2023-2024
STUDENT HANDBOOK
Pittsburgh Brookline
PreK-8
Please click on the link below to learn more about our
District’s Code of Conduct
Code of Conduct
Please click on the link below to learn more about our
District’s Non-Discrimination Policy
Non-Discrimination Policy
Please click on the link below for information about
Education for Children and Youth Experiencing
Homelessness
Education for Children and Youth Experiencing
l
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Principal’s Welcome Message Page 2
Introduction Page 3
Mission, Vision, Goals & Commitment to Equity Page 4
School Contact Information Page 6
Communication Procedures Page 6
Staff Information Page 7
Bell Schedules Pages 8
School Procedures Page 10
Attendance Page 12
School Rules & Student Expectations Page 13
Dress Code Page 13
School Programs Page 15
Title I Parent Involvement Page 17
Student Support & Positive School Climate Page 19
School Safety Page 21
Visitor Procedures Page 23
Community Resource Guide Page 25
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Welcome to Pittsburgh Brookline PreK-8! The faculty and staff are looking
forward to an exciting and successful school year. This handbook has
been prepared to ensure consistent communication between all
stakeholders and serve as a guide for students and parents. We ask for
your cooperation so that we may provide you and your student a
rewarding, enriching and safe educational experience.
Pittsburgh Brookline PreK-8 has been a beacon in the neighborhood for
more than 114 years and we have a fine history of academic and
extracurricular accomplishments. We encourage you to visit our school,
attend your child’s programs, and become an active member of our
Parent School Community Council or PTA. We welcome the opportunity
to help your child become a successful student that is known, valued and
inspired.
-Principal John Vater
Jvater1@pghschools.org
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This Handbook has been prepared to provide information
pertaining to school policies and student expectations. It is the
responsibility of students and families to read these routines
and procedures and to ask questions about any area of
confusion or concern.
There will be changes to this Handbook as Board policies and
procedures are modified and revised. Changes will be
distributed to all students and parents/guardians prior to their
implementation, and they will be posted on our website.
Students are responsible for keeping up with any school
procedural updates. The most up-to-date version of the
Student Handbook can be found at:
http://discoverpps.org/brookline
We welcome you to Pittsburgh Brookline PreK 8 and are
confident that if you apply yourself, you will have a
successful school year.
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Pittsburgh Brookline PreK-8's mission is learning for all. With this
mission, we will collaborate for the academic, emotional, and social
growth of each student in a positive and supportive environment with a
shared focus of promoting life-long learning and 21
st
Century skills.
Pittsburgh Brookline shares the district vision that all students will
graduate High School, College or career ready, prepared to complete a
2- or 4-year degree or work place certification.
The common goal at Pittsburgh Brookline is to increase Literacy and
Mathematics proficiency and independence at all grade levels. This is
cultivated through alignment of curriculum and instruction to the
Pennsylvania Common Core standards with a focus on data analysis.
Educational equity means “raising the achievement of all students while
(1) narrowing the gaps between the lowest and highest performing
students and (2) eliminating the racial predictability and
disproportionality of which student groups occupy the highest and
lowest achievement categories” (Singleton & Linton, 2006). To enact
Systemic Equity, “systems and individuals will habitually operate to
ensure that every learnerin whatever learning environment that learner
is foundhas the greatest opportunity to learn, enhanced by the
resources and supports necessary to achieve competence, excellence,
independence, responsibility, and self-sufficiency for school and for life
(Scott, 2001, as cited in Skrla, et al, 2004, p. 137)
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Policy 102
Policy 102 Non-Discrimination in School and Classroom Practices
Board Policy 102 states in part:
The Board declares that it is the policy of the District to provide an equal
opportunity for all students to achieve their maximum potential through
the programs and activities offered in the schools without discrimination
on the basis of race, color, age, creed, religion, sex, gender (including
gender identity or expression), sexual orientation, ancestry, national
origin, marital status, pregnancy or disability.
The District is committed to the maintenance of a safe, positive learning
environment for all students that is free from discrimination by providing
all students course offerings, counseling, assistance, services,
employment, athletics and extracurricular activities without any form of
discrimination, including Title IX sexual harassment. Discrimination is
inconsistent with the rights of students and the educational and
programmatic goals of the District and is prohibited at or, in the course
of, District-sponsored programs or activities, including transportation to
or from school or school-sponsored activities. Discrimination is also
prohibited in any remote learning program or activity of the District.
For the full text of Board Policy 102-Non-Discrimination in School and
Classroom Practices, please
visit: https://www.pghschools.org/nondiscrimination-policy
Title IX Procedures
For information about our Title IX procedures, please visit:
https://www.pghschools.org/titleIX
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Pittsburgh Brookline PreK-8
500 Woodbourne Ave, Pittsburgh, PA 15226
Phone: (412) 529-7380
Email: ajones5@pghschools.org
School Website: http://discoverpps.org/brookline
Facebook: www.Facebook.com/PghBrooklinePreK8
School Office Hours: 7:30 am to 4:00 pm
Effective communication is essential in providing students, teachers,
parents, and the community with the necessary information to make
appropriate decisions. Pittsburgh Brookline PreK-8 is committed to using
communication processes and techniques to build a positive learning
environment for students, staff, and parents to inspire and educate all
students to succeed in becoming productive and valued citizens.
Parents who have concerns regarding their child’s progress, curriculum,
homework, etc. should contact their child’s teacher/team directly.
Counselors may also be helpful as a liaison between parents and the
teacher/team. The administration should only be contacted after there
have been discussions with the teacher/team and/or counselor. Parents
and students are encouraged to check their students Home Access
Center (HAC) and Schoology accounts for assignments and
announcements.
