BSSD Forms

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BSSD Forms You Need!

This is the place for BSSD's most commonly requested forms. In most cases they are in either Acrobat (.pdf), Word (.doc) or Excel (.xls) format. Some are links to web-based forms. The menu of shortcuts to the right should help you navigate this page.

What is Not Here: Special Education forms are all online in the GoalView system. Testing forms are in their own iCommunity area (direct link below), and Ed Tech's tutorials are in the Tech Bytes Forum (direct link below).

If you have trouble finding what you need, Josh Bullock is the Forms Meister for this section, and can likely clarify where to turn. Just don't call Rebecca. She's got plenty of Special Paperwork of her own!

Business Office Forms

Administration

Petty cash

Student Accident Form

Use of Facilities Request Form

Vehicle Usage Process

Pet Fee Process

Employee Computer Purchase Plan - This requires principal & Ed Tech approval.

Returning Teacher Travel Reimbursement Form

Eligible Teacher Tuition Reimbursement Form

Cafeteria Plan Forms

Note: These forms have been updated as of 8/20/12.

13 Cafeteria Plan Instructions

13 Cafeteria Plan Teacher Single

13 Cafeteria Plan Teacher Family

13 Cafeteria Plan Admin Single

13 Cafeteria Plan Admin Family

13 Cafeteria Plan Classified

Food Service Forms

Catering Form (Excel) Please use this form when requesting food for an event or activity, and turn in to Tera Cunningham.

Breakfast and Lunch Production Records (pdf) Complete these on a daily basis. Scan and email to Tera Cunningham at the end of each week.

Breakfast and Lunch Production Records (Excel) If you would like to complete the production records electronically, use this form.

Example Breakfast and Lunch Production Records Here is an example of how to fill out the new production records.

Activities Meal Form

Special Function Report

Special Function Report Example If you need help filling out the Special Function Report, check this out.

Menus for school year 2012-2013

Insurance Forms

FLEX Plan:

Flex Plan Enrollment Information

Flex Plan Enrollment Form

FY 11/12 Flex Plan claim form (FSA & Child Care)

Flex Plan Expenses Worksheet

Flex Plan Tax Savings Worksheet

MERITAIN:

BSSD Health Care Plan

Meritain Enrollment Form

Meritain Travel Form

Meritain claim form - Medical/Vision.pdf

Meritain claim form - Dental.pdf

MERITAIN Full Time Student form

MERITAIN Other Insurance form

MERITAIN Explination of EOBs

Group Supplemental Life Insurance

Symetra Financial Flyer

Maintenance

Facility Use Fees, Effective July 1, 2008

Work Order Request Form - Created for staff to report school building and teacher housing issues.

Personnel Forms

Alaska Paraprofessional Checklist

Returning Teacher Travel Reimbursement Form

Highly Qualified Forms

Praxis Reimbursement Form

Tuition Reimbursement Form

Paraprofessional Highly Qualified Verification Form

Evaluation & Observation Forms

Teacher Evaluation/Observation forms are HERE on iCommunity

Cover Letter Certified Evaluations

Classified Evaluation Form

Classified Manual

Classified Plan for Improvement

Complaint Procedure

FERPA Postings

FERPA Verification of Posting

FERPA Posting

Drug Free Workplace

Title IX Posting

Title IX Verification of Posting

State Training Forms

AEC/Staff Program Overview

Certified Evaluation Training Signature Sheet

Classified Evaluation Training Signature Sheet

Housing Lease Forms

Housing Lease Form

Misc Forms

Administrative Release Form for Surveys

ANE Mentor Tutor Report Form

Resignation Form

Program Forms

Monthly Report Cover Sheets

May end of the month reports are collected as part of the End of Year checkout process :)

Monthly To Do List

IM Support

Susette Carroll Cross-Content Resource Page (Thematic Units, 2nd Step, Connecting Content, Constructed Response)

