Robert Martin Elementary School
On-‐Line Enrollment Step 2 Document 2011/2012
Robert M. Martin Elementary
Volume 3, Issue 1
2342 N. 159th Street East Wichita, KS 67228 316.218.4720 www.usd385.org
July 2011
Dr. Crystal D. Hummel, principal
Enrollment Information
Mark Your Calendars… July 5th Online Enrollment information sent to Parents/Guardians of all students
Home of the Mustangs
ANDOVER USD 385
August 1st School Office Opens Hours: 8:00am - 12:00pm and 1:00pm to 4:00pm August 8th New students enroll Hours: 8:00am - 12:00pm and 1:00pm 4:00pm August 9th Returning students enroll Hours: 12:30pm - 7:00pm August 11th K-5th Grade room assignments mailed home August 10th-12th New teachers report to school August 15th-17th All teachers report to school August 16th “Meet Your Teacher Night” at Martin Elementary 6:00pm - 7:00pm August 18th First day of school for 1st - 5th grade students August 22rd First day of school for kindergarten students
Enrollment ‐ USD 385 is enrolling students online for the 2011‐2012 school year. Any form that needs to be completed, signed, and returned to the office may be done on Tues‐ day, August 9th. Payments for regis‐ tration and technology fees may also be made at the school on Tuesday, August 9th. If you need assistance with the new online enrollment process, please call the school office for available dates and times that our computer lab will be open to help complete online enrollment for your student. The office will open on August 1st, at 8:00am.
On‐line payment opportunity ‐ Fee payments and meal account deposits may be made online at the end of the online enrollment process or on the top of the district homepage, www.usd385.org. You will find a link entitled “Payment for Meals & Fees” in the upper right hand corner.
Classroom Placements ‐ Your child’s classroom placement will be mailed home on August 11th. Class lists will also be posted at the school dur‐ ing “Meet Your Teacher Night” on Tuesday, August 16th from 6:00 ‐ 7:00 p.m.
ARRIVAL, DISMISSAL, & PARKING ARRIVAL K-AM, All Day K, and 1st-5th Grade Students Enter Class st
8:25 a.m.
th
8:35 a.m.
K-PM Students Enter Class
12:25 p.m.
K-PM Students Begin Class
12:35 p.m.
K-AM, All Day K, and 1 -5 Grade Students Class Begins
Much consideration has been given to the safety of our children. To prevent any “close calls” or accidents, we need all people who drop off children in the morning to support and follow certain procedures. 1) Car riders may only be dropped off after 8:25 a.m. at the South entrance. Students are not to arrive before 8:25 a.m. since there is no supervision available until this time. 2) Afternoon kindergarten students should not arrive at school any earlier than 12:25 p.m. Late Arrivals If your child arrives after 8:35 a.m., please stop by the office, sign your child in and receive a “pink slip.” The “pink slip” is to be given to your child’s teacher by the student, so he/she will know the office has been notified of any arrivals.
DISMISSAL K-AM Dismiss K-PM, All Day K, 1st-5th Grades Dismiss
11:35 a.m. 3:35 p.m.
School is not officially dismissed until 11:35 a.m. for Kindergarten Half-Day morning class, and 3:35 p.m. for All Day Kindergarten, Kindergarten Half-Day afternoon class, and 1st-5th grade students. Walkers and bike riders will also be dismissed at 3:35 p.m. We request that parents/guardians do not arrive early and linger around the classroom doorways. This can interfere with optimum instruction. A student must be signed out through the office if the student is leaving before the official dismissal time. Automobile Procedures 1) Car riders will be picked up on the South side of the building. 2) All cars must have an identification sign provided to Martin parents/guardians on their dashboard so supervisors may easily read the last name on the sign. Place the sign on the PASSENGER side of the vehicle. 3) Parents are asked to remain in their car while waiting in line to receive their child. 4) Drivers are asked to remain in a single file in the lane next to the sidewalk all the way to the end of the drive. Drivers are not allowed to pull out of line. Remaining in a single file will ensure that no student is crossing in front of moving vehicles. 5) Students will be called from the music room when the supervisor reads the sign located on the passenger side of the car. 6) Students will be released from the music room in family groups to enter the right side of the vehicle for safety. 7) Drivers are asked to stay in their automobiles and allow staff to guide students to the entry doors. If you need to get out of your automobile, please park in the South parking area in order to keep the drive open for safe passage. 8) Students may only cross the divider to the parking lot when accompanied by a parent or guardian. 9) Any student not picked up by 3:45 p.m. is walked to the office. Parents/guardians arriving after 3:45 p.m. are asked to come into the office to pick up their child.
