PERRY CENTRAL COMMUNITY SCHOOL CORPORATION
18677 Old State Road 37
Leopold, Indiana 47551
Central Office (812) 843-5576
FAX (812) 843-4746
High School Office: (812) 843-5121
Elementary Office: (812) 843-5122
High School Fax: (812) 843-4198
Elementary Fax: (812) 843-5242
www.pccs.k12.in.us
2014-2015 Newsletter
Newsletter Index
Page Number
School Starting Date
Breakfast Lunch News
Book Rental Dates and Times
Book Rental Prices
BACK TO SCHOOL COOKOUT
Free/Reduced Lunch Application
School Calendar
Notices
Health Office Information
CHIRP Permission form
Permission Form To Administer Medication
Elementary News
Preschool
Elementary Supply Lists
Breakfast and Lunch Menus
Elementary Parents Title I Right to Know
McKinney-Vento Homeless Information
1
2-3
4
4
5
6-10
11
12-14
15
16
17
18
19
20
21-22
23
24
School Begins
Friday, August 8, 2014 for all K-12 students
Preschool will begin on
Monday, August 11, 2014 for Monday/Tuesday students
Wednesday, August 13, 2014 for Wednesday/Thursday students
NEW FAMILIES
Please enroll your children prior to the first day of school.
Principals are available any time between 8:00 AM and 3:00 PM Monday through Friday.
1
CAFETERIA NEWS
Breakfast and lunch will be served on the first day of school.
Cafeteria Fees
Lunch for all students Pre-School - 12th grade will be $2.25.
 The cost for breakfast for students is $1.25.
 Reduced price is 40¢ for lunch and 30¢ for breakfast.
Breakfast
 Elementary students may go to breakfast after being released by their classroom teacher.
 Jr./Sr. High students in grades 7-12 may also purchase breakfast starting at 7:15 AM in the
High School Commons Area. Students that qualify for Free/Reduced are eligible for a
breakfast tray.
Lunch Options for 3rd & 4th Grade:
type A lunch tray – salad tray
Lunch Options for 5th Grade – 12th Grade:
type A lunch tray - sub tray - salad tray - soup & sandwich tray
 Healthy chips will be available to purchase for 75¢.
 5th/6th Grade students must pay for chip purchases as they go through the lunch line.
 7th Grade – 12th Grade may charge chip purchases to their lunch account as long as they
have money in their lunch account.
LUNCH/BREAKFAST DEPOSITS
Lunch payments can be paid at the same time that you take care of book rental fees.
All students in grades PK-12 should have
money in their lunch account prior to the
first day of school.
If you cannot pay for lunches before the first day of school, we suggest that you send
the appropriate amount of money with your child for his or her meals on the first day.
2
PRESCHOOL LUNCH & SNACK FEES
 Parents of PRESCHOOL STUDENTS may also pay for lunches, snacks, and supplies during
the scheduled times for book rental sales.
 The snack and supply fee is $25.00 for the school year which should be paid by a
separate check.
 Lunch payments must be paid by a separate check from snack & supply fees.
 An additional weekly participation fee will be charged for each preschool child, which is due
the following week. You will be billed each week for this charge.
 Please remember that our preschool is a self-supporting program, meaning that your
child’s preschool fees pay for all expenses incurred with your child’s educational
experience at Perry Central’s Preschool. Timely payments must be made to allow your
child to remain enrolled in this self-supporting preschool program. More information on
this can be found in the elementary news of this newsletter.
FREE/REDUCED LUNCH APPLICATIONS
 Students who qualified for the free or reduced price lunches last year, will remain at that status
for the first 10 days this year.
These students have already been entered into the system by using last year's eligibility lists .

