2022-2023 Handbook Forms

Child's School*
Child's Grade*

Champion Families! Please read the handbook here prior to completing the forms by right clicking the link and opening it in a new window.

August 2022

August 2022

Dear Parent/Guardian and Student:

Attached are the rules and regulations for the Champion High School. These rules and regulations have been prepared by the administration and approved by the Brockton School Committee.

Students and parents should acquaint themselves with the contents of this booklet. Every organization must have a set of guiding principles by which to operate. The rules and regulations set forth in this manual have been formulated to ensure a safe and orderly atmosphere in which meaningful education can take place. Additionally, these rules also provide students with a set of standards for individual behavior.

Both students and parents should be reminded of the school’s use of surveillance cameras. School cameras are operated under the supervision and authority of the Brockton Police Department and access to any recordings is at the discretion of the BPD.

It is our sincere hope that all parents will work with the school to prevent problems before they happen. We encourage parents to maintain contact with teachers, guidance counselors and administrators on a regular basis in an effort to resolve minor issues before they become major problems. We stand ready to assist you. If you have any comments or questions, please feel free to contact the school.

Best wishes to both students and parents as we begin a new school year.

Sincerely,

Michael P. Thomas
Superintendent of Schools

I have thoroughly read and understand the Champion High School Handbook. I am aware of the rights and responsibilities outlined therein for both parents and students.
PROMISE Families! Please read the handbook here prior to completing the forms by right clicking the link and opening it in a new window. Note: PROMISE is currently using the Champion High handbook.

August 2022

August 2022

Dear Parent/Guardian and Student:

Attached are the rules and regulations for the PROMISE College and Career Academy. These rules and regulations have been prepared by the administration and approved by the Brockton School Committee.

Students and parents should acquaint themselves with the contents of this booklet. Every organization must have a set of guiding principles by which to operate. The rules and regulations set forth in this manual have been formulated to ensure a safe and orderly atmosphere in which meaningful education can take place. Additionally, these rules also provide students with a set of standards for individual behavior.

Both students and parents should be reminded of the school’s use of surveillance cameras. School cameras are operated under the supervision and authority of the Brockton Police Department and access to any recordings is at the discretion of the BPD.

It is our sincere hope that all parents will work with the school to prevent problems before they happen. We encourage parents to maintain contact with teachers, guidance counselors and administrators on a regular basis in an effort to resolve minor issues before they become major problems. We stand ready to assist you. If you have any comments or questions, please feel free to contact the school.

Best wishes to both students and parents as we begin a new school year.

Sincerely,

Michael P. Thomas
Superintendent of Schools

I have thoroughly read and understand the PROMISE Handbook. I am aware of the rights and responsibilities outlined therein for both parents and students.
BVLA Families! Please read the handbook here prior to completing the forms by right clicking the link and opening it in a new window. Please note: BVLA families will review and follow the Champion High School handbook while we await a School Committee vote to approve the BVLA handbook.

August 2022

Dear Parent/Guardian and Student:

Attached are the rules and regulations for the Brockton Virtual Learning Academy. These rules and regulations have been prepared by the administration and approved by the Brockton School Committee.

Students and parents should acquaint themselves with the contents of this booklet. Every organization must have a set of guiding principles by which to operate. The rules and regulations set forth in this manual have been formulated to ensure a safe and orderly atmosphere in which meaningful education can take place. Additionally, these rules also provide students with a set of standards for individual behavior.

Both students and parents should be reminded of the school’s use of surveillance cameras. School cameras are operated under the supervision and authority of the Brockton Police Department and access to any recordings is at the discretion of the BPD.

It is our sincere hope that all parents will work with the school to prevent problems before they happen. We encourage parents to maintain contact with teachers, guidance counselors and administrators on a regular basis in an effort to resolve minor issues before they become major problems. We stand ready to assist you. If you have any comments or questions, please feel free to contact the school.

Best wishes to both students and parents as we begin a new school year.

