Appendix G — Forms and Agreements
This appendix lists all forms referenced in this handbook. Forms are available at your child's school office or on the ECS website at www.emanuel.k12.ga.us.
Annual Forms — Required at the Start of Each School Year
|
Form |
Purpose |
Where to Submit |
|
Annual Consent and Acknowledgment Form |
Confirms receipt of the handbook; includes consent for internet use, photo/video release, and automated calls/texts (TCPA) |
Return to school within 5 school days |
|
Affirmation of Receipt of Student Handbook |
Student and parent/guardian signature acknowledging receipt and understanding of the handbook |
Return to school within 5 school days |
|
Authorization of Medication Administration |
Required for each medication (prescription and non-prescription) to be given at school |
School nurse |
|
Authorization for Student to Carry a Prescription Inhaler or Epi-Pen |
Allows student to self-administer inhaler or Epi-Pen during school hours |
School nurse |
Forms Available Upon Request
|
Form |
Purpose |
Where to Obtain |
|
Request to Deny Internet Access |
Opts student out of internet access on school networks |
Principal's office |
|
FERPA Directory Information Opt-Out |
Restricts release of student directory information, including to military recruiters |
Principal's office |
|
Certificate of School Enrollment |
Required when applying for a Georgia driver's license or permit |
Counselor's office (allow 48 hours) |
|
Address Verification Form |
Required when a student's family moves to a new address within Emanuel County |
School office |
|
Title IX Complaint Form |
Used to file a formal complaint of sex discrimination or sexual harassment |
Online: https://forms.gle/U9UEg7FeMj92w4U77 or school administrator |
|
Federal Program Complaint Form |
Used to file a formal complaint alleging violation of a federal education program |
Director of Federal Programs, ECS Central Office |
|
FERPA Record Inspection Request |
Used to formally request access to a student's education records |
School principal (written request) |
|
Hospital Homebound Application |
Initiates the Hospital Homebound program for students with extended medical absences |
School counselor or administrator |
|
Dual Enrollment Student Participation Agreement (SPA) |
Required for students enrolling in dual enrollment courses |
School counselor |
|
Dual Enrollment Contract |
Required for families before dual enrollment begins |
School counselor |
Forms Referenced in Discipline Procedures
|
Form |
Purpose |
|
School Bus Behavior Contract |
Required after bullying or physical assault on the bus; signed by parent/guardian and school officials |
|
Discipline Conference Documentation |
Records of parent conferences required before or after suspension |
|
Tribunal Hearing Notice |
Written notice of charges and hearing date provided to student and parent/guardian before a Tribunal hearing |