6 Traits Writing

21st Century & BSSD Tutoring

21st Century Extra Duty 2013

21st Century Classified Extra Duty 2013

21st Century Cood. Timesheet 2013

21st Century Site Cood Job Duties 2013

21st Century Time Sheet 2013

21st Century Tutor Job Description 2013

After School Snack Program 2013

Attendance Contract 2013

BSSD Extra Duty Tutoring 2013

BSSD Tutor Extra Dty 2013

BSSD Tutor Time Sheet 2013

Family Event Attendance 2013

Family Event Report 2013

In-service Feedback

Teacher Survey 2013

AAESP & AASSP

Principal Conference Registration Form for AAESP Principals

Principal Conference Registration Form for AASSP Principals

AAESP Dues Form

AASSP Dues Form

AEC Forms

AEC Programmatic Overview

AEC Blank Ballot

Affidavit of Candidacy for AEC

Bilingual/Bicultural

Bilingual Aide Schedule Template

Counseling Forms

Suicide Threat Response

Child Abuse and Neglect Reporting

BSSD Reporting Form

Curriculum and Instruction Forms

BSSD 2012-2013 High School Course Descriptions

Advising Process Overview

BSSD Pacing Guide

BSSD Performance Task Template

C&I Process for Enrolling New Student

Continuing Student Contract

Continuing Student Process Description

Diploma Request Form

Early Entry Request Form

Lesson Plan Template

PERR Lesson Plan Template

Differentiated Instruction/Layered Curriculum Unit Plan Form

UBD Lesson Template

Letter to Prospective Continuing Students

DART Forms

DART Enrollment Form - For new and returning students

Level Change Form - When students finish or need to be adjusted in content area levels

Drop & Transfer Form - All students transferring, moving, dropping our, or being administratively deactivated

CASC Standards Change Form - for CASC members to make approved adjustments to all BSSD standards

Educational Technology

More Ed Tech forms and tutorials can be found on the Tech Bytes area of the iCommunity.

Computer Checkout Form - Use this to check out computers for the summer (Staff Only)

Employee Computer Purchase Plan - This requires principal & Ed Tech approval.

VTC Request Form - To request a Video Teleconference to be scheduled

Ed Tech Help Request Form - This is to request a visit from someone in the EdTech Department.

Computer Equipment Repair Request - This form must accompany any computer sent for repair to the District Office.

BSSD Electronic Mail Student/Parent Agreement Form - We are pleased to be able to offer students in the Bering Strait School District access to the District computer network for electronic mail and Internet access. To obtain an electronic mail account and Internet access, all students must obtain parental permission and must sign and return this form to the school office.

BSSD World Wide Web Permission Form - As part of your son's/daughter's educational program, (s)he will have the opportunity to publish documents and projects on the World Wide Web (WWW).

ELL/LEP: English Language Learners

Language Ob Checklist Part A

LEP Accommodations Form

Parent Language Questionnaire

Enrollment Forms

All Enrollment Forms - This is all the forms for enrollment if you feel like you need them all or you can pick one below that fits your needs.

ELP Student Record Label

HSGQE Green Sticker

SBA Yello Sticker

Science Label Record Sheet

Terra Nova Sticker

Authorization For Release of Immunization

Parent Language Questionnaire

Language Observation Checklist - Part A

506 Form - Expires 4/30/2013

Birth Certificate Request Form

BSSD Cumulative Health Record Form

Cumulative Record Review Log and Contents Checklist Form

BSSD Limited Access Notice

Medical Permission Form

Student Record Release Form

Student Records Request

Student Records Overview

Survey Administration Release Form

BSSD Electronic Mail Student/Parent Agreement Form - We are pleased to be able to offer students in the Bering Strait School District access to the District computer network for electronic mail and Internet access. To obtain an electronic mail account and Internet access, all students must obtain parental permission and must sign and return this form to the school office.

BSSD World Wide Web Permission Form - As part of your son's/daughter's educational program, (s)he will have the opportunity to publish documents and projects on the World Wide Web (WWW).

Student Withdrawal/Transfer Form

Blank Enrollment Form

Early Childhood Education Parent Questionnaire

Brevig Mission Enrollment Form

Diomede Enrollment Form

Elim Enrollment Form

Gambell Enrollment Form

Golovin Enrollment Form

Koyuk Enrollment Form

Savoonga Enrollment Form

Shaktoolik Enrollment Form

Shishmaref Enrollment Form

St. Michael Enrollment Form

Stebbins Enrollment Form

Teller Enrollment Form

Unalakleet Enrollment Form

Wales Enrollment Form

White Mountian Enrollment Form

Future Teachers (FTA) Forms

Coordinator Expectation Form

Indian Ed Forms

FY'13 Indian Ed Overview

Indian Ed Reporting Flow Chart

Indian Ed 506 Form

Indian Ed Aide Schedule Template

JOM Forms

JOM forms are only for 6 sites (KTS, DIO, KKA, SKK, WAA, SHH)

09 JOM Application

08 JOM Narrative Report

NACTEC

NACTEC website & Forms

Parent Liaison Forms

Sample Parent Compact

How to develop at Parent Compact

The NCLB Law behind Parent Compacts

Parent Liaison Job Description and division of site PL money

Perkins Forms

Special Education Forms

Child Find Activities Form

Surrogate Parent Verification Form

SpEd Aide Time Account Form

SpEd Referral Form

9th Grade HSGQE Guidance Form

Section 504 Forms

Section 504 Form_doc

Section 504 Form_pdf

Site Evaluations

Site Evaluation Assignments for school year 2009-2010

Success for All Forms

Contact Addresses and Numbers

IV Schedule

2010 SFA Monthly Report Form

CC Observation Checklist

KC Observation Checklist

Roots Observation Checklist

Wings Observation Checklist

Edge Observation Checklist

Discussion Cards

Strategy Cards

Solution Team

2010 Solution Team Set-Up Form

Interventions Worksheet

Solutions Sheet

Solution Team Request for Assistance

Solution Team Progress Monitoring Chart

Testing Forms

All Testing forms can be found at Dr. Degnan's testing section in iCommunity. This site is password protected.

