Resources, Lists, and Forms
Resources, Lists, and Forms
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Online Registration Frequently Asked Questions
- What does it mean “Primary Household Phone”?
- If the school is trying to reach that family, what is the first telephone number they should try calling.
- If the school is trying to reach that family, what is the first telephone number they should try calling.
- The address is required but I live in a crisis shelter or I am currently homeless (living in car or park)?
- Use the district address of 901 Poyntz Ave. or the school’s address.
- Use the district address of 901 Poyntz Ave. or the school’s address.
- What if I am living in temporary housing such as a hotel or motel?
- Please provide the address of the hotel or motel. If you qualify for transportation the bus will use that location to pick up and drop off the student(s).
- Please provide the address of the hotel or motel. If you qualify for transportation the bus will use that location to pick up and drop off the student(s).
- What should I use as the “Home Address” when the student lives part-time with Mom and part-time with Dad?
- Factors to consider: Where does this student reside during school nights? Is this address zoned for the school the child is attending? If eligible for transportation, what address should determine bus pick up?
- Factors to consider: Where does this student reside during school nights? Is this address zoned for the school the child is attending? If eligible for transportation, what address should determine bus pick up?
- What if I don’t see the student’s other parent listed?
- Good chance they were setup as a secondary household. Due to privacy, we do not display any information about guardians in the secondary household.
- Good chance they were setup as a secondary household. Due to privacy, we do not display any information about guardians in the secondary household.
- What if I don’t know one of the guardian’s date of the birth?
- Please enter date of 01/01/1900.
- Please enter date of 01/01/1900.
- What if it prompted me to enter an emergency contact phone for a pre-school or other child living in the household not attending school?
- There is a flaw in the online system. Please enter 999-999-9999 for the phone number.
- What does it mean “Primary Household Phone”?
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Online Registration Guide
This is a step-by-step guide for online registration for a new USD 383 student using Infinite Campus on a desktop computer/laptop.
The individual screen may look a little different when using other devices, including the app. The screen may also look a little different if you have previously registered a student in the district. The questions and the content remain the same device-to-device.
There may be some differences by the time online registration opens in mid-July (such as the year selected). This is just to provide you with an overview of how online registration looks and what type of information will be needed to complete the registration process.
All questions with an asterisk * are required questions.
Step 1
- Open USD 383 Online Registration.
- Click continue when the page has loaded.

Step 2
- Select the school year that you are registering for.

Step 3
- Fill out information requested for the parent/guardian including first and last name, email address.
- If your student has attended any USD 383 school – including a USD 383 Early Learning Center, select yes.
- If this is your first time in the district, select no.
- Make sure to check the CAPTCHA.
- Click Begin Registration.

Step 4
- Make sure pop-ups are enabled on your device if using an internet browser.
- Look for your application number in the upper right corner – write it down.
- Type your name (not your student’s name) in the box and click sign.

Step 5
- Add the primary household phone number.
- This is the phone number that the school will use first if they need to speak with someone.

Step 6
- Add your home address.
- Begin typing your address and select it from the listed addresses.
- If it is not listed, select the highlighted section.

Step 7
- Confirm your address and click Save.

Step 8
- Continue to add in parent/guardian information.

Step 9
- Continue to add in parent/guardian information.

Step 10
- Add in military service information.

Step 11
- To add an additional parent/guardian, select add new parent/guardian.
- Fill out all of the required information for the additional parent/guardian.

Step 11.5
- This is what your screen should look like after adding another parent/guardian.
- If you need to edit or review the parent/guardian information, you can do that by clicking the Edit/Review button.
- If you need to add an additional parent/guardian, click the Add New Parent/Guardian button.
- When you are ready move on, click the Save/Continue button.

Step 12
- Add emergency contacts
- Emergency contacts would be someone the school could contact if the parent(s)/guardian(s) are not available. An example would be a grandparent, aunt/uncle, or neighbor. If an emergency contact is called and responds to the school, they will need to show a photo ID.

