE DIRECTOR ………………………………………………………………………….. 4

MISSION & VISION STATEMENT ................................................................. 5

OATH OF LEARNING .................................................................................. 6

PROGRAM OVERVIEW ................................................................................ 7

PRIDE (POSITIVE BEHAVIOR SUPPORTS) ..................................................... 8

SCHOOL SAFETY PROCEDURES ................................................................... 9

LOCK DOWN DRILL PROCEDURES ............................................................... 9

EVACUATION DRILL .................................................................................10

HOURS OF OPERATION …………………………………………………………..………………………. 11

ATTENDANCE ..........................................................................................11

TARDIES .................................................................................................11

LEAVING EARLY .......................................................................................11

RIDING THE BUS .....................................................................................12

PARENT/TEACHER CONFERENCES ..............................................................12

PHONE CALLS/STUDENT PHONE USAGE ......................................................12

INCLEMENT WEATHER ..............................................................................12

EMERGENCY/MEDICAL INFORMATION .................................................... 13-15

DONATIONS…………………………………………………………………………………………………………..15

SCHOOL NUTRITION .................................................................................16

INDIVIDUAL EDUCATION PLAN (IEP) ..........................................................17

REPORT CARD/PROGRESS REPORT SCHEDULE ............................................17

HOMEWORK ............................................................................................18

MAKE-UP WORK .......................................................................................18

TEXTBOOKS ............................................................................................18

TEACHER AS ADVISOR .............................................................................18

STUDENT BEHAVIOR ................................................................................19

STUDENT ACHIEVEMENT MODEL OVERVIEW .......................................... 20-21

DRESS CODE ...................................................................................... 21-22

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STUDENT PERSONAL ITEMS ......................................................................22

BULLYING .......................................................................................... 22-23

WEAPONS AND DRUGS POLICY ............................................................. 23-24

STUDENT SEARCHES ................................................................................24

PHYSICAL RESTRAINTS.............................................................................25

REPORTING CHILD ABUSE ................................................................... 25-26

DENIAL OF PERMISSION FOR INTERNET/DIGITAL RESOURCES ACCESS………. 26

INTERNET ACCEPTABLE USE…………………………………………………………………….26-28

SOCIAL SKILLS/CHARACTER EDUCATION WEEKLY WORDS………….……………..29-30

SCHOOL SUPPLY LIST

ELEMENTARY ..................................................................................31

MIDDLE .........................................................................................32

HIGH. ............................................................................................32

SIGNED FORMS. ......................................................................................33

PERMISSION FOR INTERNET/DIGITAL RESOURCES. ............................34

MEDIA RELEASE. ............................................................................35

EMERGENCY CONTACT/SCHOOL HEALTH FORM. .................................36

OVER THE COUNTER MEDICATION FORM. ..........................................37

PARENT/GUARDIAN CONFIDENTIALITY AGREEMENT. ..........................38

HANDBOOK SIGNATURE PAGE………………………………………………………………….39

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Message From The Director

“Whatever It takes, We Can & We Will!”

Committed To Student Success, No Exceptions, No Excuses

Dear Rutland Students & Parents,

Welcome back to another fabulous school year! Everyone at Rutland Academy is dedicated

to providing a safe, orderly, productive learning environment for all students.

Rutland’s student-parent handbook has been prepared to give you a concrete source of

information as to the services offered and an outline that provides information to assist you throughout the year. You will learn more about curriculum, attendance expectations,

the Student Achievement Model (SAM), etc. There are also additional helpful resources which include our school calendar, supply list, and school nutrition program updates.

We encourage every student and parent to review the contents of this handbook and work

with school staff to achieve our goals so students will enjoy a quality and effective education.

Best wishes for a successful new year of teaching and learning.

Sincerely,

Dr. Najma Hunter, Director

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Mission

The mission of Rutland Academy is to provide a therapeutic and educational environment

that empowers students to be academically, behaviorally, and socially successful through collaboration with regional school systems, families, and community organizations.

Vision Rutland Academy is an exemplary student centered therapeutic environment that provides a unique blend of psychological, behavioral, academic, and social services that empower

students to make a successful transition to the least restrictive environment.

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OATH OF LEARNING

I can learn

I will learn

I will be the best I can be

I will take advantage

Of EVERY opportunity

To increase my knowledge

On the road to becoming

A healthy productive citizen

Of Rutland Academy

This community, city, state, and nation

ALL THESE THINGS I PROMISE!!!!!!

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Program Overview

Rutland Academy is a member of the Georgia Network for Educational and Therapeutic

Supports (GNETS). As with all other public schools, Rutland Academy adheres to the Georgia Department of Education’s – Common Core Georgia Performance Standards and

the guidelines set forth by the Georgia Professional Standards Commission.

Rutland Academy serves students referred by their home school system. School systems served are within the Northeast Georgia RESA service area and include: Barrow, Clarke,

Commerce City, Elbert, Greene, Jackson, Jefferson City, Madison, Morgan, Oconee,

Oglethorpe, Social Circle, and Walton.

Rutland is unique in that students receive therapeutic supports in addition to their traditional academics. We strive to provide students with interventions and strategies

that will support transition and return to respective home schools. These services may include, but are not limited to, group, crisis intervention, music therapy, therapeutic art,

physical education, structured therapeutic classrooms, individualized behavior management, transition support, consultation with outside agencies, implementation of

the social skills curriculum known as the Student Achievement Model (SAM), Developmental Teaching Therapy, Life Space Crisis Intervention (LSCI), and the Positive

Behavior Interventions Support (PBIS) Framework.

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Rutland Academy GNETS “PRIDE”

Positive Behavior Supports

Settings and Expected Behaviors

Expectations

Bus Area

Rules

Hall & Stairwells

Rules

Restrooms

Rules

Classroom

Rules

Cafeteria

Rules

Commons/Playground

Rules

P

Prepared

Know your Bus #.

Have belongings with you.

Wait for directions.

Know scheduled

breaks.

Know class schedule.

Have necessary

materials.

Know your #.

Know the menu

choices.

Know assigned area.

Know approved activities.

Have necessary equipment.

Know rules of the game.

R

Respectful

Stay in assigned area.

Remain quiet.

Keep hands and feet to

self.

Show courtesy to bus

drivers and monitors.

Follow directions.

Walk quietly.

Keep hands and feet to

self.

Show courtesy to

custodial staff.

Wait your turn.

Leave area clean.

Enter class quietly.

Raise hand to speak.

Wait your turn.

Listen to others.

Show courtesy to ALL

staff.

Remain in line quietly.

Wait your turn.