 A NEW APPLICATION MUST BE FILED AND
APPROVED before the end of the 10-day period. The
eligibility status will then be changed accordingly.
 If a new application is NOT filed and approved within the
first 10 days, the lunch status will be placed on FULL PAY
IN WHICH YOU WILL BE RESPONSIBLE FOR PAYING.
If you receive a letter from Perry Central regarding Direct Certification
(food stamps/TANF), please read the letter carefully as you will not need
to complete a Free/Reduced Lunch Application.
If, for any reason, you cannot come in prior to the first day of school, please send
your payments by mail or pay online. When making payments, please write
separate checks for book rental and lunches. Lunch payments must not be
included in your book rental checks. Please make checks payable to
Perry Central Activity Fund.
3
BOOK RENTAL
 Usernames & passwords will be emailed in the next few days for the new
Skyward system. Online payment information will be announced as it becomes
available.
 Book rental and fees are due prior to the first day of school.
 Payment for books or arrangements to pay must be made before school begins.
 Book rental will be collected in the HIGH SCHOOL COMMONS AREA.
Tuesday, August 5 ----------------9:00 AM to 7:00 PM
Wednesday, August 6 -----------8:30 AM to 2:30 PM
If you cannot come during these times, we suggest you send your check or money order to the
school by mail or pay online.
Due to a ruling by the State Board of Accounts, all checks or money orders must be written for the
exact amount of book rental or lunches. No payroll checks will be cashed and used for payment.
All past due accounts must be paid in full before arrangements
can be made to pay your 2014-2015 book rental.
Book rental prices for students in grades K-6 are as follows:
Kindergarten -------------- $ 78.00
Grade One ----------------- $ 80.00
Grade Two ---------------- $ 91.30
Grade Three --------------- $ 68.35
Grade Four ---------- $ 78.35
Grade Five ---------- $120.45
Grade Six ----------- $ 96.85
Students in grades 7-12 may log on to their Skyward account or call, 812-843-5121
Monday, July 28, 2014
to inquire about the amount of their book rental.
(note: Skyward usernames and passwords will be emailed to parents/guardians in
the next few days.)
***********************************
4
Tuesday
August 5
5:00 to 7:00
P.C.
Cafetorium
School and Community
Booths and Activities
Book Rental
Free Hot Dogs and Drinks
Families are encouraged
to pay book rental online
using Harmony but can
pay for books during
cookout
thanks to German American Bank
Entertainment and Prizes
Bus Rides for new
preschoolers and families
Dance for 5-8th graders
7:00-9:00 --- Cost $5
5
Perry Central Community School Corporation
Dear Parent/Guardian:
Children need healthy meals to learn. Perry Central Community School Corporation offers healthy meals every school day. Breakfast costs $1.25;
lunch costs $2.25. Your children may qualify for free meals or for reduced price meals. Reduced price is 30¢ for breakfast and 40¢ for lunch. Below
are some common questions and answers to aid in the process of determining your child’s eligibility.
1.
2.
Do I need to fill out an application for each child? No. Use one Free and Reduced Price School Meals Application for all students in
your household. We cannot approve an application that is not complete, so be sure to fill out all required information. Return the
completed application to: Sheila Allinger, Perry Central Community School Corporation, 18677 Old State Road 37, Leopold, IN 47551
Who can get free or reduced price meals? All children in households receiving benefits from Food Stamps (SNAP) or TANF, can get
free meals regardless of your income. Also, if your household’s gross income is within the limits on the Federal Income Chart, your children
can get free or reduced price meals.
If you have received a Notice of Direct Certification for free meals, do not complete the application. But do let the school know if
any children in your household are not listed on the Notice of Direct Certification letter you received.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
Can foster children get free meals? Yes, foster children that are under the legal responsibility of a foster care agency or court, are
eligible for free meals.
Can homeless, runaway, Head Start and migrant children get free meals? Yes, children who meet the definition of homeless,
runaway, or migrant are eligible for free meals. If you believe children in your household meet these descriptions and haven’t been told your
children will get free meals, please call or email Mary Roberson at 843-5576 or [email protected] to see if they qualify.
Should I fill out an application if I received a letter this school year saying my children are approved for free meals? Please
read the letter you got carefully and follow the instructions. Call the school at 812.843.5576 if you have questions.
My child’s application was approved last year. Do I need to fill out another one? Yes. Your child’s application is only good for
that school year. You must send in a new application unless the school told you that your child is eligible for the new school year.
My household was approved last school year for benefits. How long do I have once the new school year begins to turn my
application in to continue receiving benefits? If a household applied last school year, there is a 30 operating day roll-over starting with
the first day of school. If a household does not apply for benefits during this 30 operating day roll-over, the household will lose their
benefits after the 30 days, and the household will go back to a paid status.
I get WIC. Can my children get free meals? Children in households participating in WIC may be eligible for free or reduced price
meals. Please fill out an application.
Will the information I give be checked? Yes and we may also ask you to send written proof.
If I don’t qualify now, may I apply again later? Yes. You may apply at any time during the school year. For example, children with a
parent or guardian who becomes unemployed may become eligible for free and reduced price meals if the household income drops below
the income limit.
What if I disagree with the school’s decision about my application? You should talk to the school officials. You also may ask for a
hearing by calling or writing to: Mary Roberson, 18677 Old State Road 37, Leopold, IN 47551, 812.843.5576.
May I apply if someone in my household is not a U. S. citizen? Yes. You or your children do not have to be U.S. citizens to qualify
for free or reduced price meals.
Who should I include as members of my household? You must include all people living in your household, related or not (such as
grandparents, other relatives, or friends) who share income and expenses. You must include yourself and all children living with you. If you
live with other people who are economically independent (for example, people who you do not support, who do not share income with
you or your children, and who pay a pro-rate share of expenses), do not include them.
What if my income is not always the same? List the amount that you normally receive. For example, if you normally make $1,000
each month, but you missed some work last month and only made $900, put down that you make $1000 per month. If you normally get
overtime include it, but do not include it if you only work overtime sometimes. If you have lost a job or had your hours or wages reduced,
use your current income.
We are in the military; do we include our housing allowance as income? If you get an off-base housing allowance, it must be
included as income. However, if your housing is part of the Military Housing Privatization Initiative, do not include your housing allowance
as income.
My spouse is deployed to a combat zone. Is her combat pay counted as income? No, if the combat pay is received in addition to
her basic pay because of her deployment and it wasn’t received before she was deployed, combat pay is not counted as income. Contact
your child’s school for more information.
My family needs more help. Are there other programs available? To find out how to apply for Food Stamps (SNAP) or other
