Mt. Healthy City School District
Forms
Table of Contents


5000 - STUDENTS
5111f1Parent-Grandparent Consent Form
5111f2Residency Verification
5111f2aResidency Affidavit
5111f3Inability to Provide Certified Birth Certificate
5111f4Tuition Student Registration
5111f5Registration Form
5111f6Superintendents' Agreement to Enroll a Nonresident Student
5111f8Superintendents' Agreement to Enroll a Nonresident Student of a District Employee
5112f1Referral Form for Possible Academic Acceleration
5113.01f1Intra-District Open Enrollment Application
5113.01f3Parent Agreement to Nonhome-School Enrollment
5130f1Elementary School Check-Out Procedure
5130f2Middle School Check-Out Report
5130f3High School Student Check-Out
5230f1Early Release Form
5320f1Confirmation of MMR Booster Vaccination
5330f1Parent Request and Authorization to Administer a Prescribed Medication/Drug or Treatment
5330f1aAuthorization for Nonprescribed Medication or Treatment
5330f2Medications Log
5330f3Authorization for the Possession and Use of Asthma Inhalers
5340f1Accident Report
5340f2Shop Accident Report
5341f1Emergency Medical Authorization
5350f1Suicide Report Form
5350f2Assessment of Suicide Risk
5410f1Referral Form for Possible Whole-Grade or Subject Acceleration
5420f1Progress Report to Parents
5420f2Progress Report from Teachers
5420f3Weekly Progress Report
5464f2Referral Form for Possible Early High School Graduation
5500f1Student Handbook Certification
5513f1Books Issued to Students
5513f2Breaking and Entering/Vandalism Report
5515f1Application to Drive Vehicles on School Property
5515f2Student Automobile Parking Authorization Form
5517f1Report of Harassment
5530f2Memorandum to Parents Regarding School Board Policy on Drug-Free Schools
5610f1Emergency Removal of Student
5610f2Notice of Intended Suspension
5610f3Notice of Suspension to Parent, Guardian, or Custodian
5610f4Notice of Intended Bus Suspension
5610f5Notice of Bus Suspension
5610f6Notice of Intention to Expel
5610f7Notice of Expulsion
5610f8Bus Conduct Report
5610.02f1Saturday School Assignment
5630f1Consent/Denial for Corporal Punishment
5630f2Report on Administration of Corporal Punishment
5771f1Student Locker Assignment Authorization Form
5771f2Record of Student Search and Seizure
5780f1Acceptance of Rights/Responsibilities
5780f2Student Affidavit in Support of a Claim of Emancipation for School Purposes
5830f1Request for Fund-Raising Activity
5830f2Parent Permission for Student Participation in Fund-Raising
5830f3Report of Fund-Raising Activity
5880f1Student Performance Request/Report