Use good table

manners.

Show courtesy to

cafeteria staff.

Follow directions.

Follow game rules.

Wait your turn.

Give compliments.

Include everyone.

I

Independent

Follow bus rules.

Ignore negative behavior.

Resist peer pressure.

Maintain self control.

Ignore negative

behavior.

Take care of personal

needs quickly.

Get started on

assignments.

Ask questions.

Ask for feedback.

Make menu choices.

Collect utensils while in

line.

Ask questions.

Show self control.

Ignore negative behavior.

Resist peer pressure.

D

Determined

Remain on task. Remain on task. Remain on task. Remain on task.

Accept feedback and

persevere.

Work cooperatively with

others.

Nourish your body.

Try new foods.

Remain on task.

Accept feedback and

persevere.

Work (play) cooperatively

with others.

E

Empathetic

Engage in appropriate

conversation.

Volunteer to help others.

Remain quiet as you

pass classrooms.

Volunteer to help

others.

Respect privacy of

others.

Respect individual

learning differences.

Volunteer to help others.

Engage in appropriate

conversation.

Volunteer to help

others.

Respect individual

differences.

Volunteer to help others.

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School Safety Procedures

We are required to hold one fire drill each month excluding November & February (severe

weather drills occur these months) and will conduct a minimum of one off site

evacuation drill during the school calendar year. Rutland Academy also practices intruder

drill alerts that are announced and unannounced throughout the year. In the event of a

practice/real lockdown (example, intruder alert) no one will be able to enter the building

(a notice with contact information will be posted on the front door).

To help your child understand the importance of safety at school, please review the safety

activities with your child listed below:

Lockdown Drill Activity

Objective

The student will demonstrate understanding of the reasons that school may need to be locked down by participating in a discussion.

The student will understand the procedure for a lock down drill through participation.

Discussion

Ask your child what events might cause the school to be locked down. • Intruder on campus

• Unsafe activity on campus Ask your child how they might feel if one of those events were to happen.

Ask your child what is the objective of a lock down drill. • To practice locking down the campus

• To be prepared in case of an emergency Ask your child to list the characteristics of an effective lock down drill.

• Teacher locks the classroom door • Students stay calm and quiet so they can hear the teacher’s instructions

• Students pay attention and follow the instructions given • Students quickly move to an area where they will be safe

• Students remain calm and quiet until the all clear is given Ask your child why these characteristics would be important.

Ask your child what could happen if they did not practice how to lock down. • People might panic • People might not know what to do

• People could get hurt Guided Practice

At this time, explain how our school will be exercising the lock down drill. Explain to your child that our program will have announced and unannounced practice drills.

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Evacuation Drill Activity Objective

The student will demonstrate understanding of the reasons that school may need to be evacuated by participating in a discussion.

The student will understand the procedure for an evacuation drill through participation.

Discussion

Ask your child what events might cause the school to be evacuated. • Fire, Bomb threat

Ask your child how they might feel if one of those events were to happen. Ask your child what is the objective of an evacuation drill.

• To practice getting everyone out of the building safely, quickly and efficiently

• To be prepared in case of an emergency

Ask your child to list the characteristics of an effective evacuation drill. • Students line up quickly

• Students stay calm and quiet so they can hear the teacher’s instructions • Students pay attention and follow the instructions given

• Students quickly evacuate the building Ask your child why these characteristic would be important.

Ask your child what could happen if they did not practice how to evacuate. People might panic

• People might not know how to get out • Students could be lost and unaccounted for

• People could get hurt

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Hours of Operations

Rutland Academy opens at 7:30 a.m. and closes at 4:00 p.m. Student hours are 8:00

a.m. to 2:30 p.m. and breakfast hours are 8:00 a.m. to 8:25 a.m.

Attendance

Students are expected be present and arrive on time to school in accordance with the

Georgia law. Students who are absent or tardy miss valuable instructional time and are

less likely to master essential skills for academic success. Unexcused absences and/or

truancy may also lead to legal action against the parent and/or guardian (your child is

considered absent if he/she arrives to school at 11:30 a.m.). Students should follow

Rutland Academy’s school calendar not their home school system’s.

Tardies

First period begins promptly at 8:30 a.m. All students should report to first period by 8:30

a.m. (8:25 for high school students). Tardiness to class results in a disruption of the

activities and a break of the continuity of the teaching process. Parents should make

every effort to get their child to school on time. Timeliness is one of the character traits

we strive to teach children. If your child arrives first period, he/she needs to check into

the front office before being escorted to their homeroom.

Leaving School Early

Students must be signed out by a parent/guardian or individual the parent has listed on

the emergency contact form. Please be prepared to show a picture ID when signing your

child out.

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Riding The Bus

All school rules apply while on the bus. Students reported for misconduct will be subject

to disciplinary action.

Parent/Teacher Conferences

If you have a scheduled parent/teacher conference you must sign in and wear a visitor’s

badge while on campus. Teacher conferences may be scheduled during a teacher’s

planning time, before school, and after school. If you are unable to come on campus,

please schedule a time for a telephone conference.

Phone Calls/Student Phone Usage

Students will not be allowed to receive or make personal phone calls unless it is an

emergency. If you have an emergency and need to get a message to your child, contact

the front office at 706-549-3030. Also, students are not allowed to bring cell phones to

school. Parents will have to pick up the cell phone if it has to be taken by a staff member.

Inclement Weather

If there is a need for school closure due to inclement weather, Rutland Academy will follow

Clarke County Public Schools’ system schedule. Tune in to your local radio and TV station

not only for your home school district but Clarke County school closures and visit the

Clarke County School district or Northeast Georgia RESA’s website at

www.clarke.k12.ga.us or http://www.negaresa.org/negaresa for updates.

You will also need to follow your home school districts inclement weather updates. If your

district is closed due to inclement weather, your child will not report to school.

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Emergency/Medical Information

Parents/Guardians, it is very important you read & understand the following information. If you

have any questions, please contact the School Nurse. All health forms in this handbook are

required for enrollment.

Clinic Information & Medication Policy

Clinic Information

Rutland Academy has a full-time licensed nurse to staff the clinic. The role of the School Nurse is

to: administer medication, monitor & assist students with chronic health conditions, assist with

crisis intervention, education for students & staff, monitor immunizations, development of

individualized medical care plans for students with chronic illness, administration of State

mandated health screenings (vision, hearing, scoliosis), and provide emergency care & first aid as

needed.

If you need specific medical advice, please see your child's physician as this is outside the role of

nursing. Parents/Guardians will be contacted in the event of severe injury or illness. Students

must be picked up for a fever of 100.0 or higher to help reduce the spread of infection.