assistance benefits, contact your local assistance office.
We cannot approve an application that is not complete, so be sure to fill out all required information. Return the completed application to: Sheila
Allinger, Perry Central Community School Corporation, 18677 Old State Road 37, Leopold, IN 47551 If you have other questions or need help,
call 812.843.5573 Si necesita ayuda, por favor llame at teléfono: 812.843.5576 Si vous voudriez d’aide, contactez nous au numero: 812.843.5576.
Sincerely,
Mary Roberson
Superintendent
6
Perry Central Community School Corporation
INSTRUCTIONS for APPLYING
A HOUSEHOLD MEMBER IS ANY CHILD OR ADULT LIVING WITH YOU.
If your household receives benefits from Food Stamps (SNAP) or TANF:
Part 1: List all household members and the name of each child’s school school (if known).
Part 2: List the case number for any household member (including adults) receiving Food Stamps (SNAP) or TANF benefits.
EBT, Medicaid and Hoosier Healthwise numbers DO NOT qualify you for benefits.
Part 3: Check the appropriate box, if any.
Part 4: Skip this part.
Part 5: An adult must sign the application. The last four digits of the Social Security number are not required.
Part 6 and Part 7 are optional for meal benefits.
If any child in your household is Migrant, Homeless, or Runaway:
Part 1: List all household members and the name of each child’s school school (if known).
Part 2: If no one in household gets Food Stamps (SNAP) or TANF benefits, skip this part.
Part 3: Check the appropriate box and contact the school’s homeless liaison or migrant coordinator.
Part 4: Complete only if a child in your household isn’t eligible under Part 3. See instructions for All Other Households.
Part 5: An adult must sign the application. The last four digits of the Social Security number are not required.
Part 6 and Part 7 are optional for meal benefits.
If you are applying for a foster child:
If all children in the household are foster children:
Part 1: List all foster children and the school name for each child. Check the box indication the child is a foster child.
Part 2: Skip this Part
Part 3: Skip this Part
Part 4: Skip this Part
Part 5: An adult must sign the application. The last four digits of the Social Security number are not required.
Part 6 and Part 7 are optional for meal benefits.
If some of the children in the household are foster children:
Part 1: List all household members and the name of each child’s school (if known). For any person, including children, with no income, you must
check the “No Income” box. Check the box if the child is a foster child.
Part 2: Enter the name and case number of any household member who has a valid TANF or Food Stamp (SNAP) case number.
Part 3: Check the appropriate box and contact the school’s homeless liaison or migrant coordinator for any listed children who are homeless,
migrant, or runaway.
Part 4: Complete only if a child in your household isn’t eligible under Part 1 or Part 3. See instructions for All Other Households.
Part 5: An adult household member must sign the form, and if income information was provided, the adult household member must provide the
last four digits of their Social Security Number (or mark the box if s/he doesn’t have one).
Part 6 and Part 7 are optional for meal benefits.
All Other Household Types, including WIC households:
Part 1: List all household members, include everyone related or unrelated living in your household (this includes you, your spouse, all children,
grandparents, other relatives, and unrelated people). Use another sheet of paper if you have to. Enter the name of each child’s school (if known).
For any person, including children, with no income, you must check the “No Income” box. If any child you are applying for is a foster child, check
the box.
Part 2: Skip this part.
Part 3: If any child you are applying for is homeless, migrant, or runaway, check the appropriate box and contact the school’s homeless liaison or
migrant coordinator.
Part 4: Follow these instructions to report total household income from this month or last month.
 Section 1 – Name – List all household members with income.
 Section 2 –
o Gross Income and How Often it was Received: For each household member listed in section 1, list each type of income
received for the month. You must tell us how often the money is received – weekly, every other week, twice a month, or
monthly.
o Earnings: Be sure to list the gross income, not the take-home pay. Gross income is the amount earned before taxes and other
deductions. You should be able to find it on your pay stub or your boss can tell you.
o Income received from welfare, child support, and alimony: List the amount each person received.
o Income received from retirement benefits, Social Security, Supplemental Security Income (SSI), Veteran’s
benefits (VA benefits), and disability benefits: List the amount each person received.
o All Other Income: List Worker’s Compensation, unemployment or strike benefits, regular contributions from people who do
not live in your household, and any other income. Do not include benefits from WIC, Federal education and foster payments
received by the family from the placing agency. For ONLY the self-employed, under Earnings from Work, report income after
7
expenses. This is for your business, farm, or rental property. If you are in the Military Privatized Housing Initiative or get combat
pay, do not include these allowances as the income.
Part 5: Adult household member must sign the form and list the last four digits of their Social Security Number (or mark the box if s/he doesn’t
have one).
Part 6 and Part 7 are optional for meal benefits.
Household Size
Your children
may qualify for
free or
reduced price
meals if your
household
income falls
within the
limits on this
chart.
FEDERAL INCOME CHART
FOR SCHOOL YEAR 2014-2015
Monthly
Twice Per
Every Two
Month
Weeks
Yearly
1…………………
21,590
1,800
900
2…………………
29,101
2,426
3…………………
36,612
4…………………
Weekly
831
416
1,213
1,120
560
3,051
1,526
1,409
705
44,123
3,677
1,839
1,698
849
5…………………
51,634
4,303
2,152
1,986
993
6…………………
59,145
4,929
2,465
2,275
1,138
7…………………
66,656
5,555
2,778
2,564
1,282
8…………………
74,167
6,181
3,091
2,853
1,427
For each additional
person:
+7,511
+626
+313
+289
+145
Other Benefits: Put a checkmark where you want the information released. By signing this section you will allow the school to release
information that shows you have applied for free or reduced price benefits under the NSLP. The information will only be used for the programs
you have marked on the application.
Textbook Assistance
You must answer this question and sign, in order to receive textbook assistance. You are not required to answer this question to
receive meal benefits.
PLEASE NOTE: For Textbook Assistance, these are specific things that you must complete in addition to the required items for meal
benefits:
 Living with parent/caretaker relative
o The definition of a caretaker relative is a relative, either by blood or by law, who lives with the child and exercises parental responsibility
[care and control] in the absence of the child’s parent. Examples include, but are not limited to: Grandparents, Aunts, Uncles, Cousins,
Step-Parents, and Adult Siblings.
 Grade
 Check if you are applying for textbook assistance and sign under Other Benefits. Your application must contain 2 signatures for
meals and textbooks.
Hoosier Healthwise
Your child(ren) may qualify for free or low-cost health insurance under Medicaid or Hoosier Healthwise. If you DO WANT this information
released for the purpose of Hoosier Healthwise, please sign. For more information about Hoosier Healthwise health insurance, call 1-800-8899949.
8
Prescribed by State Board of Accounts
School Form No. 521 / 2014
6325
PERRY CENTRAL COMMUNITY SCHOOL CORPORATION
SCHOOL CORPORATION
CORP. NUMBER
APPLICATION FOR FREE OR REDUCED PRICE MEALS AND OTHER BENEFITS
Effective July 1, 2005 - One Application per Household
Only for students:
Check if living with
Only for students:
Only for
parent or caretaker
Name of each child’s school
students:
relative
Grade
Part 1. Names of all household members
(First, Middle Initial, Last)
Only for
students:
Check if a
Foster child

