Academia Avance Enrollment Form

Academia Avance Enrollment Form
Enrollment Term

Emergency Contact Information
Student Release

In case we are unable to reach you during an emergency, you authorize to contact and, if necessary, release your child to any of the following:
Emergency Contact Name #1 *

First NameLast Name
Relationship to Student*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name #2

First NameLast Name
Relationship to Student
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name #3

First NameLast Name
Relationship to Student
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School-wide Announcements/Messages from Staff

Who should we contact for messages from staff/faculty such as announcements and individual messages about your child’s behavior, attendance, and academic performance?
Contact Name #1*

First NameLast Name
Preferred Language*

EnglishSpanishOther
Primary Phone Number*
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Email*
example@example.com
Contact Name #2

First NameLast Name
Preferred Language

EnglishSpanishOther
Primary Phone Number
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Email
example@example.com
The information that I have given above is correct to the best of my knowledge.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date

Publication Release Form 2023-2024
I hereby grant permission to allow for my daughter/son, test aa ttet, to be photographed. I fully understand that these pictures may be used for a variety of publications; such as community newspapers, school slide/picture presentations, brochures, internet publications or other similar school publications.

I also give permission for his/her name to be printed along with the photographs.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date

Avance Uniform Guidelines 2023-2024
Making a good impression upon our community will help foster productive relationships with our community partners and help each student represent Avance in the classroom and future networking opportunities. Dressing for college and career readiness will allow our students to:
- Establish a professional appearance
- Establish themselves as positive figures in the community
- Provide students a sense of pride
- Direct focus to performance
Therefore, students of Academia Avance are required to wear a uniform. Please read carefully as adjustments and clarifications from previous years are provided below. Complete uniform guidelines can be found online at www.academiaavance.org .

Daily Uniform
1. Student ID badge must be displayed on lanyard or necklace.
2. Green Avance Polo (middle school) or Navy Blue (high school) (white undershirt).
3. Khaki Pants/ Shorts; shorts NO shorter than 2” above the knees and no lower than 2” below the knees.
4. Navy blue blazer, crew neck sweatshirt, cardigan sweater, track jacket with Avance Logo.
5. All Black Shoes with all black laces.
6. Black belt.
Avance does not allow HOODED SWEATSHIRT OR HOODED JACKET unless it bears

Spirit Day
1. Any Academia Avance Extracurricular Activities or Club T-Shirts.
2. College T-shirt, Polo, or Crew Neck sweatshirt.
3. Shorts/Jeans: shorts no shorter than 2” above the knees and no lower than 2” below the knees.
Avance does not allow COLLEGE HOODED SWEATSHIRT OR HOODED JACKET.

Free Dress (Only given as incentives)
1. No inappropriate logos on clothing.
2. No torn attire.
3. Shorts/Jeans: no shorter than 2” above the knees and no lower than 2” below the knees. Pants must fit to student’s size.
4. Dresses: no shorter than 2” above the knees.
Avance does not allow HOODED SWEATSHIRT OR HOODED JACKET on Free Dress Day.

NOT ACCEPTED DAILY
- Sandals or open toe shoes
- More than 1 facial piercings- No ear stretchers or plugs
- Visible tattoos- Any visible tattoos must be covered at all times
- Flashy hair dyes
- Torn attire, Leggings or fishnet stockings
- Writing OR graffiti on backpacks
**Avance students must remove all facial piercings when attending a community or special event

I, ss ss, understand that my student, test aa ttet, must comply with the uniform guidelines set forth by Academia Avance. Failure to do so will result in disciplinary action in compliance with Academia Avance Charter & California Code of Education.
Parent/Guardian Signature*

Clear
Student Signature*

Clear
Date*

MonthDayYear
Date

Academia Avance Student/Parent/Guardian Pledge
Student Academic Pledge:

