TAP Card Request: 2024-25/Solicitud de tarjeta TAP: 2024-25

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Please complete and submit the form below if you need a TAP card to get to and from Golden Valley High School for the 2024-25 school year. If you have any questions, please contact your school counselor/Complete y envíe el formulario a continuación si necesita una tarjeta TAP para ir y venir de Golden Valley High School para el año escolar 2024-25. Si tiene alguna pregunta, comuníquese con su consejero escolar.

Email *

School Site/Sitio escolar *

Golden Valley HS

Student Last Name/Apellido del estudiante *

Student First Name/Nombre del estudiante *

Student ID #/Identificación del Estudiante # *

Grade level/Nivel de grado *

9th

10th

11th

12th

Person completing form/Persona completando el formulario *

student/alumno/a

staff/personal

Student's Address/Dirección del estudiante *

Distance from school/Distancia de la escuela *

How does the student currently get to school?/¿Cómo llega el estudiante actualmente a la escuela? *

What are the transportation challenges to get to school?/¿Cuáles son los desafíos de transporte para llegar a la escuela? *

Are there any additional extenuating circumstances we should be aware of?/¿Existe alguna circunstancia atenuante adicional que debamos tener en cuenta? *

Is student having attendance problems? If yes, please describe./¿El estudiante tiene problemas de asistencia? En caso afirmativo, describa. *

Have there been any actions, efforts to improve attendance?/¿Ha habido alguna acción o esfuerzo para mejorar la asistencia? *

I already have a Tap Card, I need: / Ya tengo una tarjeta, necesito: *

Need to add funds to my card / necesito agregar fondos a mi tarjeta

Lost my card and need to replace it / Perdí mi tarjeta y necesito reemplazarla

Does not apply/No se aplica

Required

Have you completed the Free and Reduced Meal Plan form?/ ¿Ha completado el formulario del Plan de comidas gratis o de precio reducido? *

Yes/Si

How will a TAP card benefit your student?/¿Cómo beneficiará una tarjeta TAP a su estudiante? *

I understand that there is a $5 replacement fee if I lose the TAP card and need a new one./Entiendo que hay un cargo de reemplazo de $5 si pierdo la tarjeta TAP y necesito una nueva./ *

Yes

I agree to use this TAP card responsibly, only for school purposes. If I have consistent absences, tardies, or behavior issues, my TAP card privileges can be revoked./Acepto utilizar esta tarjeta TAP de manera responsable, únicamente para fines escolares. Si tengo ausencias, tardanzas o problemas de conducta constantes, se pueden revocar los privilegios de mi tarjeta TAP.
*

Yes

A copy of your responses will be emailed to the address you provided.

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