Staff  

This section contains a variety of information for staff.  You will find links to various subscription services of the district on the STAFF LINKS page. Some sections are password protected.  Teachers should have passwords for these sections.

Please click on the links to the left for helpful information for staff. 

Click a section below to view the PDFs in that group.

Staff  

This section contains a variety of information for staff.  You will find links to various subscription services of the district on the STAFF LINKS page. Some sections are password protected.  Teachers should have passwords for these sections.

Please click on the links to the left for helpful information for staff. 

Click a section below to view the PDFs in that group.

Central Office Forms

  • CO-001 - Central Office Letterhead
  • CO-002 - CENTRAL OFFICE ENVELOPE
  • CO-003 - CENTRAL OFFICE SELF-ADDRESSED ENVELOPES
  • CO-004 - Classified Application - Typeable
  • CO-005 - CERTIFIED PERSONNEL APPLICATION
  • CO-006 - Classified Application for Rule 10 / Coach / Sponsor
  • CO-007 - Initial Employee Acceptance
  • CO-008 - Authorization for Release of Information
  • CO-009 - Authorization for Release of Personal Information
  • CO-010 - Certification of Health for School Personnel K.S.A. 72-5213
  • CO-10a - Physical Examination Form
  • CO-011 - EMPLOYMENT EXIT CONFERENCE
  • CO-012 - Golden Pass (Senior Citizens & Disabled Adults)
  • CO-013 - Calendar Days Count
  • CO-014-1 - Agreement Contract for Gym Rentals
  • CO-014-2 - Agreement Contract for Facility Use
  • CO-015 - Contract Release Invoice
  • CO-016 - Workers Comp Sick Leave Buy Back Reconciliation Worksheet
  • CO-017 - TEACHER CUMULATIVE RECORD
  • CO-018 - Affirmation of Drug Free Policies
  • CO-019 - Facsimile Transmittal Cover Sheet
  • CO-020 - CENTRAL OFFICE WINDOW ENVELOPE
  • CO-021 - Enrollment Residency Questionaire
  • CO-023 - St. Francis Health Center Form
  • CO-024 - ESOL Licensure Commitment
  • Co-025  - Intent to Enroll in ESOL Coursework
  • GF-026 - Letter of Assurance
  • GF-027 - Vacation Accrued Letter
  • CO-060 - District Meeting Form
  • CO-099 - Exit Paperwork (Central Office Use)
  • CO-125 - 125 Election Form

Elementary Forms

  • EF-001 - Berryton Elementary Letterhead
  • EF-002 - BERRYTON ENVELOPE NO. 10
  • EF-003 - Shawnee Heights Elementary Letterhead
  • EF-004 - SHAWNEE HEIGHTS ELEMENTARY ENVELOPE NO. 10
  • EF-005 - Tecumseh North Letterhead
  • EF-006 - TECUMSEH NORTH ENVELOPE NO. 10
  • EF-007 - Tecumseh South Letterhead
  • EF-008 - TECUMSEH SOUTH ENVELOPE NO. 10
  • EF-009 - Kansas Assessment Program Results
  • EF-011 - Withdrawal Form - Typeable
  • EF-014 - Behavior Concern Form -Typeable
  • EF-015 - PLC TEAM NORMS
  • EF-020 - Consent to Participate in Field Trip or Other Activity & Consent for Treatment
  • EF-021 - School Lunch Procedures
  • EF-023 - REPORT OF ABSENTEES
  • EF-031 - Elementary Band Report 
  • EF-032 - 5th 6th puberty letter to parents
  • EF-033 - Elementary Counseling Program - Parent Information
  • EF-034 - Elementary Counseling Program - Student Information
  • EF-035 - Enrollment Card - Typeable
  • EF-036 - CENSUS FORM -TYPEABLE
  • EF - 037 - Student Enrollment Count 
  • EF-038 - Student Excusal Form
  • EF-039 - Health Curriculum for Grade Five
  • EF-040 - Lesson Outcomes for Grade Six
  • EF-063 - BES Meeting Form
  • EF-064 - SHES Meeting Form
  • EF-065 - TN Meeting Form
  • EF-066 - TS Meeting Form
  • EF-075 BES - BES Request for Pupil Records
  • EF-075 TN - TN Request for Pupil Records
  • EF-075 SHES - SHES Request for Pupil Records
  • EF-075 TS - TS Request for Pupil Records

