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F. E. DuBose Career Center Student Information 2021-2022
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STUDENT
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Last NameFirst MiddleDate of Birth
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MF
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Student EmailGenderCTE Course/ProgramHome High School
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Address
City
Zip Code
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Have you ever taken the WorkKeys or WIN Test?__Yes__No
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Home Phone
Do you currently have an IEP or 504 Plan?
__Yes
__No
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__Yes__No
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Permission for photo release for student recognition?
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Student's Cell Phone
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Primary Language spoken?
English
Other
Student email:
_______________________________
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PARENT/EMERGENCY
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Father/Male Guardian NameMother/Female Guardian Name
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Place of Employment/EmployerPlace of Employment/Employer
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Work PhoneCell PhoneWork PhoneCell Phone
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 Please list one parent email in the space above Please list one Emergency Contact Person & Relationship to Student
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Which parent email is listed?Phone Number(s)
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ATTENDANCE
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I have read and understand the F. E. DuBose Career Center Attendance and Tardy Policy for virtual or face to face instruction.
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Students must submit an excuse for any and all absences within five (5) school days from the date of their return
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Attendance recovery is possible for students who have missed excessive days, whether virtual or face to face.
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Students must attend 2/3 of the class period physically or 1/2 virtually to count as present.
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Student's Initials
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Parent/Guardian's Initials
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PARTICIPATION, EXPECTATIONS, AND RULES FOR CTE COURSES AT FEDCC
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I have read and understand the FEDCC Student Code of Conduct, with all of rules, guidelines, and consequences contained in it.
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Collaboration with our parents and school district partners is vital to our student success as we approach this school year.
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I understand if a student is suspended from FEDCC, he or she is also suspended from his or her home high school.
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If suspended from their home high school, students are also suspended from FEDCC.
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Student's Initials
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Parent/Guardian's Initials
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COMPUTER/INTERNET CODE OF CONDUCT
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I understand and will abide by this computer access agreement when at home or on campus. Any violations
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are unethical and may constitute a criminal offense. Should I commit any violation, my access privileges
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may be revoked, disciplinary action may be taken, and/or appropriate legal action taken.
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Guidelines to follow:
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Follow all home district school and computer policies.
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●No disruptive, disturbing, or harmful behavior in class meetings, online settings, or in computer labs.
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●No food, beverages, or children allowed near computers.
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●Do not damage or steal furniture, equipment, or materials.
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●Do not attempt to change security measures or spead computer viruses or worms.
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●Avoid excessive printing or wasting compter resources. Items being printed must be course related.
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●Do not change computer settings or download any software.
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●Do not utilize for non-school related or obscene activities, or harassment (ie. Games, FB, Twitter….)
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●Avoid copyright violations and/or unauthorized access that incurs a financial obligation to the school.
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●Unauthorized surfing of the Web during class time is not allowed.
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●Do not share your username or password with others. You are responsible for your log-in.
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Student's Initials
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Parent/Guardian's Initials
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DEBT
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Any and all debt owed to F. E. DuBose Career Center/CCTC must be paid at F. E. DuBose Career Center. DO NOT
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REMIT any payments to your HOME HIGH SCHOOL. You will be charged for textbooks not returned to
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your TEACHER or to the DIRECTOR. You may also be charged for damages to your issued textbook or equipment.
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DO NOT SEND YOUR TEXTBOOK OR PAYMENT BY ANOTHER STUDENT. It is your responsibility.
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Licenses and certifications will not be issued until all debt is paid.
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Student's Initials
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Parent/Guardian's Initials