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Name
Email Address
Extension
Position
ARGALL, DOUG
LIBRARIAN
ARNOLD, KATHY
N/A
CLASSROOM ASSISTANT
BAJORAS, KATY
7591
DEVELOPMENTAL ADVISOR
BAKER, BRAD
BBAKER1@PGHSCHOOLS.ORG
7171
TEACHER
BALDWIN, JEFF
7044
TEACHER
BOGDANSKI, TRAVIS
TBOGDANSKI1@PGHSCHOOLS.ORG
8065
TEACHER
BUTZLER, MARIANNE
MBUTZLER1@PGHSCHOOLS.ORG
TEACHER
DENARDO, BRIEANA
BDENARDO1@PGHSCHOOLS.ORG
ART TEACHER
DEVERS, KARA
KDEVERS1@PGHSCHOOLS.ORG
TEACHER
DE WIT LORD, CATHARINA
CDEWITLORD1@PGHSCHOOLS.ORG
CLASSROOM ASSISTANT
DURICK, WENDY
WDURICK1@PGHSCHOOLS.ORG
6845
TEACHER
GAJEWSKI, KARI
7076
TEACHER
GARDNER, PATTY
PGARDNER1@PGHSCHOOLS.ORG
6873
TEACHER
GILIBERTO, SARAH
SGILIBERTO1@PGHSCHOOLS.ORG
7412
MUSIC TEACHER
HAWTHORNE, ALAN
AHAWTHORNE1@PGHSCHOOLS.ORG
7378
SPEECH
HUSAIN, SAEEDA
SHUSAIN1@PGHSCHOOLS.ORG
N/A
PRE-K ASSISTANT
INESSO, SUZANNE
7125
TEACHER
JONES, AMY
7381
SECRETARY
KOERBER, AMANDA
AKOERBER1@PGHSCHOOLS.ORG
7384
PRE-K TEACHER
LE, TINA
TLE1@PGHSCHOOLS.ORG
N/A
CLASSROOM ASSISTANT
LEWIS, SARA
8091
TEACHER/SDUC LIASION
LUTTON, LISA
N/A
CLASSROOM ASSISTANT
MARMARELLI, PAM
PMARMARELLI1@PGHSCHOOLS.ORG
6247
TEACHER
MCCORMICK, HOLLY
HMCCORMICK1@PGHSCHOOLS.ORG
7385
PRE-K TEACHER
MCGUIRE, MICHAEL
MMCGUIRE2@PGHSCHOOLS.ORG
8222
TEACHER
MINGRONE, ROSEANN
6825
TEACHER
MOLINARO, JIMI
JMOLINARO1@PGHSCHOOLS.ORG
6543
TEACHER
MULLEE, MELISSA
6731
TEACHER
MURPHY, GINA
GMURPHY1@PGHSCHOOLS.ORG
6458
TEACHER
NEIPORT, JESSE
JNEIPORT1@PGHSCHOOLS.ORG
7946
TEACHER
PHILLIPS, ELAINE
N/A
EDUCATIONAL ASSISTANT
RADACI, STEVE
7382
NURSE
RAYZER, LASAUNE
7377
COUNSELOR/SAC
REINHEIMER, NICOLE
NREINHEIMER1@PGHSCHOOLS.ORG
N/A
EDUCATIONAL ASSISTANT
ROSBOROUGH, MICHELE
MROSBOROUGH2@PGHSCHOOLS.ORG
7851
TEACHER
SCHANCK, HEATHER
HSCHANCK1@PGHSCHOOLS.ORG
7106
TEACHER
SCHMITT, MELISSA
MSCHMITT1@PGHSCHOOLS.ORG
6518
TEACHER
SMITH, AMY
7381
SDSS
SMITH, DIANE
6390
TEACHER
TOKER, TARAH
TTOKER1@PGHSCHOOLS.ORG
N/A
CLASSROOM ASSISTANT
TONERY, KATHY
6871
TEACHER
TORCASIO, LYNDA
LTORCASIO1@PGHSCHOOLS.ORG
8315
PE & HEALTH TEACHER/ FACE
VAITES, JOE
6991
TEACHER
VATER, JOHN
JVATER1@PGHSCHOOLS.ORG
7389
PRINCIPAL
WALKER, LESLIE
7383
CAFETERIA MANAGER
WETZEL, HOLLY
7294
TEACHER
WOLFORD, DENNIS
DWOLFORD1@PGHSCHOOLS.ORG
N/A
PRE-K ASSISTANT
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Start
End
8:00
8:20
8:20
8:36
8:39
9:24
9:27
10:12
10:15
11:00
11:03
11:48
11:51
12:36
12:44
1:29
1:32
2:17
2:20
3:05
Start
End
8:00
8:20
8:20
9:01
9:04
9:45
9:48
10:29
10:32
11:13
11:16
11:57
12:00
12:45
12:52
1:37
1:40
2:21
2:24
3:05
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2 Hour Delay
Bell Schedule
Start
End
Schedule A
Schedule B
Homeroom
Homeroom
10:20
10:35
Period 1
Period 2
10:40
11:20
Period 3
Period 4
11:25
12:05
Period 5
Period 5
12:10
12:50
Period 6
Period 6
12:55
1:35
Period 7
Period 7
1:40
2:20
Period 8
Period 8
2:25
3:05
Half Day Schedule
Plan A
Plan B
Breakfast
8:00-8:20
Breakfast
8:00-8:20
Homeroom
8:20-8:30
Homeroom
8:20-8:30
Period 1
8:30-9:25
Period 2
8:30-9:25
Period 3
9:25-10:20
Period 4
9:25-10:20
Period 7
10:20-11:15
Period 8
10:20-11:15
Homeroom/Dismissal
11:15-11:25
Homeroom/Dismissal
11:15-11:25
Plan A Dismissal Dates
Plan B Dismissal Dates
September 29, 2023
October 27, 2023
November 17, 2023
December 15, 2023
February 2, 2024
February 16, 2024
March 1, 2024
March 15, 2024
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Daily Schedule
Doors Open: 8:00 am
Students are not permitted to wait outside of the school before or after school
hours unless accompanied by parent/guardian. Students may enter the
building at 8:00 am when staff is on duty to supervise students. Students are
not to report to school prior to 8:00 a.m.
Kindergarten enters through lower Woodbourne entrance.
Grades 1-8 enter through main Woodbourne entrance.
Daily Arrival and Dismissal Routines
SAFETY FIRST - Student safety is our first priority during drop off and pick up. Please
be attentive, be patient, and drive safely! Please exercise caution as you drop off
or pick up students.
Vehicle ARRIVAL (drop off) and DISMISSAL (pick up)
When dropping a student off in the morning or picking up in the afternoon, please
adhere to the following guidelines:
Obey posted “No Parking” signs. Do not park along the left side curb (read
posted signage) as this is a passing lane.
Drive Slowly!
On Woodbourne, pull to the right (school side curb) and ahead as far as
possible so that cars behind you can drop off also and traffic does not build up
on Pioneer Ave.
Permit students to exit the right side of the vehicle directly onto the sidewalk
(do not have child/children exit on left or street side).
Do not block Woodbourne Avenue, Pioneer Avenue, the bus driveway, or the
alley.
Drop or Pick-up and go only. No Standing permitted. Allow other vehicles
to pass safely on your left.