Sincerely,

Michael P. Thomas

Superintendent of Schools

I have thoroughly read and understand the Handbook. I am aware of the rights and responsibilities outlined therein for both parents and students.
Elementary Families! Please read the handbook here prior to completing the forms by right clicking the link and opening it in a new window.

August 2022

Dear Parents/Guardians:

Attached is the Elementary School Student/Parent Handbook which has been approved by the Brockton School Committee.

Please review this document with your son or daughter. Your knowledge of these codes and policies, as well as your involvement in their implementation, is essential. For this purpose, we ask you to sign and return this page.

The Brockton Public Schools does not discriminate on the basis of race, religion, color, national origin, age, sex, veteran’s status, sexual orientation, gender identity or disability in admission to, access to, treatment in or employment in its programs and activities.

Both students and parents should be reminded of the school’s use of surveillance cameras. School cameras are operated under the supervision and authority of the Brockton Police Department and access to any recordings is at the discretion of the BPD.

If you have any comments or questions, please feel free to contact your school.

Sincerely yours,

Michael P. Thomas

Superintendent of Schools

I have thoroughly read and understand the Elementary School Student/Parent Handbook. I am aware of the rights and responsibilities outlined therein for both parents and students
BHS Families! Please read the handbook here prior to completing the forms by right clicking the link and opening it in a new window.

August 2022

Dear Parent/Guardian and Student:

Welcome to Boxer Country! Enclosed in this handbook are the guidelines, procedures, and expectations for Brockton High School. These have been crafted with the intent of informing members of our community with valuable information relevant to the educational experience of all our students.

Students, parents, and guardians should acquaint themselves with the contents of this handbook. Every organization, particularly one as large as Brockton High School, must have a set of guiding principles by which to operate. These procedures, guidelines, and rules outlined in this document have been developed to ensure a welcoming, safe, and academic atmosphere; where courteous behavior, mutual respect, and collaboration allow for an environment where meaningful education can take place. These rules and guidelines also provide students, their families, and staff standards for academic, social-emotional, and behavioral success in our learning community.

It is our sincere hope that parents will partner with us and through ongoing communication and collaborative efforts, be proactive, preventing academic, social-emotional, or behavioral issues before they occur. We encourage parents to maintain contact with teachers, guidance counselors, and administrators regularly to resolve minor issues before they become bigger problems and to ensure that their student is getting the most out of Brockton High School. We stand ready to assist you or your students to ensure their experience is a great one.

For reasons of safety and security. Photo IDs must be worn and visible by all students at all times while in school or on school grounds.

Both students and parents should also be reminded of the school’s use of surveillance cameras. School cameras are operated under the supervision and authority of the Brockton Police Department and access to any recordings is at the discretion of the BPD.

We wish nothing but the best for our students and parents as we begin the new school year.

Very truly,

Cynthia Burns
Principal

NOTE: THE STUDENT’S SIGNATURE AFFIXED TO THIS DOCUMENT INDICATES THAT THE STUDENT HAS RECEIVED, READ AND FULLY UNDERSTANDS THE BROCKTON HIGH SCHOOL STUDENT-PARENT HANDBOOK. PLEASE NOTE THAT IT IS THE RESPONSIBLILTY OF THE STUDENT TO SHARE THIS HANDBOOK WITH ONE’S PARENT/GUARDIAN AND ANY QUESTIONS REGARDING ITS CONTENT SHOULD BE BROUGHT TO THE ATTENTION OF THE DEAN.
Huntington Families! Please read the handbook here prior to completing the forms by right clicking the link and opening it in a new window.

August 2022

Dear Parent/Guardian and Student:

Please read this document carefully, as it provides the rules and regulations for the Huntington Therapeutic Day School. These rules and regulations have been prepared by the administration and staff and approved by the Brockton School Committee.

Every organization must have a set of guiding principles by which to operate. The rules and regulations set forth in this Student/Parent Handbook have been formulated to ensure a safe and orderly atmosphere in which meaningful education can take place. These rules also outline the set of standards for individual behavior at the Huntington Therapeutic Day School.

