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(DPS)
Denver Public Schools - Page 1 of 13
Denver Public Schools ________________________________________________________________________________________ : ______ _________/ _________/ __________
1)
______________ - : ________________
2)
______________ - : ________________
3)
______________ - : ________________
____________________________________________ _________/_________/_________
________________________________
SCHOOL USE ONLY Steps to follow:
1) Date received: ________/________/ ________
2) Received by:___________________________________________________ School Number:_______________
3) Date entered in Infinite Campus: ________/________/ ________
4) Scan and upload HLQ (page 1) into Infinite Campus, with naming convention: School ID#, HLQ, Student ID# (i.e. 450HLQ712345)
5) Date scanned: ________/________/ ________
(DPS)
Denver Public Schools - Page 2 of 13
_ DPS # - / _____________________________________________________________________________________________ __________ - / :____________/ ___________/ _________ / _____________ /
( )
( ) _________/ __________/ _________ - ___________
(K-12)
( ) _________/ __________/ _________ - ___________
(1-12) ( )
_________/ __________/ ___________ - _________ (1-12)
DPS - __________________________________________________________________ ________________ ___________________________________
DPS
____________________________ __________ ___________ ___________________ ____________________
Section 504
Denver Public Schools GT
__________________________________________
(DPS)
Denver Public Schools - Page 3 of 13
()
_
_________________________________________________ _ Denver County () ( )
___________________________________
Automated Messenger ( __________ ) ____________________ - ____________________ SMS SMS - - - - Denver Public School
- - - /
/ #1 / #2
DPS
3
4
(DPS)
Denver Public Schools - Page 4 of 13
_ / ______________________________________________ / 1# -
: ( ) : :_______________________________________________________________________________:_____________________________________________ ___________________________________________________________________________________________________________________________________________ Automated Messenger
- ( ) -
()
- ( ) -
()
( ) -
()
- ( ) -
() (SMS)
( ) - SMS SMS
______________ - : ________________
______________________________________________________________________________________________________ /
/ #1 ( )
() ( )
/ #2 : ( ) : :__________________________________________________________________:_________________________________________ __________________________________________________________________________________________________________________________
(DPS)
Denver Public Schools - Page 5 of 13
_ / _________________________________________________ / #2
- ( ) -
()
- ( ) -
()
( ) -
()
- ( ) -
() (SMS)
( ) - SMS SMS
______________ - : ________________
______________________________________________________________________________________________________ /
/ #2 ( )
() ( )
: ( ) __________________________________________________________________ __________________________________________________ ________________________________ ____________________________________ ________________________________________________ _______________________________________________________________________________________________________________________ : ( ) ______________________________________________________________ ______________________________________________________ ___________________________________ ____________________________________ ____________________________________________ _____________________________________________________________________________________________________
/
_______________________________________________________ _________/_________/_________ / -
(DPS)
Denver Public Schools - Page 6 of 13
_ _________________________________________________
DPS PTA The District
/
District Denver Public School DPS the district 18 / Denver / Denver
/
/
/
DPS / EGAEA EGAEA-R1 / (DPS www.dpsk12.org/policies ) DPS DPS / EGAEA EAGAEA-R1
DPS / /
Google Apps DPS Google account Student Google Account / Student Google Account
/ Student Google Account
( ) Denver Public Schools
/ /
/
http://www.dpsk12.org/policies
(DPS)
Denver Public Schools - Page 7 of 13
_
_________________________________________________
Denver Public Schoolrs /
My Denver Card( ) Denver Public Schools My Denver Card } / MY Denver Card / www.denvergov.org/mydenvercard
( ) www.denvergov.org/recreation
:
MY Denver
: / Denver Denver My Denver Card
DPS Student Portal DPS / / /
/ DPS student portal
Medicaid (Health First Colorado) Child Health Plan Plus (CHP+) Discount Program ( )
/ () () () Privacy () () () Medicaid () Titles VI, ADA, Section 504 () () () () No Child Left Behind () () () () () () District Resources->Parents Rights on the following page: https://www.dpsk12.org/languages/#1474869731780-54f43e05-1b85
________________________
The District
/ /
: (www.myportal.dpsk12.org)
_______________________________________________________ _________/_________/_________ / - _________________________________________________________
http://www.denvergov.org/mydenvercardhttp://www.denvergov.org/recreationhttps://www.dpsk12.org/languages/#1474869731780-54f43e05-1b85https://www.dpsk12.org/languages/#1474869731780-54f43e05-1b85https://myportal.dpsk12.org/http://www.myportal.dpsk12.org/
(DPS)
Denver Public Schools - Page 8 of 13
_
______________________________ # ____________________________
DPS / (Provisional Authorization Form ) / _________________________________________________________________________ ( ) - _____________________________________ / ________________________________________________________________________ - _____________________________________ / _________________________________________________________________ - _____________________________________ 911 Denver Public School - Denver DPS (/ - https://studentequity.dpsk12.org/nursing-student-health-services/#1483479776390-a11ec349-b086) - ibuprofen Tylenol
_______________________________________________________ _________/_________/_________ / -
/ :_________ #: __________________
https://studentequity.dpsk12.org/nursing-student-health-services/#1483479776390-a11ec349-b086
(DPS)
Denver Public Schools - Page 9 of 13
_ ______________________________ # ____________________________ / ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ : ___________________
( )
()
/
/
/
/
/
()
_______________________________________________________ _________/_________/_________ / - _________________________________________________________
/ :_________ #: __________________
(DPS)
Denver Public Schools - Page 10 of 13
_ ______________________________ # ____________________________
-
/ / () / -- ( )
HB 14-1288
/ / - - Denver Public School DPS _________________________________________________________________________
_________________________________________________________________________
_______________________________________________________ _________/_________/_________ / - _________________________________________________________
(DPS)
Denver Public Schools - Page 11 of 13
_
/ - _______________________________________ # - ______________________________ / , : ________________________________________________________ : ________________________
. /
(prednisone, Orapred)
- - - - ( )
-
-
/ ( )
( )
() : / : __________________________________________ ( ) : __________________________________________________
( )
() _________
SCHOOL USE ONLY Steps to follow for pages 8,9,10, & 11:
1) Fill in Student ID#
2) Make copies
3) Submit copies of pages 8-11 to school nurse
4)
(DPS)
Denver Public Schools - Page 12 of 13
_
_______________________________________, Denver Public School
/ () () (Standardized test) () () (Proficiency test) () / IEP () () () ()
/ __________________________________________________________________________________________________________________
- / ____________________________________
- - - ______________________________________________________________________________________________________________________________________________________ Denver Public School - . () () () .
Denver Public Schools - Page 13 of 13
_
-
,
** DPS **
X
- 720-545-0425 Website: http://hen.dpsk12.org/
McKinney-Vento
( ) (
)
I-C - 720-633-9063
/ / ( )
/ ( ) / / / / ______________________________
Denver ___________/ ____________/ _____________ _________________________
-/ (NASSP) Title VI
DPS 506 Indian Education Program Office 720-423-2042 India Education
- 720-423-1586
_____________________________________________________ ________________________ ()_____________________________
# : ______________________________________________________DPS : ____________________ : _______
# : ______________________________________________________ DPS : ____________________ : _______
# : ______________________________________________________ DPS : ____________________ : _______
# : ______________________________________________________ DPS : ____________________ : _______
/ :( )
_______________________________________________________ _________/_________/_________ / - _________________________________________________________
- 720-423-1581 () ()
http://hen.dpsk12.org/