Food Service Forms

  • FS-001 - FOOD SERVICE LETTERHEAD
  • FS-002 - K-8 Daily Lunch Count
  • FS-006 - FOOD SERVICE ENVELOPE
  • FS-007 - Storage Shipping Ticket
  • FS-008 - Grocery Order - Typeable
  • FS-009 - Utensils Inventory
  • FS-010 - Equipment & Accessories Inventory
  • FS-011 - Catering Order Form
  • FS-012 - Pre-Trip Inspection Log for Food Service Truck
  • FS-015 - Documentation of Supportive Services Related to Food Service
  • FS-027 - Activity / Field Trip Lunch Option
  • FS-028 - Food Service Fax Cover Sheet

ESOL Forms

General Forms

  • GF-001 - CLASSROOM INVENTORY (2013-2018) TYPEABLE
  • GF-002 - Annual Notice to Parents and Students of Rights Under the Family Educational Rights and Privacy Act
  • GF-003 - Time Card - Hourly Paid or Extra Duty Paid Employees
  • GF-004 - Time Clock Modifications - Typeable
  • GF-005 - Mileage Chart
  • GF-006 - Classified Staff Absentee
  • GF-007 - Extra Duty Time Card
  • GF-008 - Mileage Reimbursement - Typeable
  • GF-009 - Staff Personnel Evaluation - 
  • GF-010 - Classified Handbook
  • GF-011 - DIVISION OF VEHICLES SUSPENSION NOTICE
  • GF-012 - Clothing Allowance
  • GF-013 - Classified New Hire Information Sheet
  • GF-014 - PERMISSION TO RELEASE INFORMATION
  • GF-015 - Witness Disclosure Form
  • GF-016 - While You Were Out
  • GF-016 - WHILE YOU WERE OUT - TYPEABLE
  • GF-017 - BUILDING CHECK OUT
  • GF-018 - Harassment Complaint Form
  • GF-019 - Certified Staff Absentee
  • GF-020 - Pass or Transfer
  • GF-022 - Official Directory Information
  • GF-023 - Statement of Understanding and Acceptance In-District Transfer
  • GF-024 - School Residence Person Acting as a Parent
  • GF-025 - AUTHORIZATION TO COPY OR REPRINT
  • GF-026 - STAFF INFORMATION (EMERGENCY) - 
  • GF-027 - Statement of Understanding and Acceptance-Out of District Status
  • GF-028 - PUBLIC REQUEST FOR SCHOOL RECORDS
  • GF-028a - Typeable form
  • GF-029 - MUSICAL INSTRUMENT RENTAL PERMISSION FORM
  • GF-030 - KS Communities That Care Survey
  • GF-033 - Suicide Prevention
  • GF-034 - Purchase Request 2017-18
  • GF-035 - Student Absent or Tardy Slip
  • GF-036 - Report of Absentees
  • GF-037 - DAILY CUMULATIVE ABSENCE REPORT FOR HS & MS
  • GF-038 - Elementary Yearbook Final Report
  • GF-039 - Student Handbook Acknowlegement
  • GF-040 - Direct Deposit
  • GF-042 - Benefit Plan
  • GF-043 - Expense Reimbursement - Official Business
  • GF-044 - Classified Salary Employees Time Card
  • GF-045 - Classified Work Schedule
  • GF-050 - Kansas Open Records Act
  • GF-052a - Parent Letter for ESI
  • GF-052b - Emergency Safety Intervention Incident Form
  • GF-052c - Emergency Safety Intervention Report
  • GF-054 - Shipping Request
  • GF-055 - Employee Summary Report of Absences
  • GF-057 - 2017-18 Enrollment Fee Distributor
  • GF-058 - 2017-18 Enrollment Fees K-12
  • GF-059 - Petty Cash Report - TYPEABLE
  • GF-060 - KS DCFS Release of Information
  • GF-061 - ESOL Bilingual Education Program Guidance EXIT
  • Gf-062 - ELL Accommodation Plan
  • GF-063 - PARENT NOTIFICATION LETTER ESOL PROGRAM
