SANTA MARIA INDEPENDENT SCHOOL DISTRICT

Migrant Department

P.O. Box 448

Santa Maria, Texas 78592

(956) 565-6308

School Year:2016 – 2017

I, ______, am requesting assistance for the following items for my migrant children because ______

______.

( ) School Clothing (uniform shirts=2) (Pre-k 3-8th)

( ) School Clothing (uniform pants=2) (Pre-k 3-8th)

Student’s Name / NGS# / Grade / Shirt size / Pants size
TONY GONZALEZ ELEMENTARY(Pre-k -4th) / MIDDLE SCHOOL
5th-6th / JR. HIGH
7th- 8th / HIGH SCHOOL
9th- 12th
1- box 24 count crayons / 1-1in. binder / 1-pkg pencil top erasers / 1-box color pencils (12count)
1-box washable markers / 1-pencil pouch / 1-package of #2 pencils / 1-package of #2 pencils
1-pair scissors / 1-box color pencils (12count) / 1-college ruled paper (250ct.) / 1-2in. binder
1-package of #2 pencils / 1-college ruled paper (250ct.) / 1-box color pencils (12count) / 2-composition book
1-pkg pencil top erasers / 1-package of #2 pencils / 1-pencil pouch / 2-college ruled paper
1-bottle Elmer’s glue / 1-pkg pencil top erasers / 1-1in. binder / 2-black pens
1-1in. binder / 2-red pens / 2-folders with pockets/brads / 2-blue pens
1-personnal pencil sharpener / 2-black pens / 2-spiral notebook / 2-highlighters
1-box color pencils (12count) / 2-composition book / 2-red pens
1-college ruled paper (250ct.) / 2-folders with pockets/brads / 2-black pens
2-composition book / 2-spiral notebook / 2-composition book
2-spiral notebook (70 sheet)
2-pocket folders
2-highlighters

( ) School Supplies(*Students will receive school supplies according to their grade level.)

______

Parent or Guardian SignatureDate

______

Migrant CoordinatorDate

SANTA MARIA INDEPENDENT SCHOOL DISTRICT

Migrant Department

P.O. Box 448

Santa Maria, Texas 78592

(956) 565-6308

Año escolar:2016 – 2017

Yo, ______, estoysolicitandoayuda para lossiguentesarticulospara misniñosmigrantesporrazon de ______

______.

( ) Camisas de uniformes = 2(Pre-k 3-8th)

( ) Pantalones de uniformes = 2(Pre-k 3-8th)

Nombre de estudiante / NGS# / Grado / Talla de camisa / Talla de pantalon
TONY GONZALEZ ELEMENTARY (Pre-k-4th) / MIDDLE SCHOOL
5th-6th / JR. HIGH
7th-8th / HIGH SCHOOL
9th-12th
1- box 24 count crayons / 1-1in. binder / 1-pkg pencil top erasers / 1-box color pencils (12count)
1-box washable markers / 1-pencil pouch / 1-package of #2 pencils / 1-package of #2 pencils
1-pair scissors / 1-box color pencils (12count) / 1-college ruled paper (250ct.) / 1-2in. binder
1-package of #2 pencils / 1-college ruled paper (250ct.) / 1-box color pencils (12count) / 2-composition book
1-pkg pencil top erasers / 1-package of #2 pencils / 1-pencil pouch / 2-college ruled paper
1-bottle Elmer’s glue / 1-pkg pencil top erasers / 1-1in. binder / 2-black pens
1-1in. binder / 2-red pens / 2-folders with pockets/brads / 2-blue pens
1-personnal pencil sharpener / 2-black pens / 2-spiral notebook / 2-highlighters
1-box color pencils (12count) / 2-composition book / 2-red pens
1-college ruled paper (250ct.) / 2-folders with pockets/brads / 2-black pens
2-composition book / 2-spiral notebook / 2-composition book
2-spiral notebook (70 sheet)
2-pocket folders
2-highlighters

( ) Utiles escolar(*El estudianterecivirasusutliesescolaresdependiendo de sugrado .)

______

Firma de padre or tutor Fecha

______ ______

Firma de cordinador de migranteFecha