Does the student have any allergies, medications, treatments, previous hospital confinements, etc. that the school should be aware of?
Pleas select the student's primary ethnicity.
Official Request for Records
Please fill out the following form so student records can be transferred from the student’s last school to Covenant House Academy Grand Rapids
Specific Data to be Released
• Health Records
• Permanent/Cumulative Records and Behavior Records
• Pupil Personnel Services/Special Education Records
• All Assessment information, including all state-mandated tests
• IEP, MFE
• Official Transcripts
Answers to the following questions help better provide our students with the available support they deserve. Please answer all questions below. Answers are confidential.
Section 23a Dropout Recovery Program Student Participant Agreement & Individualized Learning Plan
Students who meet the eligibility requirements in the Section 23a Project Dropout Recovery Program are allowed to take 100% of their coursework through a blended online setting. An advocate will be assigned to each student to facilitate their academic, socio-emotional, and personal growth and development. Any problems or concerns with the coursework or equipment are required to be reported to the advocate as soon as possible.
It is the student’s responsibility to complete all assignments, quizzes, and tests or before the due dates set by their online instructor. If the online instructor requests a proctor for specific tests or quizzes, it is the student’s responsibility to make such arrangements with their advocate. The advocate will have access to student progress report.
A student’s grade in a course will be determined by the percentage earned in the course, as reported by the online instructor. This percentage will be reported to the advocate, who will assign a final grade for the course.
The following criteria must be met in order to participate in the Michigan Department of Education’s Section 23a Dropout Recovery Program (MCL388.1623A):
❖ One direct contact with student’s advocate each week
❖ The creation of an Individualized Learning Plan (ILP)
❖ Ten hours of verifiable on-line coursework or a combination of logged on hours and/or physical attendance as specified in the student’s Individualized Learning Plan (ILP)
Failure to meet the Section 23a Dropout Recovery compliance requirements for two consecutive months will result in the student’s disenrollment in the program.
The student agrees to abide by all policies, rules and guidelines associated with the program. Any questions or concerns will be directed to the advocate.
CHAGR Student Computer Contract
The following policies have been put in place to regulate the use of technology at Covenant House Academy Grand Rapids (CHAGR). These policies have been designed to keep our computers and network running as efficient and problem free as possible. To access CHAGR’s computers, network, and software, please read and sign your agreement to the policies below:
1. Computers, software, network, and internet access should only be used for educational use, as directed by CHAGR staff
2. Social network sites (Facebook, Instagram, Twitter, etc.), Internet game sites, YouTube, online music sites, chat, instant messengers, blogs, non-school email, fantasy sports, gambling sites, etc. are NOT permitted
3. Attempting to or bypassing LanSchool or the school’s firewall by installing software, apps, browser extensions, incognito windows, supervised users, or any other intentional means to get around blocks or to access non-school sites can result in the loss of privileges and disciplinary action
4. Students may be subjected to the loss of computer privileges or disciplinary action for:
a. Installing or uninstalling software on the computers
b. Moving equipment or cables including keyboards and mice
c. Changing their desktop image
d. Adjusting windows settings (screensaver, fonts, icon sizes, etc.)
e. Engaging in hacking activities or using the network in any way other than its intended educational use
f. Altering computer system files, folders, and/or settings
g. Sharing their logins or passwords with others
h. Behavior which threatens the physical safety of the equipment
5. Accessing the files or class work of other students at CHAGR will be treated as academic dishonesty and can result in the loss of class progress, privileges, and disciplinary action for both parties
6. Students are responsible for their workstations and as such should check their workstations each day when they arrive and inform their teachers of any issues. Students are expected to clean and leave their workstations at the end of the day neat and free of papers or trash.
Parent Responsibilities *
We, as parents, will support our children’s learning in the following ways:
(Please review and check all)