Both students and parents should be reminded of the school’s use of surveillance cameras. School cameras are operated under the supervision and authority of the Brockton Police Department and access to any recordings is at the discretion of the BPD.

Meaningful education only occurs when there is a positive home-school partnership. It is our sincere hope that all parents will work with this school to prevent problems before they happen. We encourage parents to maintain contact with teachers, therapeutic support staff and administration on a regular basis in an effort to resolve minor issues before they become major problems. We stand ready to assist you.

Sincerely,

Michael P. Thomas

Superintendent of Schools

I have thoroughly read and understand the Huntington Therapeutic Day School Student/Parent Handbook. I am aware of the rights and responsibilities outlined therein for both parents and students.
Middle School Families! Please read the handbook here prior to completing the forms by right clicking the link and opening it in a new window.

August 2022

Dear Parents/Guardians:

Attached is the Middle School Student/Parent Handbook which has been approved by the Brockton School Committee.

Please review this document with your son/daughter. Your knowledge of these codes and policies, as well as your involvement in their implementation, is essential. For this purpose, we ask you to sign and return this page.

The Brockton Public Schools does not discriminate on the basis of race, religion, color, national origin, age, sex, veteran’s status, sexual orientation, gender identity or disability in admission to, access to, treatment in or employment in its programs and activities.

Both students and parents should be reminded of the school’s use of surveillance cameras. School cameras are operated under the supervision and authority of the Brockton Police Department and access to any recordings is at the discretion of the BPD.

If you have any comments or questions, please feel free to contact your school.

Sincerely,

Michael P. Thomas

Superintendent of Schools

I have thoroughly read and understand the Middle School Student/Parent Handbook. I am aware of the rights and responsibilities outlined therein for both parents and students.
Edison Families! Please read the handbook here prior to completing the forms by right clicking the link and opening it in a new window.

August 2022
Dear students, families, staff, and community,

Welcome! I am honored to serve as your principal and to partner with you to support each Edison Academy student to succeed.

At Edison Academy, we stand united and committed to our values of academic excellence, equity and inclusion, and culturally sustaining education.

By academic excellence, we mean that every Edison Academy student will be supported to achieve excellence in their learning.

By equity and inclusion, we mean that everyone who walks through our doors belongs here.

By culturally sustaining education, we mean that the knowledge and experiences our students bring from their communities is not only respected at Edison Academy, but supported as a core part of their educational journeys.

As your principal, my leadership is only as good as my ability to listen and understand all of you. For this reason, my door is always open; do not hesitate to come see me.

Cristina de Novais, Principal

NOTE: THE STUDENT'S SIGNATURE AFFIXED TO THIS DOCUMENT INDICATES THAT THE STUDENT HAS RECEIVED, READ AND FULLY UNDERSTANDS THE EDISON ACADEMY STUDENT-PARENT HANDBOOK. PLEASE NOTE THAT IT IS THE RESPONSIBILITY OF THE STUDENT TO SHARE THIS HANDBOOK WITH ONE’S PARENT/GUARDIAN AND ANY QUESTIONS REGARDING ITS CONTENT SHOULD BE BROUGHT TO THE ATTENTION OF THE PRINCIPAL.
Parent/Guardian Signature*

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Student's Name (Printed)*
Student's Signature*

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Date:*

MonthDayYear
Date

Media Release for Students

(Parent/Guardian Release --- For School Use)
On occasion, the Brockton Public School District (“District) is asked by the media to interview and/or photograph students as part of their coverage of positive school events. To allow this to happen, the District requires permission from a student’s parents or guardians. The District also uses media materials such as student images, digital media, student work samples, etc. for District media purposes, such as the District website. By checking the "grant" box and signing your permission on this form, you are stating that you consent to the use of such materials.
I hereby (please check one box)*