Medication

Medication compliance is an important component of your child's therapeutic success. The School

Nurse will notify you when your student has a 10-day supply remaining. It is vital that you

maintain contact with the nurse regarding any medication changes at home or at school.

Students are not permitted to carry medications at any time with the exception of life-

saving medications such as emergency inhalers and epinephrine pens. Students caught

with any type of medications will be subject to daily searches.

Over-the-counter medications

If you wish your child to take over-the-counter medication (provided by the parent/guardian)

temporarily, please send a signed, dated note/e-mail with your child's name, the name of the

medication and duration the medication is to be given. Medication must be in its original,

unexpired container and delivered to the School Nurse by an adult. Medication must be age

appropriate and will only be given as directed on the package unless a doctor's order is provided

(packages with missing dosage information will not be given). Over-the-counter medication will

be checked against the student's current list of medications for possible contraindications (if

contraindications are found, the medication will not be given unless a doctor's order is provided).

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Prescription Medications

Prescription medications should be given at home when possible. Any medications requiring a

dose between 8:00-2:00 will be administered only when all required paperwork has been

completed; hand written letters will not be accepted. GA law requires an order from a

physician for the administration of prescription medication in the school setting.

Medication brought to school before an order is obtained cannot be given. Medication must be in

its original, unexpired container and delivered to the School Nurse by an adult.

Illness

Many parents are unsure of when a child is too sick for school. If your child is unable to participate

fully and comfortably due to pain or illness, has an untreated contagious (or suspected contagious)

condition (lice, scabies, ringworm, rash of unknown origin, staph, strep, etc), or has any of the

following symptoms, they should not attend school: thick drainage from eyes, nose and/or wounds

that cannot be covered; fever of 100.0 or higher; multiple episodes of vomiting and/or diarrhea.

If your child has vomiting, diarrhea or a fever, they must be symptom free for a full 24 hours

(without needing medication) before returning to school. A doctor's note may be required in some

instances. Students should not be sent to school and then told to call home. Please follow these

guidelines to protect our students & staff members with compromised immune systems (diabetes,

cancer, etc).

Chronic Illness

If your child has a chronic illness (such as asthma, diabetes, life-threatening allergies, seizures,

cancer, etc.) this information should be shared directly with the School Nurse for the creation

of an individualized medical care plan. Information shared with teachers is often not passed along

as it is presumed that you have spoken with the nurse already.

It is the responsibility of the parent/guardian to notify the nurse directly of any illness, provide

needed medical releases and all needed medication and/or supplies. Training, if needed, will be

provided for all staff that has direct contact with the student.

Emergency

Physical and mental health emergencies may require transport via ambulance to Athens Regional

Medical Center or St. Mary's hospital. It is critical that we have the most current address and

phone number for you.

Immunizations

All students attending GA public schools are required to have a complete GA Form 3231 (Certificate

of Immunization) in accordance with GA state law, O.C.G.A. 20-2-771 and Regulations, Chapter

290-5-4. Students without this form on file are unable to attend school.

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Screenings

If you wish for your child to be screened for hearing, vision (near vision, distance vision and/or

color-vision), height, weight, BMI or scoliosis at any time during the school year, please contact

the School Nurse in writing, or call and request a permission form to be sent home to you. All

State-mandated screenings will be provided at Rutland Academy at no charge. State-

mandated screenings do not require parental approval, however, notices are sent out twice before

a screening as a courtesy. You will be contacted in the event your child does not pass a screening

and requires further evaluation by a physician. All State-mandated screenings are completed

before Winter Break. Screenings are as follows:

• All incoming Pre-K and Kindergarten students, as well as any student enrolled in a GA school for the first time, must have on file with their home school a GA Form 3300 (Certificate of

hearing, vision, dental & nutrition) in accordance to GA Regulations, Chapter 290-5-31. Please provide a copy for Rutland Academy records. If a copy is not provided, a vision & hearing screening will be performed.

• All 3rd grade students are screened for vision (also color-vision if not previously screened). • All 6th grade students are screened for vision.

• All 6th and 8th grade students are screened for scoliosis.

Donations

Donations are graciously accepted! Frequently used items include: clothing for all ages, Kleenex,

hand sanitizer, baby wipes, sanitary napkins, children strength acetaminophen & ibuprofen,

children strength anti-nausea, children strength dye-free Benadryl, Pepto-Bismol, latex free

bandages, and triple-antibiotic ointment.

Your child's health and well-being is very important to all of us at Rutland Academy! Please feel

free to contact the School Nurse with any questions you might have: 706-549-3030 (extension

420) or by e-mail: katrina.rankin@rutlandacademy.org.

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School Nutrition

Rutland Academy provides breakfast and lunch opportunities for all students. The school

menu is based on the Clarke County Schools elementary menu. This year, the school

nutrition will begin an exciting new program, Community Eligibility Provision (CEP) which

will provide free breakfast and lunch every single school day (no application will be

required).

Please share this exciting news with your child which will help us ensure that our meal

program is a success by having your child participate in school breakfast and lunch every

single school day.

Note: Students may bring lunch from home if desired.

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Individual Education Plans (IEP)

The Individual Education Program/Plan (IEP) is a written plan that will describe the

program(s) and special services your child requires to be successful. Rutland Academy provides therapeutic behavioral supports for students with behavioral needs that are

addressed in the student’s IEP.

Report Card/Progress Report Schedule Students receive progress reports and report cards once a term (4 times a year). The

Individualized Education Program (IEP) Progress Report will be sent home the same day as the report card.

Term Type of Report

Grade Report Date

(Send Home)

Term 1 Progress Report September 14

Term 1 Report Card

IEP Goal Progress Report

October 12

Term 2 Progress Report November 16

Term 2 Report Card

IEP Goal Progress Report

January 4

Term 3 Progress Report February 15

Term 3 Report Card

IEP Goal Progress Report

March 15

Term 4 Progress Report April 26

Term 4 Report Card

IEP Goal Progress Report

May 19 (elementary & middle school)

Note: Each Term is equal to approximately 9 weeks (progress reports represent approximately 4.5 weeks).

Term 1- August 1-October 14

Term 2- October 17-December 16

Term 3- January 3-March 3

Term 4- March 6-May 19

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Homework

All students at Rutland Academy will be assigned homework Monday-Thursday.

Homework is assigned in an effort to improve study skills and independent practice.

Make-Up Work

Students shall be permitted to make up work for excused absences. Teachers and

students should make arrangements for the make-up work within 3 school days after

returning from an absence.

