ATTENDANCE STUDENT ATTENDANCE PREGNANCY

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					Board of Education
Findlay City School District                                                        9.26

                                         ATTENDANCE

                               STUDENT ATTENDANCE PREGNANCY

The following procedure will be followed for pregnant students requesting excused absence from
school. This shall apply to any student who experiences a miscarriage, stillbirth, or a live
delivery; whereby there are limitations affecting the performance of normal school expectations.

1.    The student shall inform the GRADS teacher/school of the pregnancy with medical
      notification that includes the expected due date and medical status of the student. Form
      PREG - A and GRADS in-take page will be completed.

2.    Unless there are medical complications, the student will attend classes until labor begins.
      A letter of explanation from the doctor will be required to excuse a student from classes
      prior to delivery.

3.    After an uncomplicated delivery and recovery, the student will return to school in the
      following manner. The schedule for returning to classes will be reviewed individually via
      principal/guidance counselor and GRADS Coordinator who will also serve as a liaison
      between the student and the teachers.

      a.     The student is responsible for obtaining assignments and completing
             missed work.

      b.     Two calendar weeks after an uncomplicated delivery, the student will
             return to school attending on a half-day schedule to be determined by the
             GRADS Coordinator.

      c.     Four calendar weeks after delivery, the student will resume a normal
             school schedule.

4.    If the student is physically unable to remain in or return to school on the above time line,
      she will secure a medical explanation from the physician and be placed on a medical leave
      of absence with a tutor until the attending physician grants permission for returning to
      school. Form HI - PREG will be completed.




Adopted 8/25/97
Board of Education
Findlay City School District                                                      9.26



HI-PREG                                                                           Page - 2-
                                 FINDLAY CITY SCHOOLS
                                       Student Services
                                      227 S. West Street
                                     Findlay, OH 45840

         PHYSICIAN’S REPORT ON HOME INSTRUCTION FOR PREGNANCY


NAME:                                        DATE OF BIRTH:                        GRADE:

ADDRESS:                                     TELEPHONE NUMBER:

DATE CHILD LAST ATTENDED SCHOOL:           BUILDING:
=====================================================================
                   TO BE COMPLETED BY PHYSICIAN

This form is to be completed if the student is physically unable to attend school for more than 20
consecutive school days due to complications with the pregnancy. Please complete all the
information requested below as soon as possible. Home Instruction should only be
recommended when classroom attendance is not possible as defined by Findlay City Schools
procedure.

Medical Status:


Date of Last Examination:

Expected Due Date (if applicable):

Expected Date of Return to School:


                                                    Physician’s Name (please print)


                                                                   Address


                                                            City                         Phone

Date:
                                                    Physician’s Signature

Complete and return as soon as possible to the Director of Student Services, Findlay City
Schools, 227 S. West Street, Findlay, OH 45840-3377.
Board of Education
Findlay City School District                                                                   9.26


                                                                                                      Page - 3 -
                                                    GRADS

Enrollment Date:                           Student ID#/Home School
Non-enrollment date:
                                                                                      Year in GRADS?
Name:                                                          Grade: _________       1 2 3 4

Student Address:                                               County

City:                                                          Zip Code___________

Phone:                           Birth date:                   Age:

Ethnic Group: American Indian        Black         Hispanic      Caucasian      Multi-Ethnic

Your Marital Status:  Single Married Divorced
                      Spouses’s name__________________________________
Your Parent’s or Guardian’s Names and Addresses:

Mother                                     Father


 If you are an expectant parent, complete this section:
Is the other parent still in school? Yes         No                   If yes, name and school he/she attends:

Name                                       School

Confirmation of pregnancy by:                                                         Pregnancy # 1       2   3
                                                          Baby’s
Due Date:                Date Delivered:                    Birth Weight              lb.      oz.
                                    Sex:                    Length:
Doctor or Clinic for Prenatal Care:

You first received prenatal care in which month of pregnancy? 1 2 3 4 5 6 7 8 9

Hospital you expect to deliver in:

Have you chosen the baby’s pediatrician? Yes               No
             Name of pediatrician:
If you are a parent, complete this section:
Child(ren):                                                Child(ren)’s Birth date
                                            Please Circle:
1.____________________________                M      F     ________________________

2.____________________________                 M      F       ________________________
Board of Education
Findlay City School District                                                              9.26

                                                                                                  Page - 4 -

Who provides care for your child while you are at school?

Nuclear family Extended family member        Non-family member        Day Care Center


Are you or the other parent receiving any of the following assistance? Please check each one that applies.

_____Single Parent Grant        ______Social Security                     ______JTPA
_____Food Stamps                ______School Lunch - FREE                 ______LEAP
_____Subsidized housing         ______School Lunch - REDUCED              ______Title XX
_____Healthy Start              ______Child Support-Court ordered         ______ADC
_____Other                      ______WIC                                 ______ Med.
                                                                                 Card

                                     EDUCATION INFORMATION

Have you ever repeated a grade? yes     no    If yes, was it     K 1 2 3 4 5 6 7
                                                                  8 9 10 11 12

Have you ever dropped out of school? yes no
If yes, did you return to graduate? yes no

Are you enrolled in a job training/occupational program?       yes   no
Which one? __________________

Are you currently on an IEP?   yes    no Circle only one of the following:

DEAF              DEVELOPMENTALLY HANDICAPPED        HARD OF HEARING
DEAF-BLIND        MULTI-HANDICAPPED                  VISUALLY HANDICAP
NON-SPECIFIC DISABILITY SPECIFIC LEARNING DISABILITY SPECIFIC HANDICAP
OTHER HEALTH IMPAIRED ORTHOPEDICALLY HANDICAPPED SEVERE BEHAVIOR
                                                     HANDICAPPED

Have you ever been enrolled in GRADS before? Yes_____ No______ If so, at
what school?______________________________________________________

                                       FOR OFFICE USE ONLY

Date         Name                                        Reason for exiting GRADS:

________ ______________________                          Graduation              GED

                                                         Dropped Out             Transferred to

                                                         Home Schooled           other school:

                                                         Refused Program
Adopted 8/25/97
Board of Education
Findlay City School District                                                          9.26

FORM PREG A                                                                           Page - 5 -

                                               CHECKLIST


Student Name

       1. GRADS in-take page and Medical Notification

       2. Explanation of Pregnancy Attendance Procedure

       3. Current Schedule

       4. Notify the Parents with Pregnancy Attendance Procedure

       5. Notify the Doctor with Pregnancy Attendance Procedure

       6. Notify the Guidance Counselor with Pregnancy Attendance Procedure

       7. Notify the Grade Level Principal with Pregnancy Attendance Procedure

       8. Notify the Teacher with Pregnancy Attendance Procedure

       9. Notify the School Nurse with Pregnancy Attendance Procedure

      10. Emergency Release Form addressing pregnancy

      11. Date assignments were requested

                  Teacher/Subject              Teacher/Subject      Teacher/Subject
                      Date                         Date                 Date


              ______________________ ___________________ ___________________


              ______________________ ___________________ ___________________


              ______________________ ___________________ ___________________

      12. Assignments delivered to student

      13. Date of student’s return to school

      14. Date of student’s need for home instruction

      15. Student signature and date upon return to school


      Adopted 8/25/97