Pull away after your child exits the vehicle.
Walkers
A Crossing Guard is stationed at the corner of Woodbourne and Pioneer Avenues.
Walkers should obey all posted rules and cross at crosswalks.
Parking
Parking Lot use: Limited parking is available in the parking lot at the side of the
building and in the basketball courts after school and during special events. If you are
dropping off or picking up your child/children, please enter the parking lot, park in a
designated parking space, and safely walk your child to / from the front entrance.
Do not park in or block the driveway leading to the parking lot and do not double
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park. Handicap spaces are for permitted cars only.
Pioneer Street drop off / pick up: Parking is not permitted in front of or across from
the school on Woodbourne as posted. Please abide by the posted “No Parking”
signs.
Driveway (Bus/Van Drop off): Please do not park in or block the bus/van lane of our
driveway between Pioneer and Woodbourne. The driveway is for authorized school
vehicles and/or special situations requiring assistance/support by school staff.
Bicycles to School
Students are now permitted to ride their bicycles to school and must adhere to the
following guidelines:
Upon arrival, students are asked to lock their bicycles at the designated area
on the metal fence immediately in front of the school at the driveway. This
spot is monitored by a security camera.
Students are not permitted to leave their bicycle overnight or weekend.
Students are not permitted to ride their bike on school grounds immediately
before, during school, or at dismissal.
Students are not permitted to bring any motorized bicycle, scooter,
motorcycle, ATV, or any battery and gas powered vehicle.
Please remember that if your child decides to bring a bicycle to school that
Pennsylvania law requires that any person under the age of twelve (12) riding a
bicycle, as an operator or passenger, must wear a protective bicycle helmet.
Dismissal
Parents and guardians are to meet students on the sidewalk in front of the school at
the following areas:
Kindergarten - Homeroom Teachers dismiss students directly to their
parents/guardians at the Kindergarten Entrance on Woodbourne.
Grades 1-2: Homeroom Teachers dismiss students directly to their parents
from the main entrance sidewalk.
GRADES 3-5: Homeroom Teachers dismiss grades 4-5 at the side steps next to
the teacher’s parking lot entrance on Woodbourne.
GRADES 6- 8: Homeroom Teachers escort students to the Crossing Guard at
Pioneer and Woodbourne.
Again, remember that student safety is our first priority during drop off and pick up.
Please be attentive, be patient, and drive safely! Please exercise caution as you
pick up students.
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Absent / Tardy to School
Teaching/Instruction begins at 8:35 am. Pittsburgh Brookline Prek-8 encourages
attendance and promptness to school to minimize disruption to classroom
instruction. Being absent or late to school has many implications. When a student is
absent from or late to school, s/he misses out on valuable information, and this
negatively impacts both the individual and the class. Tardiness interrupts instruction
and the smooth operation of the classroom. Attendance and timeliness also form
the backbone of important habits that lead to success in college and the broader
workforce. Parents will be informed of excessive absences and consistent tardiness
by the attendance officer. A parent conference may be held to determine a plan to
provide support for either of these circumstances.
Students who are absent from school must bring an excuse to the homeroom
teacher within three days of their absence or the absence will be marked unexcused.
This will prompt a district attendance letter notifying the parents of the unexcused
absence. Parents may excuse up to 10 absences per school year. Medical excuses
are not included in the ten parent notes. Excuses may be faxed to the school at 412-
571-7386 or emailed to [email protected].
A Homeroom Citizenship mark will be given to each student based on absences, tardiness,
and behavior. Homeroom absences and tardiness will affect a Homeroom Citizenship mark:
No. of Times
Absent per Report
Period
Citizenship Mark
Assigned
No. of Times
Tardy per Report
Period
Citizenship Mark
Assigned
0-2
(O) Outstanding
0-2
(O) Outstanding
3-4
(S) Satisfactory
3-4
(S) Satisfactory
5-6
(N) Needs
Improvement
5-6
(N) Needs
Improvement
7 or more
(U) Unsatisfactory
&
Referral to
Principal
7 or more
(U) Unsatisfactory
&
Referral to
Principal
Early Dismissals
Early dismissals are to be kept to a minimum to ensure that your student is afforded the best
opportunity to complete all intended learning for the day. With that in mind, a note from the
parent informing the school and teachers of an early dismissal helps to alleviate the
disruptive nature of dismissals. Teachers can then prepare materials ahead of time and they
also can plan for student transitions from class to homeroom.
The note from the parent must include the Student Name, HR Number/Teacher, and Time for
dismissal. The student will present the note to their teacher and the teacher will submit the
note to the main office. At the time of the Early Dismissal, the parent or guardian will ring the
bell at the main office and your student will be escorted to the exit.
UNPLANNED EARLY DISMISSALS ARE NOT PERMITTED. Early Dismissals after 2:30 P.M will be
only be permitted IF a note was provided at the beginning of the day or if it is an emergency.
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SAFETY FIRST! Please be aware that random metal detector checks may
occur throughout the school year.
Use appropriate hall, line, and stair behavior identified on our PBIS Matrix.
Be respectful and responsible at all times to all students, adults, and
families.
Be prepared for every class; turn in homework on time.
Keep all food, candy, beverages in cafeteria. NO CHEWING GUM.
School Dress Code
The Brookline PreK-8 Dress Code has been created with input from students, families,
Parent School Community Council (PSCC) and the PTA. The school district recognizes
the right of students to their freedom of expression in speech and the wearing of
apparel and our Dress Code has been stablished to foster a positive learning
environment for all. Please be mindful of the school dress code as it applies to ALL
students and reinforces the academic climate of the school.
No student shall wear any apparel or jewelry that by words, signs, pictures or any
combination thereof appearing on said clothing or jewelry advocates or promotes
sexual activity or violence, or the use of alcohol or drugs, or demeans or degrades
another because of race, sex, religious persuasion, national origin, handicap or
disability.
Students are expected to wear appropriate clothing at all times while at school.
Clothing must not be of any style, length, or fit that is of a provocative nature. Revealing
attire that permits the exposure of undergarments or private body parts is prohibited.
This prohibition shall be in effect during regular school hours and at any school-
sponsored event whether on or off school premises.
When the children are out on the playground and at gym it is important to remember
they should wear proper footwear. For the safety of the children, we prefer they wear
sneakers/tennis shoes with socks.
Additionally, please keep in mind the following:
We will adhere to District policies regarding the use of face masks and
COVID-19 protocols.