Only for
students:
Birthdate

Check if no
income


































If ALL children listed above are foster children, skip to Part 5 and sign.
Part 2. If any member of your household (student, adult or non-student) has a valid Food Stamp (SNAP) or TANF case number, please provide the name of
the person who receives benefits, check the box indicating the benefit program, and enter the case number, then skip to Part 5. If no one receives these
benefits, skip to Part 3.
Name: ________________________________
Food Stamp  TANF 
Case Number: ___/___/___/___/___/___/___/___/___/___
Part 3. If any child you are applying for is migrant, homeless, or runaway, check the appropriate box and call Mary Roberson at 812.843.5576 .
Migrant

Homeless
 Runaway

Section 2
TOTAL HOUSEHOLD GROSS INCOME (BEFORE DEDUCTIONS). LIST ALL INCOME ON THE SAME LINE AS THE PERSON WHO
RECEIVES IT. CHECK THE BOX FOR HOW OFTEN IT IS RECEIVED. RECORD EACH INCOME ONLY ONCE.
GROSS INCOME and HOW OFTEN IT WAS RECEIVED
Examples: $100 / monthly or $100 / every 2 weeks or $100 / twice a month or $100 / weekly
Every 2 Wks.
Twice A Month
Monthly
Weekly
Every 2 Wks
Twice A Month
Monthly

