Forms
Quality Assurance Model QAM: Official Salem-Keizer Public Schools manuals, procedures, work instructions, and forms.
QAM District Forms (look here first)
Business Services Forms: Signature Authorization, Direct Deposit, Account Number Request, IRS W-4 Form, Manual Warrant, Revenue Activity, Report of Cash Gifts-Property Donations, Change of Name-Address-Phone Number, Purchasing Documents and Forms
Complaint Form: Salem-Keizer District 24J complaint form, and be used by district employees or by other members of the public.
Curriculum and Instructional Services Forms:
- CSIP (Forms, Handbook/Samples)
- Music: Contract for loan of music instruments, Teacher Schedule Form, Block Teacher Schedule Form, Calendar of Events Form
Counseling Services Forms (Student Services): Annual Plan, Master Calendar, Content Framework, Montly Data Counts, End of Year Reports, Resources Forms, General Counseling Forms.
EPIC: Evaluation Through Performance Improvement Commitments (Human Resources): Includes performance goals, pre/post observation, teacher evaluation, licensed staff standards, and professional development plan.
Library Media Forms: AV Video Permission Forms, Donation Form, Internet Exclusion Forms, Reconsideration of Instructional Material Form.
Internet Exclusion Form: If a parent or guardian does not wish their child to have access to the Internet, a signed copy of this form must be submitted to the school office.
Programs and Benefits: Insurance forms, sick-leave bank form, prescription reimbursement form, sabbatical leave form, domestic partner coverage, waiver form, flexible spending account.
Risk Management Forms: Claims management/workers' compensation forms, IAQ Concern Form, List of First Aid Qualified Staff Form, ID Badge Request Form, Threat Assessment Forms.
Sexual Harassment Reporting Form (Human Resources)
Suspected Abuse Reporting Form: All district employees are mandatory reporters. If a students discloses abuse, you must make a report to Child Welfare or Law Enforcement. Telling another employee or administrators does not relieve you of this legal obligation. This form is your record of reporting.
Testing and Evaluations Forms (Intranet):
- Fitness Test Forms
- Blank Performance Task Form
- Challenge Test Form
- Extended Test Form
- TESA Proctor Form
- TESA Challenge Form
- Juried Assessments Appeal Form
Transfer Request Forms (Human Resources):
- Classified – contact HR
- Licensed
Translation Request Forms (Translations Department)
Travel Request Form:
- Domestic Per Diem Rates
- Out-of-District Travel Process and Guidelines
- In-District Travel Process
- Out-of-District Travel - No Reimbursement Form
- Travel Request Plan/Itinerary for Individual or Group Use- 2009
- Blanket Travel Request
- District Mileage Chart
Trip Request Form (Intranet, Transportation Department)
Video/Photo Release Form: Permission form allowing students to be photographed or video taped.
Volunteer Forms: Criminal history background check forms for adults and teens, and Form Per 55