Hats are not permitted to be worn in the building.
Students will not be asked to leave their classroom or school for violating dress code
and school police will not respond to dress code violations. Schools will work with
students whose dress is not in compliance with the dress code in a discreet manner
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to provide an acceptable solution (e.g., parent/guardian contact, permitting student
to change into other available clothing, or have a variety of extra clothing articles
available to students when their dress does not meet dress code requirements).
Cell Phone Policy
The Brookline PreK-8 Middle School Cell Phone Policy has been created with input
from students, families, Parent School Community Council (PSCC) and the PTA.
Middle School students who bring a cell phone to school will be required to place it
in their homeroom locked bin every morning and it will be returned at the end of the
day.
No cell phones will be permitted to be taken into our classrooms. Cell phones are
permitted; however, they will be locked up safely in the main office during the school
day. If an emergency arises, a student may use the main office phone or classroom
phone to communicate with family members. If there is an emergency at home,
please call the main office and we will assist in communicating with the student.
Students will be required to turn in their cell phones to the administration if they don’t
follow this procedure and it is visible, used, or becomes a distraction. On the first
offense, a parent/guardian will be contacted, and student will be given the phone
back at the end of the day. If there are additional incidents, a parent/guardian must
report to the school to retrieve the phone. Disciplinary action may result for repeated
violations.
Books, Supplies, and Materials
Students are responsible for all books issued to them, including library books.
Required books and supplies must be brought to class. This includes folders,
homework, and pencils. Being unprepared for class may result in a phone call home
or a parent conference. Standard book bags are permitted but must be placed in
lockers. Students who are in grades 6-8 and travel between demountable classrooms
are permitted to carry book bags during school.
The district aims to provide a rich set of technical capabilities that are unique to each
learning community among our full portfolio of schools. These capabilities include
but are not limited to 1-to-1 laptop, tablet or BYOT (Bring your own technology)
environments, the use of classroom laptops, desktops or tablets and the use of labs
for productivity and testing purposes. Technologies also include access to wired and
wireless internet, and district printers, scanners, and other related peripherals.
Students and their families must follow the guidelines established for appropriate
care and use of all district technologies.
Supply lists and information related to materials can be accessed via the school’s
Facebook page and TalkingPoints system.
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Breakfast and Lunch Program
Breakfast and lunch are free to all students every day. Please ensure your child has a
healthy start to his/her day. The breakfast and lunch programs begin on the first day
of school. Students may carry a lunch to school or receive a school lunch. Lunch menus
will be available on the District website and attached to our monthly calendar.
Student Attendance and Support Services
The School Developmental advisors, Dr. LaSaune Rayzer (412-529-7377) and Mrs.
Katy Bajoras (412-529-7591), provide a variety of support services to students and
families. Please call the counselors offices directly to arrange a meeting with them
regarding Attendance Concerns, 504 Plans, Individual Education Plans, testing for
Special Education, and Counseling or Support Services. Excessive absences will be
monitored by central office personnel who will work to eliminate chronic
absenteeism.
PSE (Program for Students with Exceptionalities)
Annual Public Notice of Special Education Services and Programs, Services for
Protected Handicapped Students, and Services for Gifted Students
Notice to Parents
The School District of Pittsburgh provides the following annual notice regarding child
find responsibilities to parents and families residing within the School District in
accordance with state and federal laws and regulations. School districts, intermediate
units (IUs) and charter schools are required to conduct child find activities for children
who may be eligible for services via the Individuals with Disabilities in Education Act
(IDEA) and 22 Pa. Code Chapter 14 as well as those who may be eligible for services
via Section 504 of the Rehabilitation Act of 1973 (Section 504) and 22 Pa. Code
Chapter 15. For additional information related to special education and related
services, parents may refer to the IDEA and its implementing regulations, Chapter 14,
and the Basic Education Circulars relating to special education. For additional
information related to Section 504/Chapter 15 services, the parent may refer to
Section 504, Chapter 15, and the Basic Education Circular entitled Implementation of
Chapter 15. Also, school districts are required to conduct child find activities for
children who may be eligible for gifted services via 22 Pa. Code Chapter 16. For
additional information regarding gifted services, the parent may refer to 22 Pa. Code
Chapter 16. If a student is both gifted and eligible for special education, the
procedures in IDEA and Chapter 14 shall take precedence.
This notice shall inform parents throughout the School District of Pittsburgh,
Pittsburgh- Mt. Oliver Intermediate Unit, and charter schools of the child identification
activities and of the procedures followed to ensure confidentiality of information
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pertaining to students with disabilities and eligible young children. In addition to this
public notice, the school district, intermediate unit, and charter schools shall publish
written information in the handbook and on the web site (www.pghschools.org).
Children ages three through twenty one can be eligible for special education
programs and services. If parents believe that the child may be eligible for special
education, the parent should contact the appropriate staff member identified at the
end of this public notice.
Identification activities are performed to find a child who is suspected of having a
disability that would interfere with his or her learning unless special education
programs and services are made available. These activities are sometimes called
screening activities. The activities include: review of group data, conducting hearing
and vision screening, assessment of student’s academic functioning, observation of
the student displaying difficulty in behavior and determining the student’s response
to attempted remediation. Input from parents is also an information source for
identification. After a child is identified as a suspected child with a disability, he or she
is evaluated, but is not evaluated before parents give permission for their child to be
evaluated.
The School District of Pittsburgh will be providing ongoing screening services. If you
wish to learn more, have questions, or believe your child may need to be identified,
please contact your child’s school Principal. For further assistance, please contact
Pittsburgh Public Schools Program for Students with Exceptionalities at 412-
529-3132.
Student Citizenship
We subscribe to the fact that Citizenship marks are reflections of the teacher’s
impression of the general behavior, attitudes, values, and habits of an individual
student in the school community and tardiness is a very important part of good
citizenry. Students will receive citizenship marks in homeroom and their classes
based upon attendance.
Medication Procedure
If a student must take medication during school hours, please call the nurse’s office at
412-529-7382 to secure the proper forms. A doctor’s prescription and signed release
are necessary before prescription drugs can be given by the school nurse. All
medications must be brought to school in the original prescription container
including over the counter drugs. No other staff members are permitted to accept or
distribute medications except for the school nurse.
Inclement Weather, School Closings, and 2 Hour Delays
The District posts school closing and 2 HOUR delay announcements on its website:
www.pghschools.org. The following radio and television stations announce school
closing or delays: KDKA Radio, KQV, BOB-FM, WPXI 11, WTAE 4, and KDKA 2.