I recognize that going to school is very important. I am aware that my parents and the school expect me to be a hard worker at Academia Avance so that I may be successful in college. I understand that during the academic year I will be responsible for:
- Coming to school everyday on time, ready to learn, and prepared with all supplies.
- Reading at least 30 minutes everyday beyond the assigned homework.
- Taking care of my books and other materials that the school has assigned to me.
- Completing all assignments to the best of my ability and turning them in on time.
- Upholding the integrity of all my work, never succumbing to plagiarism, forgery, or any other form of cheating.
- Communicating with my teachers in a timely manner when there are questions about my work and/or progress.
- Obeying the school’s Code of Conduct and Code of Respect.
- Maintaining respectful relationships with my peers and resolving conflicts effectively.
- Being trustworthy and faithful in delivering school communication to my parents.
- Following directions given by the administration and staff.
- Demonstrating respect and appreciation for my community by completing at least 20 hours of community service.
- Participate in the Avance Restorative Justice practices to resolve issues with other students.
Parent/Guardian Academic Pledge:

I understand that my child’s studies are of extreme importance and that my participation in activities at Academia Avance are a critical component in my child’s academic success. I will be responsible for:
- Ensuring that my child is at school by 7:30am each morning
- Providing my child with a clean uniform every day.
- Ensuring he/she obeys the uniform policy.
- Enforcing the school's Code of Conduct with my child providing the appropriate consequences at home for non-compliance.
- Providing a quiet place for my child to concentrate on his/her studies.
- Ensuring that my child completes his/her homework and/or projects on time by reinforcing good study habits.
- Ensuring that my child reads material other than school assignments each night for at least 30 minutes.
- Understanding that my child will participate with all learners at Academia Avance.
- Enrolling my child in academic enrichment programs as advised by the school.
- Attending all parent workshops during the school year.
- Attending all scheduled parent/teacher conferences.
- Granting my child permission to participate in all school field trips and off-campus activities.
- Understanding that my child will need to make up all missing assignments due to any absences.
- Maintaining ongoing, scheduled communication with my child’s teachers.
- Respecting the classroom environment when visiting my child’s classrooms.
- Supporting the Avance Restorative Justice practices to resolve issues that may involve my student.
- Following the procedures proscribed in the Avance Uniform Complaint &
- Procedures (UCP) policy to resolve concerns
  with the school, available here: www.AcademiaAvance.org/ucp
My child and I have discussed these responsibilities and the Code of Conduct. In consideration of the unique opportunities offered by Academia Avance, we voluntarily agree to fulfill all of the commitments listed above.
Parent/Guardian Signature*

Clear
Student Signature*

Clear
Date*

MonthDayYear
Date

Avance Behavior Plan
The Avance Behavior Plan was created to meet three goals:
1. To establish clear standards for a respectful, safe, and productive learning community.
2. To ensure that all students benefit from a high level of support in learning to meet these standards.
3. To ensure that students receive equitable and consistent consequences when they do not meet these standards.
The plan has 5 tiered levels of behaviors and consequences. Complete Behavior guidelines and matrix can be found online at www.academiaavance.org.

The schools follow the practices of Restorative Justice to find resolution for issues with students. An overview is provided in this guide: Restorative Practice Parent Booklet

**In addition, positive programs to support and motivate students will accompany the plan.

Cell Phone/ Smart Device Usage

In order to maintain a focused academic environment and support all student learning, students at the Middle School, must turn in cell phones and smart devices at the beginning of the day. Devices are returned to students at the end
of the day. High School students are not allowed to use personal cell phones in all classes or during passing periods. During lunch time, students will be allowed to use their cell phones with the following conditions:
- No negative pictures/posts/texts or communication of:
  - Themselves
  - Other students
  - Faculty and Staff
Defamation of Academia Avance Charter School will not be tolerated and will result in loss of cell phone privileges.

If student fails to abide by this policy, cell phone will be forfeited and if it is a continuous problem a meeting with the parent and student will be held to determine disciplinary action. Students are NOT allowed to use Academia
Avance’s Internet/ WIFI for personal use. We ask that parents/guardians not contact students during class/instructional time.

Academia Avance is not responsible for loss, damage or theft of any electronic device. If lost, there will be no compensation.

