Subject: Admission and Withdrawal: District Notification Policy

Effective Date: June 06, 2008	Approved By: Board of Directors

Policy:	Julian Charter School shall notify the district of prior enrollment when a new student enrolls in the charter. This notification shall include a request for the student’s cumulative record. When appropriate, the special education department also sends a separate form to the district of prior enrollment.

It is the policy that Julian Charter School will notify via a standard notification letter, as required by Education Code §47605(d)(3), the superintendent of the school district of a pupil’s last known address within thirty (30) days if a pupil is expelled, struck out, or withdraws from the charter school. Upon request, Julian Charter School will provide the district of residence with a copy of the cumulative record of the pupil, including a transcript of grades or report card, and health information.

Procedure:

Enrollment

When a new student enrolls in the charter, a notification form that includes a request for the student cumulative record will be sent to the district of prior enrollment. (See attached notification form template.)

Expulsion and Withdrawal

When a charter school pupil has been expelled, struck out, or withdraws from Julian Charter School, a notification letter will be sent to the superintendent of the school district of residence. (See attached notification letter template.)

Julian Charter School will provide the district of residence a copy of the cumulative record of the pupil, including a transcript of grades or report card, and health information regarding the pupil upon receipt of written request.

Original Policy 02/27/01

Revised Policy 03/09/07

Revised Policy 06/06/08

JULIAN CHARTER SCHOOL

P.O. Box 2470

Julian, CA 92036-2470

Telephone: 866-853-0003 ♦ Fax: 877-894-4150

www.juliancharterschool.org

JCS—the right choice for personalized learning

Date:	______________________________

To:	______________________________

(School Name)

_______________________________

_______________________________

Notice of Student Expulsion or Withdrawal

Student’s Name:	_________________________________

_________________________________

_________________________________

(Address)

Pursuant to Education Code §47605(d)(3), please be advised that the above named student has been withdrawn from Julian Charter School as of _________________________. According to our records, this student intended to transfer to _____________________________.

Upon receipt of a written request, Julian Charter School will provide the District with a copy of the cumulative record of the pupil, including a transcript of grades or report card, and health information regarding the pupil. Please mail all written requests to: Julian Charter School, P.O. Box 2470, Julian, CA 92036-2470

Sincerely,

Jennifer Cauzza

Executive Director

Cc:	Parent of Child

Student File

General Education Authorization for Release of Records

Cumulative Record/Transcript Request

In accordance with the Family Educational Rights and Privacy Rights Act of 1974 and California State Law, please release to the school named below all records, including:

Cumulative Record

Health Records

Transcripts of Completed Work Including Grades to Date

CAHSEE Status

CELDT Scores and Related ELL Information

CSIS Student Number

Any Other Educational Information

Student Name:

Birth Date:	Grade:

Signature of Parent/Guardian of Student: X	Date: X

Name of Last School Attended:

Address of Last School Attended:

City, State, Zip of Last School Attended:

Dates Attended:

☐ No previous school attended (check here if the student was not previously enrolled in a school)

Note: If applicable, a separate request from our special education department will follow this request.

Signature of Registrar:	Date:

Julian Charter School P. O. Box 2470 Julian, CA 92036 Fax: (760) 765-3849

Please forward all student records to:

JULIAN CHARTER SCHOOL – PO Box 152570, San Diego, CA 92195

Phone: 619-795-6362 Fax 619-518-2910 sped@juliancharterschool.org

New Student Authorization for Release of Records

Special Education Records

In accordance with the Family Educational Rights and Privacy Rights Act of 1974 and California State Law, please release to the school named below all records, including:

Health Records (Health and Developmental Records)

Special Education records including:

IEPs

ITPs

BIPs

Academic Assessments

Speech and Language Assessments

Psychological Assessments/Multidisciplinary Reports

CSIS Student Number

Any other Special Education Information

Student Name: _____________________________________________________________

Birth Date:	______________________________________ Grade: __________________

Name of Last School Attended: ________________________________________________

Address of Last School Attended: ___________________________________________________________

FAX of Last School Attended: _______________________________________________________________

City, State, Zip of Last School Attended: _____________________________________________________

Dates Attended: _________________________________________________________________________

⁭ No previous school attended (check here if student was not previously enrolled in a school)

Receiving Registrar:

Please complete the following in response to special education records, sign, date and return either by fax or by mail:

⁭ We do not have the records you request in our files.

⁭ We have not been able to locate the requested files but our records indicate this student did receive

special education services.

⁭ After reviewing our records, it is determined that the above named student has not received special

education services, nor has been identified as being eligible for special education services.

⁭ Other/please explain:

Registrar Signature: ____________________________________________Date: _________________

Please forward all student records to:

Julian Charter School, Attn: Claire Roush

PO Box 152570

San Diego, CA 92195

Fax: 619-518-2910 Phone: 619-795-6362