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Inclement Weather Recess Policy
Students will not be permitted to go outside for recess when the temperature is
below 32 degrees and/or the wind chill factor is below 32 degrees.
Homework
The role of the caregiver is to encourage the child by showing interest and providing
a consistent place and time for the child to work. An adult should be available for
explanations and, especially in the case of younger children, to make certain the child
understands the directions.
Tips
Have a regular place and time for your child to do homework
Turn off the TV and radio
Talk about assignments with your child
Compliment your children on their effort and accomplishments
Field Trips
Throughout the year your child will be involved in activities that will require him or her
to be out of the school building. These trips will be educational in nature. You will be
notified of the dates and purpose of each field trip. A general permission slip must be
completed and returned to your child’s homeroom teacher before he/she may go on
any trips.
Parent/Teacher Conferences and Communication
Parent/teacher conferences and two-way communication are a vital part of every
child’s education. Teachers are available for in-person or phone conferences upon
request, but may not be interrupted while instruction of students is occurring. Please
be sure to call the teacher using his/her direct line or contact the main office at 412-
529-7380 to schedule an appointment with any teacher to discuss your child’s
progress. You may also email the teacher directly at any time.
The school also uses Facebook, District Website, and the Let’sTalk Text app to
communicate with parents. The automated telephone message system, Facebook,
and Let’sTalk are used to inform parents of important meetings and events.
Additional forms of communication will include school notices/flyers and bulletins.
Primary students will be provided with an assignment folder. Parents are
encouraged to communicate school concerns to their child’s teacher.
In order to be correctly contacted via phone or text, we need your current phone
number. You will provide this on our yearly Emergency Contact Form. If your phone
number changes during the school year, please contact the office and provide the
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new phone number.
Classroom Observations
Parents are welcome to observe in your child’s classrooms. Please schedule the
visitation through the main office at 412-529-7380. The principal and teacher must
be made aware of the reason for the observation and will accompany parents during
an observation. A feedback meeting can be held which will include the teacher,
parent, and principal.
Become a School Volunteer
We believe the efforts of ALL stakeholders make a difference in the development of
every student and welcome parents to support school activities and events as
volunteers. Parent volunteers support the mission of the school. To be a volunteer,
one must obtain the proper clearances to work with students. This includes
participating in classrooms, all field trips and chaperoning of any school event.
Forms are available in the main office if you wish to become a parent volunteer.
Please review our Parent Involvement Policy and School Compact for additional
information. More information can be found at
https://www.pghschools.org/volunteering
Keys to Success:
Work with teachers to ensure the success of your child.
Contact your child’s teacher or arrange for a conference to discuss your child’s
progress or obtain ideas about helping your child learn at home.
Be a positive role model.
Have a good attitude toward education and our school. You are the most
powerful influence on your child.
Support the school’s efforts to maintain a safe and orderly learning environment.
Help your child be prepared for school by having materials and being on time
for school.
Support school policies.
Help your child develop good study habits.
Show interest in your child’s schoolwork and homework.
Hold your child accountable.
Respond promptly to progress notices.
Become an active participant in the activities your child is involved in.
Urge your child to seek help when appropriate.
Take your child to the library for a library card. Librarians are trained to help find
the right books for your child. Show interest and encourage your child’s selection
of reading materials.
Read books together. Anything positive your child reads will help.
Help your child log all books read in a school issued reading log, which will
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support their efforts in meeting the district’s milestones for reading.
Provide educational puzzles, games, and positive learning situations in your
home. This helps your child to develop good concentration and problem-solving
abilities.
Attend or stream PTA meetings and parent school community council meetings
on a regular basis.
Provide the school with up-to-date phone numbers so that we can contact you
in case of illness, emergency, etc.
Complete and submit the school emergency contact, care and medication
forms.
Social-Emotional Learning (‘SEL’)
We all know that it is essential for children to master important academic skills, such as reading
and mathematics. That’s why they go to school. But it is equally important for students to
develop the “soft skills” that we all need to navigate the world successfully. These include
things like how to manage their own feelings and emotions, how to respect others and how to
build strong, positive relationships. This is called Social-Emotional Learning (SEL).
According to The Collaborative for Academic, Social, and Emotional Learning, there are five core
competencies that will help individualsboth children and adultsnavigate the world more
successfully. They are:
Self-awareness: Know your own strengths and weaknesses and have a“growth
mindset.”
Self-management: Manage your stresses and impulses and be prepared to set and work
towards goals.
Social awareness: Be open to the perspectives of others and respect cultural differences
Relationship skills: Work on your communication skills, your willingness to cooperate
with others and accept constructive criticism.
Responsible decision-making: Make good choices based on ethical standards, safety and
social norms.
Positive Behavioral Interventions and Supports (‘PBIS’)
A positive school culture is everyone’s responsibility and critical to achieving
academic success. Positive Behavioral Interventions and Supports, or PBIS, is meant
to formally instruct students on positive behavior choices and randomly reward
students for their positive behavior, thereby cultivating not only the behavioral
expectations of the school, but also creating intrinsic motivation to “do the right
thing.” PBIS, when delivered consistently and with fidelity, should be like any other
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subject in school. Students will be recognized for their positive behaviors with
rewards including shopping in a school store and/or a treasure chest as well as other
incentives throughout the year.
Our school slogan is ‘Bobcats are Respectful, Responsible and Safe.’
Students are recognized for their positive behaviors with rewards including shopping
in the school store and/or treasure chest, as well as other incentives throughout the
year. Students are randomly assigned points for demonstrating (both individually
and as a group) our school-wide expectations. Being Respectful, Responsible, or
Safe will earn students points through our PBIS Rewards system. All staff members
can give Points to reinforce positive behaviors. We hope that students become
excited and energized to earn points and add points to their PBIS rewards account.
These points can then be used to purchase items, trips, snacks, etc. as a reward for
adding to a positive school environment and culture.
Restorative Practices
Restorative Practices is a positive way of living – NOT a disciplinary tool. Through
Restorative Practices, students learn to connect with teachers and other students to
build a strong community. They develop appropriate social-emotional skills, come to
understand how their actions affect others, and work to repair any harm done. It is an
approach built on respect, communication, and strategies for success. We
understand that when everyone is treated with respect, classrooms are safe and
healthy environments that support both teaching and learning.