2011-2012 Robert M. Martin Elementary Fees Student Name: Grade: Required Fees $65.00 - Half Day Kindergarten Textbook Fee st
th
st
th
$75.00 - All Day Kindergarten, 1 thru 5 Grade Textbook Fee $25.00 - All Day Kindergarten, 1 thru 5 Grade Technology Fee $12.50 - Half Day Kindergarten Technology Fee
Elective Fees $100.00/1 student - Transportation Fee (for all students who live less than 2.5 miles from their school and choose to ride the bus) $150.00/family - Transportation Fee (for all students in one family who live at the same address) $275.00 – Monthly Fee for All Day Kindergarten
Food Service Fees $1.50 – Breakfast $2.05 – Lunch $0.40 – Snack Milk (kindergarten only)
Required Fee Payment Options • •
Check or money order payable to Martin Elementary School Pay online at www.usd385.org
Elective Fee Payment Options • •
Check or money order payable to USD #385 Pay online at www.usd385.org
Food Service Payment Options • •
Check or money order payable to USD #385 Food Service Pay online at www.usd385.org
Applications for free and reduced fee assistance are available online.
Attention New Students: The following forms will need to be printed off from the District web site and returned to the school office before enrollment is complete. _____ Request for Transcript (new students only)
_____ Student Requiring Special Meals (if applicable)
_____ Placement Information (new students only)
_____ Free & Reduced Application (if applicable)
_____ Proof of Residence (new students only)
_____ Health Examination (new students only)
_____ Birth Certificate (new students only)
_____ KCI (new students only)
_____ Home Language (new students only)
_____ Immunization Statement (new students only)
The A-Line———— Transportation service for those who live less than 2.5 miles from their school Andover Public Schools will make available
fee
-based transportation for all students in the district who live less than 2.5 miles from their school and choose to ride the bus.
Students who qualify for free or reduced lunches may use this program for free.
Eligibility for this program is based on the student’s home address, not from the location the student boards the bus. Students must be registered and fees must be paid before transportation can begin. Registration must be made by parents — not by students or babysitters. The program fee is $100 per year per student. Pro-rating will be available to new students only. There is a maximum fee of $150 per year for all students in one family who live at the same address. Students in the program must go to the nearest established bus stop for pick up. There are no discounts for students in sports or other activities that make it necessary for the student to use the bus only once a day— the cost remains the same whether the student(s) ride one way or both ways.
Because the district receives state aid for transporting students who live 2.5 miles or more from their school, the district will continue to provide free bus transportation for all of those students. To use the A-Line, please complete the form included on the back of this sheet and return it with payment by August 1 to Julie Clopton, Director of Transportation, at 222 W. King, Andover, KS 67002.
If you have any questions about Andover Public Schools Transportation or The A-Line, please contact the Transportation Department at (316) 218-4621 or cloptonj@usd385.org.
Application for Busing in the A-Line Program (for students who live less than 2.5 miles from their school) Please complete one form per family per location, listing each child in the household who will be riding the bus.
1. Student’s Last Name:__________________________________ First Name: ______________________________ School: __________________________________ Grade: _________ 2. Student’s Last Name:__________________________________ First Name: ______________________________ School: __________________________________ Grade: _________ 3. Student’s Last Name:__________________________________ First Name: ______________________________ School: __________________________________ Grade: _________ 4. Student’s Last Name:__________________________________ First Name: ______________________________ School: __________________________________ Grade: _________ Parent/Guardian Name: ____________________________________________________________________ Cell Phone: ________________ Work Phone: _________________
Evening Phone: __________________
If you qualify for free or reduced lunches, this service is free. Please make checks payable to Andover USD 385.