GRANT PermissionDO NOT GRANT Permission
for the Brockton Public Schools and approved media affiliates to publish, copyright, or use all film, photographs, computer-generated imagery and printed and spoken words in which my child is included, whether taken by staff, students, or others and agree that the school can use these images, digital media, words, and student-generated work for any exhibitions, displays, web pages and publications, without reservation or compensation, and I release the Brockton Public Schools from any and all claims, damages, liabilities, costs and expenses related to the use of such materials. Additionally, I understand that an expectation of privacy is not automatic at public school events and activities, including but not limited to parades, concerts, field trips, and athletic activities, and that the District cannot guarantee that my child will not be photographed should they participate in such programs. I agree to notify school administrators if I have a legitimate safety concern for my child being photographed at public events, so that we can work together to determine how to best address those concerns.
Grade:*
Parent/Guardian Name:*
Parent/Guardian Signature:*

Clear

Military Recruiters Opt-Out
Dear Superintendent,

Section 8528 of the Elementary and Secondary Education Act of 1965 (ESEA) as amended by the Every Student Succeed Act (ESSA) requires schools to release student’s private information to military recruiters unless we opt-out in writing.
As a parent/legal guardian, I am exercising the right to request that you do not turn over the name, address, telephone numbers, and school records of the student listed below to the Armed Forces, Military Recruiters, or Military Schools.I am a student of 18 years of age or older, and I request that my own name, address, telephone number, and school records not be released to the Armed Forces, Military Recruiters, or Military
Signature

Clear
Your Name:
Address:
City:
State:
Zip Code:

Student Record Directory Information Opt-Out
State law (603 CMR 23.07) permits the Brockton Public Schools to release the following directory information without the consent of the eligible student or parent: a student's name, address, telephone listing, date of birth, major field of study, dates of attendance, weight and height of members of athletic teams, class, participation in officially recognized activities and sports, degrees, honors and awards, and post-high school plans.

If you wish to OPT OUT of this information sharing and have the school withhold all or part of your student’s directory information, PLEASE FILL OUT THE FORM BELOW and return it to your student’s school.

By checking the box below, I hereby OPT OUT and do not permit the student’s personally identifiable directory information to be released as part of its information sharing.
I hereby, OPT-OUT and DO NOT PERMIT the student’s personally identifiable directory information to be released as part of its information sharing.
Student's Name:
Parent/Guardian's Name
Parent/Guardian Signature:

Clear

Students in the Brockton Public Schools (“BPS”) are eligible to be issued a laptop and charger, as well as other related technology (“1:1 Devices”). Before being issued any 1:1 Device, the Student and their parent/guardian must read and agree to this 1:1 Device Loan Agreement.

1:1 Devices are loaned to the Student to be used for educational purposes only during the academic school year, and these devices and any data contained thereon remain the property of BPS. Students must not let any other person use their 1:1 Devices. 1:1 Devices are subject to inspection at any time without notice, and inappropriate use may result in the Student losing their eligibility to use these devices. 1:1 Devices must be turned in to BPS immediately upon request, and in any event no later than a Student’s last day of school at BPS.

Students must make every effort to have their 1:1 Devices charged and ready for each school day. Students must protect their 1:1 Devices from extreme hot and cold temperatures, keep food and beverages away from them, and safely transport them to and from school. Students must not deface or destroy any 1:1 Device, or place unauthorized decorations or markings (such as stickers, drawings, etc.) on any 1:1 Device, or leave any 1:1 Device unattended in an unsecure location.

If a 1:1 Device is damaged or not working properly, the Student should bring it to the designated help desk at BPS. Students and/or their parents/guardians must not attempt any repairs on their own or through someone other than a BPS employee. If a laptop is damaged beyond repair and needs to be replaced, BPS will evaluate the damage or loss and/or replacement options on a case by case basis. In cases of fire or criminal acts such as theft or vandalism, parents/guardians should immediately report to the building principal or dean. The principal or dean will assist with filing a police or fire report, which must be filed by the parent/guardian before requesting a replacement 1:1 Device. Students and/or their parents/guardians may be held partially or fully responsible for any damages/loss.