Restorative Practices is not unique to Pittsburgh Public Schools. It is used successfully
on college campuses, in the world of business, in counseling and social work, and in
the criminal justice system. At Pittsburgh Public Schools, we start by setting
expectations for students, then coupling these expectations with support and
communications. Teachers and staff in all PPS schools have been formally trained in
Restorative Practices techniques in order to build a positive school culture. They
participate in monthly meetings to discuss how Restorative Practices is working in
their school.
Student Envoy and Efficacy
Pittsburgh Public Schools has partnered with the Efficacy Institute since 2015. Our
work with the Efficacy Institute is focused on introducing educators and students to
academic mindsets rooted in the belief that intellectual capacity is not static and can
be built-up through sustained application of effective effort toward challenging tasks
and high expectations.
The Efficacy Institute defines “efficacy” as—the capacity to mobilize the efforts of
adults and children towards development. The development being referred to is
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both in terms of academics and character. To support the mobilization of these
efforts, the Efficacy Institute introduces staff and students to 5 Levers that can be
applied directly to the work we’re already doing within our building. Student Envoy is
a group of students to be role models for the entire student body, engaging in a
variety of activities to help students know and understand the 5 levers of Efficacy.
Student Code of Conduct
The Student Code of Conduct can be found here:
https://www.pghschools.org/domain/43
The school will adhere to this policy for all discipline concerns.
To ensure the safety of all students, staff and visitors, Pittsburgh Brookline PreK-8
follows the District’s visitor procedures outlined below and has a comprehensive
school safety plan. The safety plan outlines the roles and responsibilities of staff in the
event of a school-based or external issue/emergency. In addition, throughout the
year, students participate in various safety drills to ensure students and staff are
prepared in the event of an emergency. These may include fire, lockdown, bus,
severe weather, and active shooter (ALICE) drills.
In the event of an emergency, School Police or Pittsburgh City Police, may
recommend Pittsburgh Brookline PreK-8 be placed in a modified lockdown, full
lockdown or evacuate to an alternative site. The procedures for these actions are
listed below.
Modified Lockdown
A modified lockdown means that normal instructional activities continue as much as
possible; however, no outside events, field trips or outside activities (including recess)
occur unless explicitly cleared by School Police. While in modified lockdown, entry
and exit to the school will be restricted and only individuals with a pre-existing
appointment are permitted to enter the school facility. A modified lockdown may be
called when there is a community issue that is external to the school and not directed
at the school.
Full Lockdown
In the event of a lockdown, all exterior doors and windows will be locked and no one
aside from emergency/ administrative crisis team personnel will be permitted to
enter or exit the school facility. During full lockdown, students will be kept safe in
individual secured classrooms during the event and are not permitted to go outside
or attend outside activities or field trips. School Police or school leadership will place
a school on full lockdown to minimize student/staff exposure to a potential threat. For
example, this procedure may be used when City of Pittsburgh Police or School Police
warn the school of a fugitive in the neighborhood or when a threat has been received
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by the school.
Evacuation
Evacuations may occur in the case of a threat, fire or other event making the school
building unsafe. Students and staff will be evacuated to a designated evacuation site
when leaving the building is the safest alternative. The Pittsburgh Brookline PreK-8
evacuation site is The Brookline Teen Outreach Center located at 520 Brookline
Boulevard, Pittsburgh, PA 15226. In the event of an evacuation, attendance is taken to
assure all staff and students are out of the building and arrive at the designation site
safely. The following standard reunification plan will be implemented to ensure all
students are safely returned to their families. During a reunification, families are
directed to:
Bring a valid form of Identification (ID)
Follow signage and parking direction of reunification location.
Complete the provided reunification form.
Choose the check-in line that corresponds to your student’s grade.
Provide school personnel at the check-in table with a valid form of photo ID
and the completed reunification form.
Wait patiently as a District staff member retrieves and escorts your student to
you.
Only approved adults with valid photo identification will be allowed to pick-up
students from the evacuation location.
Communication with families during an emergency
If Pittsburgh Brookline PreK-8 is placed on a modified lockdown, full lockdown or is
required to evacuate to an alternative site, an attempt will be made by personnel at
Pittsburgh Brookline PreK-8 or the District to contact families as quickly as possible
through the phone messaging system. This communication will occur when the
school emergency occurs and again when the emergency is resolved or information
has changed. For this reason, it is important to complete all paperwork at the
beginning of each school year and contact the school anytime primary or emergency
contact information changes.
While it is important for us to quickly update parents, it is also important that
the information we send is accurate. Please be aware that emergency
situations are fluid and always changing, and that information received from
non-District sources such as the news media and social media may be
inaccurate. Depending on the type of emergency, the District may also utilize
its website, Facebook and twitter accounts to provide timely information to
families.
In addition to a phone call, an additional notice may be sent home with
students or emailed to families. The notice may include other information as
appropriate such as lunch changes, transportation adjustments and extra-
curricular and co-curricular activity modifications.
When receiving a phone call that Pittsburgh Brookline PreK-8 has been
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directed to be placed on a modified lockdown, full lockdown or has been
evacuated, please remain calm and do not attempt to come to the school. We
understand that the first reaction of many families is to come to the school,
however, families should wait until they are advised that it is safe to pick up
their child. Families arriving unadvised to the school may actually hinder the
emergency response and could jeopardize their own safety. In extreme cases,
law enforcement can arrest anyone who they determine is compromising their
efforts.
If your child calls or texts you during a school emergency, please encourage
him or her to remain calm and follow the directions of the teachers and staff.
Also encourage your child not to post information to social media sites as it
can lead to misinformation and confusion.
The District has strong partnerships with local law enforcement and will work
collaboratively with City of Pittsburgh Police to respond quickly to potential threats
and ensure student and staff safety at all times. Please contact the main office if you
have any questions regarding these procedures.
Visitor Procedures
All visitors to our school are required to follow the District's visitor procedures. Please
share these procedures with anyone you have listed as an emergency contact for
your child.
If you are planning to visit a classroom or other area of the school building
during the school day, you should call the building office and pre-register
for an appointment prior to the date of the visit. Absent an emergency,
requests to meet with a classroom teacher or other staff member should be
made at least 48 hours in advance to allow the school sufficient time to
make arrangements for substitute coverage, as necessary.
Upon arrival at the school building, all visitors must register in the main
office before proceeding to any other part of the building.
As part of the registration process in the main office, all visitors will be
asked to sign the visitor register and provide their driver's license or other
state-issued photo-identification, which will be held by the building office
for the duration of the visit. Car or house keys may be accepted in lieu of a
driver's license or photo ID at the discretion of the building office.
