Broward County Public Schools Form 4170 (Formerly 4172) 2018-2025 free printable template

Broward County Public Schools Student Emergency Contact Card This form shall be updated every year For Office Use Only School Student Date Enrolled Medical Court Order Special Needs Other Student Information Registering Parent Authorized Release/Contact Student Identification Number Grade In the case of an emergency it is imperative that the school be able to reach the student s parent as defined below. Please fill in the information on both sides of this card carefully and accurately....

How to fill out student emergency contact form

How to fill out Broward County Public Schools Form 4170 (Formerly

1. Obtain Broward County Public Schools Form 4170 from the official website or the school administration office.
2. Fill in the required personal information, including student’s full name, date of birth, and current school.
3. Provide details about the reason for completing the form, ensuring to include any relevant dates or circumstances.
4. Sign and date the form at the bottom to certify that the information provided is accurate.
5. Submit the completed form to the school administration office or designated department.

Who needs Broward County Public Schools Form 4170 (Formerly?

1. Parents or guardians of students who are enrolling or transferring within Broward County Public Schools.
2. Students who are seeking to change their education program or status within the school system.
3. Those who require official documentation for educational or legal purposes related to schooling.

• Who Needs Student Emergency Contact Card?
• What is Student Emergency Contact Card for?
• Is Student Emergency Contact Card Accompanied by Other Forms?
• • When is Student Emergency Contact Card due?
  • How Do I Fill out Student Emergency Contact Card?
  • Where Do I Send Student Emergency Contact Card?

Who Needs Student Emergency Contact Card?

Student emergency contact card is one of the basic documents filled out by students’ parents when students start their studies at college. Emergency card is issued by the college authorities. Though the structure of this document may differ from state to state, the core information remains unchanged. Broward County Public Schools also issues this document for students and their parents to complete.

What is Student Emergency Contact Card for?

Student emergency contact card provides information that can be helpful in case of emergency. Using this information school authorities can provide necessary care to the student in case of a sudden medical emergency or natural disaster. It’s also very important that an emergency card contains parent's’ contact informatic, solo school representatives can get in touch with them if something happens.

Is Student Emergency Contact Card Accompanied by Other Forms?

Generally, emergency card is completed without any additional documents being attached to it. However, a student may be asked to provide more information that isn’t included in the emergency contact card.

When is Student Emergency Contact Card due?

Student emergency contact cards are filled out at the beginning of the academic year and should be updated every year.

How Do I Fill out Student Emergency Contact Card?

Student emergency contact card is a two-page form. Each page is dedicated to particular type of information. The first page contains student personal information such as:

• Name, home address, grade,
• The names of both parents, their home address and place of work
• Name and address of additional person who may pick up a student in case of emergency.

The second page includes students medical records:

• Health insurance information
• Vision and hearing conditions
• Emergency treatment, etc.

Where Do I Send Student Emergency Contact Card?

Generally, student’s basic emergency information is kept in registrar’s or admissions office. However, some schools may divide student emergency contact card into two parts and keep medical records in university health center.

Instructions and Help about student emergency contact form

It explains Venice well Laurie the Broward County school district says that having a teacher shortage at the end of the year is nothing new but still parents and teachers are concerned with teachers saying this is part of an ongoing problem while students are getting ready for summer break 230 schools throughout Broward County are on a mission looking for the best of the best to teach next year we do need teachers and if there are great teachers out there Broward County wants to talk to them and possibly hire them for positions a job fair at the Broward Convention Center was full of hopeful teachers, but it's no easy task the district needs to hire about 1300 before the new school year starts in August getting to know a teacher in the middle of the school year I would think would be really difficult Lucia Etta good people for your kids so why is there a teacher shortage in Broward County well there's a variety of reasons sometimes teachers retire relocate or in some cases they just don't have the right certification to teach in the county however several teachers with the Broward County teachers union worried the problem is much bigger than that and that a new education bill would make it difficult for the district to keep high quality teachers it seems to be awfully easy to just say goodbye you're not a good fit we don't need you and why are we doing that the education bill would grant a hundred and forty million dollars to charter schools if it passes the Union worries more funding will be cut from Broward County Schools, but the district is assuring teachers that even if it does pass they don't plan on laying off any teachers we are definitely in the norm of what we typically lose every year when we compare ourselves to our counterparts, but there is a silver lining those vacancies are filling up fast and many prospects that the job fair walked out with a job I will be a fifth grade teacher at Walker elementary coming up in August, so it's super excited so at that job fair about 200 teachers were hired but guess what there's still a lot of vacancies to go, and they plan on holding another job fair sometime in July in the video report Venice Fernandez local 10 News today's things

People Also Ask about

What is an emergency contact form?

An employee emergency contact form is a document that is used to gather information about an employee's medical history and emergency contact information. This is an important onboarding form that's an integral part of maintaining employee health and safety.

Can you put boyfriend as emergency contact?

Greenberg says. But she says that you should only use a romantic partner as your emergency contact if you're in a serious relationship and your commitment to one another has been established.

What is the emergency contact relationship list?

In most cases, emergency contacts are a loved one such as a parent, spouse, adult child, or trusted friend. If possible, it's best to have at least TWO emergency contacts. This way, they will be able to work together or, if one is unavailable, the other can take charge.

What should be on an emergency contact sheet?

Items to Put on an Emergency Contact List Family physician and hospital. The first name and number on your list should be your family's doctor and a local hospital. School contacts. Local contact. Next of kin. Work contact. Additional emergency contacts. Electric and utility companies. Poison control center.

What should be included on an emergency contact form?

Emergency contact details Ensure you have a name, contact details, their relationship to the employee, and permission to share medical information if required.

How do I make an emergency contact list for work?

Create an emergency contact list for your business YOUR BUSINESS INFORMATION. Name of Facility: Street Address: FACILITY MANAGER. Name: Primary Contact #: EMPLOYEES. Name: INSURANCE COMPANY. Insurance Company Name: EMERGENCY NUMBERS. Fire Department: UTILITY COMPANIES. Natural Gas: OTHER NUMBERS. Taxi Service:

How do I write an emergency contact form?

What to Include in an Emergency Contact Form Personal Information: Primary & Secondary Emergency Contact: Medical Information: Insurance Information: Additional Emergency Contacts: Doctor and Healthcare Provider Information: Other Important Contacts: Special Instructions:

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What is Broward County Public Schools Form 4170 (Formerly?

Broward County Public Schools Form 4170 is a document used for reporting specific information regarding employees, including leave requests and related details, within the district.

Who is required to file Broward County Public Schools Form 4170 (Formerly?

Employees and administrators of Broward County Public Schools who need to report or request leave are required to file Form 4170.

How to fill out Broward County Public Schools Form 4170 (Formerly?

To fill out Form 4170, individuals must complete all required sections, including personal information, dates and types of leave requested, and any supporting documentation as specified by the form instructions.

What is the purpose of Broward County Public Schools Form 4170 (Formerly?

The purpose of Form 4170 is to provide a standardized process for employees to formally request leave and report their leave status to ensure accurate record-keeping and compliance within the school district.

What information must be reported on Broward County Public Schools Form 4170 (Formerly?

The form requires reporting information such as the employee's name, employee ID, type of leave requested, start and end dates of leave, and any additional comments or supporting details required for the request.