 $ 50







$




$
    $
    $




$




$
    $
    $




$




$
    $
    $




$




Monthly


Twice A Month

    $
Every 2 Wks.
    $ 100
    $
Welfare, Child
Support,
Alimony
Weekly
   $ 150
$
Monthly
$ 200
Twice A Month
Example: Jane Smith
Every 2 wks.
Earnings from
Work Before
Deductions
Weekly
Section 1
NAME
(List ONLY household
members with
income)
Weekly
Part 4.
Social Security,
SSI, VA,
Retirement
Benefits
All Other Income
such as
Unemployment
Part 5. SIGNATURE: An adult household member must sign the application. If Part 4 is completed, the adult signing the form also must list the last
four digits of his or her Social Security Number or mark the “No Social Security Number” box. (See Statement on the back of this page).
I certify (promise) that all information on this application is true and that all income is reported. I understand that the school will get Federal funds based on
the information I give. I understand that school officials may verify (check) the information. I understand that if I purposely give false information, my children
may lose meal benefits, and I may be prosecuted. I understand my child’s eligibility status may be shared as allowed by law.
X__________________________________
*** - ** - __ __ __ __  No Social
______________________________
Signature of Adult Household Member
Social Security Number
Security Number Home Telephone # / Work Telephone #
______________________________________
Printed Name of Adult Household Member
____________________ _________________________________________________
Date Signed
Home Address/Apt #
Zip Code
________________________________________________
Email Address
Part 6. OTHER BENEFITS – This section does not need to be completed to receive free or reduced price meal benefits.
Do you want to receive TEXTBOOK
ASSISTANCE?
 YES
 NO
If, YES, SIGN TO THE RIGHT
I certify that I am the parent/guardian of the child(ren) for whom application is being made.
My signature below authorizes the release of information on this application for textbook
assistance. I give up my right of confidentiality for this purpose only. This application
information will be shared with the Indiana Family and Social Services Administration
pursuant to I.C. 20-33-5-2 and I.C. 12-14-28-2, solely for purposes of complying with 45
C.F.R. PARTS 260 AND 265.
X__________________________________
SIGNATURE OF PARENT/GUARDIAN
9
_________
DATE
SCHOOL USE
ONLY:
 Approved
 Denied
 Not Applicable
Part 6. OTHER BENEFITS (Continued from Page 1)
This application information may be shared with the Family and Social Services Administration for the purpose of identifying children who may qualify for free or
low-cost health insurance under Medicaid or Hoosier Healthwise. If you want the application information shared for this purpose, please sign below. I certify I
am the parent/guardian of the child(ren) for whom application is being made. I authorize the release of information for this purpose.
X__________________________________________
SIGNATURE OF PARENT/GUARDIAN
Part 7. RACE AND ETHNICITY:
Optional - You are not required to answer this
question. No child will be discriminated against
because of race, color, sex, national origin, age,
or disability.
________________
DATE
For information about Hoosier Healthwise
health insurance, call 1-800-889-9949.
Mark one or more (regardless of ethnicity):
 Asian
 Black or African American
 American Indian or Alaska Native
 Native Hawaiian or Other Pacific Islander
 White
Mark one ethnicity:
 Hispanic or Latino
 Not Hispanic or Latino
Use of Information Statement: This explains how we will use the information you give us.
The Richard B. Russell National School Lunch Act requires the information on this application. You do not have to give the information, but if
you do not, we cannot approve your child for free or reduced price meals. You must include the last four digits of the social security number of
the adult household member who signs the application. The last four digits of the social security number is not required when you apply on
behalf of a foster child or you list a Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF)
Program or Food Distribution Program on Indian Reservations (FDPIR) case number or other FDPIR identifier for your child or when you
indicate that the adult household member signing the application does not have a social security number. We will use your information to
determine if your child is eligible for free or reduced price meals, and for administration and enforcement of the lunch and breakfast programs.
We MAY share your eligibility information with education, health, and nutrition programs to help them evaluate, fund, or determine benefits for
their programs, auditors for program reviews, and law enforcement officials to help them look into violations of program rules.
Non-discrimination Statement: This explains what to do if you believe you have been treated unfairly.
The U.S. Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the bases of
race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial
or parental status, sexual orientation, or all or part of an individual's income is derived from any public assistance program, or protected genetic
information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all
programs and/or employment activities.)
If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online
at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a
letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of
Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email
at [email protected]. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal
Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish).
USDA is an equal opportunity provider and employer.
FOR SCHOOL USE ONLY – DO NOT WRITE BELOW THIS LINE
INCOME CONVERSION to YEARLY:
EVERY 2 WEEKS X 26
WEEKLY INCOME X 52
TWICE A MONTH X 24
MONTHLY INCOME X 12
ELIGIBILITY DETERMINATION
Income Eligibility: Total Household Size:______ Total Income:$___________ per:  Weekly  Every 2 Weeks  Monthly
 Twice a Month  Yearly
OR Categorical Eligibility:  Food Stamps
 TANF
 Migrant
 Homeless
 Runaway
 Foster
Eligibility Determination:  Approved Free  Approved Reduced price  Denied
Reason for Denial:  Income Too High  Incomplete Application  Other(Reason)_______________________
Signature of Determining Official:________________________________________ Date:____________
Date Withdrawn: ______________
VERIFICATION
Confirmation Review Official: ___________________________
Date Verification Notice
Approval Based On: Verification Results:
Sent:________________  Food Stamps /
TANF Case Number  No Change
Date Response Due from
 Free to Reduced
Households:__________
 Household Size
 Free to Paid
and Income
 Reduced to Free
Date Second Notice Sent
 Reduced to Paid
(or N/A): _____________  Other _________
Reason for Change:
 Income:________________
 Household Size: _________
 Change in Food Stamps /TANF
 Did not respond
 Other: _________________
Date Notice of
Change
Sent:__________
Date Change
Made:_________
Date Hearing Requested:_________________
Verifying Official's Signature:________________________
Hearing Decision: _______________________
Date:__________________________________
10
Perry Central Schools
2014-2015 Calendar
Thursday, August 7
Friday, August 8
First day for teachers
First day for students
Monday, September 1
Labor Day—No school
Fri., Mon. & Tues. Oct. 24, 27-28
Fall Break—No school
Thurs. & Fri., Nov. 27-28
Thanksgiving Break—No school
Friday, Dec. 19
Last day before break
First semester ends— 90 student days; 91 teacher days
Dec. 22 – Jan. 1
No School
Friday, January 2
No School/First Make-Up Day
Monday, January 19
Martin Luther King Day –2nd Make-Up Day
Friday, February 13
Monday, February 16
No School – 3rd Make-Up Day
President’s Day – 4th Make-Up Day
March 23-27
Spring Break
Friday, April 3
No School – Good Friday
Monday, April 6
No School – 5th Make-Up Day
Friday, May 22
Tuesday, May 26
Last student day
Last teacher day
Sunday, May 24
Tentative Graduation date
Second semester—90 student days; 91 teacher days
Make-up days: January 2, January 19, February 13, February 16, April 6, May 26, 27, etc.
Approved December 16, 2013
11
Notices
Americans with Disabilities Act – Section 504: The American’s with Disabilities Act (ADA) of the Rehabilitation Act requires
the School to ensure that no individual be discriminated against on the basis of a disability. This protection applies not just to the
student, but all individuals who have access to the Corporation’s programs and facilities. The ADA, as applied to school
districts, requires that no qualified individual with a disability shall, on the basis of a disability, be denied the benefits of school
district services, program, or activities. Accordingly, Perry Central will not refuse to allow a person with a disability to participate
in a school district service, program, or activity simply because the person has a disability. Perry Central will not provide
services or benefits to individuals with disabilities through programs that are separate or different, unless the separate programs
are necessary to ensure that the benefits and services are equally effective. Perry Central will not subject individuals with
disabilities to discrimination in employment under any service, program, or activity conducted by the school district. Perry
Central will take appropriate steps to ensure that communications with applicants, participants, and members of the public with
disabilities are as effective as communications with others. Perry Central will make reasonable accommodations in policies,
practices, or procedures when necessary to avoid discrimination on the basis of disability, unless a fundamental alteration in a
corporation program would result. Perry Central will operate its programs so that, when viewed in their entirety, they are readily
accessible to and usable by individuals with disabilities. Students with disabilities who do not qualify for IDEA may be served
within the regular education program with an accommodation plan developed through an interactive dialogue among the School,
the student and the student’s parent(s). Parents, who believe their child may have a disability that interferes substantially with
the child’s ability to function properly in School, should contact the Principal in the elementary at 843-5122 or in the junior/senior
high school at 843-5121. In accordance with Section 35.106 of the ADA’s Title Two Regulations, all applicants, participants,
beneficiaries, and other interested persons are advised that further information may be obtained from the Office of the
Superintendent and from the Office on the Americans with Disabilities Act, Civil Rights Division, U.S. Department of Justice,
Washington, D.C. 20035-6118.
Asbestos: The Asbestos Hazard Emergency Response Act (AHERA) required the compilation of all asbestos containing
building materials (ACBM within the public and private schools. A building inspection by EPA Accredited Asbestos Inspectors
was conducted to determine, not only if asbestos was in our schools, but its condition. After the inspection, a plan to manage
