Brockton Public Schools Back-to-School Forms 25-26 Logo
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  • BROCKTON PUBLIC SCHOOLS

    Online Handbook Forms
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  •  MIDDLE SCHOOL STUDENT/FAMILY HANDBOOK

    Dear BPS Families:

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

    Please review this document with your student. Your knowledge of these codes and policies, as well as yourinvolvement 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 oremployment in its programs and activities.

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

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

    Sincerely yours,

    Dr. Priya Tahiliani

    Superintendent of Schools

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  • ELEMENTARY SCHOOL STUDENT/FAMILY HANDBOOK

    Dear Parents/Guardians:

    Attached is the Elementary School Student/Family Handbook which has been approved by theBrockton School Committee.

    Please review this document with your child. Your knowledge of these codes and policies, as well asyour 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, nationalorigin, 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. Schoolcameras are operated under the supervision and authority of the Brockton Police Department andaccess 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,

    Dr. Priya Tahiliani

    Superintendent of Schools

    BROCKTON PUBLIC SCHOOLS

    BROCKTON, MASSACHUSETTS

    I have thoroughly read and understand the Elementary School Student/Family Handbook. I am awareof the rights and responsibilities outlined therein for both parents and students.

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  • CHAMPION HIGH SCHOOL/BVLA/PROMISE STUDENT/FAMILY HANDBOOK

    Dear BPS Families:

    Attached are the rules and regulations for the Champion High School, Brockton Virtual Learning Academy and Promise College and Careeer Academy. These rules and regulations have been prepared by the administration and approved by the Brockton School Committee.

    Students and guardians 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 guardians 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,

    Dr.Priya Tahiliani

    Superintendent of Schools

    BROCKTON PUBLIC SCHOOLS

    BROCKTON, MASSACHUSETTS

    I have thoroughly read and understand the Student /Family Handbook. I am aware of the rights and responsibilities outlined therein for both families and students.

     

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  • EDISON EVENING ACADEMY STUDENT/PARENT HANDBOOK

    Dear students, families, staff, and community,

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

    At Edison Evening 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 Evening 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 Evening 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.

     

    Sincerely,

    Dr. Soraya Présumé Calixte, Ed.D.
    Edison Evening Academy Principal

     

    After reading the handbook, please detach and return this signed form to School Administration.

    NOTE: THE STUDENT'S SIGNATURE AFFIXED TO THIS DOCUMENT INDICATES THAT THE STUDENT HAS RECEIVED, READ, AND FULLY UNDERSTANDS THE EDISON EVENING ACADEMY STUDENT-FAMILY 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.

     

    BROCKTON PUBLIC SCHOOLS

    BROCKTON, MASSACHUSETTS

     

    I have thoroughly read and understand the Edison Evening Academy Student/Family Handbook. I am aware of the rights and responsibilities outlined therein for both families and students.

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  • BROCKTON HIGH SCHOOL STUDENT/FAMILY HANDBOOK

    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,

    Dr. Priya Tahiliani

    Superintendent of Schools

    NOTE: THE STUDENT’S SIGNATURE AFFIXED TO THIS DOCUMENT INDICATES THAT THE STUDENT HAS RECEIVED, READ, AND FULLY UNDERSTANDS THE BROCKTON HIGH SCHOOL STUDENT-FAMILY 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.

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  • HUNTINGTON THERAPEUTIC DAY SCHOOL STUDENT/FAMILY HANDBOOK

    Dear BPS Families:

    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/Family 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,

    Dr. Priya Tahiliani

    Superintendent of Schools

    BROCKTON PUBLIC SCHOOLS

    BROCKTON, MASSACHUSETTS

     

    I have thoroughly read and understand the Huntington Therapeutic Day Student/Family Handbook. I am aware of the rights and responsibilities outlined therein for both families and students.

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  • Student-issued Device Loan Agreement

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

    Student-issued 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 Student-issued Devices. Student-issued 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.

    Student-issued 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 Student-issued Devices charged and ready for each school day. Students must protect their 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 Student-issued Device, place unauthorized decorations or markings (such as stickers, drawings, etc on any Student-issued Device, or leave any Student-issued Device unattended in an unsecured location.

    If a Student-issued 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 thana 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.

    The principal will assist with filing a police or fire report, which must be filed by the parent/guardian before requesting a replacement Student-issued 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 Student-issued 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 Student-issued 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 Student-issued Device Loan Agreement may result in disciplinary or legal action.

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

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  • Media Release for Students

  • 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. Please sign and return this form to your child's teacher.

    By checking one of the options below, you either grant or do 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 about my child being photographed at public events so that we can work together to determine how to best address those

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  • 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.

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  • Confidential Student Emergency Information Form (All Information Must be Completed-No Blanks)

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  • Massachusetts State Regulations 102 CMR 7.07, 105 CMR 220 and CMR 200 require all students in Pre-K- 12 be fully immunized and have a physical exam upon entry to school and every 3 years thereafter. Please give your School Nurse required information. Medical or Mental Health Conditions/Allergies: (If no medical/mental health conditions put N/A) Conditions:

    Allergies: Assistive Devices/Equipment: Medications (Given at home; and ones to be given at school)

  • Health Insurance Information

    (Do Not Leave Blank if no insurance put N/A)

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    Please notify the school nurse if you need assistance obtaining a Primary Care Provider or Health Insurance

    RELEASE AGREEMENTS: Please visit: bpsma.org/departments/health-services; to review the following documents in full:

    Nurse Share Information

    Doctor Standing orders

    Prescription Medications/Treatments

    Mass Health Agreement (Summary on Back page)

  • NURSE SHARE INFORMATION

    I give permission for the School Nurse to share medical information with the appropriate school personnel and to contact my child’s physician when necessary

  • STANDING ORDERS:

  • I give permission for the School Nurse to administer the following medications prescribed by the Brockton Public School's Physician:

  • PRESCRIPTION MEDICATIONS/TREATMENTS

  • I give permission for the School Nurse to administer any physician/medical provider prescribed medication or treatment for which an official order has been received.

    PARENTAL CONSENT TO ACCESS MASSHEALTH (MEDICAID) BENEFITS (This is a Summary)

    The school district is asking your permission/consent to share information about your child/children with MassHealth (Mass Health Agreement) The information we will share is MassHealth ID, name, date of birth, gender, type of services provided, when the service was provided, and by whom. School Districts in Massachusetts have been approved to receive partial reimbursement from MassHealth for the costs of health-related services provided by the school district to your child/children.

    With your permission, the school district will be able to seek partial reimbursement for services provided by MassHealth. The school district cannot share with MassHealth information about your child without your permission.

    1.The school district cannot require you to sign up for MassHealth 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. The school district cannot require you to pay a co-pay or deductible SO that it can charge MassHealth for services provided.

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

    a. This will not affect your child's available lifetime coverage or other MassHealth benefits outside of school.

    b. Your permission will not affect your child's special education services or IEP rights. 

    c.Your permission will not lead to any changes in your child's MassHealth rights.

    d. Your permission will not lead to any risk of losing eligibility for other Medicaid or MassHealth funded programs.

    You have the right to change your mind and withdraw your permission at any time (PLEASE SEE FULL DOCUMENT ON BPS WEBSITE): www.bpsma.org/departments/health-services

    Release Agreements

    I have read and reviewed the following release agreements and give permission for the following: (Must answer Yes or No) Nurse Share Information:YesNo

    Standing Orders: (See Above) yesno

    Prescription Medication/Treatment:YesNo
    Mass Health Agreement:YesNo

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  • Military Recruiters Opt-Out
    (STUDENTS IN GRADES 9-12 ONLY)

    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. 

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