Enclosed: $______ for #_____ students in family.
If you paid online, please print a copy of your receipt and send it in with this form. Alternate Pick Up and Drop Off Request If a student is to be picked up or dropped off at an address other than the home, fill out the information below. Please note: the location must be in the boundaries of the school the student is attending—student transfers due to babysitter location may be allowed — contact Administration at (316) 218-4660. Pick up location: ____________________________________ _________ Name of resident ___________________________________________________ Address
_______________________ Phone #
Pick up days: M T
Drop off location: ____________________________________ _________ Name of resident ___________________________________________________ Address
W TH F
_______________________ Phone #
Pick up days: M T
W TH F
Home Address: _________________________________________________________________ ***************************************Office Use Only Below*************************************** Date: ____________
Method of Payment: _______________
Amount Received: $_______
Fee $100 per student per year Maximum fee of $150 per year for all students in one family who live at the same address.
ANDOVER PUBLIC SCHOOLS USD 385
DEPARTMENT OF HEALTH SERVICES MEDICATION ADMINISTRATION RELEASE FORM I hereby certify that _________________________ has previously had at least one dose of the prescribed medication listed and did not have an adverse reaction from it. I request that this medication(s) to be administered at school as prescribed by the physician. I understand that any school employee who administers this prescription to my child in accordance with written instructions from the physician or dentist (and USD #385 Board of Education Policy) shall not be liable for damages as a result of an adverse drug reaction suffered by the pupil, because of administering such a drug or because of a mislabeled or altered product. I hereby authorize USD #385 Department of Health Services personnel to exchange information regarding dispensing and monitoring of this medication with ___________________________, the attending physician or dentist, or with the pharmacy as identified on the label of the prescribed medication container.
__________________________________________ Signature of Parent/Legal Guardian
_________________ Date
___________________________ Telephone Number NOTE: The medication must be brought to school in the original container appropriately labeled by the pharmacy, or physician, stating the name of the medication, the dosage and times to be administered. Building: ________________________________ Teacher/Grade____________________________ Student's Name______________________________________
Birth Date:________________
Medication:_____________________________
Diagnosis:____________________________
Route:_______________________________
Dosage:______________________________
Special Instructions for Administration:_________________________________________________ ________________________________________________________________________________ Requested Starting Date of treatment: _________________ Duration (End Date):_______________ Time to administer at school: ____________________
_____________________________________________ Physician's Signature
________________________________ Date
________________________________ Telephone Number
________________________________ Fax Number
Please print and return this form to the school office by August 9.
2011-2012 PTO
Welcome! Martin Elementary PTO promotes communication between the school, teachers, students, and families. If you are a Martin parent, then you are a PTO member. The Martin PTO is very active and we do great things! VOLUNTEER OPPORTUNITIES – Volunteer Name: _________________________________________ Please check all areas that interest you. Only one form needs to be completed per household.
