Education
Skills
Sections
Header
Timeline
Generic

John Naputi

Talofofo

Education

None - None

Talofofo Elem/Inarajan Middlle/Guam Com College
Guam
06.1990

Skills

Drive bus

Sections

  • GUAM DEPARTMENT OF EDUCATION, SY 2020-2021 TRADITIONAL/FACE TO FACE LEARNING 2nd SEMESTER SELECTION Buenas! GDOE hopes that all is well with you and your family and that you are all staying safe and healthy. In anticipation for the opening of schools for Traditional/Face To Face (FTF) instruction, GDOE is in the process of phasing out Hard Copy model of learning. Parents/Guardians who will be having their child attend school physically, will need to complete the Traditional/Face To Face selection form. Your submission of this selection form will contain critical information necessary to meet compliance with COVID-19 regulations. GDOE continues to work closely with local public health agencies to ensure your child(ren)'s health and safety as we plan a safe return for face to face instruction. Instructions: This selection form must be completed and submitted to your child's school by Friday, December 18, 2020 in order for your child to participate in Traditional/Face To Face instruction. You must submit one form for each child to his/her respective school.
  • In the event the school will be closed after re-opening, students will return to the model of learning they were on prior to re-opening.
  • DEMOGRAPHICS, Person completing this form: (Please Print: Last Name, First Name) I am: (Check one) Parent / Legal Guardian Student (18yrs or older) Agency: ______________ Child's full name: School Grade Level: Physical Address: If homeless please indicate current living arrangements Contact Number(s) Home: Work: Cell: Email Address: Transportation When the school year re-opens: My child will be riding the bus. My child will be walking. I will be transporting my child to & from school. I will be driving to school (HIGH SCHOOL STUDENTS) Questions/Comments: _________________________________________________________________________ _________________________________________________________________________
  • APPENDIX A: SOP 1700-009 HEALTH REQUIREMENTS FOR STUDENTS 1, DEPARTMENT OF EDUCATION EMERGENCY INFORMATION & HEALTH FORM SY: 20 ___ - 20 ___ Student:______________________________________________ School: ___________________________ Last First Middle Initial Date of Date of Birth: ____/ ___ / ____ Male or Female Ethnicity:__________ Grade: _______ Room: ______ Grade: _____ Room: _______ Month Day Year (circle one) The information provided below will be used to update demographics on PowerSchool. Father/Guardian: Mother/Guardian: Mailing Address: Mailing Address: Home Address Home Address Place of work: Place of work: Home Phone: Work: Home Phone: Work: Cell: Cell: Email: Email: Mode of Transportation: Bus Rider Car Rider Walker It is required to provide an alternate contact name and number of an adult who can pick your child up from school if you cannot be contacted. All adults will be required to show photo identification when picking up your child. Students will be released ONLY to those listed below. Name Relationship to Child Home Phone Work Phone Cell Phone 1 2 3 4 In the event of a foodborne illness, DOE/DPHSS are authorized to obtain stool/vomit samples from the child in the interest of Public Health. Yes No I give permission for the ambulance to transport my child to: GMH Naval Hospital GRMC in a medical emergency. Insurance: _______________________________________ In case of an Emergency, DOE Reserves the Right to release contact information to your child's bus driver or the Superintendent of Operations, Department of Public Works. ____________ (Parent/Guardian Initial) My child is able to participate in a regular PE class and physical activities: YES NO. If NO; a Health Care Provider's note is required. __________________________________________________________ _______________________ Parent/Guardian Print & Signature Date
  • APPENDIX A: SOP 1700-009 HEALTH REQUIREMENTS FOR STUDENTS 2, Basic Health Data To be filled out by Parent/Guardian to effectively meet the health needs of your child at school. Yes No Complete Checklist below regarding your Child Rheumatic Fever Diabetes Heart Disease Skin Problems Eczema Other: Seizures Date of Last seizure: Hearing Problem Hearing Aid: Yes No Vision Problem Glasses or Contact Lenses Asthma Inhaler Nebulizer Date of Last asthma attack: Allergy to: Food Drugs Other, specify: Allergy to: Bee Sting Insect Type of reaction: Epipen Yes No Current Medication(s): Reason: Other Serious Illness or Injury: Other Behavioral or Mental Health Concerns: Did student test positive for COVID-19? If YES: when (mm/dd/year):________________ Is student able to wear a mask/face covering during the school day? If NO; kindly ensure that your Health Care Provider complete a mask exemption note and provide guidance on proposed accommodations to be safely implemented at school. (Please Draw a Map to your Residence) List the names of all your children who are attending this school (include Head Start) from the oldest to the youngest. Child's Name Grade Room 1 2 3 4

Header

1.0.4

Timeline

None - None

Talofofo Elem/Inarajan Middlle/Guam Com College

Similar Profiles

CREATE PROFILE
John Naputi