Once registered, the visitor will be issued a Visitor Identification Badge,
which must be displayed at all times while the visitor remains in the school
building or on school premises.
Visitors must remain in approved areas only and at all times act in a manner
appropriate to the safe functioning of the school environment. Any
individual who engages in uncooperative or disruptive behavior will be
required to leave the premises.
Upon conclusion of the visit, the visitor must return to the main office, sign
out on the Visitor Register and return the visitor badge. Once the visitor has
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checked out, staff in the main office will return the visitor's driver's license,
ID or keys, as applicable.
The District reserves the right to deny an individual entry to any school building,
when there is reason to believe that such individual's presence would be detrimental
to the operation of the school and the learning environment.
Keeping Primary/Emergency Contact Information Up-to-Date
Please remember to ensure your primary and emergency contact information is
up to date at all times. Having working telephone numbers is important for staff at
Pittsburgh Brookline PreK-8 to be able to reach you or your designated family or
friends in the event of an emergency with your child or at the school. Please share our
visitor procedures and school safety information with all of the individuals you
designate as an emergency contact. A child’s emergency contact is the person who is
responsible for picking up your child in the event you or your child’s additional
guardian is unavailable. As a school, we take the releasing of any child to an unknown
adult very seriously.
Therefore, it is important to make sure each of your child’s emergency contacts know
the following when visiting our school:
Must show proof of identification. A child will not be released to an
individual that does not show proper identification or if the identification
does not match the information in the District’s student information system.
Must understand the District’s visitor procedures. All visitors must use the
main entrance of the school building and sign-in in the main office. No
visitors are permitted to visit classrooms or walk hallways or main areas of
the school without signing in.
Must understand District’s Reunification procedures and know child’s
school reunification location. Each school has an alternative location for
pick-up in the event of a school-based emergency. Any individual wishing
to pick-up a child from an alternative location, must be listed as
parent/guardian or emergency contact and must show proof of
identification.
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Family Resources
Alliance for Community Respite Care - 1(888) 954-2424
A collaborative network of families, providers, community members and advocates who work to ensure the
availability of quality respite care.
www.classcommunity.org/how-we-help/alliance-community-respite-care
Allegheny Family Network (AFN) - 1(888) 273-2361
Supports and partners with families raising children with emotional and mental health needs to improve their
quality of life.
www.alleghenyfamilynetwork.cfsites.org
Carnegie Library of Pittsburgh - (412) 622-3114
The Carnegie library has multiple branch locations offering special services such as job career and educational
centers.
www.clpgh.org
Child Care Information Services - CCIS of Allegheny County City - (412) 261-2273 or 1(800) 392-3131
CCIS serves as a primary resource to assist families with child care referrals, emergency childcare, subsidized care
for qualifying families, and promotes quality child care by offering training in subjects such as early literacy.
http://www.dhs.state.pa.us/findfacilsandlocs/childcareinformationservices/
Children’s Health Insurance Program - CHIP - 1(800) 986-5437
Pennsylvania’s program to provide health insurance to all uninsured children and teens who are not eligible for or
enrolled in Medical Assistance.
www.chipcoverspakids.com
Family Resources - (412) 363-1702
Family Resources offers many services to help parents and children improve their relationship along with youth
enrichment activities at its centers.
www.familyresourcesofpa.org
The Mentoring Partnership of Southwestern Pennsylvania - (412) 281-2535
Helps mentoring programs by providing training, recruiting, quality assistance, and support to increase the number
of mentors in the community.
www.mentoringpittsburgh.org
Parent Education & Advocacy Leadership (PEAL) Center - (412) 281-4404
The PEAL Center is an organization of parents of children with disabilities reaching out to assist other parents and
professionals.
www.pealcenter.org
Pittsburgh Public Schools - (412) 529-4357 (Parent Hotline)
The Pittsburgh Public Schools believes in regular, two-way, meaningful communication connecting student
academic learning and other school activities;
to this end the Parent Hotline is one of a number of resources to assist parents and families in engagement.
www.pps.k12.pa.us
Right to Education Task Force – (412) 529-2300
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The Local Task Force provides opportunities for parents, guardians and community members to ask questions
about special education services as well as address concerns that affect students with disabilities in the Pittsburgh
Public School District.
Program for Students with Exceptionalities PSE/Oliver
2323 Brighton Rd.
Pittsburgh, Pa. 15212
ltf2pgh@gmail.com
http://on.fb.me/1vtwvYK
United Way of Allegheny County - 211 (HelpLine), (412) 261-6010
United Way of Allegheny County provides information to families through their online resource Help Connections;
agency funding, planning, and community problem solving for health and human services agencies operating
within Allegheny County.
www.unitedwaypittsburgh.org
Children’s Services
Achieva - (412) 995-5000
A world-renowned leader in the field of disabilities, known for its innovative programs, and dedication to children
with disabilities and their families.
www.achieva.info
Alliance for Infants and Toddlers - (412) 885-6000
This program provides service coordination, screenings, assessments, family support services, and early
intervention service coordination to families with children between the ages of birth to three years of age.
www.afit.org
Big Brothers Big Sisters of Greater Pittsburgh - (412) 363-6100
Big Brothers Big Sisters increases the self-confidence of children and the probability that they will become fully
integrated members of society, leading productive and rewarding lives through mentoring and enrichment
programs.
www.bbbspittsburgh.org
Boys and Girls Clubs - (412) 782-5710
The BGC is a unique organization consisting of 8 Club facilities, a Charter H.S., Outlet Connection retail venture,
Campfire USA, and extension programs. Our goal is to provide every child with the essential tools needed for a
successful & bright future.
www.bgcwpa.org
Catholic Charities, Child Care Support Services - (412) 456-6999
Catholic Charities provides counseling, refugee resettlement, respite care, utility assistance, emergency relief,
tangible assistance services and makes referrals for clients. In 2007 it expanded services by opening a Free Health
Care Center.
www.ccpgh.org
Children’s Institute - (412) 420-2400
The Children’s Institute is a nonprofit pediatric rehabilitation facility which provides education services for children
ages two to 21 with cognitive or physical disabilities with in-home services for children and families with special
needs.
www.amazingkids.org
Girl Scouts - Trillium Council - (412) 566-2570 or 1(800) 248-3355
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The Girl Scouts inspires girls with the highest ideals of character, conduct, patriotism, and service that they may
become happy and resourceful citizens.
