Cheney School District
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Forms for In-District Use
Student Discrimination/HIB Reporting - Form 109
Informal Sexual Harassment Staff Incident Report - Form 111
Formal Sexual Harassment Staff Incident Report - Form 112
Transportation Trip Ticket - Form 200
Field Trip Authorization Request - Form 203 Rev. 5_10 electronic
Field Trip Checklist - Form 206 Rev. 5_18 electronic
Parent Permission Slip Form 210 Rev. 7_18 electronic
Extended Field Trip Plan Form 210A electronic
Extended Field Trip Permission Form 210B Rev. 7_18 electronic
Parent-Guardian Driver Agreement - Form 240
Employee Agree. of Respon. for Bldg. Access - Form 344 Rev. 8_16 electronic
District Equipment Checkout - Form 374
Application for Use of School Kitchen - Form 406
Travel and Registration Request - Form 501
Affidavit of Mileage - Form 502 (Rev. 1.2019)
Employee Emergency Information - Form 504
CEA Grievance Report - Form 510
Application for Leave - Form 511 Rev. 3-17 electronic
Employee Health Condition Form 514A electronic
Family Member Health Condition Form 514B electronic
Employee Return to Work Form 515 electronic
Certificated Monthly Absence and Substitute Reporting - Form 516
Classified Monthly Absence and Substitute Reporting - Form 516A
Administrative Employee Flexible Day Timesheet Form 521 Rev. 2017 electronic
Substitute Report - Form 526 Rev. 12-14 electronic
Goal Setting Form 527 7-15 electronic
Leave Tracking Calendar Form 532
Hiring Team Guidelines - Form 538 Rev. 4-17 electronic
Confidentiality and Ethics - Form 539 Rev. 4-17 electronic
Volunteer Clearance Application - Form 544
Employee Time Sheet - Form 550
Application for Summer Employment (Part-Time) - Form 554
Form 555, Request for Leave (Rev. 3.19)
CEA Employee Meeting Notice - Form 591
Employee Disciplinary Action Memo to CEA President - Form 591B
Student Injury Incident Report - Form 630 Rev. 4_17 electronic
Reporting of Child Abuse - Form 636
Blended Preschool Agreement Form 661C Rev. 3_18
Blended Preschool Form 661D Rev. 3_18
Student Registration - Form 663
Home Language Survey - Form 663B
Preschool Assessment Entry - Form 663D
Parent-Teacher Conference Notification Slip - Elementary - Form 665
Parent-Teacher Conference Sign-Off Record - Form 673
Special Needs Busing Registration - Form 674S
Placement and Retention of Elementary Students - Form 690
Non-Curriculum-Related Student Group Application - Form 691
Visitor Accident Report - Form 697
Documentation of Restraint - Form 836 (Rev 12.2018)
District Network Access - Form 894
Staff Sign-In Sheet for Meetings - Form 1125
Student Health Registration - Form 663A (Rev. 12.2018) Fillable
Employee Accident Report Form
2018 Bloodborne Pathogens Update
BENEFITS
BUDGET AND ACCOUNTING
Refund Request - Form 786 (Rev. 6.13)
HUMAN RESOURCES
Notice of Personnel Action - Form 553 (Rev. 7.2019)
Formal Staff Sexual Harassment - Form 112 (Rev. 3.2012)
Informal Staff Sexual Harassment - Form 111 (Rev. 3.2012)
NUTRITION SERVICES
PAYROLL
Request for Leave - Form 555 (Rev. 3.19)
PROFESSIONAL DEVELOPMENT
SAFETY AND RISK MANAGEMENT
SPECIAL EDUCATION
Documentation of Restraint - Form 836 (Rev. 12.2018)
STUDENT REGISTRATION
Elementary, Housing Questionnaire - Form 695A (Rev. 1.16)
Secondary, Housing Questionnaire - Form 695 (Rev. 8.14)
Military Family Information - Form 693 (Rev. 6.2019)
STUDENT SUPPORT
Highly Capable Parent Referral - Form 1055 (2.2018)
Highly Capable Non-Parent Referral - Form 1056 (Rev. 12.2017)
Student HIB - Form 109 (Rev. 3.2011)
TEACHING AND LEARNING
Curriculum Materials Requisition - Form 1101 (Rev. 10.2015)
Presentation(s) by Other Than District Instructional Staff - Form No.1112 (Rev. 12.2018)
Request for Reconsideration for Instructional Library Materials - Form 1113 (Rev. 5.2018)
TECHNOLOGY SERVICES
TRANSPORTATION
Busing Registration - Form 674
Student Health Registration - Form 663A (Rev. 12.2018) fillable
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