the identified asbestos was developed. AHERA further required that the identified asbestos containing materials were to be
checked every six months by the trained school personnel and that these materials were to be re-inspected by an accredited
inspector every three years as long as the materials remain in the building. The Perry Central Community School Corporation
has complied with AHERA by developing and implementing an Asbestos Management Plan for its school facilities. All identified
asbestos materials are being monitored and maintained in good condition. Trained school personnel are conducting the sixmonth periodic surveillance inspections, and the three-year re-inspections have been completed as required and have been
added to the Management Plan. The Management Plan is available for viewing in the Office of the Superintendent. If you have
questions, please contact the Superintendent of Schools. The Asbestos Management Plan will be updated annually as
response actions are completed or as periodic surveillance reveals a change in the condition of the asbestos material.
Drug Prevention: In accordance with Federal Law, the School Board prohibits the use, possession, concealment, or
distribution of drugs by students on school grounds, in school or school-approved vehicles, or at any school-related event.
Drugs include any alcoholic beverage, anabolic steroid, dangerous controlled substance as defined by State statute, or
substance that could be considered a “look-a-like” controlled substance. Compliance with this policy is mandatory for all
students. Any student who violates this policy will be subject to disciplinary action, in accordance with due process and as
specified in the student handbooks, up to and including expulsion form school. When required by State law, the Corporation will
also notify law enforcement officials.
The corporation is concerned about any student who is a victim of alcohol or drug abuse and will facilitate the process
by which s/he receives help through programs and services available in the community. Students and their parents should
contact the school principal or counseling office whenever such help is needed.
Pesticide Application: Pesticides will be applied to external and/or internal areas of the school building on the third Tuesday of
each month beginning at 3:30 PM. A list of the contents of these pesticides will be kept on file in the building principals’ offices.
For more information, you may call 812-843-5576.
Student Privacy and Parental Access to Information: The School Board respects the privacy rights of parents and their
children. No student shall be required as part of the school program or the Corporation’s curriculum, without prior written
consent of the student (if an adult or an emancipated minor) or, if an unemancipated minor, his/her parents, to submit to or
participate in any survey, analysis, or evaluation that reveals information concerning: 1. Political affiliations or beliefs of the
student or his/her parents; 2. Mental or psychological problems of the student or his/her family; 3. Sex behavior or attitudes; 3.
Sex behavior or attitudes; 4. Illegal, anti-social, self-incriminating, or demeaning behavior; 5. Critical appraisals of other
individuals with whom respondents have close family relationships; 6. Legally recognized privileged and analogous relationships,
such as those of lawyers, physicians, and ministers; 7. Religious practices, affiliations or beliefs of the student or his/her parents;
12
or 8. Income (other than that required by law to determine eligibility for participation in a program or for receiving financial
assistance under such a program).
Parents have the right to inspect, upon request, a survey or evaluation created by a third party before the
survey/evaluation is administered or distributed by the school to the student. The parent will have access to the
survey/evaluation within a reasonable period of time after the Principal receives the request.
Additionally, parents have the right to inspect, upon request, any instructional material used as part of the educational
curriculum of the student. The parent will have access to the instructional material within a reasonable period of time after the
Principal receives the request. The term instructional material means instructional content that is provided to a student,
regardless of its format, including printed and representational materials, audio-visual materials, and materials in electronic or
digital formats. The term does not include academic tests or assessments.
Information collected from students will not be disclosed for marketing purposes or be sold.
Student Records: Many student records are kept by the teachers, counselors, and administrative staff. There are two (2) basic
kinds of records – directory information and confidential records. Directory information can be given to any person or
organization for nonprofit making purposes when requested, unless the parents of the student restrict the information, in writing,
to the Principal. Directory information includes: student's name; address; telephone number; photograph; date and place of
birth; major field of study; participation in officially recognized activities and sports; height and weight, if a member of an athletic
team; dates of attendance; date of graduation; awards received; or listing on an honor roll; scholarships.
Confidential records contain educational and behavioral information that has restricted access based on the Family Education
Rights and Privacy Act (FERPA). This information can only be released with the written consent of the parents, the adult
student, or a surrogate. The only exception to this is to comply with State and Federal laws that may require release without
consent.
Included in the confidential records may be test scores, psychological reports, behavioral data, disciplinary actions, and
communications with the family and outside service providers. The School must have the parents’ written consent to obtain
records from an outside professional or agency. Confidential information that is in a student’s record that originates from an
outside professional or agency may be released to the parent through the originator and parents should keep copies of such
records for their home file. Parents may also provide the School with copies of records made by nonschool professional
agencies or individuals.
Students and parents have the right to review all educational records generated by the School Corporation, request
amendment to these records, insert addendum to records, and obtain copies of such records. Copying costs may be charged
to the requestor. If a review of records is wanted please contact the Corporation Records Officer, Mrs. Tara Bishop, in writing,
stating the records desired. She can be reached at 843-5576, 18677 Old State Road 37, Leopold, IN 47551. The records will
be collected and an appointment will be made with the appropriate persons present to answer any questions.
The School is required to give recruiting representatives of the U.S. Armed Services and the Indiana Air, Army, National
Guard and the service academies of the armed forces of the United States or an institution of higher education access to the
high school campus and student directory information (students’ name, address, and listed or published telephone number)
when requested to do so. A secondary school student or parent of the student may request that the student’s name, address
and telephone listing not be released without prior consent of the parent(s)/eligible student.
The School is required to notify the parent and student that either one may request that the information not be released
by the School to the military recruiting representatives. This publication is to serve as such notice, and included below is the
process necessary to complete the requirement. The parent or student must make the request in writing at the end of the
student’s sophomore year in high school. This is a one-time opt-out opportunity. If the student opts-out in his/her sophomore
year and later changes his/her mind a revocation may be made. A form is available in the high school office to make this
request. Parents and eligible students may refuse to allow the School to disclose any or all of such “directory information” upon
written notification to the School within seven (7) days after receipt of this annual public notice.
The Family Policy Compliance Office in the U.S. Department of Education administers both FERPA and PPRA. Parents
and/or eligible students who believe their rights have been violated may file a complaint with: Family Policy Compliance Office,
U.S. Department of Education, 400 Maryland Avenue, SW, Washington, D.C. 20202-4605, www.ed.gov/offices/OM/fpco.
Informal inquired may be sent to the Family Compliance Office via the following email addresses: [email protected]; and
[email protected].
Grievance Procedures: It is the policy of Perry Central Community School Corporation to provide an equal education
opportunity for all students.
Any person who believes that the School or any staff person has discriminated against a student on the basis of race,
color, creed, age, disability, religion, gender, ancestry, national origin, place of residence within the boundaries of the
Corporation, or social or economic background, has the right to file a complaint. A formal complaint may be made in writing to
the School Corporation’s Compliance Officer, Tara Bishop, Perry Central Community School Corporation, 18677 Old State Road
37, Leopold, IN 47551, (812)843-5576.
For further information, clarification, or complaints please contact the following persons: Title IX, Mary Roberson, Supt.
of Schools, Perry Central Community School Corporation, 18677 Old State Road 37, Leopold, IN 47551, (812) 843-5576;
Section 504, Pam Bell, Exceptional Children’s Co-op, 1502 St. Charles, Suite #2, Jasper, IN 47546, (812) 482-6661. A.D.A.:
13
Paul Hagman, Director of Building and Grounds, Perry Central Community School Corporation, 18677 Old State Road 37,
Leopold, IN 47551, (812)843-5576.
Procedure:
1. Applies to Regulatory Title VI (race, color, national origin), Title IX (gender), Section 504 of the Advisory Committee
Requirements of the State Vocational Technical Education Plan.
2. Interested parties include school corporation officers, employers, students, and patrons.
3. Applies to acts or omissions relating to protected rights based upon age, race, color, national origin, religion, gender,
and handicapping conditions including English proficiency.
4. Compliance Coordinator
A. The building principal or Dr. Tara Bishop for allegations of building level violations to students or building
patrons.
B. The Superintendent or Dr. Tara Bishop for allegations and violations of a corporate level such as policy or
practice.
5. Compliance Officer
A. The Superintendent or Dr. Tara Bishop.
6. The Process
A. Level One
1. The officer, employee, student, or patron alleging a violation shall submit the initial complaint in writing to the
appropriate compliance coordinator described in #4 above. The complaint shall stipulate the specific act or
omission, the date of the same and the parties involved.