  • GF-065 - Pre-Arranged Absences (2PT.NCR)
  • GF-067 - Affidavit of Continuous Residency- TYPEABLE
  • GF-068a - RACE & ETHNICITY FORM (Student)
  • GF-068b - RACE AND ETHNICITY (Employee)
  • GF-068S - RACE & ETHNICITY FORM< - SPANISH
  • GF-069 - Student Information Record
  • GF-069S - Student Information Record - Spanish
  • GF-069-1 - Student Information Record Short
  • GF-070 - English Language Learner Survey
  • GF-070S - English Language Learner Survey - Spanish
  • GF-071 - Religious Activities Participation Opt-Out Form
  • GF-072 - Employment Recommendation
  • GF-073 - Activities Addendum- TYPEABLE
  • GF-075 - Request for Pupil Records (2PT.NCR)
  • GF-077 - Compulsory School Attendance Disclaimer & Exemption Forms
  • GF-080 - Trespass Notification
  • GF-087 - Conference Approval Form
  • GF-090 - Homebound or Hospital Instruction Application
  • GF-091 - STUDENT INSURANCE CLAIM FORM/PARENT INFORMATION SHEET
  • GF-094 - Residence Verification
  • GF-095 - Out-of-District Student Request To Attend USD 450
  • GF-096 - Certified Personnel Verification of Teaching Experience
  • GF-098 - Classified Verification of Experience
  • GF-100 - General Form of Affidavit - TYPEABLE
  • GF-101 - Annual Notice of Authorized Student Data Disclosures
  • GF-103 - Compensated Committee Work Proposal
  • GF-104 - Classified Employee Grievance Form - TYPEABLE
  • GF-110 - Complaint Form - Program for Homeless Students
  • GF-114 - Sick Leave Pool Application Form - Typeable
  • GF-115 - Bloodborne Pathogens Exposure Incident Report Form
  • GF-116 - Incident Disclosure Form - TYPEABLE
  • GF-118 - Mandatory Referral and Release of Information
  • GF-119 - Safety Sensitive Positions
  • GF-124 - Substitute Teacher Review Form
  • GF-128 - Physician's Verification for Homebound or Hospital Instruction
  • GF-130 - District Complaint Form - Typeable
  • GF-132 - Consent to Release Student Information to Media
  • GF-136 - Request for Review-Supplemental Schedule Percentage - TYPEABLE
  • GF-141 - Vehicle Violation Warning Notice
  • GF-142 - DISTRICT 504 PROCEDURES
  • GF-143 - SECTION 504 REFERRAL
  • GF-144 - NOTICE CONSENT: SECTION 504 PARENTAL NOTICE FOR INITIAL EVALUATION
  • GF-145 - SECTION 504 REVIEW OF SERVICES
  • GF-146 - SECTION 504 INDIVIDUALIZED EVALUATION REPORT
  • GF-147 - SECTION 504 PARENT RIGHTS
  • GF-148 - Section 504 Consent for Placement/Exit
  • GF-149 - BUILDING COORDINATOR 504 PROCEDURES
  • GF-155 - Employee Summary Report of Absences
  • GF-160 - Student Emergency Release Form
  • GF-161 - Authorization to Release Children In An Emergency
  • GF-162 - Evaluation Of Crisis Response Team Intervention
  • GF-163 - Crisis Report To Superintendent - TYPEABLE
  • GF-0165 - Electronic W-2 Consent Form
  • GF-173 - Family and Medical Leave Certification of Health Care Provider - TYPEABLE
  • GF-174 - Family and Medical Leave Act (FMLA) Employee Request Form
  • GF-175 - Job Share Agreement
  • GF-177 - Request for Salary Schedule Change of Classification
  • GF-835 - Shawnee Heights District Auditorium Event Needs
  • GF-834 - Facility Use Request Form