Helping Hands (first week of school): Helping Hands (first week of school): Volunteer: Volunteer: Fall Fundraiser/Jog-A-Thon: Spirit Committee:
Kdgtn Dismissal (11:35) Kdgtn Arrival (12:35) School Pictures Dental/Vision Screening Planning/Prizes/Supplies Bulletin Boards
AM Bus Duty Kdgtn Assessment PM Bus Duty Lunch Aide Book Fairs Music Programs Sign In/Out Tables Yearbook Photographer Tracking Donation Forms Planning JAT Assemblies Teacher Appreciation (Goods & Supplies)
We look forward to meeting new volunteers with new ideas. The staff and PTO members of Martin Elementary are grateful for those that have volunteered in the past. We hope that you will continue with this support. We cannot do it without you! Student Name(s):_________________________________________
Grade: ______
_________________________________________
______
_________________________________________
______
_________________________________________
______
Address: ________________________________________________________________________________________________ Phone:_________________________________________________
Email:__________________________________
Parent/Guardian Name(s): ___________________________________________________________________________________
DIRECTORY Martin Elementary PTO publishes a student directory each year for the personal use of Martin Elementary families and staff. It promotes communication and contact between families, friends and teachers. It is prohibited to distribute the directory for any commercial purpose. Directories will be sold for $1 in the Fall. If your child has more than one household, please note both addresses on this form. If you do not wish to publish your email address simply check this box: □ Participation is optional; if you do not want your child listed in the directory, please check the appropriate box below. Feel free to contact the school office or Julie Schillings at jschil@cox.net with any questions. Yes, I give permission to include my child’s/children’s contact information in the School Directory. No, do not include my child’s/children’s contact information in the School Directory. _______________________________________________________________ Parent/Guardian Signature
__________________ Date
MARTIN MONDAY UPDATE (MMU) The “Martin Monday Update” is a weekly email that shares what’s going on during the following week (picture day, field trips, projects due, girl scouts, etc.). Your email address will be kept confidential and will NOT be shared with any outside parties. Please notify Tricia Gracey at graceys@sbcglobal.net if you need e-mail changes made at any time during the school year. ___ Yes, sign me up!
___ No Thanks
Use this e-mail instead of the e-mail above: __________________________
Please print and return this form to the school office by August 9.
Robert M. Martin Elementary Volunteers and Confidentiality Guidelines Volunteers: We deeply appreciate your support and presence at our school. Our partnership is critical to the success of our students. Please know how much your assistance is appreciated. While at school, we ask that you adhere to the following expectations. All volunteers are asked to read the information below and complete this form prior to providing volunteer services to our school. CONFIDENTIALITY NOTICE: Information you witness or hear while observing may be confidential or privileged and is not to be shared or discussed with ANY individuals other than staff members. Furthermore, student names and behaviors should not be discussed with anyone other than the staff member(s) in charge of the area you are providing assistance in. Our family handbook reinforces these expectations:
1. 2. 3. 4. 5.
BUILDING CODE OF ETHICS (FOR VOLUNTEERS) Respect the confidentiality of the teacher and the students, and refrain from discussing confidential issues outside the school setting. Respect the teaching/learning process by arranging to discuss your child’s progress at times other than when you are volunteering. Maintain open and honest communication with school staff. Bring any concerns you have to the teacher (or staff member). Maintain a strong relationship of trust, integrity, and respect with adults and children. Be dependable. Follow through on tasks by attending at the dates or times arranged. Inform the school of any absences as soon as possible.
By signing, I hereby agree to these terms and conditions. Print Name: _____________________________________________________________ Signature: ______________________________________________________________ Date Signed: ____________________________________________________________
Please return this completed form to the school office.
S:\School\PTO\Volunteers and Confidentiality Form.doc
Revised 2.25.10
The following pages only apply to students new to Andover Public Schools.
Robert M. Martin Elementary New Student Placement Information Form 2011-2012 School Year
Student Name: _______________________________________
Male or Female (Please circle)
2011-2012 Grade: ___________ To better help us place your student, please provide the following information: 1. Was your child ever retained? If so, which grade(s)? 2. Please circle the number below that best reflects your child’s performance in language arts (reading, writing, spelling). 1 = Consistently needs enrichment 2 = Average performance 3 = Occasionally has problems 4 = Consistently has problems 3. Please circle the number below that best reflects your child’s performance in math. 1 = Consistently needs enrichment 2 = Average performance 3 = Occasionally has problems 4 = Consistently has problems 4. Was your child involved in any special programs and if so, what were they? (Example: Reading and Math Support Programs, Speech, Language, Learning Disabilities, other special programs of any nature)
5. Please describe your child’s personality. (Is he/she excitable, creative, very active, quiet, etc? Please use the back of this form to add any additional information about your child that would help with your child’s placement.