www.gswpa.org
Greater Pittsburgh Council Boy Scouts of America - (412) 471-2927
The Boy Scouts trains young people in citizenship, service, and physical fitness through the Cub Scouting, Boy
Scouting, Venturing programs, & more.
www.gpc-bsa.org
Junior Achievement of Southwest PA Inc.(412) 208-4747
JA’s purpose is to educate and inspire young people to value free enterprise and understand business & economics
to improve the quality of their lives.
https://www.juniorachievement.org/web/ja-westernpa
Parks and Recreation - (412) 255-2539
Parks and Recreation offers a wide variety of recreational programs and facilities for use by Pittsburgh citizens.
http://pittsburghpa.gov/citiparks/
Pittsburgh Toy Lending Library - (412) 682-4430
The Pittsburgh Toy Lending Library, a cooperative run by volunteers, is an indoor play-space for children, pre-
kindergarten, and their caregivers.
www.pghtoys.org
Urban League of Greater Pittsburgh - (412) 227-4802
The Urban League is the largest social and educational service provider and advocacy agency devoted to
empowering African Americans to enter the economic and social mainstream community in Pittsburgh through its
diverse programs.
www.ulpgh.org
YMCA- (412) 227-3800
YMCAs serve America’s children, families and communities by “building healthy spirit, mind and body for all.
www.ymcaofpittsburgh.org
YouthPlaces - (412) 434-0851
YouthPlaces promotes the positive cognitive, social, physical, emotional and moral development of youth by
providing a safe place for them to engage in a range of activities.
www.youthplaces.org
YouthWorks Inc. - (412) 281-6629
YouthWorks builds a community solution to help young people whose potential might be overlooked to pursue
employment and career development opportunities.
www.youthworksinc.org
YWCA Greater Pittsburgh - (412) 391-5100
YWCA works to improve our community by increasing the status of women, girls, families and advancing racial
justice by tackling homelessness, childcare needs, unemployment, fair housing and civil rights issues.
www.ywcapgh.org
Cultural Organizations
The August Wilson Center - (412) 258-2700
The August Wilson Center for African American Culture is a not-for-profit organization that presents performing,
visual and education programs that celebrate the contributions of African Americans within the region and the
impact of cultural expression from Africa to the African Diaspora.
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https://culturaldistrict.org/venues/august-wilson-center
Carnegie Museums of Pittsburgh - (412) 622-3131 Natural History & Art, (412) 237-3400 Science Center, (412)
237-8300 Andy Warhol
A collection of four dynamic, distinctive museums, and the Pittsburgh region’s home for great art and science
exploration.
www.carnegiemuseums.org
Children’s Museum of Pittsburgh - (412) 322-5058
Children’s Museum of Pittsburgh provides innovative museum experiences that inspire joy, creativity and curiosity.
www.pittsburghkids.org
Fort Pitt Museum - (412) 281-9284
Through exhibits and programs, the museum also addresses the important role of Fort Pitt during the American
Revolution and the early development of the city of Pittsburgh.
http://www.heinzhistorycenter.org/fort-pitt/
The History Center - (412) 454-6000
The Senator John Heinz History Center is an affiliate of the Smithsonian Institution and the largest history museum
in the state of Pennsylvania.
www.heinzhistorycenter.org
Manchester Craftsmen’s Guild - (412) 322-1773
Manchester Craftsmen's Guild is a multi-discipline, minority directed, center for arts and learning that employs the
visual and performing arts to foster a sense of accomplishment and hope in the urban community.
www.mcgyouthandarts.org
National Aviary - (412) 323-7235
The National Aviary is America’s only independent indoor nonprofit bird zoo. It is home to 600+ birds of more than
200 species.
www.aviary.org
Phipps Conservatory and Botanical Gardens - (412) 622-6914
Encounter the wonders of the natural world. Tour through the jewel-like Conservatory and visit exotic lands and
ancient worlds with vivid colors, natural oddities, and surprises around every corner of the botanical gardens.
www.phipps.conservatory.org
Pittsburgh Zoo & PPG Aquarium - (412) 665-3640
The Pittsburgh Zoo & PPG is a 77-acre facility that is home to thousands of animals representing hundreds of
diverse species. The Pittsburgh Zoo & PPG Aquarium is one of only six major zoo and aquarium combinations in
the country. www.pittsburghzoo.org
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Please feel free to cut out and copy these notesorsubmit a
handwritten or doctor’s note for every student absence.
Pittsburgh Brookline PreK-8
Pittsburgh Brookline PreK-8
500 Woodbourne Avenue
500 Woodbourne Avenue
Pittsburgh PA 15226
Pittsburgh PA 15226
Phone 412-529-7380 Fax 412-571-7386
Phone 412-529-7380 Fax 412-571-7386
SCHOOL ABSENCE NOTE
SCHOOL ABSENCE NOTE
Today's Date _____________________
Today's Date _____________________
My Child,
My Child,
________________________________________
________________________________________
Was absent from school on (date): ______________
Was absent from school on (date): ______________
Because: ____________________________________
Because: ____________________________________
____________________________________________
____________________________________________
___________________________________________
___________________________________________
Parent / Guardian Signature:
Parent / Guardian Signature:
___________________________________________
___________________________________________
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Request for Approved Absence
Please complete the following information and submit to the main office ONE WEEK PRIOR to the first
day of absence. Absences should be avoided during major exams/events.
STUDENT NAME
Grade and Homeroom:
Date(s) of upcoming absence(s):
Date student will be returning to
school:
REASON FOR ABSENCE (please check one of the following):
Arts Related Family Obligation College Visit Medical Absence Religious Other
Please attach any official correspondence to substantiate your absence request (doctor’s note, letter from
university, etc.).
BRIEFLY DESCRIBE THE NATURE OF THE ABSENCE:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________
_________________________________ ____________________
____________
Parent Signature Phone Number Date
It is the responsibility of the student to obtain schoolwork in advance prior to any approved extended
absence and to complete that work within one week of the student’s date of return.
_______________________________________ ____________________________
Student Signature Date
(Over)
Please have your teachers provide your grade to date in the table below before
turning this form into the office for approval
(you do not need to complete this if the absence is medical in nature).
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Once approved, completed forms will be returned to homeroom teachers and then given to
student.
______________________________________________________________________________
______
For office use only:
Approved Not Approved
___________________________ ____________
Principal Signature Date
Comments:____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
__________________
CLASS
GRADE TO
DATE
TEACHER
INITIALS
If exams will be
missed teacher
should OK here
and list date of
rescheduled exam.