Students must comply with all applicable BPS rules and regulations at all times while using 1:1 Devices, including without limitation the requirements of the student handbook and BPS’s Responsible Use Policy and Internet Acceptable Use Policy IJNDB. No Student may install, use, or permit the installation or use of any unauthorized software on any 1:1 Device. BPS is not responsible for any controversial materials acquired on these devices. Any violation of BPS rules and regulations and/or the terms and conditions of this 1:1 Device Loan Agreement may result in disciplinary or legal action.

By signing below, I acknowledge that I have read and understand this 1:1 Device Loan Agreement, that I agree to abide by its terms and conditions, and that BPS has my permission to loan 1:1 Devices to the Student.
Student Signature*

Clear
Parent/Guardian Signature*

Clear
How are you related to the student?*
Massachusetts Parental Notice with One-Time Consent to Allow the School District To Access MassHealth (Medicaid) Benefits Brockton Public Schools (MABROC)

Dear Parent/Guardian:

The purpose of this letter is to ask for your permission (also known as consent) to share information about your child with Mass-Health. Local communities in Massachusetts have been approved to receive partial reimbursement from MassHealth for the costs of certain health-related services provided by the district to your child (or children). In order for your community to get back some of the money spent on services, the school district needs to share with MassHealth the following types of information ab-out your child: name; date of birth; gender; type of services provided, when, and by whom; and MassHealth ID.

With your permission, the school district will be able to seek partial reimbursement for services provided by MassHealth, including, among others, a hearing test or eye exam; a school physical; occupational or speech or physical therapy; some school nurse visits; and counseling services with the school social worker or psychologist. Each year, the district will provide you with notification regarding your permission; you do not need to sign a form every year.

The school district cannot share with MassHealth information about your child without your permission. As you consider giving permission, please be advised of the following:

1. The school district cannot require you to sign up for MassHealth in order for your child to receive the health-related and/or special education services to which your child is entitled.

2. The school district cannot require you to pay anything towards the cost of your child's health-related and/or special education services. This means that the school district cannot require you to pay a co-pay or deductible so that it can charge MassHealth for services provided. The school district can agree to pay the copay or deductible if any such cost is expected.

3. If you give the school district permission to share information with and request reimbursement from MassHealth:

a. This will not affect your child's available lifetime coverage or other MassHealth benefit; nor will it in any way limit your own family's use of MassHealth benefits outside of school.
b. Your permission will not affect your child's special education services or IEP rights in any way, if your child is eligible to receive them.
c. Your permission will not lead to any changes in your child's MassHealth rights; and
d. Your permission will not lead to any risk of losing eligibility for other Medicaid or MassHealth funded programs.

4. If you give permission, you have the right to change your mind and withdraw your permission at any time.

5. If you withdraw your permission or refuse to allow the school district to share your child's records and information with MassHealth for the purpose of seeking reimbursement for the cost of services, the school district will continue to be responsible for providing your child with the services, at no cost to you.

I have read the notice and understand it. Any questions I had were answered. I give permission to the school district to share with MassHealth records and information concerning my child(ren) and their health-related services, as necessary. I understand that this will help our community seek partial reimbursement of Mass-Health covered services.
Parent/Guardian Signature

Clear
Today's Date

MonthDayYear
Date
Should be Empty:

Media Release for Students

Military Recruiters Opt-Out

Student Record Directory Information Opt-Out

Confidential Student Emergency Form

Parent/Guardian Information

Parent/Guardian 1’s Place of Employment Information

Parent/Guardian 2’s Place of Employment Information

Additional Contacts

Medical Information

Health Insurance Information

If Applicable

Massachusetts Parental Notice with One-Time Consent to Allow the School District To Access MassHealth (Medicaid) Benefits Brockton Public Schools (MABROC)