________________________________________ Parent/Guardian Signature
________________________ Date
S:\School\Enrollment\2011-2012\11-12 enrollment paperwork\New Student Placement Form
11-12.docx
Robert M. Martin Elementary 2342 N. 159th St. East; Wichita, KS 67228 Dr. Crystal D. Hummel, Principal 316-218-4720 Office 316-733-7963 Fax REQUEST FOR TRANSCRIPT Date
Student
Grade
Registrar: Please send us at your earliest convenience, all official records, transcript of grades, cumulative records, test results, health records, athletic eligibility, and any other data directly related to this student. Please include the following special education records if these apply to the student: 1) Individualized Educational Plan (IEP), 2) placement Statement, 3) latest evaluation or reevaluation report, and 4) psychologist’s report.
Former School:
Send Records To:
Robert M. Martin Elementary 2342 N. 159th St. East Wichita, KS 67228 Attn: Registrar
Parental permission is no longer required when records are requested by authorized school personnel. (Family Education Rights and Privacy Act, Final Rule on Education Records, Federal Register, June 17, 1976, Vol. 41, No. 118, page 24673.)
S:\School\Forms\Request for Transcript.docx
8/29/08
ANDOVER PUBLIC SCHOOLS USD 385
HEALTH EXAMINATION REPORT Pupil’s Name_____________________________________ SS#__________________ Birth Date_____________ Grade___________ Last First To Parents: For maximum health your child should have a periodic health Immunization – Please attach green Kansas examination. If your child is entering Kindergarten (or is new to Kansas Certificate of Immunization (KCI) with all dates Schools and is under 9 years of age) please obtain an examination of for DPT, Polio, MMR, Varicella, and Hepatitis B your child by your family doctor. Gender: M______F_______ recorded - with Physician Signature and Date. Height_____ Weight_____ BP_____ T_____ P_____ R_____ Central Nervous System________________________________________ Epilepsy?__________ Emotional Disturbance?______________ Cardio-Vascular System________________________________________ Optional other vaccines or tests:____________________ Heart Disease?____________________ Limitation?__________ Yes No EENT (Eye, Ear, Nose & Throat)_________________________________ Are routine medications prescribed? Myringotomy?____________________ Glasses?____________ Endocrine System_____________________________________________ NOTE: If medication is to be given at school, please Diabetes Mellitus?_____________________________________ provide written physician/parental request. Gastrointestinal System________________________________________ Nutritional Status______________________________________ Physical Education: Genitourinary System__________________________________________ Regular_______________________________________ Musculo-Skeletal System_______________________________________ Limited (explain)_______________________________ Scoliosis?____________________ Arthritis?________________ None (explain)_________________________________ Respiratory System____________________________________________ Date__________________________________________ Asthma?_____________________ Allergies?_______________ Social Development (family, peer, school if appropriate)______________ Recommendations:____________________________________________ MAY USE BACK OF CARD FOR ADDITIONAL SPACE Physician’s Signature__________________________________________ 06-07
USD 385 DEPARTMENT OF HEALTH SERVICES ANDOVER, KANSAS IMMUNIZATION STATEMENT
Please sign and return with enrollment forms.
Name of Student: _________________________________________ Date of Birth: _____________________________________________ I have been notified that Kansas Law (K.S.A. 72-5208, 72-5209, 725210, 72-5211 and 72-5211a) requires every pupil enrolling in any school for the first time, prior to admission, to present proof from a physician or local health department that the pupil has received such tests and inoculations as are deemed necessary. In USD 385, proof of each inoculation received must be presented prior to admission. Also, mandatory booster inoculations in all required series must be received (within 30 days for students admitted after September 1). If transferring into USD #385, it is the parents obligation to make sure proof of inoculations are received within 30 days. Required inoculations include the following: DTP, DTaP and/or DT/Td OPV or IPV MMR Hepatitis B Varicella
Additions for Early Childhood Hib PCV7 (pneumococcal) Hepatitis A
Parents will be notified of any additional requirements. Parent/Guardian Signature Indicating Receipt of Notice: _______________________________________Date:_________________ Student is transferring from: _____________________________________ Name of School
Date Student Entered USD #385:
City
St.