Textbooks

All textbooks are property of Rutland Academy. If a teacher determines a book has been

mishandled and unusual damages have occurred, appropriate fines will be assessed based

upon the retail value of the book.

Teacher As Advisor

Rutland’s student advisement program is designed to assist middle and high school students in developing the skills needed to make wise decisions that enable them to take

full advantage of the curriculum and track progress throughout the year. Through the

presentation of current information concerning career selection, graduation requirements, and course offerings during individual and group advisement sessions, the caseload

teacher and/or support personnel becomes the advisor to the student. Time will be used to foster better communication between our program, students, parents and/or guardians.

Students and the teacher will track performance monthly during the advisement period using the advisement form below. To support understanding of the advisement program,

teachers will use Georgia’s Teacher as Advisor Framework for supporting/advising students. Please conference with your child about what they learned during this process.

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Student Behavior

Students under the jurisdiction of Northeast Georgia RESA shall be subjected to an age-

appropriate behavior code which outlines expected behaviors, prohibited behavior, and

subsequent disciplinary actions which may be taken by school officials when students

violate the behavior code. This code will comply with state law and State Board of

Education Rule 160-4-8-.15. The code shall include the following:

1. Standards for student behavior designed to create the expectation that students

will behave themselves in such a way so as to facilitate a learning environment

for themselves and other students. The standards should be designed also to

encourage students to respect each other and Northeast Georgia RESA

employees, to motivate student to obey student behavior policies adopted by the

Board of Control and to obey student behavior rules.

2. Student support processes designed to assist student to address behavioral

problems, which support processes shall be appropriate in light of the severity of

the behavior problem, and shall consider involvement of other public entities or

community organizations;

3. Progressive discipline processes designed to create the expectation that the

degree of discipline imposed will be in proportion to the severity of the behavior

of a particular student, the previous discipline history of the student and other

relevant factors, while ensuring that each student receives the due process

mandated by federal and state law;

4. Parental involvement processes designed to require parents, guardians, teachers

and administrators to work together to improve and enhance student behavior

and academic performance. The process should enable parents, guardians and

school employees to communicate freely their concerns about student behavior

which detract from the learning environment.

Rutland Academy will review the facts and consult with individuals necessary to implement

appropriate disciplinary procedures. Rutland may refer to the home school district’s

student code of conduct regarding regulations and policies.

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Student Achievement Model Overview

Rutland Academy uses the Student Achievement Model (SAMs) for teaching social skills. The SAMs model fits within our Positive Behavior Supports framework and utilizes a social

skills curriculum with a defined set of basic social behaviors, self-control strategies, and

active learning skills encompassing adult relations, peer relations, school rules, and classroom skills. As basic skills are mastered, more complex, and advanced skills are

taught and practiced.

This model is a classroom management system which encourages participation and cooperation in classroom activities. Students have the opportunity to earn points and

then use them to purchase desired items. Students move through three tiers (Foundations, Progress, and Transitions) as they demonstrate social skill proficiency.

Learning Points

Your child will bring home a summary of their point card daily that reflects their behavioral and academic performance of the day. You may see that a point loss has been earned.

These negative points are called Learning Points. Learning Points are earned when a student exhibits inappropriate behaviors. They are the basis for teaching appropriate

social skills through both group and individualized teacher instruction and student practice.

When you see Learning Points on your student’s point card, please understand that the appropriate behaviors have been addressed at school. While we encourage you to discuss

these points with your child, we discourage you from giving additional consequences at

home. We suggest that you ask your child what they learned and how will they handle things differently the next time. Please support your child’s efforts by discussing their

day, signing their point sheet, and encouraging them to return it to their teacher the next day.

Powerful Praise

The Student Achievement Model is a positive approach that assists students in gaining self-confidence in their social growth. Praise and encouragement are important tools used

to reinforce appropriate behavior and support student’s effort to improve. You can support your child at home by being specific when offering praise. For example, Ty, you did a

great job asking me calmly and saying “may I please” and when you make a request like

that, I am more likely to try and help you. Does that make sense? Since you did such a great job making a request, I’m going to say yes to your request.

Teaching Replacement Skills

When students have difficulty with a social skill or choose not to use it, they need assisted by a staff member. Together they identify the problem and the Learning Points to be

entered on the point card. The steps of the desirable behavior are discussed, modeled,

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and then practiced by the student. Reasons for using the skills are reviewed and

explained. Students have the opportunity to earn up to half of their Learning Points back as Positive Points. The emphasis is on teaching the needed skill and providing

opportunities for the student to use the skill in a variety of situations.

Managing Student Resistance Occasionally a student refuses to accept assistance with a skill and remains uncooperative.

Rutland Academy staff have been trained to guide a resistant student through the crisis behavior and return them to the instructional task.

Intensive Intervention

Intensive Intervention may be earned if a student continues to refuse assistance and remains uncooperative, disrupting the learning of other students. In this case, the student

leaves the classroom setting and continues to receive assistance from another trained staff member. The problem behaviors are addressed and appropriate replacement skills

are identified.

Dress Code

Students are asked to dress in a manner appropriate for school. It is the joint

responsibility of the students, parent/guardian, and faculty to reinforce acceptable

standards of appearance so that distractions are not present in the learning environment.

The following list will help you adhere to these acceptable standards:

Pants should be worn at the natural waist so undergarments are not showing and

the pant legs do not cause a tripping hazard

Clothing should cover the body and be free of tears, holes, etc. (clothing should fit

appropriately without appearing tight)

Any shirt, blouse, top, sweatshirt, etc. must cover the midriff/waist of the individual

and not be made of mesh or see-through materials (tank tops, spaghetti straps, or

tube tops are not permitted)

Shorts or skirts should be within 3 inches of the knee

All hats, caps, hoods, headbands, wave caps, sunglasses, etc. are to be removed

prior to entering the building

Clothing with pictures, graphics, or language which suggests violence, drug use,

alcohol, drugs, tobacco, display rude or suggestive symbols, sexual material,

bigoted material, profanity or other item deemed inappropriate by an administrator

will not be acceptable to wear at school (this includes jewelry, chains, arm sleeves,

and tattoos)

Flip-flops or bare feet are not permitted

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Students may be required to change into more appropriate clothing or cover inappropriate

items. Parents will be notified of dress code violations and will be asked to provide a

change of clothes.

Student Personal Items

Rutland Academy is not responsible for the loss of a student’s personal property. We

advise you to talk to your child about not bringing valuable items to school. If these items

are confiscated by a staff member, it is the parent/guardian’s responsibility to make

arrangements to pick up the item(s).

