ASES Student Enrollment Form Hmong

Department of Special Projects
Kev Kaj Huv Thiab Kawm Pab Ntxiv Tom Qab Kawm Ntawv Tas
Daim Ntawv Sau Npe
2014-2015
Me Nyuam Lus Npe:
Qib:
Hnub:Xib Fwb:
Kev Pom Zoo Rau Lub Khoos Kas ASES Cov Hom Phiaj
Thov ua tib zoo nyeem cov lus yuav hais los nram no. Thaum nyeem tas, kos npe tias koj to taub zoo thiab txaus siab.
1. NYAJ TXIAG PAB THIAB TXAIS KAWM: Nyiaj pab thiab txais kawm muaj tsawg. Thaum txais tau nej daim ntawv thov nyiaj
pab law, cov thawj tswj saib xyuas mam li yuav teb nej tias nej tus me nyuam tau mus kawm, yog tias nws yog tus raug xaiv tau
lawm.
2. KEV MUS KAWM: Mus kawm kom cuag ncua yog ib qho tseem ceeb . Yog tus me nyuam tseg peb zaug sib law tsis mus
kawm, yam tsis muaj ib qho tseem ceeb los zeem, nws yuav raug tshem tawm. Muaj ntsib kws tshuaj, mob tiag, los lwm yam
yuav tsum tau ntawv tso cai ntawm cov thawj tswj ASES mas thiaj zam tau.
3. CAI TAWM NTXOV: Raws li lub Xeeb thiab Tsoom Hwv kev pab tus cai mas kev kawm ASES yuav kawm tom qab kawm
ntawv tas, mus txog rau 6:00 tsaus ntuj.Tus me nyuam mus kawm ASES yuav tau txais txhua yam kev pab, yuav tau mus
kawm kom cuag ncua, kawm kom tau ob yam ntawm peb yam hais nram no, (academic, recreation or enrichment) thiab
kawm txhua zaus uas muaj kawm. Tus me nyuam kawm tsis cuag ncua los puas raug niam txiv muab rho tawm ua ntej yuav
raug txiav nyiaj pab.
Tawm ntxov muaj kev zeem tseeb, zam tau:
Teeb meem tsev neeg (xws li, ploj tuag hauv tsev, xwv txheej tshwm sim, etc.).
Raug mus kawm lwm yam (programs in the school or community such as, clubs, performing arts, sports, etc.).
Mus ntsib kws tshua j(Doctor note must be provided to ASES).
Teeb meem, tus me nyuam, nws mob thaum tseem kawm ntawv (cov xib hwb yuav tsum hu rau niam txiv paub).
Lwm yam kev kaj huv pom zoo los ntawm tsoom tuav kev ruaj ntseg.
4. TOS ME NYUAM: Thaum tos, koj, los tus koj tso cai tos yuav tsum yog tus muaj npe hauv daim ntawv tso cai (i.e.
txheeg ze, phooj ywg, cov thawj coj).Tuaj tos tus me nyuam sai li sai tau tom qab kawm ASES tas. Yog koj tsis tuaj
tos me nyuam kom cuag ncua, peb yuav tiv tauj koj los sis cov neeg nyob hauv tus me nyuam daim emergency card.
Tsis tas li ntawd, peb uas tiv tauj tub ceev xwm yog peb pom tias nws yob ib qho kev txhawj xeeb. Yog tuaj tos me
nyuam lig ntau zaus, koj tus me nyuam yuav raug rho tawm ntawm ASES.
5. COJ NRUJ: Kawm ASES yog yam kawm luag muab pub tus me nyuam kawm pab.Tsis rau siab,cwj pwm tsis zoo, tsis
hwmcov xib hwb los cov me nyuam kawm nrog nws,kuj yuav tau muab tshem tawm.Tsoom niam txiv yuav tau nrog lawv tus me
nyuam tham thiab qhia tsoom thawj tswj txog ntawm nws tus cwj pwm.
6. CAI SAIB XYUAS: ASES tsis them tej nuj nqi uas tshwm sim rau tus me nyuam thaum tseem kawm, xws li raug mob.
ASES kuj tsis pauj tej yam khoom ntawm tus me nyuam uas tau ploj .
7. NIAM TXIV KEV KOOM TES: ASES cov neeg ua hauj lwm thiab cov qhia yog cov paub thiab tsim nyog siv tau los pab qhia
me nyuam.Txawm li ntawd los, tsoom niam txiv yuav tau muaj kev koom tes los sib pab thiab kom cov hom phiaj no khiav tau
zoo rau me nyuam. Yog muaj siab yuav pab tiag thov hu tuaj rau ASES cov thawjtswj.
Kuv tau nyeem thiab to taub txog ASES txoj kev mus kawm kom cuag ncua, tawm ntxov,tos me nyuam nrog rau lwm yam, yog
muaj.