Step 13
- Continue adding emergency contact information.
- Once completed, click Save/Continue.

Step 14
- Continue entering emergency contact information.

Step 15
- Final confirmation for emergency contacts.
- If you would like to add additional emergency contacts, click the Add New Emengency Contact
- If you need to update emergency contacts throughout the school year, your school office professional will be able to assist you.

Step 16
- If you have a child who is new to the district, click the Add New Student button.
- If you have other children who have been in the district before, they will be visible here.

Step 17
- Complete information to new student(s).
- Confirm information for returning student(s).

Step 18
- Complete the information for your child’s race ethnicity.

Step 19
- Complete the information for any services that your student receives.

Step 20
- Is your student applying to be a full-time student with Manhattan Virtual Academy?
- Use the drop down to answer yes or no.
- If yes, follow the instructions.

Step 21
- Is your student living in foster care placement?
- Use the drop down to answer yes or no.

Step 21.5
- If yes, follow the instructions.
- If no, read through the student current housing situation and answer the questions.

Step 22
- Does anyone in the home speak a language other than English?
- Use the drop down to answer yes or no.

Step 23
- Fill out the information about previous school(s) your child attended.

Step 24
- Does the student have U.S. American Indian/Alaska Native ancestry?
- Use the drop down to answer yes or no.

Step 25
- Parent/Guardian must decide on relationships and the order of contact if the school needs to reach a parent/guardian.
- At least one parent/guardian must be marked as Guardian.

Step 26
- Parent/Guardian will continue defining relationship and contact order with the emergency contacts for the child.

Step 27
- Additional information requested concerning military dependent student, custody arrangements and any other individuals that can contact and/or transport the student.
- Parent/guardian can also provide the DayCare Provider name and phone number.

Step 28
- Does the student live 2.5 miles from the designated school of attendance?
- Answer yes or no.

Step 29
- Has the parent/guardian or a family member moved in the last 36 months related to agriculture or fishing related work?
- Was the student born in the United States?
- Use the drop down to answer yes or no.

Step 30
- Does your student require medication(s) at school?
- Click no or add medications and enter the required information.
- Your school nurse will contact you.

Step 30.5
- If your student requires medication adminstration at school, you must fill out the Authorization Form and bring it your child’s school.
- Your school nurse will contact you.

Step 31
- Health services information related to your child – health insurance information, name of health provider, name of dental provider.
- Acknowledgement of vision, hearing and dental screenings.
- Consent for immunization information to be shared with the Kansas Immunizations Program.
- Permission for cough drops.

Step 32
- Does your student have a medical condition?
- Click no or add condition and enter the required information.
- Your school nurse will contact you.

Step 33
- Complete the Household Economic Survey.

Step 34
- Complete the consent for disclosure for the national school lunch program.

Step 35
- Information about the USD 383 communications platform – ParentSquare.

Step 36
- Complete the Release Agreements.

Step 37
- Complete the acknowledgement of Required Notices.

Step 38
- Complete the final 3 questions – entering the application number, type the parent signature, and enter today’s date.
- Click the save/continue button.

Step 39
- Final Step!
- Submit the online registration.

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Annual Notice of Authorized Student Data Disclosures
In accordance with the Kansas Student Data Privacy Act (2014), student data submitted to or maintained in a statewide longitudinal data system may only be disclosed as follows. Such data may be disclosed to:
- The authorized personnel of an educational agency or the state board of regents who require disclosures to perform assigned duties; and
- The student and the parent or legal guardian of the student, provided the data pertains solely to the student.
Student data may be disclosed to authorized personnel of any state agency, or to a service provider of a state agency, educational agency, or school performing instruction, assessment, or longitudinal reporting, provided a data-sharing agreement between the educational agency and other state agency or service provider provides the following:- purpose, scope and duration of the data-sharing agreement;
- recipient of student data use such information solely for the purposes specified in agreement;
- recipient shall comply with data access, use, and security restrictions specifically described in agreement; and
- student data shall be destroyed when no longer necessary for purposes of the data-sharing agreement or upon expiration of the agreement, whichever occurs first.
- A service provider engaged to perform a function of instruction may be allowed to retain student transcripts as required by applicable laws and rules and regulations.
Unless an adult student or parent or guardian of a minor student provides written consent to disclose personally identifiable student data, student data may only be disclosed to a governmental entity not specified above or any public or private audit and evaluation or research organization if the data is aggregate data. “Aggregate data” means data collected or reported at the group, cohort, or institutional level and which contains no personally identifiable student data.The district may disclose:
- Student directory information when necessary and the student’s parent or legal guardian has consented in writing;
- directory information to an enhancement vendor providing photography services, class ring services, yearbook publishing services, memorabilia services, or similar services;
- any information requiring disclosure pursuant to state statutes;
- student data pursuant to any lawful subpoena or court order directing such disclosure; and
- student data to a public or private postsecondary educational institution for purposes of application or admission of a student to such postsecondary educational institution with the student’s written consent.
Notificación Anual de Accesos Autorizados de Información del EstudianteDe acuerdo con la Ley de Privacidad de Información del Estudiante de Kansas (2014), los datos del estudiante enviados o que se mantiene en el sistema longitudinal de información estatal pueden ser divulgados de la siguiente forma. Esta información puede ser divulgada a:
- El personal autorizado de una agencia del estado o la Junta Estatal de Educación que requiere la información para llevar a cabo sus deberes; y
- el estudiante y los padres o tutor legal del estudiante, provisto que la información le pertenece solamente al estudiante.
La información del estudiante puede ser divulgada al personal autorizado de una agencia del estado o a un proveedor de una agencia estatal, una agencia educativa, o a un acuerdo de información compartida de datos sobre desempeño de enseñanza en las escuelas, evaluaciones, o reportes longitudinales entre la agencia educativa y otra agencia del estado o proveedor de educativo. La divulgación debe acompañar lo siguiente:
- Propósito, rango y duración del acuerdo de información compartida de datos;
- uso de la información recibida del estudiante. Dicha información debe ser usada solamente con el propósito especificado en el acuerdo;
- el receptor de la información debe cumplir con el acceso a los datos, el uso, y lasrestricciones de seguridad específicamente descritas en el acuerdo, y
- la información del estudiante deberá ser destruida cuando ya no sea necesaria a lospropósitos del acuerdo de información compartida de datos o cuando haya expirado elacuerdo, cualquiera que ocurra primero.
- Un proveedor de servicios que participa llevando a cabo un papel en lainstrucción se le puede permitir mantener las transcripciones de los estudiantessi se requiere, de acuerdo a las leyes, reglas y regulaciones.
- Un proveedor de servicios que participa llevando a cabo un papel en lainstrucción se le puede permitir mantener las transcripciones de los estudiantessi se requiere, de acuerdo a las leyes, reglas y regulaciones.
A menos que un estudiante mayor de edad o un padre o tutor legal de un estudiante menor de edad provea consentimiento por escrito para divulgar información personal identificable del estudiante, la información del estudiante puede ser compartida solamente a una agencia gubernamental no especificada anteriormente o en cualquier auditoría pública o privada y a una organización de evaluación o investigación si los datos son agregados. “Datos agregados” significa que la información puede ser recabada o reportada a un grupo, cohorte o nivel institucional y que contiene información personal no identificable.
El distrito puede divulgar:
- Información de directorio del estudiante cuando sea necesaria y el padre o tutor legal del estudiante provea un consentimiento por escrito;
- Información de directorio a un proveedor de servicios fotográficos, anillos de graduación, impresiones de anuarios, productos para el recuerdo y otros;
- cualquier información que requiera ser divulgada conforme con la ley estatal;
- información del estudiante solicitada a través de una citación legal o una orden de la corte; y
- información del estudiante a una institución post-secundaria pública o privada con el propósito de completar una aplicación o admisión de un estudiante a dicha institución educativa post secundaria con el consentimiento por escrito del estudiante
Annual Notice of Authorized Student Data Disclosure - Pashto
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The US Department of Education requires that Manhattan-Ogden USD 383 determine the number of children attending school who live in homes where a language other than English is spoken. Federal law also requires that Manhattan-Ogden USD 383 test the English proficiency of all children who live in homes where a language other than English is spoken within 30 days of their enrollment. The information on this survey also provides the basis for Federal Title III funding for the school district that provide testing, English language education for PK-12 students, curriculum materials and ESOL professional development for Manhattan-Ogden USD 383 teachers and staff. The information on this form will not be released without your written approval. The ESOL and school staff will reach out to you if your students require the Home Language Survey.
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Race and Ethnicity Data Collection FAQ
Questions parents and students may ask regarding the Federal Government’s revised race and ethnicity data collection categories
Why is this information needed?
In the last few decades, the demographics of our society have changed significantly. As a result, the Federal Government issued revised race and ethnicity reporting categories which allow students and staff to describe who they are in a more accurate manner. This information is also used for funding and evaluation purposes, as well as civil rights compliance. Racial and ethnic data also aids in evaluating placement and program needs. The U.S. Census utilized these new categories in 2000, and education and human service agencies will follow.
Haven’t we provided this information before? Why do you need to ask again?
The Federal government is collecting this data in a different way. To ensure that everyone has the opportunity to identify him or herself more accurately, the data is being recollected.
Will the school release my student’s race and ethnicity to other parties?
Individual student records are protected by the Federal Education Records and Privacy Act (FERPA). The new race and ethnicity standards have no effect on FERPA’s protection of student records. FERPA does not designate race and ethnicity as directory information, and race and ethnicity have the same protection as any other non-directory information in a student’s education record. This information will not be reported to any Federal agency in a way that would identify you or your child. No one will check immigration status from the information you give here, nor will your student be discriminated against in any way. However, the total number of students in each category of each school is reported to ensure schools are receiving the proper educational programs and services they need.
Why do Hispanic/Latino students need to identify a race?
The Federal Government recognizes the fact that members of Hispanic populations can be of different races. Marking a person’s race and ethnicity are two parts of one question. If the question is not answered completely, an observer must fill in the missing information on the person’s behalf.
Can I refuse to provide this information?
Yes one may choose not to provide this information; however, if one chooses not to provide such information, schools are required to provide an answer on one’s behalf.
Recolección de Datos sobre Raza y Etnicidad Preguntas Más Frecuentes
Preguntas que los padres y los estudiantes pueden tener con respecto a las categorías revisadas de recolección de datos sobre raza y etnicidad del Gobierno Federal
¿Por qué se necesita esta información?En las últimas décadas, la demografía de nuestra sociedad ha cambiado significativamente. Como resultado, el Gobierno Federal publicó las categorías revisadas sobre raza y etnicidad, la cual le permite a los estudiantes y al personal identificar quiénes son de una manera más efectiva. Esta información es también usada con la finalidad de fines evaluativos y de financiación, así como también con el cumplimiento de los derechos civiles. La información racial y étnica también ayuda en la evaluación de asignaciones y las necesidades de los programas. El Censo de los Estados Unidos utilizó éstas nuevas categorías en el 2000, y los organismos de educación y servicios humanos seguirán estas categorías.
¿Hemos proporcionado esta información anteriormente? ¿Por qué necesitas preguntarnos de nuevo?
El Gobierno Federal está recolectando esta información de diferentes formas. Los datos están siendo recolectados para asegurarse que todos tengan la oportunidad de identificarse mejor.
¿La escuela le dará la información de mi estudiante referente a la raza y etnicidad a otras partes?
Los registros individuales de los estudiantes están protegidos por la Ley de Derechos Educativos y de Privacidad de la Familia (FERPA). Los nuevos estándares de raza y etnicidad no tienen consecuencia en la protección de los registros de los estudiantes en la FERPA. FERPA no designa raza o etnicidad en la información del directorio, y raza y etnicidad tienen la misma protección en los registros educativos del estudiante que cualquier información que no esté referida en el directorio. Esta información no será reportada a ninguna agencia federal en ninguna manera que pueda identificarlo a usted o a su hijo. Nadie va a revisar el estado migratorio de la información que usted de aquí, ni tampoco su estudiante será discriminado de ninguna forma. Sin embargo, el número total de estudiantes en cada categoría de cada escuela es reportado para asegurarse que las escuelas están recibiendo los programas apropiados de educación y los servicios que ellos necesitan.
¿Por qué los estudiantes hispanos/latinos necesitan identificar una raza?
El Gobierno Federal reconoce el hecho de que los miembros de la población hispana pueden ser de diferentes razas. Completando la información referente a la raza y la etnicidad de una persona representa dos partes de una pregunta. Si la pregunta no es contestada completamente, un testigo puede completar la información en nombre de la persona.
¿Me puedo negar a contestar la pregunta?
Si, uno puede decidir no dar la información. Sin embargo, si uno decide no dar esta información, se les pide a las escuelas que provean una respuesta de parte de la persona.
Kansas State Department of Education Topeka, Kansas
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School Health Assessment Record
Visit the School Health page for more information and for forms
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Kindergarten through Grade 5 School Supply List
Kindergarten
- 1 backpack
- 1 supply box
- 24 pencils
- 1 pack or 4 or more black Expo markers
- 4 boxes of 24-count crayons
- 2 boxes of 8 or 10-count markers
- 1 8-colored watercolor paint set (prefer Prang brand)
- 1 pair of 5 inch scissors
- 2 permanent fine-point markers
- 8 glue sticks
- 1 bottle of liquid glue
- 1 bottle (8oz) hand sanitizer with hand pump
- 2- 4 containers of disinfectant wipes
- 2-4 boxes of tissues
- 1 package of baby wipes
- 1 set plug-in headphones (not earphones/buds)
- 1 box of Ziploc bags (quart of gallon size)
1st Grade
- 1 backpack
- 1 supply box
- 24 pencils
- 2 large erasers
- 2 pack or 4 or more black Expo markers
- 2 fine point black permanent markers
- 2 boxes of 24-count crayons
- 1 box of 8 or 10-count markers
- 6-8 glue sticks
- 1 pair of 5 inch scissors
- 1 plastic 2-pockete folder (3-hole punch; no prongs; any color)
- 1 spiral notebook
- 1 one-inch three-ring binder
- 1 bottle of hand sanitizer
- 1-2 containers of disinfectant wipes
- 2-4 boxes of tissues
- 1 set plug-in headphones (not earphones/buds)
2nd Grade
- 1 backpack
- 1 supply box
- 24 #2 wooden pencils
- 4 large erasers
- 1 pack of 4 or more black dry erase markers
- 2 boxes of 24-count crayons
- 1 box of 8 or 10-count markers
- 6 – 8 glue sticks
- 1 box of 12-count colored pencils
- 1 pair of 5 inch scissors
- 4 pocket folders (3-hole punch; no prongs; any colors)
- 2 highlighters
- 1 K-2 primary composition notebook
- 1 regular composition notebook
- 1 bottle of hand sanitizer
- 4 containers of disinfectant wipes
- 4 boxes of tissues
- 1 set of earbuds or headphones
3rd Grade
- 1 backpack
- 1 supply box
- 24 pencils
- 4 large erasers
- 1 pack of 4 or more dry erase markers (prefer black or dark colors)
- 2 fine point black permanent markers
- 2 boxes of 24 count markers
- 4 glue sticks 1 box of 12-count colored pencils
- 1 pair of 5 inch scissors
- 3 2-pocket folders (3-hole punch; no prongs; any colors)
- 2 highlighters
- 1 one-inch three ring binder
- 3 notebooks
- 1 bottle hand sanitizer (for students with last name starting A – I)
- 1-2 containers of disinfectant wipes (for students with last name starting J – R)
- 2-4 boxes of tissues
- 1 set earbuds or headphones
- Ziplock bags – gallon or quart size (for students with last name starting S – Z)
4th Grade
- 1 backpack
- 1 supply box
- 24 pencils
- 4 large erasers
- 1 pack of 4 or more dry erase markers (prefer black or dark colors)
- 2 fine point black permanent markers
- 2 box of 24-count crayons
- 1 box of 8 or 10-count markers
- 6-8 glue sticks
- 1 box of 12-count colored pencils
- 1 bottle of liquid glue
- 1 pair of 7 inch scissors
- 4 pocket folders (3-hole punch; no prongs; any colors)
- 2 highlighters
- 1 package of loose leaf, wide-ruled paper
- 2 composition notebooks
- 2 spiral notebooks
- 1 bottle of hand sanitizer
- 1-2 containers of disinfectant wipes
- 2-4 boxes of tissues
- 1 set of earbuds/headphones
5th Grade
- 1 backpack
- 1 supply box
- 24 pencils (or more)
- 4 large erasers
- 1 pack of 4 or more dry erase markers (black)
- 2 fine point black permanent markers
- 1 box of 24-count crayons
- 1 pair of 7 inch scissors
- 4 pocket folders (3-hole punch; no prongs; any colors)
- 2 highlighters
- 1 pack loose leaf, wide-ruled notebook paper
- 2 spiral-bound notebooks
- 1 one-inch three-ring binder
- 1 bottle of hand sanitizer
- 1-2 containers of disinfectant wipes
- 2-4 boxes of tissues
- 1 set of earbuds or headphones
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Grades 6 – 8 School Supply List
Additional donations of any of the following supplies are always welcome and appreciated!
6th Grade- 2 packages of 12-count #2 pencils
- 1 pen (black or blue)
- 1 Stylus with pencil like tip (optional)
- 1 12-count colored pencil set
- 2 highlighters
- 1 one-inch three-ring binder
- 1 package of 6 tab dividers (for 3 ring notebook)
- 1 package of fill paper, wide rule (150 sheets)
- 1 glue stick
- 1 set of Earbuds (inexpensive)
- 1 set of dry erase markers (4 pack)
- 1 container of disinfectant wipes
- 3 boxes of facial tissues
- 5 composition books
- 1 black ultra and/or fine black Sharpie (for art class)
- PE shirt (purchase for $5 from the school’s PE Department)
- Athletic shorts (black/dark) – bring a pair from home
- Tennis shoes for PR (must be lace tied shoes) – bring from home
7th Grade
- 2 packages of 12-count #2 pencils
- 1 pen (black or blue)
- 1 Stylus with pencil like tip (optional)
- 1 12-count colored pencil set
- 1 spiral notebook (college rule)
- 2 highlighters
- 1 one-inch three-ring binder
- 1 package of 6 tab dividers (for 3 ring notebook)
- 4 pocket folders (no prongs)
- 1 package of fill paper, college rule (150 sheets)
- 1 glue stick
- 1 black fine point Sharpie
- 1 small pack of hot glue sticks (can be large or small sticks)
- 1 set of Earbuds (inexpensive)
- 1 set of dry erase markers (4 pack)
- 1 container of disinfectant wipes
- 3 boxes of facial tissues
- PE shirt (purchase for $5 from the school’s PE Department)
- Athletic shorts (black/dark) – bring a pair from home
- Tennis shoes for PR (must be lace tied shoes) – bring from home
8th Grade
- 2 packages of 12-count #2 pencils
- 1 pen (black or blue)
- 1 Stylus with pencil like tip (optional)
- 1 12-count colored pencil set
- 3 composition books
- 2 highlighters
- 1 one-inch three-ring binder
- 1 package of 6 tab dividers (for 3 ring notebook)
- 4 pocket folders (no prongs)
- 1 package of fill paper, college rule (150 sheets)
- 1 glue stick
- 1 black fine point Sharpie
- 1 small pack of hot glue sticks (can be large or small sticks)
- 1 set of Earbuds (inexpensive)
- 1 set of dry erase markers (4 pack)
- 1 container of disinfectant wipes
- 3 boxes of facial tissues
- PE shirt (purchase for $5 from the school’s PE Department)
- Athletic shorts (black/dark) – bring a pair from home
- Tennis shoes for PR (must be lace tied shoes) – bring from home
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MHS does not have a supply list. If students need something specific for a class, the teacher will communicate that with students.
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Dear USD 383 Parent/Guardian,
USD 383 is in the process of determining the number of children with American Indian or Alaska Native heritage attending school within the district. In order to apply for a grant under the US Department of Education’s Indian Education Formula Grant Program we are required to collect this data. Funding provided through this grant will support the efforts of USD 383 in developing programs designed to meet the unique cultural, language, and education needs of American Indian and Alaska Native students.
If you have a child or children with American Indian, Eskimo, Aleut or other Alaska Native heritage, please complete a student eligibility certification form for each child enrolled in USD 383 schools. It is important to sign the form(s) because they are not valid without your signature. Please return the completed form(s) to the Office of Teaching and Learning at the Lincoln Education Center, 901 Poyntz Avenue, Manhattan, KS 66502.
Please know that you are not required to complete or submit this form, but funding is based on the total number of children identified who have completed and signed student eligibility certification forms on file with USD 383. The information is confidential and will only be used to establish a funding base of the program and to assist children and families eligible for supplemental services provided by the grant. If you have any questions regarding the student eligibility certification form of the Indian Education Program, please contact me at your earliest convenience.
Shannon Molt
Director of Student Services
(785) 587-2000
Kansas State Department of Education Fact Sheet Title VI American Indian and Alaska Native Education
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USDA Nondiscrimination Statement
In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.
Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.
To file a program discrimination complaint, a Complainant should complete Form AD3027, USDA Program Discrimination Complaint Form , or by any USDA office (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:
(1) mail
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or
(2) fax: (833) 256-1665 or (202) 690-7442; or
(3) email: program.intake@usda.gov
This institution is an equal opportunity provider.
De acuerdo con la ley federal de derechos civiles y las normas y políticas de derechos civiles del Departamento de Agricultura de los Estados Unidos (USDA), esta entidad está prohibida de discriminar por motivos de raza, color, origen nacional, sexo (incluyendo identidad de género y orientación sexual), discapacidad, edad, o represalia o retorsión por actividades previas de derechos civiles.
La información sobre el programa puede estar disponible en otros idiomas que no sean el inglés. Las personas con discapacidades que requieren medios alternos de comunicación para obtener la información del programa (por ejemplo, Braille, letra grande, cinta de audio, lenguaje de señas americano (ASL), etc.) deben comunicarse con la agencia local o estatal responsable de administrar el programa o con el Centro TARGET del USDA al (202) 720-2600 (voz y TTY) o comuníquese con el USDA a través del Servicio Federal de Retransmisión al (800) 877-8339.
Para presentar una queja por discriminación en el programa, el reclamante debe llenar un formulario AD-3027, formulario de queja por discriminación en el programa del USDA, el cual puede obtenerse en línea en: https://www.usda.gov/sites/default/files/documents/ad-3027s.pdf, de cualquier oficina de USDA, llamando al (866) 632-9992, o escribiendo una carta dirigida a USDA. La carta debe contener el nombre del demandante, la dirección, el número de teléfono y una descripción escrita de la acción discriminatoria alegada con suficiente detalle para informar al Subsecretario de Derechos Civiles (ASCR) sobre la naturaleza y fecha de una presunta violación de derechos civiles. El formulario AD-3027 completado o la carta debe presentarse a USDA por:
(1) correo:
U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or
(2) fax: (833) 256-1665 o (202) 690-7442; o
(3) correo electrónico: program.intake@usda.gov Esta entidad es un proveedor que brinda igualdad de oportunidades.