Bullying

The Northeast Georgia RESA Board of Control believes that all students can learn

better in a safe school environment. Behavior that infringes on the safety of

students will not be tolerated. Bullying, as the term is defined in Georgia law, of a

student by another student is strictly prohibited.

Bullying is defined as follows: An act which occurs on school property, on school

vehicles, or at school related functions or activities, or by use of data or software

that is accessed through a computer, computer system, computer network, or other

electronic technology of a local school system, that is:

1. Any willful attempt or threat to inflict injury on another person, when

accompanied by an apparent present ability to do so; 2. Any intentional display of force such as would give the victim reason to fear

or expect immediate bodily harm; or 3. Any intentional written, verbal, or physical act, which a reasonable person

would perceive as being intended to threaten, harass, or intimidate, that:

a. Causes another person substantial physical harm within the meaning of Code Section 16-5-23.1 or visible bodily harm as such term is defined

in Code Section 16-5-23.1; b. Has the effect of substantially interfering with a student's education;

c. Is so severe, persistent, or pervasive that it creates an intimidating or threatening educational environment; or

d. Has the effect of substantially disrupting the orderly operation of the school.

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Any teacher or other school employee who, in the exercise of his or her personal

judgment and discretion, believes he or she has reliable information that would lead

a reasonable person to suspect that someone is a target of bullying is encouraged

to immediately report it to the Rutland Academy Director. Any report will be

appropriately investigated by the administration based on the nature of the

complaint in a timely manner to determine whether bullying has occurred, whether

there are other procedures related to illegal harassment or discrimination that

should be implemented and what other steps should be taken. Any report of

retaliation for reporting bullying will also be investigated and addressed as called

for in this policy and in accordance with school procedures.

Acts of bullying shall be punished by a range of consequences through the

progressive discipline process.

Upon a finding by a school administrator that a student has committed an act of

bullying or is a victim of bullying, the administrator or designee shall notify the

parent, guardian, or other person having control or charge of the student by

telephone call or through written notice, which may be done electronically.

Students and parents will be notified of the prohibition against bullying and the

penalties for violating.

Weapons and Drugs Policy

It is the policy of the Board of Control that a student shall not possess, use, handle or

transmit any object that reasonably can be considered a weapon. Weapons may include,

but are not limited to: any pistol, revolver, or any weapon designed or intended to propel

a missile of any kind, or any type of knife or switchblade, straight-edge razor, razor blade,

spring stick, metal knucks, blackjack, or any flailing instrument, nunchaku, chains,

throwing star, oriental dart, or any bat, club, or other bludgeon-type weapon, as well as

other weapons described in O.C.G.A. 16-11-127.1. Any student who is determined to

have brought a firearm to school or to a school-sponsored or school-related function shall

be expelled from school for a period of not less than one (1) year, but the Board of Control

or the Executive Director may modify and mitigate such expulsion for good cause on a

case-by-case basis. The Rutland Academy may refer such case back to the Local Education

Agency (Northeast Georgia Policy Manual, p. 59). It is the responsibility of

administration or appointed designee to determine if a search is deemed warranted.

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If a teacher sees a weapon or suspects a student may have one, he (she) should evacuate

the room and immediately notify the director and/or designee. The director will then notify

the School Resource Officer and notify the student’s home school (Special Education

Director) for disciplinary action. A juvenile complaint will be filed if a specific threat is

made or if an attack occurs.

If a student is found in possession of a controlled or illegal substance, or appears under

the influence of such, the same procedures should be followed. Behavior inconsistent with

his normal demeanor is considered “reasonable” enough to search a student for

contraband. The director or designee should be called for assistance. If a law has been

broken, the director will handle the situation and instruct staff as to what to do.

All suspensions must be approved by the director or their designee. The information

specialist must send copies of the suspension forms/notices to the LEA (Special Education

Director), the parent, and the child’s home school. A copy must also be placed in the

child’s folder at Rutland Academy.

Student Searches

Rutland Academy’s Board authorizes reasonable searches of students directed to that end

by authorized school officials. Searches based on reasonable suspicion may proceed

without hindrance or delay, but they shall be conducted in a manner which insures that

students are not arbitrarily stripped of personal privacy.

Procedure for Searches

The director along with the SRO, or designated staff member must be present.

The student is to be escorted to a private area. Student searches are not to be discussed in the presence of other students.

Staff members may request the student to empty his/her pockets and purses, remove socks and shoes.

Refusal by students to comply with the search directives can result in police being called.

A metal detector/wand can be used at any time. Any items not permitted at school found during a search will be confiscated

by the staff. Cell phones, smart phones, PDAs, etc. may be confiscated if they are turned-

on or visible during school hours.

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Physical Restraint

Physical restraint involves direct physical contact that prevents or significantly restricts a

student’s movement. Restraint protects the safety of the student and others and is an

emergency intervention which is a non-harmful control procedure. This policy on physical

restraint is not intended to prohibit actions undertaken to:

break up a fight

remove a weapon from a student briefly hold by an adult in an appropriate manner in order to calm or comfort

escort a student from one area to another with the minimum contact necessary

hold a student for a brief time in order to prevent an impulsive behavior that

presents an imminent risk to the student’s safety (e.g., running into the street).

Rutland Academy faculty receives specialized training in order to assist students in crisis

safely. The use of physical restraint is employed only when a student is a danger to self

or others. Parents will be kept informed of such occurrences (we do not utilize monitored

seclusion).

Please refer to the Georgia Department of Education website at www.gadoe.org for

information related to SBOE Rule 160-5-1.35, seclusion and restraint for all students.

Rutland Academy Procedures for Reporting Suspected Child Abuse

Rutland Academy, in accordance with Georgia law, requires that school administrators,

schoolteachers, school guidance counselors, visiting teachers, school social workers, registered professional nurses, licensed practical nurses, or school psychologists having

reasonable cause to believe that a child under the age of eighteen has been abused report such incidents.

Any other person who has reasonable cause to believe that a child has been abused should immediately make a report to their immediate supervisor. Reports of suspected child

abuse shall be made in compliance with Georgia law OCGA 19-7-5

An oral report shall be made immediately, but in no case later than 24 hours from the time there is reasonable cause to believe a child has been abused, by telephone or

otherwise and followed by a report in writing, if requested, to a child welfare agency

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providing protective services, as designated by the Department of Human Services, or, in

the absence of such agency, to an appropriate police authority or district attorney. If a report of child abuse is made to the child welfare agency or independently discovered by

the agency, and the agency has reasonable cause to believe such report is true or the report contains any allegation or evidence of child abuse, then the agency shall

immediately notify the appropriate police authority or district attorney. Georgia law OCGA 19-7-5.

