District Forms and Information
Standard Forms
| Form Name | Description | Updated | Type |
|---|---|---|---|
| Appdx. A - Request for Leave | Please submit an Appendix A form to request leave in advance or report medical leave. | 10/13/2009 |  |
| Time Sheet (Classified Staff) | This time sheet will be used by hourly employees to record the hours they have worked. | 8/22/2008 |  |
| General Transfer Procedure and Form | Certified Employees will submit this form and support documentation whenever they wish to request a transfer to a new position within, or between schools. | 4/3/2008 | |
| Accident Investigation Report | This form is completed by an employees supervisor after an on-the-job accident or injury. | 4/3/2008 | |
| Assessment Notification Form | This form makes it possible for SPED case managers to fill out the form on the computer and send copies via email attachment. | 4/28/2009 | |
| Certified Employee Evaluation | This form is for building administrator use in the evaluation or certified staff. | 9/23/2009 | |
| Classified Employee Evaluation | This form is for building administrator use in the evaluation of classified staff. | 4/3/2008 | |
| Direct Deposit Requisition Form | Use this form to authorize the deposit of your paycheck into an existing checking or savings account. Print, sign, and send to the district office. | 4/3/2008 | |
| Electronic District Requisition Form | This version of the District Requisition Form features automatic subtotaling and totaling. | 4/3/2008 | |
| Enrollment Form | This form is for the secretaries to fill out for enrollment. | 5/11/2009 | |
| Extra Duty Pay Request Form | Use this form to request Extra Duty pay. | 8/13/2008 | |
| Injury Report | This form is used by employees to report an on-the-job accident or injury. The employee should complete this form and then submit it to his/her supervisor. | 4/3/2008 | |
| Maintenance Request | This form is for the purpose of making a maintenance request. | 2/23/2010 | |
| Mileage Reimbursement | This form is for the purpose of reimbursement for mileage on a personal vehicle driven to school functions or activities. | 7/20/2009 | |
| SPED Assessment Notification Form | 11/23/2009 | | |
| Staff Acceptable Use Policy (AUP) | In order to use the technology and Internet connection provided by Piper School District, all faculty and staff member with computer access must have an updated and signed technology agreement on file. | 4/3/2008 |  |
| Student Acceptable Use Policy (AUP) | In order to use the technology and Internet connection provided by Piper School District, all students with computer access must have an updated and signed technology agreement on file. | 4/3/2008 | |
PDC Forms
| Form Name | Description | Updated | Type |
|---|---|---|---|
| PDC Minutes 4/28/08 | PDC Minutes from the April 4, 2008 meeting. | 4/30/2008 | |
| PDC Minutes 9/29/08 | PDC Minutes from the September 29, 2008 meeting. | 10/29/2008 | |
| PDC Minutes 10/27/08 | PDC Minutes from the October 27, 2008 meeting. | 10/29/2008 | |
| Professional Learning Communities Feedback Sheet | This is the form used by the PLC team recorders to keep notes of team meetings. | 4/3/2008 | |
| Quick Key for PDC Points Request | This document provides a quick reference tool for determining what professional activities qualify for PDC points and which forms should be submitted in the application process. | 11/12/2009 | |
| PDC Procedure Flowchart | This document contains a description of the procedures required to file an IPDP and apply for PDC points. | 4/3/2008 | |
| PDC Plan | This document describes the guidelines and procedures for the USD 203 Professional Development Program. | 4/3/2008 | |
| PDC Point Award Procedures | This document describes the professional activities that ARE and ARE NOT eligible for PDC points in USD 203. | 4/3/2008 | |
| Appdx. A - Request for Leave | Please submit an Appendix A form to request leave in advance or report medical leave. | 10/13/2009 | |
| Appdx. B - IPDP Form | Every certified staff member should file an Appendix B - IPDP annually by September 15. Please submit IPDP forms to the building principal. | 8/14/2009 | |
| Appdx. C - Validation | Please submit an Appendix C form as a cover page for any PDC points request. | 4/3/2008 | |
| Appdx. D - Knowledge | Please submit an Appendix D form for a Knowledge Level points request. | 4/3/2008 | |
| Appdx. E - Application | Please submit an Appendix E form for an Application Level points request. | 8/14/2009 | |
| Appdx. F - Impact | Please submit an Appendix F form for an Impact Level points request. | 4/3/2008 | |
| Appdx. G - Activity Evaluation | Please submit an Appendix G form after a Knowledge Level or Service to the Profession activity. | 8/14/2009 | |
| Appdx. H - Request for Approval of College Credit | Please submit an Appendix H form in advance of beginning college coursework that will be used for re-licensure or potential salary movement. | 8/14/2009 | |
| Appdx. H - Sample | This is an example of a completed Appendix H form, to help certified staff. | 8/14/2009 | |
| Appdx. I - 2007-08 PDC Sign In Sheets | Appendix I forms are used for teacher sign-in at board-approved Knowledge Level activities. | 8/14/2009 | |
| Appdx. J - Log Application Hours | Please submit an Appendix J log with the Application Level points request. | 8/14/2009 | |
| Appdx. K - Application Lesson Plan | Please submit an Appendix K lesson plan with the Application Level points request. | 11/12/2009 | |
| Professional Development Activity Agenda Template | Principals may use this template for creating a professional development activity agenda. | 8/14/2009 | |
Medical Forms
| Form Name | Description | Updated | Type |
|---|---|---|---|
| Immunization Requirements (2009-10) | Kansas State Statutes regarding REQUIRED immunizations. | 6/4/09 | |
| Medical Consent - Prescription and Non-Prescription (Gr.Pre-8) | Permission to administer Prescription and Non-Prescription medication to Pre-School - 8th Grade only. | 6/4/09 | |
| Medical Consent - Prescription (Gr.9-12) | Permission to administer Prescription medication to 9th - 12th Grade only. | 6/4/09 | |
| Medical Consent - Non-Prescription (Gr.9-12) | Permission to administer Non-Prescription medication to 9th - 12th Grade only. | 6/4/09 | |
| Medical Consent - Self-Administration (Gr.5-12) | Permission for Self-Administration of Medication for 5th - 12th Grade only. Applies to Asthma and Anaphylaxis only. | 6/4/09 | |
| Medical Consent - Acetaminophen and Ibuprofen (Gr.9-12) | Permission to administer Acetaminophen and Ibuprofen to 9th-12 Grade only. | 6/4/09 | |