Health Forms

  • HF-001 - Authorization for Administration of Specialized Health Care Procedures
  • HF-002 - Emergency Care Plan - Typeable
  • HF-003 - Hearing & Vision Screening
  • HF-005 - Report of Hearing Exam - Clinical & Medical
  • HF-006 - Health History
  • HF-006-S - Health History (Spanish)
  • HF-007 - Documentation of Instruction from The Registered Nurse to Unlicensed School Personnel
  • HF-007a - Documentation of Instruction from RN to LPN
  • HF-009 - Permission To Self Medicate
  • GF-011 - Hearing Screening - Typmanogram
  • HF-012 - Student Emergency Information and Consent Card
  • HF-013 - Health Fact Brochure
  • HF-014 - Near & Far Vision Screening Results - Passed
  • HF-016 - Kansas Immunization Law Religious Exemption Form
  • HF-018 - HF-018 Release to Carry Inhaler
  • HF-019 - Screening Notificaton
  • GF-021 - Report Of Vision Screening For Referral To Ophthalmologist Or Optometrist
  • HF-023 - School Health Room Incident Report
  • HF-024 - Daily Log Sheet
  • HF-025-1 - School Children Needing Follow-Up - Hearing
  • HF-025-2 - School Children Needing Follow-Up - Vision
  • HF-027 - Hearing Screening Results - Passed
  • HF-028 - Vision Screening Results - Passed
  • HF-033 - Permission to Administer Medication At School
  • HF-033S - Permission to Administer Medication at School (Spanish)
  • HF-035 - Vision Screening Results - Failed/Referral
  • HF-036 - Hearing Screening Results -Failed/Referral
  • HF-037 - Long Term Medication Log - 
  • HF-039 - Health Assessment for Children & Youth
  • HF-040 - Diabetes Information from Parent Requet
  • HF-041 - Diabetes Emergency Action Plan
  • HF-042 - Diabetes Individual Health Care Plan
  • HF-043 - Permission to Self Medicate OTC
  • HF-044 - Permission to Self Medicate RX
  • HF-045 - Release to Carry EpiPen

High School Forms

  • HS-003 - Substitute Teacher Report
  • HS-004 - Outstanding Bills or School Property
  • HS-005 - Report of Unexcused Absences
  • HS-006 - Request for Shortened Schedule - Early Graduation
  • HS-007 - Industrial Arts
  • HS-010 - Authorization for Student to Travel To and From Athletic Practices and other Event Rehearsals by Private Transportation and Reimbursement and Indemnification Agreement
  • HS-014 - High School 8th Hour Detention
  • HS-016 - KANSAS CHILDREN'S SERVICE LEAGUE CENTER FOR RESTORATIVE EDUCATION
  • HS-017 - Disciplinary Coding Form
  • HS-020 - HS Discipline Referral (2 Prt NCR)
  • HS-020 T - HS Discipline Referral
  • HS-022 - Announcement
  • HS-061 - HS Meeting Form

IT Forms

  • IT-001 - Shawnee Heights Information Technology Department Letterhead
  • IT-002 - SHAWNEE HEIGHTS INFORMATION TECHNOLOGY DEPARTMENT ENVELOPE
  • IT-003 - STAFF ADDITIONS AND CHANGES - TYPEABLE
  • IT-004 - STUDENT ADDITION & CHANGES
  • IT-005 - Request to Block or Unblock a Website - TYPEABLE
  • IT-006 - Vendor Interview List
  • IT-007 - REGISTRATION/PROFESSIONAL DAY NEEDS FORM - TYPEABLE
  • IT-008 - iPAD DAMAGE FORM - TYPEABLE
  • IT-010 - Acceptable Use Policy (Staff) Technology Devises, Networks, and Internet
  • IT-011 - Acceptable Use Policy (Student)