Denial of Permission for Internet/Digital Resources Access

Parental permission or denial of permission to use student’s picture in Rutland Academy

media releases, must be obtained. Permission is granted or denied for the period of time

your child is a student at Rutland Academy.

Internet Acceptable Use

The purpose of the INTERNET service is to provide professional learning participants,

employees, and students access to the INTERNET to:

(1) enhance delivery of education;

(2) provide access to career and professional learning activities; and

(3) allow for limited high-quality self-discovery.

Everyone that uses the INTERNET has an obligation to use the technology in a manner

specified by the Northeast Georgia RESA Board of Control.

Specifically, the agency supports resources that will enhance the learning environment.

Any student with access to and use of the INTERNET at Northeast Georgia RESA will be

under staff direction and will be monitored, as in any other classroom activity.

The use of the INTERNET will reflect on the agency; therefore, employees, participants, and students are to guide their activities accordingly.

Student access to information via school Northeast Georgia RESA computers and computer

systems has the potential to support the RESA’s curricular objectives: to promote

innovation, collaboration, and communication; and to prepare students for their roles in a

technical society. Such access to information, including access to the Internet, is,

therefore, to be encouraged within guidelines that protect students and the rights of

others.

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For purposes of this policy:

"Electronic information resources" shall apply to computers, computer systems, and

information accessed via computer systems including, but not limited to, material on the Internet. This policy shall govern student use of and access to all such

resources owned by Northeast Georgia RESA as well as to student use of any electronic information resources while on school property, or while attending a

school-sponsored activity, or while en route to or from school or a school-sponsored activity.

"Minor" shall mean an individual who has not attained the age of 17. "Child pornography" shall have the meaning given in United States Code, title 18,

section 2256. "Harmful to minors" shall mean any picture, image, graphic image file, or other

visual depiction that: 1. Taken as a whole and with respect to minors appeals to prurient interest in nudity,

sex or excretion;

2. Depicts, describes, or represents in a patently offensive way with respect to what is suitable for minors an actual or simulated sexual act or sexual contact, actual

or simulated normal or perverted sexual acts, or a lewd exhibition of the genitals; and

3. Taken as a whole lacks serious literary, artistic, political or scientific value as to minors.

"Obscene" shall have the meaning given in United States Code, title 18, section 1460.

"Sexual act" and "sexual conduct" shall have the meanings given in United States Code, title 18, section 2246.

"Technology protection measure" shall mean a technology that blocks or filters access to selected material on the Internet.

"Access to the Internet" shall mean access to a computer or computer system capable of accessing the Internet and, thereby, to content that is not controlled by

the school district. It shall not apply necessarily to all printed or electronic materials

that may have originated on the Internet.

Students

Student use of Northeast Georgia RESA owned equipment or access to electronic

information resources on school owned equipment shall be limited as follows:

Students shall not access material that is obscene, pornographic, or harmful to minors or that the school district otherwise declares to be inappropriate.

Students shall not engage in "hacking" or any other attempt to compromise the security of any computer system including the use of proxy servers and other filter

avoidance measures. Students shall not engage in illegal activities.

Students shall not publish any material that is derogatory or offensive to others.

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Students shall not inappropriately use hardware or software to disrupt instruction

i.e. using a teacher remote without teacher permission to freeze screens or using LinQ to take command of a teacher machine without permission.

Students shall use electronic mail, chat rooms, and other forms of direct electronic communications during instructional time only for specifically approved instructional

purposes under the direct supervision of a Northeast Georgia RESA staff member. Northeast Georgia RESA provides for students accessing the Internet through RESA-

owned equipment age appropriate instruction regarding safe and appropriate behavior on social networking sites, chat rooms, and other Internet services,

behaviors that may constitute cyber bullying, and how to respond when subjected to cyber bullying.

Technology protection measures shall be installed in the district's computer system(s) to

limit student and adult access to content on the Internet. Such measures shall protect

against access by any system user to visual depictions of obscenity or child pornography

and additionally shall protect against access by minors to visual depictions that are harmful

to minors. Additionally, technology protection measures may be configured to protect

against other material judged under this policy and supporting regulations to be

inappropriate.

The Northeast Georgia RESA Director or the Director’s designee may disable a technology

protection measure to enable adult access for bona fide research or for other lawful

purpose.

Notwithstanding the installation of technology protection measures, no student use of or

access to electronic information resources, especially access to the Internet, shall be

conducted without personal supervision. All students have access to the Internet and

other digital resources as basic instructional materials unless parents have notified the

school district in writing denying this access. Student use of and access to electronic

information resources carry no expectation of privacy and constitutes consent to

authorized monitoring.

The Executive Director shall promulgate regulations for the implementation of this policy,

including: (1) rules for students use of and access to electronic information resources, (2)

regulations for disciplining students who fail to follow such rules, and (3) procedures for

challenging RESA decisions regarding electronic access to information.

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Social Skills/Character Education Word Of The Week

Date Social Skill/Character Ed

August 8-12

Week 1

PRIDE: Rules and Expectations

Overview of SAM/Point System and Character Education

August 15-19

Week 2

Skill: Following Directions (FD)

August 22-26

Week 3

Character Ed: Responsibility

Being accountable in word and deed. Having a sense of duty to fulfill tasks with reliability,

dependability and commitment.

August 29-September 2

Week 4

Skill: Remain In Assigned Area (RAA)

September 6-9

Week 5

Character Ed: Perseverance

Pursuing worthy objectives with determination and patience while exhibiting fortitude when confronted

with failure.

September 12-16

Week 6

Skill: Maintaining Physical Boundaries (MPB)

September 19-23

Week 7

Character Ed: Caring

Showing understanding of others by treating them with kindness, compassion, generosity and a

forgiving spirit.

September 26-30

Week 8

Skill: Accepting No (AN)

October 3-7

Week 9

Character Ed: Trustworthyness

Demonstrating honesty, keeping promises, following through on your commitments and doing what is

right even when it is difficult

October 10-14

Week 10

Skill: Get Teacher’s Attention (GTA)

October 17-21

Week 11

Character Ed: Citizenship

Being law abiding and involved in service to school, community and country.

October 24-27

Week 12

Skill: Self Control (SC)

October 31-November 4

Week 13

Character Ed: Courage

Doing the right thing in face of difficulty and following your conscience instead of the crowd.

November 7-11

Week 14

Skill: Ignore Negative Behavior (INB)

November 14-18

Week 15

Character Ed: Fairness

Practicing justice, equity and equality. Cooperating with one another. Recognizing the uniqueness and

value of each individual within our diverse society.