My signature below indicates that I have read and accepted the Avance Behavior Plan.
Parent/Guardian Signature*

Clear
Student Signature*

Clear
Date*

MonthDayYear
Date

IT Use Policy and User Agreement
Avance intranet (inside Avance), Internet and all electronic equipment and hardware in the Academia Avance IT system in a creative and productive way. However, there are limitations on how these resources may be used.

With this in mind, Academia Avance wishes to ensure that all users understand the following:

Account Information & Privacy
1. Non-privacy of communications, messages, files and sites: Users should have no expectation of privacy of their communications, messages, emails, chats, attachments, sites, and files made transmitted, received, or stored on or through Avance IT system on all school sites. This understanding also pertains to all communications, messages, emails, chats, attachments, sites, and files using Avance remote systems on all personal devices used for the benefit of Avance. This understanding also includes all communications, messages, emails, chats, attachments, sites, and files transmitted, received, or stored using remote access into Avance IT systems. Even when computer resources may be password-protected, there is no special confidentiality or privacy on communications, messages, or files. The user’s signature on this User Agreement indicates the user’s agreement to this provision and the following understandings.
2. With no notice to the user, network administrators routinely monitor and make backup copies of certain Avance IT system resources and databases, including but not limited to the thin clients, network use, communication systems, E-mail messages, chats, google app sites, Avance tools, internet sites log, individual and group MAC addresses, and individual and group IP addresses to assure the optimum functionality of the system and to protect against violations of use pursuant to this agreement, and that they have the ability to view the user’s files, messages, or other communications.
3. With no notice to the user, network administrators may review the user’s files, messages, chats, or other communications and, if misuse of the IT system resources is discovered, record or otherwise use them as a basis for disciplinary action, up to and including termination, suspension, expulsions, or use them as evidence in litigation. Misuse of Avance provided resources or misuse during remote access to Avance systems using devices used for the benefit of Avance may also result in prosecution under applicable federal and state laws and/or required reimbursement to the Avance for
  damages.
4. Avance may be subject to subpoenas or other court orders requiring the recording and/or release of the user’s files, messages, or other communications, and that the Avance may comply with those subpoenas or court orders under California State and Federal Laws.
5. All data contained within Avance systems is the property of Academia Avance Charter School and its corresponding district.
6. The network administrators may impose restrictions to ensure maximum performance and fairness to all users. These restrictions may include, but are not limited to disk quotas, time restrictions, and concurrent connections.
7. Avance is not responsible for loss of user files, communications, emails, attachments, and chat histories. Each user is responsible for backing up his or her files separate from the server backup.
8. Users should be aware of any policy changes or updates. Users can check the account information section on the Avance website (www.academiavance.org) for additional or updated information.
9. Accounts are available to all employees and students while he or she is employed with Avance subject to certain restrictions deemed appropriate and necessary by network administrators pursuant to this agreement.
Security Guidelines
1. Security is understood to include the control of access to information, protection of information against unauthorized
  modification, and protection of systems against denial of service.
2. Users are responsible for understanding security guidelines and maintaining the security of the systems they are using. Therefore, users are responsible for information system activity conducted under their username and password.
3. All users must use only their assigned username and password when using Avance resources. Under no circumstances should a user give out his/her password or allow anyone else to use your account. Users who require access to another user’s files should see the network administrator. If someone else uses your account, it will be disabled without notice. If
  a user grants permission to another user to use their account, the granting user violates Avance IT use agreement and will be responsible for all violations of use subject to reasonable limitations pursuant to this agreement and California and Federal laws.
4. Users are to report any observed violations of or attempts to violate Avance security to the network administrator.
Non-Avance Equipment and Use
1. Network access via non-Avance workstations and equipment is permitted with written authorization from Avance IT administrators. Remote access to Avance networks are subject to restrictions and limitations based on Avance IT administrators’ discretion.
2. Network access via non-Avance workstations and equipment, i.e. personal laptops, PDA, cell phones, etc., is not permitted without clearance from the Avance IT administrators
3. Communications, files, and other information stored on non-Avance equipment used for the benefit of Avance such as laptops, PDA’s, and other devices is private to the user and is protected under California and Federal privacy laws EXCEPT in the following instances.
  1. Communications, emails, chats, files, attachments have been transmitted or stored by the user via Avance networks either through Google Applications emails or chat or through authorized remote access to the Avance network from non-Avance equipment.
  2. Communications, emails, chats, files, attachments, and other media is under official criminal investigation by legal authorities in which non-Avance equipment and its contents may be subject for use as evidence.
Users Must Be Lawful and Inoffensive
1. Users of Avance systems must adhere to the Avance Community Standards.
2. Users of Avance systems must not be false, unlawful, offensive, or disruptive.
3. Users of Avance systems must not infringe on any copyrighted material, this includes streaming, downloading, and distributing of unlawfully obtained copyrighted material.
Policy Violations
1. Avance will review alleged violations of policy and procedures on a case-by-case basis. Violations of the policy will result in referral for disciplinary action as appropriate.
Criminal Penalties
1. Unauthorized access or use of any Avance resource may subject offenders to criminal prosecution under federal law or California state law.
By signing below, I agree to abide by the requirements set forth above for the types of access I have to Avance IT resources, both on school sites and through remote access of Avance systems. I specifically agree to the monitoring of communications and non-privacy provisions set forth above. I understand that any violation of this agreement may result in loss of access or services, disciplinary action, termination of employment, or prosecution under federal and state laws.