2. The compliance coordinator shall initiate investigation of the circumstances of the complaint within seven (7)
calendar days of the receipt of the written complaint.
3. The compliance coordinator shall render a decision within fourteen (14) days of the written complaint. The
decision shall be in writing to the complainant.
4. Complainant shall have seven (7) calendar days to react to the decision before it becomes final. If the
complainant disagrees with the decision of the compliance coordinator, and voices such a statement in writing to
the compliance officer, a Level Two Procedure shall be enacted.
B. Level Two
1. The compliance coordinator shall submit the written disagreement statement and all related information to
the Superintendent within three (3) days of receipt.
2. The Superintendent shall review all material and schedule a meeting within seven (7) calendar days of
receipt of the written disagreement and all related information. The participants shall be the complainant,
the compliance coordinator and the Superintendent. Other witnesses may be called with mutual prior notice
of three (3) calendar days.
3. The Superintendent shall make a decision within seven (7) calendar days of the final meeting of parties.
The decision shall be final.
7. NOTE: By mutual agreement circumstances of calendar availability may result in extension of stipulated time
allowances if a request is made in writing by either party and so agreed to by the parties.
8. NOTE: If the alleged violation, interpretation, or application is of a corporate nature such as written rule, regulation, or
policy then Level Two is initiated immediately.
Use of Dogs: The Perry Central School Board has a policy in place that allows for the use of drug dogs to
search the premises. We have entered into an agreement with the Indiana State Police and the
Branchville Correctional Facility, inviting them to come to our school unannounced to conduct such
searches. We feel that this process will allow for the most authentic results. If during a search items are
found which are in violation of school policy and/or state law, we will investigate their source and adhere to
strict consequences for violations. If you have questions about this policy, please contact a building
principal or the superintendent.
14
Health Office Information and Notices
School Nurses: Susan Huber and Mary Jo Carter
812-843-5121, extension 119
[email protected] / [email protected]
New Immunization Requirements:
The following changes will be required for the 2014-2015 school year:
1. One meningococcal vaccine (MCV4) will be required for all students entering 6th – 11th grades.
2. Two meningococcal vaccines (MCV4) will be required for 12th grade students.
3. One Tdap (tetanus, diphtheria, and pertussis) booster will be required after 10 years of age for all
students entering 6th – 12th grades.
4. Two hepatitis A vaccines are required for kindergarten students.
5. Varicella vaccine (2 shot series) or physician documentation (month and year) of chicken pox
disease for students in grades Preschool - 6. Parental report of disease history is acceptable for
grades 7 – 12.
The school nurses ask that you begin making arrangements to have your child immunized at your earliest
convenience. This can be arranged with Perry County Hospital at the shot clinic for students with
insurance. Uninsured students and students with Medicaid may continue to go to the Perry County health
department.
School Immunization Reporting: We are required by state law to keep immunization records for every
student who enrolls. Perry Central will be participating in the CHIRP system and parents will be asked to
sign a release allowing their child to participate in the CHIRP system. The permission slip is on the next
page and will also be available at book rental.
Meningococcal Disease Information: State law requires each year that schools inform parents/guardians “about meningococcol
disease and its vaccine” (IC 20-30-5-18). Meningoccal disease is a dangerous disease that can strike children and youth. The disease can
progress rapidly and within hours of the first symptoms, may result in death or permanent disability including loss of hearing, brain damage,
and limb amputations. Symptoms of meningoccal disease often resemble the flu and can include a fever, headache, nausea, and stiff neck,
making the disease difficult to diagnose. The bacteria that cause meningococcal diseases are transmitted through air droplets and by direct
contact with an infected person. Fortunately there is an immunization available and the US Centers for Disease Control and Prevention
recommends routine meningoccal immunizations at 11 to 12 years old. For teenagers, immunization is recommended at high school entry and
incoming college freshman. Please talk with your child’s health care provider about meningoccal disease and vaccination. You may also
contact the Perry Central Health Office or the Perry County Health Department for more information. Information may also be found on the
following websites: The Indiana State Department of Health http://in.gov/isdh/22121.htm; the Center for Disease Control and Prevention
http://www.cdc.gov/vaccines/vpd-vac/mening/default.htm; The Indiana Department of Education http://www.doe.in.gov/sservices/sn.htm.
Pertussis Information: The state has asked us to provide important information to parents about pertussis (whooping cough) and the
vaccines available to prevent this serious illness. Pertussis is highly contagious respiratory infection caused by the bacterium Bordetella
pertussis. Pertussis is spread by infectious airborne droplets created when a person who is infected coughs or sneezes. Infants and young
children are typically vaccinated against pertussis, but the vaccine loses effectiveness as children get older and vaccinated children can
become infected. Pertussis causes severe coughing fits. During the fits, the affected person may be short of breath and appear distressed.
The coughing fit may be followed by vomiting and exhaustion. Young infants are at highest risk for developing complication like pneumonia
and seizures from the disease. Adolescents and adults who have been previously vaccinated may have milder disease, but they can still
spread pertussis to others. The United States Center for Disease Control and Prevention (CDC) recommends a routine pertussis booster for
all 11-12 year old children and for anyone older who did not have a booster at 11-12 years of age. The pertussis booster (Tdap) is combined
with tetanus toxoid and takes the place of one tetanus booster shot. The Tdap vaccine can be given as soon as one year after a regular
tetanus booster. Please talk to your child’s healthcare provider about the Tdap vaccine. Additional resources for families to obtain information
about pertussis disease include the following websites: The Indiana State Department of Health http://in.gov/isdh/22191.htm; the Center for
Disease Control and Prevention http://www.cdc.gov/vaccines/vpd-vac/pertussis/default.htm.
Medication: If your child needs to have medication administered at school, please complete the form that follows. This
can also be used for permission to administer Tylenol, Advil or other over the counter medications as needed. School
personnel cannot administer medication unless it is in its original container and permission is given by parents. If you
think your child will require Tylenol or Ibuprofen at school, a bottle needs to be provided. All medications will be
destroyed at end of school year if not picked up from nurse’s office by the parent or student in grades 9-12.
PERRY CENTRAL WILL NOT KEEP BULK SUPPLY OF TYLENOL OR IBUPROFEN
THIS UPCOMING SCHOOL YEAR.
15
Perry Central Community School Corporation
18677 Old State Road 37
Leopold, IN 47551
(812) 843-5576
FAX (812) 843-4746
Mary Roberson, Superintendent
Please complete and return at book rental or with your child to school. Thank you!
I, _____________________________________, give Perry Central Schools, permission to release the
following information concerning my child, ______________________________ to the Indiana State Department of
Health’s Children and Hoosiers Immunization Registry Program (CHIRP):
I understand that the information in the registry may be used to verify that my child has received proper
immunizations and to inform me or my child of my child’s immunization status or that an immunization is due
according to recommended immunization schedules.
I understand that my child’s information will be available to the immunization data registry of another state, a
healthcare provider, a local health department, an elementary or secondary school that is attended by the individual, a
child care center, and the office of Medicaid policy and planning or a contractor of the office of Medicaid policy and
planning. I also understand that other entities may be added to this list through amendment to I.C. 16-38-5-3.
I hereby consent to the release of such information.
__________________________________
Signature
_____________________________
Date
__________________________________
Printed Name of Parent or Guardian
_________________________________
Address
____________________________
Telephone Number
_________________________________
Child’s Name
____________________________
Grade Level
16
Perry Central Community School Corporation
Leopold, Indiana 47551
Annual Permission Form To Administer Specific Medications
I request that school personnel administer the medication(s) and its dosage that is checked below to my child while
he/she is in attendance at school. Please note any special instructions below. I also request that any prescription
medication sent to school be given in accordance with the written instructions from the physician.
STUDENT’S NAME____________________
____Tylenol/Acetaminophen (Non-aspirin) tabs as needed
_____500mg (1tab)
_____1000mg(2tab)
_____other ________________
____Ibuprofen (Advil/Motrin) tabs
_____200mg
_____400mg
_____other_________________
Any other Medication and Dosage: _________________________________________
______________________________________________________________________
Parent/Guardian__________________________________Date_____________
All medication must be in original containers or they cannot be administered by
school personnel.
August
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
September
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
October
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
November
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
December
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
January
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
February
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
March
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
April
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
May
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Administering personnel signature/initials ________________________ _______________________
Day initialed when medication given
17
The following are a few reminders we would like to share with parents and students concerning the
operation of the school day.
 ALL ELEMENTARY STUDENTS MUST WEAR CLOSED-TOED SHOES.