November 28-December 2

Week 16

Skill: Controlling Your Emotions (CYE)

December 5-9

Week 17

Character Ed: Gratitude A feeling of thankful appreciation for benefits received.

Students should practice this skill at home.

December 12-16

Week 18

Skill: Accepting Feedback (AF)

January 3-6

Week 19

Character Ed: Cooperation/Sportsmanship

Working together for a common purpose. The ability to take winning and losing without gloating or

complaining.

January 9-13

Week 20

Skill: Working Cooperatively With Others (WCWO)

January 17-20

Week 21

Character Ed: Respect

Showing high regard for an authority, other people, self and country. Treating others as you would want

to be treated. Understanding that all people have value as human beings.

January 23-27

Week 22

Skill: Work Completion (WC)

January 30-February 3

Week 23

Character Ed: Tolerance

Consideration for the individual differences, views and beliefs of other people.

February 6-10

Week 24

No Name-Calling Week

Skill: Appropriate Conversation (ACV)

February 13-16

Week 25

Character Ed: Integrity

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A firm adherence to a code of especially moral or artistic values. Being honest, trustworthy and

incorruptible.

February 21-24

Week 26

Skill: Bullying (B)

February 27-March 3

Week 27

Character Ed: Self-Discipline

Demonstrating hard work controlling your emotions, words, actions, impulses and desires; giving your

best in all situations.

March 6-10

Week 28

Skill: Disagree Appropriately (DA)

March 13-17

Week 29

Character Ed: Respect for Others*

Concern for and motivation to act for the welfare of others.

March 20-24

Week 30

Skill: Resisting Peer Pressure (RPP)

March 27-March 31

Week 31

Character Ed: Cheerfulness

Good humored, bright and pleasant. Realistic positive confidence of feeling toward one’s self.

April 10-14

Week 32

Skill: Ask For Help (AH)

April 17-21

Week 33

Character Ed: Acceptance

Recognition of the diversity of others, their opinions, practices, and culture.

April 24-28

Week 34

Skill: Solving Problems SODAS Method

(Situation, Options, Disadvantages/Advantages, Solution)

May 1-5

Week 35

Character Ed: Forgiveness

Benefiting yourself and others by ceasing to feel resentment towards others.

May 8-12

Week 36

Skill: Reporting Other Youths Behavior (ROYB)

May 15-19

Week 37

Character Ed.: School Pride /Cleanliness

Care and satisfaction in your school’s environment, achievement and success.

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Rutland Academy Elementary

School Supply List

Kindergarten

1. Box #2 pencils (1) 2. Glue Sticks (2) 3. Pink Erasers (4)

4. Pack of Pencil Top Erasers (1)

5. Washable Felt Markers (1) 6. Scissors (1) 7. Pencil case (1) 8. Pocket folders (10)

9. Wide ruled lined paper (1)

10. Hand sanitizer (2) 11. Box of tissue (1) 12. D’nealian writing

tablet/Kindergarten writing notebook (3)

13. Ruler (1) 14. Clear/mesh book bag (1);

bags can be ordered from Ad Pros of Palm Beach by calling 888-523-7767 or visit their website at www.AdProsPB.com

1st Grade

1. Box # 2 pencils (1) 2. Writing tablet (3) 3. Glue sticks (2)

4. Box of tissues (1) 5. Pink erasers (2) 6. 8road tip markers (8) 7. Fiskar scissors (1) 8. Pencil case (1) 9. Wide-ruled spiral bound

notebook (2)

10. Pocket folders (3) 11. Wide ruled lined paper (1) 12. Hand sanitizer (2) 13. Clear/mesh book bag (1);

bags can be ordered from Ad Pros of Palm Beach by calling 888-523-7767 or

visit their website at www.AdProsPB.com

2nd Grade

1. Box #2 pencils (1) 2. Glue sticks (2) 3. Box of tissues (1)

4. Pink eraser (1) 5. Broad Tip Markers (1) 6. Fiskar Scissors (1) 7. Pencil case (1) 8. Wide-ruled spiral

bound notebook (2)

9. Pocket folders (5)

10. Pencil crayons (1) 11. Washable Felt markers

(1) 12. Hand sanitizer 13. Clear/mesh book bag

(1); bags can be ordered from Ad Pros

of Palm Beach by calling 888-523-7767 or visit their website at www.AdProsPB.com

3rd Grade

1. Box of #2 pencils (1)

2. 2 glue sticks (2) 3. 1 box of tissues (1) 4. 1 eraser (1) 5. 8 broad tip markers (1)

6. Fiskar scissors (1) 7. Pencil case (1) 8. Wide-ruled spiral bound

notebooks (2) 9. Pocket folders (4) 10. Colored pencils (1) 11. Wide ruled loose leaf

paper (2) 12. Hand sanitizer (2)

13. Box of Crayons (1) 14. Clear/mesh book bag (1);

bags can be ordered from Ad Pros of Palm Beach by calling 888-523-7767 or

visit their website at www.AdProsPB.com

4th Grade

1. Box of #2 pencils (2)

2. Glue sticks (2) 3. Pink erasers (2) 4. Washable markers (1) 5. Pair scissors (1)

6. Pencil case (1) 7. Pocket folders (10) 8. Wide ruled lined paper (4) 9. Hand sanitizer (2) 10. Wide-ruled spiral bound

notebooks (8) 11. Protractor (1)

12. Ruler (1) 13. Pack colored pencils (1)

14. Box of Tissue (1) 15. Box of Tissue (1) 16. Clear/mesh book bag (1);

bags can be ordered from Ad Pros of Palm Beach by

calling 888-523-7767 or visit their website at www.AdProsPB.com

5th Grade

1. Box of #2 pencils (2)

2. Glue sticks (2) 3. Pink erasers (2) 4. Washable markers (1) 5. Scissors (1)

6. Pencil Case (1) 7. Pocket Folders (10) 8. Wide ruled loose leaf

paper (3) 9. Composition books (5) 10. Hand sanitizer (2) 11. Protractor (1)

12. Ruler (1) 13. Colored pencils (1)

14. Box of Tissue (1) 15. Clear/mesh book bag

(1); bags can be ordered from Ad Pros of Palm Beach by

calling 888-523-7767 or visit their website at www.AdProsPB.com

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Rutland Academy

Middle and High School

School Supply List

6-8th Grades 9-12th Grades

1. Box of #2 pencils (2 packs) 2. Composition books (1)

3. Highlighters (1 packs) 4. Tissues (1 pack) 5. Pocket folders with brads (5) 6. Wide ruled loose leaf paper (3) 7. Hand sanitizer (2)