Truancy

Citation Flow Chart

Attendance Tracking

Staff Development Forms

Process for requesting site inservice days

Flowchart for requesting inservice days

Form for requesting inservice days

Printable version of the Staff Development guidelines

Form to complete when requesting to attend an in-state conference that BSSD is NOT sending staff to

Form to complete when requesting to attend an out-of-state conference that BSSD is NOT sending staff to

District Office Administrators: If you are planning to have a group go to a conference/training click HERE for the form to complete. (Needs Director/Supt signatures 2-4 weeks ahead of travel dates, so plan ahead!)

Process for Traveler Before-During-After Travel

Document for what travelers NEED to do

Memo on Rental Vehicles

Flowcharts for organizing events:

Download POD Planning Flowchart

Download UNK Event Planning Flowchart

Download Non-UNK Event Planning Flowchart

Forms Necessary for the details of events:

Checklist for planning a meeting in UNK

Checklist for planning a meeting outside of UNK

Catering Form

Dorm Reservation for UNK

Temporary Housing Information for UNK

Student Activities Forms

SA-1 Request for Trip Approval - Request for Trip Approval Form for in or out-of-district travel (student activities related) should be sent directly to the Activities Assistant. Out-of-district travel requests must arrive four weeks prior to the planned trip. Please code your "Request for Trip Approval." Without a code the travel office will not schedule the flight. All JOM must be coded as follows: 350-site code-100-000-420.
SA2 Student Activity Permission Slip - Student Permission Slip These slips are required for every student each time they travel. One form should be given to the chaperone and one should be kept in the principal’s office. You do not need to fax this in to our office.
SA2Student Accidents and First Aid- Student
SA-3 Certificated Teacher Contract Addendum for Student Activity Coach/Sponsor - This addendum is to be completed prior to the commencement of any coaching or sponsorship duties. Final approval of each applicant is made by the superintendent.
SA-4 APPLICATION FOR NON-SCHOOL EMPLOYEE COACH/SPONSOR This form is filled out by all non-school employee applicants for Student Activity positions.
SA-5 Memorandum of Agreement‎- This agreement is to be completed by the principal and submitted to the athletic director for any non-certified person recommended by the principal to coach or sponsor a student activity. Final approval of each applicant is made by the superintendent. The agreement is to be submitted prior to the beginning of the activity. (Please note items D & E (application and MOA) must be completed for non-certified coaches).
SA-6 Eligibility Waiver Form -‎ This form to be used for BSSD eligibility academic or attendance waiver requests.
SA-7 Trip Check-Out Form‎ This form to be filled out by all students who intend to be checked out by appopropriate persons while on a student activity trip. No checkout is allowed without this form filled out correctly.
SA-8 Quarterly Eligibility Report - This form is required quarterly for all BSSD student activity participants as a progress report. It determines eligibility for the subsequent quarter.
SA-9 Suspension Notice -‎ This form to be filled out for any suspension due to the breaking of BSSD Student Activity policy.
SA-10 BSSD EVENT NOTICE This form is filled out by site AD and sent to the BSSD SA Office for all site-sponsored events. This allows us to plan travel and assist where needed.
SA-11 Transfer of Supervision from BSSD to Other This form is filled out students and their parents who are requesting release from BSSD supervision. This will happen most often on a district sponsored when a parent(s) want to keep their child after the trip is completed.
SA-12 Travel via Alternative Means (non-airplane) This form is filled out by students and their parents prior to student trip that is using a vehicle other than an airplane. (e.g. ATV, snowmachine, boat)
SA-13 Participation in Activity without a Sports Physical. This form is filled out by all students (and their parents) who have not received a current sports physical. Please note on these forms the expected dates of physical if you know it.
SA-14CONTRACT FOR GAMES Bering Strait School District This form is filled out by the site AD when entering into a contract with another school for any athletic contest.
SA-15 Hold Harmless AgreementThis form is filled out by all students (and their parents) who will be participating in any BSSD student activity.
SA-16 Activities Office Student Activity Survey This form is filled out at the end of the year by the site AD and sent to the BSSD Student Activity Office as a part of principal check-out.

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