From time to time we have students who arrive at school before the start of the regular
school day. We have worked with parents and students in the past whenever the need for
early drop off has arisen and we will continue to do so this year. All students who arrive
before 7:50 AM are expected to report to the dome.
All students, upon entering the opening day of school, must have immunizations complete and a
birth certificate on file in the elementary office.
Students have toys, cell phones, and other personal items that they wish to bring to school.
We are asking that parents monitor what students are placing in pockets and backpacks. We
cannot be responsible for items that students may bring to school. The best prevention for
loss and/or theft is to leave the item at home. Cell phones must be off and out of sight
during the school day.
Parents play a key role in the education of their children. By working together we can ensure that all
children reach their potential. As questions or problems arise, do not
hesitate to ask for a parent-teacher conference. Our goal is to
provide a safe, fun, and enriching environment for all students. We
know that communication between home and school is essential to the
learning process and growth of children.
Lights-On After School Program: Dixie Dickerson serves as
the director for our after school program that is available every
school day until 6:00 PM, except on days when school is dismissed due to inclement weather. Lights
On is available to all students enrolled in the elementary, grades preschool to sixth, and is free of
charge. Students will be provided a snack, can participate in a variety of workshops that range from
fitness to the arts. There will be a schedule on the Lights On door. Tutoring is also available. The
program is always in need of volunteers, so please contact Dixie Dickerson if you want to get
involved. Stop by the Lights On table during the Back to School Picnic for more information. Look
for information early in the school year about evening transportation that will leave Perry Central at
5:30 Monday – Thursday with drop off points within our school district.
18
Preschool
Perry Central is committed to providing quality preschool experiences for interested families.
Preschool enrollment and orientation was held in April. Children who are four by August 1st are eligible to
attend.
There are two class sessions: Monday/Tuesday and Wednesday/Thursday. Class assignments will
be available at book rental. All efforts will be made to honor family requests for specific days of class.
If enrollment is full, students will be placed on a waiting list. All efforts will be made to enroll
interested students, but because this is not a tax-funded program, we cannot guarantee enrollment.
The fee schedule for preschool is as follows:
Daily rate:
$10/day
Reduced rate:
$6/day for students qualifying for free or reduced lunch
Other fees:
$25 snack and supply fee for the school year
Regular school lunch and breakfast are available.
Preschool fees are billed at the end of each school week, based on the number of days your child
attended and the fees are due the following week. Please remember that Perry Central’s Preschool
is a self-supporting program which means that your child’s preschool fees pay for all expenses
incurred with your child’s educational experience at Perry Central’s Preschool.
Timely payments must be made to allow your child to remain enrolled in this
self-supporting preschool program.
The first day of preschool for the Monday/Tuesday class will be Monday, Aug. 11; and the first day
for the Wednesday/Thursday section will be Wednesday, Aug 13.
 Student nametags may be picked up at book rental.
 Please refer to the School Supply List on the following page for a list of supplies your child will need
for Preschool which should be brought on the first day of school.
 All other supplies will be furnished.
 Bus drivers will contact families for pick-up times. Please call school if you have questions about
your bus route or any other questions.
Perry Central is proud to provide a preschool for our children
and is continually striving to enhance the program.
19
Perry Central Elementary School ~~2014-2015 School Supply List
PRESCHOOL
GRADE FOUR
One Tri-fold Mat for naps
One Standard Size Backpack w/room for folder
1 Large Box of Tissues
1 Box Heavy-Duty Slider Ziploc Bags (boys-gallon size; girls-quart size)
Colored Pencils OR Box of Crayons
Wide-Ruled Notebook Paper - 2 packs
1 - 2 Pocket Folder
2 Large Boxes of Tissues
1 Box Cap Erasers
KINDERGARTEN
Pencil Box or Pouch
Box of #2 Pencils - 2 packs
2 Colored Pens
1 Pkg Dry Erase Markers EXPO BRAND ONLY
2 Highlighters
Scissors
Earbuds or Headphones
Flash Drive
1 Box Ziploc Bags (quart size)
12 oz. Bottle of Germ-x
Book Satchel (NO WHEELS)
Two pkg Black Dry Erase Markers
One Large Box of Tissues
1 Box Heavy-Duty Slider Ziploc Bags (boys-quart size; girls- gallon size)
WIDE-RULED Spiral Notebook
4 Glue Sticks
Pencils
12 oz. Bottle of Germ-x
GRADE ONE
Backpack (NO WHEELS)
4 Glue Sticks
4 Large Pink Erasers
2 Dozen Pencils (no paper wrapped pencils)
Scissors (Fiskars round edge)
Two Large Boxes of Tissues
1 Box of Heavy Duty Ziploc Bags (quart size)
1 pkg. BLACK or COLORED Dry Erase Markers EXPO BRAND ONLY
12 oz. Bottle of Germ-x
NO SMALL PENCIL SHARPENERS/NOTEBOOKS
GRADE FIVE
GRADE TWO
12 oz. Bottle of Germ-x
Backpack for Laptops
NO TRAPPER KEEPERS OR SIMILAR ITEMS
Scissors
2 Glue Sticks
2 Large Boxes of Tissues
2 Dozen #2 Pencils (no large pencils)
2 Pink Erasers
Small Box for Supplies
1 Folder (2-pocket)
1 Box Heavy Duty Ziploc Bags (quart size)
1 pkg Dry Erase Markers
12 oz. Bottle of Germ-x
Earbuds
Headphones
Box of #2 Pencils
Box for Supplies (no larger than 8x6)
Colored Pencils
Scissors
2 Boxes of Tissues
2 Pink Erasers
4 Spiral Notebooks - Single Subject
Flash Drive
1 pkg Dry Erase Markers
GRADE SIX
2 dozen #2 Pencils + 10 pk for Pencil Bank
Large Pink Erasers / Pencil Erasers
Colored Pencils
Supply Box/Bag
3 Folders
Texas Instrument Scientific Calculator
2 Glue Sticks
Scissors
GRADE THREE
2 Large Boxes of Tissues
Headphones
5 Subject Notebook OR 5 Single Subject Notebooks
Flash Drive
12 oz. Bottle of Germ-x
Backpack for Laptops
NO BACKPACKS WITH WHEELS
1 Dozen #2 Pencils + 3 Dozen for Pencil Bank
Scissors
Wide Rule Spiral Notebook
1 Folder
1 Bottle Elmer's Glue
Box of 24 Crayola Crayons
2 Large Boxes of Tissues
Grades 7 - 12
2 Pink Erasers
Small Box/Pouch for Supplies (no larger than 8x6)
12 oz. Bottle of Germ-x
Earbuds
Flash Drive
2 Highlighters
Bring basic items the first day, such as paper,
pencils and/or pens. Individual teachers may
suggest other items as needed.
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BREAKFAST MENUS
A choice of cereal is also offered each day.
Milk, Juice, & Fruit served daily with Breakfast Entrée.
Friday, August 8
Biscuit & Gravy
Sausage
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Monday, August 11
Sausage Bagel
Wednesday, August 13
French Toast Sticks
Tuesday, August 12
Blueberry Muffin
Thursday, August 14
Breakfast Pizza
Friday, August 15
Biscuit & Gravy
Sausage
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Monday, August 18
Tuesday, August 19
Wednesday, August 20
Sausage Bagel
Blueberry Muffin
French Toast Sticks
Thursday, August 21
Breakfast Pizza
Friday, August 22
Biscuit & Gravy
Sausage
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Monday, August 25
Tuesday, August 26
Wednesday, August 27
Sausage Bagel
Blueberry Muffin
French Toast
Thursday, August 28
Breakfast Pizza
Friday, August 29
Biscuit & Gravy
Sausage
"The USDA is an equal opportunity provider and employer."
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LUNCH MENUS
Peanut Butter & Jelly Sandwiches are offered each day
Milk and Fruit are served with lunch entrée.
Carrot & Celery Sticks & Cauliflower are offered daily.
Friday, August 8
Bosco Sticks w/Marinara Sauce
French Fries / Applesauce
++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Monday, August 11
Country Fried Steak Sandwich /
Gravy
Mashed Potatoes / Green Beans
Pears
Wednesday, August 13
Sausage / Egg / Biscuit
Hashbrown / Gravy / Cooked Apples
Tuesday, August 12
Corn Dog / Baked Beans
Peaches
Thursday, August 14
Pulled Pork Sandwich
Mixed Vegetables / Pudding
Fresh Fruit
Friday, August 15
Cheese Pizza
Corn / Mixed Fruit
++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Monday, August 18
Chicken Nuggets / Bread
Green Beans / Apple Crisp
Tuesday, August 19
Taco Salad
Corn / Peaches
Wednesday, August 20
Hamburger on Bun
Baked Potato Half / Cole Slaw
Pineapple
Friday, August 22
Bosco Sticks / Marinara Sauce
French Fries / Applesauce
Thursday, August 21
Pork Patty on Bun
Mixed Vegetables / Fresh Fruit
++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Monday, August 25
Country Fried Steak Sandwich /
Gravy
Tuesday, August 26
Wednesday, August 27
Chicken Patty on Bun
French Fries / Peaches
Lasagna / Corn
Garlic Biscuit / Mixed Fruit /
Cookie
Mashed Potatoes / Green Beans
Pears
Thursday, August 28
Sloppy Joe Sandwich
Mixed Vegetables / Fresh Fruit
Friday, August 29
Fish Sandwich
Peas / Pasta Salad / Applesauce
++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Grades 3 & 4 will have an additional choice of the Salad Bar DAILY.
Grade 5 - 12 will have an additional choice of a Sub Entrée, Soup & Sandwich Entrée, or the Salad Bar DAILY.
"The USDA is an equal opportunity provider and employer."
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Perry Central Community School Corporation
18677 Old State Road 37
Leopold, IN 47551
(812) 843-5576
FAX (812) 843-4746
Mary Roberson, Superintendent
August 1, 2014
Dear Parents and Guardians:
In accordance with the Elementary and Secondary Education Act, Section 1111(h)(6)
PARENTS' RIGHT TO KNOW, this is a notification from Perry Central Community School
Corporation to every parent of a student in a Title I school that you have the right to request and
receive information in a timely manner regarding the professional qualifications of your student's
classroom teachers. This information regarding the professional qualifications of your student's
classroom teachers shall include the following:
• If the teacher has met state qualification and licensing criteria for the grade level and subject
areas taught;
• If the teacher is teaching under emergency or temporary status in which Indiana qualifications
and licensing criteria are waived;
• The teachers baccalaureate degree major, graduate certification, and field of discipline; and
• Whether the student is provided services by paraprofessionals, and if so, their qualifications
If at any time your student has been taught for 4 or more consecutive weeks by a teacher that is
not highly qualified, you will be notified by the school of this information.
If you have questions or concerns, please feel free to contact Ray James, Perry Central
Elementary Principal at 812-843-5122, or me at 812-843-5576.
Sincerely,
Mary Roberson
Superintendent
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McKinney-Vento Homeless Information
Children and youth experiencing homelessness find shelter in a variety of places. To help educators identify homeless children,
the McKinney-Vento Act defines who is considered homeless. According to the U.S. Department of Education, people living in
the following situations are considered homeless:
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Doubled up with family or friends due to economic conditions;
Living in motels and hotels for lack of other suitable housing;
Runaway and "Throwaway" children and youth;
Homes for unwed or expectant mothers for lack of a place to live;
Homeless and domestic violence shelters;
Transitional housing programs;
The streets;
Abandoned buildings;
Public places not meant for housing;
Cars, trailers, and campgrounds;
Awaiting fostercare; or
Migratory children staying in housing not fit for habitation.
The McKinney-Vento Act provides certain rights for homeless students. They include waiving certain requirements such as
proof of residency when students are enrolling and allowing categorical eligibility for certain services, such as free textbooks.
The Act also states:
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Homeless students may attend their school of origin or the school where they are temporarily residing;
Homeless students must be provided a written statement of their rights when they enroll and at least two times per
year;
Homeless students may enroll without school, medical, or similar records;
Homeless students have a right to transportation to school;
Students must be provided a statement explaining why they are denied any service or enrollment;
Students must receive services, such as transportation, while disputes are being settled;
Students are automatically eligible for Title I services;
School districts must reserve a portion of Title IA funds to serve homeless students;
School districts must review and revise policies that provide barriers to homeless students;
Schools must post information in the community regarding the rights of homeless students, in schools and other places
that homeless families may frequent; and
School districts must identify a McKinney-Vento Liaison to assist students. (Tara Bishop – [email protected], or
call 812-843-5576)
*********************************************************************
Don’t forget to update Skyward information in the High School
Office, Elementary Office or online using your student’s Skyward
account (usernames and passwords will be emailed in the next few
days – watch your email for this information).
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