8. Protractor (1) 9. Ruler (1) 10. Basic function calculator (1) 11. Clear/mesh book bag (1); bags can be

ordered from AD Pros of Palm Beach by calling 888-523-7767 or visit their website at www.AdProsPB.com

1. Box of #2 pencils (2) 2. Black or blue pens (2)

3. Composition books (6) 4. Notebook paper (2) 5. Two-inch notebook with dividers (1) 6. Hand sanitizer (1) 7. Facial tissue (1)

8. Pocket folders with prongs (5) 9. Protractor (1) 10. Calculator (1) 11. Clear/mesh book bag (1); bags can be

ordered from AD Pros of Palm Beach by

calling 888-523-7767 or visit their website at

www.AdProsPB.com

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Six Forms To be Signed and

Returned by Each Student’s

Parent/Guardian:

Internet Usage Agreement

Media Release Form

Emergency Contact/School Health Form

Over-the-counter Permission Form

Parent/Guardian Confidentiality Agreement

Handbook Signature Page

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Permission for Internet/Digital Resources Access

I GRANT permission for my son/daughter to access the internet/technology

resources for educational purposes at Rutland Academy and I understand that my son/daughter must follow rules for internet/technology use. I understand violation of

any rules may result in forfeiture of permission to use the Internet and school network and/or appropriate disciplinary action.

I DENY permission for my son/daughter to access the internet/technology

resources for educational purposes at Rutland Academy.

Student Grade Teacher

Parent/Guardian Signature

Date

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Media Release Form

Dear Parent/Guardian:

Throughout the school year students attend programs, activities, field trips and events

along with normal classroom routines that support their education, promote community service or encourage positive behavior. With the director’s approval, occasionally, staff,

parents and local media cover these events by taking photographs or video. This may include newspaper, television, websites or other media production.

By signing below, you agree that you have been notified of the possibility that your

son/daughter may be included in photographs or videos and authorize the use for public print, display or broadcast.

_____ I give permission for my child’s name or photograph to be used for school-related public media and the school’s website.

_____ I do not give permission for my child’s name or photograph to be used for school-

related public media (student will still be allowed to attend the activity or program)

___________________________________________________________ Parent/Guardian Signature Date

___________________________________________________________

Student Name/Grade

___________________________________________________________

Teacher

This form will stay in effect for the current school year. If at any time you wish to

change this information, please speak with your child’s teacher. Thank you!

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School Health & Emergency Contact Form School Year: __________________

Student Name: _______________________________________________________________________________

Grade: ____ Caseload Manager: ______________________________ Date of Birth: _________________

Mother/ Legal Guardian: ________________________________________________________________________

Cell: ______________________ Work: ______________________ Home: _________________________

Father/Legal Guardian: _________________________________________________________________________

Cell: ______________________ Work: ________________________ Home: _________________________

Preferred Athens hospital (please circle): Athens Regional St. Mary's No preference

Please indicate if your child has any of the following medical conditions:

____Allergies, life threatening: ______________________________________________ (Please provide EpiPen)

____Allergies, non-life threatening: ___________________________________________ (Please provide Benadryl)

____Asthma (Please provide inhaler or nebulizer) ____Diabetes, type: ________

____Cancer, type: _____________________________________________________________________________

____Hypertension ____Hypoglycemia ____Sickle Cell Disease

____Seizure Disorder, type(s): ___________________________________________________________________

Other medical/mental health: ____________________________________________________________________

____________________________________________________________________________________________

Medications: YOU MUST INCLUDE ALL MEDICATIONS taken at home and at school. This list is used to check for

contraindications with over-the-counter medications and shared with Emergency Services, if needed.

Medication and strength (mg/mL/mcg)

Amount

Time(s) given

____ I have read & understood all information in the Student Handbook regarding the Clinic & medication policies.

______________________________________________ ________________

Parent/Guardian Signature Date

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Permission for the Administration of Over the Counter Medications

School Year ___________

The following over-the-counter medications are available for the comfort of your child. If you do

not wish your child to have a specific medication, strike through that medication (ex: ibuprofen

would be ibuprofen). If you do not wish your child to have ANY medications, please check the

appropriate box.

Bismuth Subsalicylate (ex: Pepto Bismol) Anti-gas (ex: Gas-X)

Acetaminophen (ex: Tylenol) Antacid (ex: Tums)

Anti-itch spray/cream(ex: Benadryl) Ibuprofen (ex: Advil)

Triple-antibiotic ointment (ex: Neosporin) Peroxide

Pain relieving antiseptic spray (ex: Lanacane) Rubbing alcohol

Petroleum Jelly (ex: Vaseline)

I hereby authorize the school nurse, or designee, to dispense (and assist if necessary) any over-

the-counter medications my child may need/request. I understand it is the responsibility of the

parent/guardian to communicate any changes in medication to the school nurse immediately for

the safety of my child, as interactions may occur between certain medications.

I agree to hold harmless: the nurse, designee, Rutland Academy/NEGA RESA, for any drug

interactions and/or errors of administration that may occur due to my failure to communicate

medication changes (including medications taken at home). It is the responsibility of the

parent to provide all required information, medication (including current list of

medications), and supplies for their child in a timely manner.

Your student’s health and safety are my priority.

I agree to the administration of the above medications.

I do not wish my child to receive any of the above medications.

_____________________________________________

Student name

_____________________________________________ _______________

Parent/guardian signature Date

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Parent/Guardian Confidentiality Agreement

All students, parents and guardians have a right to privacy and confidentiality. I

acknowledge that the right to privacy and confidentiality is protected under the laws of Georgia and policies of the Northeast RESA. I shall hold as absolutely confidential all

information that I may obtain directly or indirectly concerning students, parents or guardians. I will not seek to obtain confidential information from a student, parent or

guardian. I will not discuss or otherwise communicate any form of information related to students, parents or guardians with anyone other than the appropriate school staff

member. I will not take pictures or video record any other student(s) other than my own child/children.

I acknowledge and agree to the above requirements.

Print Name: ___________________________________________________________

Signature: ____________________________________________________________

Date: _______________________________________________________________

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Handbook Signature Page

I, ________________________(parent/guardian) of ________________(student) have received a copy of the Rutland Academy Parent/Student Handbook for 2016-2017 school

year and have read through the contents with my student.

Parent Signature ___________________________________ Date ______________

Student Signature __________________________________ Date ______________

Teacher: ________________________________________

Please return this to your child’s homeroom teacher.

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