_______________________________
KANSAS CERTIFICATE OF IMMUNIZATIONS (KCI) This record is part of the student's permanent record and shall be transferred from one school to another as defined in Section 72-5209 (d) of the Kansas School Immunization Law (amended 1994.)
Student Name:
Address:
Parent or Guardian Name: Phone: Birthdate (MM/DD/YYYY):
1st
2nd
3rd
4th
5th
7th
State Type
If additional doses are added, please initial the dose and sign below:
Required for school entry.
HEP B
6th
(Diphtheria, Tetanus, Pertussis) Required for
school entry. Single Tdap required for grades 7-9.
Polio
County:
RECORD THE MONTH, DAY, AND YEAR THAT EACH DOSE OF VACCINE WAS RECEIVED
VACCINE DTaP/DT/Td/Tdap
Ethnicity:
Race:
SEX: [ ] MALE [ ] FEMALE
(Hepatitis B) Required for school entry through Grade 11 for
2011-2012 school year. Recommended for all children.
Varicella
(Chickenpox) Required for school entry. 2 doses grades K-2 & 7.
One dose grades 3-6 and 8-11 for 2011-2012 school year.
MMR
Hx of Disease: Physician Signature:
Date of Illness:
(Measles, Mumps, and Rubella combined) Required for school entry.
Influenza (Flu) Recommended annually for ages 6mo and older. Not required for school entry.
HIB
(Haemophilus Influenzae Type B) Required < 5 years of age for preschool
or child care operated by a school.
PCV
(Pneumococcal Conjugate) Required < 5 years of age for preschool or
child care operated by a school.
HEP A
(Hepatitis A) Required < 5 years of age for preschool or child care
operated by a school.
MCV4
(Meningococcal) Recommended at 11 years of age. Not required for
school entry.
HPV
(Human Papillomavirus) Recommended for females and provisionally
recommended for males at 11 years of age. Not required for school entry.
Rotavirus
Recommended < 8 mo. Not required for school entry.
LEGAL ALTERNATIVES TO VACCINATION REQUIREMENTS "KSA 72-5209"
DOCUMENTATION KCI MAY ONLY BE SIGNED BY A PHYSICIAN (MD/DO), HEALTH DEPT, OR SCHOOL.
q
I certify I reviewed this student's vaccination record and transcribed it accurate
Agency Name: Authorized Representative:
1. "Annual written statement signed by a licensed physician (Medical Doctor/M.D. or Doctor of Osteopathy/D.O.) stating the physical condition of the child to be such that the tests or inoculations would seriously endanger the life or health of the child." Medical exemption shall be validated annually by physician completion of KCI Form B and attachment to the KCI.
Address: The record presented was
q q
Kansas Immunization Record
Date
2. "Written statement signed by one parent or guardian that the child is an adherent of a religious denomination whose religious teachings are opposed to such tests or inoculations."
Other Immunization Record (Specify)
KANSAS IMMUNIZATION PROGRAM 1000 SW Jackson, Suite 075, Topeka, KS 66612-1274 PHONE 785-296-5591 FAX 785-296-6510 WEB SITE www.kdheks.gov/immunize
I give my consent for information contained on this form to be released to the Kansas Immunization Program for the purpose of assessment and reporting.