Middle School Forms

  • MS-002 - SHMS Student iPad Take Home Form
  • MS-005 - Middle School Letterhead
  • MS-006 - Request for Pupil Records (MS)
  • MS-007 - NO. 10 REGULAR ENVELOPE, MIDDLE SCHOOL RETURN ADDRESS
  • MS-008 - Middle School Fax Cover Sheet
  • MS-009 - Makeup Assignment
  • MS-010 - MIDDLE SCHOOL WINDOW ENVELOPE - NO. 10 REGULAR
  • MS-012 - HONOR ROLL CERTIFICATES
  • MS-015 - Middle School Schedule Change
  • MS-019 - PTO Funding Request Form
  • MS-021 - 7th Grade Course Selections
  • MS-021-S - 7th Grade Course Selections - Spanish
  • MS-022 - 8th Grade Course Selections
  • MS-022-S - 8th Grade Course Selections - Spanish
  • MS-025 - Make Up Work
  • MS-028 - Student Excusal Form for Sexuality Education Program
  • MS-029 - Human Sexuality & Aids Book
  • MS-030 - Reading for Understanding
  • MS-031 - Consent to Participate in Field Trip or Other Activity and Consent for Treatment
  • MS-062 - MS Meeting Form

Special Education Forms

  • SE-001 - Parents Rights in Special Education
  • SE-002 - Parent Permission to Release Information
  • SE-003 - Record of Access
  • SE-006 - Special Education Office Records Transmittal - Typeable
  • SE-010 - Meeting Report
  • SE-011 - Excusal From Attendance at IEP Meeting
  • SE-034 - Revocation of Consent
  • SE-039 - Initial General Education Intervention (GEI) Form
  • SE-040 - General Education Intervention Review
  • SE-042 - Confidentiality and Special Education Agreement
  • SE-046 - Notice of Meeting
  • SE-051 - Physical Invention Guidelines
  • SE-052a - Parent Letter for ESI
  • SE-052b - Emergency Safety Intervention Incident Form
  • SE-052c - Emergency Safety Intervention Medical Form
  • SE-053 - 11th Day Suspension Plan - Typeable
  • SE-057 - Para Classification or Hour Change Form
  • SE-059 - Special Education Office No. 10 Envelope
  • SE-063 - Special Education Paraprofessional In-Service Record
  • SE-070 - Special Education Office Letterhead
  • SE-071 - Transition Questionnaire
  • SE-082 - Access to Confidential Records
  • SE-084 - Special Education Transition Report
  • SE-085 - Special Education Transition Plan
  • SE-096 - Parents Conference/Contact Log

Transportation Forms

  • TBG-001 - Transportation Request - Typeable
  • TBG-002 - Transportation Pass
  • TBG-004 - SPED Mileage Sheet
  • TBG-005 - School Bus Stop Sign Violation Report - Typeable
  • TBG-006 - Milage Sheet
  • TBG-008 - Student Count Pre-Trip Inspection
  • TBG-009 - Activity Trip Log
  • TBG-010- Trans Bldg & Grds Letterhead
  • TBG-011 - SPECIAL EDUCATION DRIVER TIME CARD (WHITE)
  • TBG-012 - BUS DRIVER TIME CARD (CANARY)
  • TBG-013- 2,000 Mile Service Card
  • TBG-014 - Request for Maintenance
  • TBG-015 - SUBSTITUTE DRIVER TIME CARD
  • TBG-016 - School Bus Conduct Notice K-12 - Typeable
  • TBG-017 - REVISED SCHOOL BUS ADD/DROP CHANGE FORM - TYPEABLE
  • TBG-018 - Request for Quotation
  • TBG-020 - DRIVERS AND BUS AIDE EVALUATIONS-TYPEABLE
  • TBG-022 - