• New student enrollment form

    by

    Please complete the referral form for all newly identified pregnant and/or parenting students.

    Cal-SAFE_New_referral_form.pdf 92.03 KB (Last Modified on November 15, 2016)
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  • Child Enrollment and Participation Form in English (FOR STUDENTS WHO HAVE A CHILD)

    by margie.moriarty

    The CalSAFE program collects information on the children we serve.  Data includes: date of birth, weight at birth, medical or developmental conditions, childcare use.  Parent must sign this form.

    CalSAFE_has_child.pdf 17.90 KB (Last Modified on February 4, 2009)
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  • Child Enrollment and Participation Form in Spanish (FOR STUDENTS WHO HAVE A CHILD)

    by margie.moriarty

    See description under Child Enrollment and Participation Form in English

    CalSAFE_has_child_spanish.pdf 61.04 KB (Last Modified on February 4, 2009)
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  • Educational Options (ALL STUDENTS)

    by margie.moriarty

    All CalSAFE students have the right to attend the most appropriate school for them to complete their high school education.  ALL CalSAFE students must have this form on file.

    CalSAFE_ALL_Ed_Options.pdf 8.00 KB (Last Modified on February 4, 2009)
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  • Student Participation Form in English (ALL STUDENTS)

    by margie.moriarty

    Participation in the CalSAFE program is voluntary.  Student must sign this form (in either English or Spanish) to enroll.

    CALSAFE_ALL_StudentParticip.pdf 15.36 KB (Last Modified on February 4, 2009)
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  • Student Participation Form in Spanish (ALL STUDENTS)

    by margie.moriarty

    See description under Student Participation Form in English

    CalSAFE_ALL_StudentParticip_spanish.pdf 58.54 KB (Last Modified on February 4, 2009)
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  • Information Release Form in English (ALL STUDENTS)

    by margie.moriarty

    The CalSAFE program refers students to a variety of community agencies.  This form allows us to do so.  Student's parent/guardian must sign this form.

    CalSAFE_ALL_Info_release.pdf 17.89 KB (Last Modified on February 4, 2009)
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  • Information Release Form in Spanish (ALL STUDENTS)

    by margie.moriarty

    See description of Information Release Form in English

    CalSAFE_ALL_Info_release_spanish.pdf 66.86 KB (Last Modified on February 4, 2009)
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