Signatures

If the user is a student and is under 18 year of age, he or she must have his or her parents or guardians read and sign this agreement. Avance cannot provide access to any student who, if 18 or older, fails to sign and submit this agreement to Avance as directed or, if less than 18, does not return this agreement as directed with the signatures of the students and his/her parents or guardians. Upon reviewing, signing, and returning this agreement, the student will be given the opportunity to use the Avance network.
Parent/Guardian Signature*

Clear
Student Signature*

Clear
Date*

MonthDayYear
Date

Information Packet Checklist
YOUR ENROLLMENT WILL NOT BE CONSIDERED COMPLETE UNTIL YOU TURN IN THE FOLLOWING DOCUMENTS, WHICH YOU MAY UPLOAD IN THIS FORM, BRING TO THE SCHOOL, OR SEND TO ENROLL@ACADEMIAAVANCE.COM

Documents to be turned in:
- Birth Certificate
- IEP (if applicable)
- Immunization Record (*incoming 7th graders must have TDap)
- Most Recent Report Card
- Court Guardianship (if applicable)
- Transcript (Grades 10-12)
Birth Certificate

Cancelof
IEP (if applicable) 

Cancelof
Immunization Record (*Incoming 7th graders must have TDap)

Cancelof
Most Recent Report Card

Cancelof
Court Guardianship (if applicable)

Cancelof
Transcript (Grades 10-12)

Cancelof

Academia Avance Application Attestation
I have filled out this application completely and accurately. I understand that any omissions or misstatements could result in the rejection of the application and loss of placement in our lottery system. I verify that the information in this application is true and correct to the best of my knowledge.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
You may contact the school at any time using the following details:
Academia Avance Front Office
115 N Avenue 53
P.O. Box 42095
Los Angeles, CA 90042
Phone: 323-230-7270
Fax: 213-652-0994
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	Name of Sibling	Age	Grade	School of Attendance	Applying to Academia Avance?
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Academia Avance Enrollment Form

Student Information

Race and Ethnicity

Student Education History

Special Services

Family Information

Parent/Guardian Information

Emergency Contact Information

Home Language Survey

Publication Release Form 2023-2024

Avance Uniform Guidelines 2023-2024

Academia Avance Student/Parent/Guardian Pledge

Avance Behavior Plan

IT Use Policy and User Agreement

Information Packet Checklist

Academia Avance Application Attestation

	Types of Services Received (e.g. speech therapy, special education, etc.)	School, Program, or Agency that provided services	Date Services Began
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