Niam Txiv/Tus Saib Npe:
Hnub:
10-8-14MV
Ib Tug Me Nyuam Siv Ib Daim Ntawv Ua Npe Kawm ASES:
Me nyuam npe
Hnub Yug
Me nyuam chaw nyob
Hnub nyoog
Nroog
Zip
Niam Txiv/Tus Saib: __________________________________ Koj yog leej twg: Niam
Xov tooj nruab hnub:
Tsaus ntuj:
Niam Tshiab
Xov tooj ntawm tesl:
Niam Txiv/Tus Saib npe: __________________________________ Koj yog leej twg: Txiv
Xov tooj nruab hnub:
Tus Saib xyuas
Tsaus ntuj:
Txiv Tshiab
Tus Saib xyuas
xov tooj ntawm tes:
Tus me nyuam puas yog kawm ntxiv tsaib no mus hauv ASES?
Kawm
Tsis kawm
ZOO NEEJ THIAB MOB NKEEG:
Tsis tau
1. Raug phais, mob thiab mob loj: Raug
Yog muaj, piav qhia:
2.Tsis haum lwm yam ua mob (allergies)
3. Cev mob, hlwb qeeb, kev sib fim los tej yam tsis tau hais txog yuav ua rau tus me nyuam ntsib kev nyuaj yog mus kawm?
4. Npe tshuaj noj:
5. Tej yam uas tus me nyuam yuav ua tsis tau vim niam txiv los tus saib thiab kws tshuaj tau txwv? Muaj
Tsis muaj
Yog muaj, qhia:
Yam sau txog tus me nyuam, sau txhij thiab yog lawm. Kuv to taub tias yog ib yam kev kaj huv rau kuv tus me nyuam, rau tas
tsoom ua hauj lwm thiab tsoom tub kawm,yog muaj dab tsi tshwm sim thov qhia tuaj sai li sai tau.Yog tej thaum hu tsis tau kuv
thov coj tus me nyuam mus cuag kws tshuaj, txhua yam rau nqi li cas kuv mam ua tus them tas nrho. Kuv paub tias tsev kawm
ntawv thiab ASES tsis them nqi kho mob, xws li, ntawv kho mob los kho hniav thaum raug tsoo mob thaum tseem kawm ASES.
Niam Txiv /Tus Saib Kos Npe:
Hnub:
CAI TAWM:
Tsis muaj teeb meem yog ib qho tseem ceeb nyob hauv ASES.Tsis muaj ib tug me nyuam twg yuav tso tau mus tsev yog niam txiv
los tus saib tsis tuaj kos npe tos raws li cov npe muaj nram no.
(Note: Cov npe teev nram no yuav tsum tshaj 18 xyoo,kuj yuav muaj saib ntaub ntawv zeem
neeg.)
Npe
Xov tooj
Leej twg
Npe
Xov tooj
Leej twg
Npe
Xov tooj
Leej twg
Koj tus me nyuam yuav mus tsev li cas?
Niam Txiv /Tus Saib Kos Npe:
Niam txiv tos
Luv npav (Nres:
)
Musko taw
Hnub:
10-8-14MV
TSO CAI TSHAJ TAWM:
Tso cai tso duab tawm, piav txog tus me nyuam kev kawm ua tau zoo hais txog kis las, lwm yam kev ua si los sis kev kawm pem
tsev kawm ntawv, kev txais khoom plig los sis kev zoo siab yuav muab tso rau hauv ntawv xov xwm, TV, CUSD Today, District web
site los sis lwm lub koom haum zoo li ntawm no. Kos npe, sau hnub rau nram no ua kev tso cai tshaj tus me nyuam tawm. Tsis muaj
hais txog chaw nyob thiab xov tooj.
Niam Txiv /Tus Saib Kos Npe:
Hnub:
TSO CAI SIV INTERNET
Kuv tso cai rau kuv tus me nyuam siv Internet. Vam tias qhov ntawd yuav pab tus me nyuam txoj kev kawm pab rau nws tus kheej
los ntawm cov vas sab thiab ntawm kev kawm siv .
Niam Txiv /Tus Saib Kos Npe:
Hnub:
SAIB XYUAS RIS NQI
Kuv kos npe tseg tias kuv tso cai rau kuv tsev neeg ,cov me nyuam,tsoom saib xyuas,rau cov tuav txoj hauj lwm, cov neeg uas
raug xaiv tsa los tswj thiab saib koog tsev kawm ntawv, pawg neeg raug xaiv tsa, cov neeg ua hauj lwm pem tsev kawm ntawv,
los sis lub District kom lawv muaj cai qhia kuv txog ntawm tej kev puas ntsoog kuv tus me nyuam tau ua lub sij hawm tseem
kawm ASES. Kuv tus kheej los kuj yuav tsis nrhiav teeb meem rau leej twg yog tias kuv tus me nyuam tau raug mob los tej yam
teeb meem rau nws tus kheej. Kuv to taub zoo txog txoj cai..
Niam Txiv/Tus Saib Kos Npe
Hnub:
------------------------------------------------------------------------------------------------------------------------------------Site Coordinator/Lead Use Only
Received By:
Program Leader assigned:
Date application is received
First day of enrollment:
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Attended Mandatory Parent Meeting:
Yes
No
Enrollment Form Completed:
Yes
No
/
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When?
Dismissal From Program
Student drop from program on
Reason for drop:
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Behavior
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Site Coordinator/Lead Initial:
Attendance
Parent Requested
10-8-14MV