Parent/Legal Guardian's Signature
Date
Rev. 02/01/2011
KANSAS IMMUNIZATION REQUIREMENTS: Based on age of child as of September 1 of current school year. As per Kansas Statute 72-5209, all children upon entry to school must be appropriately vaccinated. In each column below, vaccines are required for all ages listed in that column. Ages 0-4 Recommended Schedule
Birth
HEP B
2 Months
DTaP/DT POLIO HEP B HIB PCV ROTAVIRUS
Ages 5-6
Ages 7 and Older Tdap/Td: 3 doses if DTaP series not completed previously
DTaP: 5 Doses
a) 4 week minimum interval between first 3 doses; 6 month interval between dose 3 and dose 4. b) 4 doses acceptable if dose 4 given on or after the 4th birthday. c) If dose 4 administered before 4th birthday, 5th dose must be given at 4-6 years of age. d) 6 dose limit regardless of schedule.
a) b) c) d) e)
4 week minimum interval between dose 1 and dose 2. One of the 3 doses should be Tdap. 6 month interval between dose 2 and dose 3. Single dose of Tdap required for grades 7-9. Tdap required for grades 10-12 if more than 10 years since previous DTaP.
POLIO - All IPV or OPV Schedule 4 Doses
4 Months
DTaP/DT POLIO HIB PCV ROTAVIRUS
a) 4 week minimum interval between doses, regardless of age given. POLIO: 4 Doses
a) 4 week minimum interval between first 3 doses; 6 month interval required between dose 3 and dose 4. b) One dose required after 4th birthday regardless of the number of previous doses.
3 Doses
a) 4 week minimum interval between each dose, with 1 dose given on or after the 4th birthday. POLIO - IPV/OPV Combination Schedule
6 Months
12-15 Months
DTaP/DT POLIO HEP B HIB PCV ROTAVIRUS
DTaP/DT MMR VAR HIB PCV HEP A
4 Doses
a) 4 week minimum interval between doses, regardless of age given.
MMR: 2 Doses
a) First dose on or after the 1st birthday. b) 4 week minimum interval between doses.
MMR: 2 Doses
a) First dose on or after the 1st birthday. b) 4 week minimum interval between doses. VARICELLA: 2 Doses Grade K-2 for 2011-2012 school year
a) b) c) d)
First dose on or after the 1st birthday. 4 week minimum interval between doses. None required if prior varicella disease verified by physician. Two doses are recommended for all children.
Recommendations are based
VARICELLA: 2 Doses Grade 7 for 2011-2012 school year 1 Dose Grades 3-6 and 8-11 for 2011-2012 school year a) First dose on or after the 1st birthday. b) 4 week minimum interval between doses. c) None required if prior varicella disease verified by physician. d) Two doses are recommended for all children.
on the ACIP recommended schedule.
HEPATITIS B: 3 Doses Grades K-11 for 2011-2012 school year
a) 4 week minimum interval between dose 1 and dose 2. b) 8 week minimum interval between dose 2 and dose 3. c) 16 week minimum interval between dose 1 and dose 3. Dose 3 must be given after 24 weeks of age.
HEPATITIS B: 3 Doses required through Grade 11 for 2011-2012 school year a) 4 week minimum interval between dose 1 and dose 2. b) 8 week minimum interval between dose 2 and dose 3. c) 16 week minimum interval between dose 1 and dose 3. d) Dose 3 must be given after 24 weeks of age.
- The ACIP Schedules may be accessed at: http://www.cdc.gov/vaccines/recs/schedules Vaccine doses given up to 4 days before the minimum interval or age may be considered valid. With the exception of Hepatitis B vaccine, immunizations given before 6 weeks of age are not considered valid. Half doses or reduced doses of vaccine are not considered valid.
PARENTS AND/OR GUARDIANS ARE NOT AUTHORIZED TO COMPLETE KCI FORMS. KCI FORM B - MEDICAL EXEMPTION is located at http://www.kdheks.gov/immunize/imm_manual_pdf/KCI_formB.pdf BLANK VERSION OF KCI FORM is available at http://www.kdheks.gov/immunize/download/KCI_Form.pdf A ROSTER WITH THE NAMES OF ALL EXEMPT STUDENTS SHOULD BE MAINTAINED. PARENTS OR GUARDIANS OF EXEMPT CHILDREN SHOULD BE INFORMED THAT THEIR CHILDREN SHALL BE EXCLUDED FROM SCHOOL IN THE EVENT OF AN OUTBREAK OR SUSPECTED CASE OF A VACCINE-PREVENTABLE DISEASE.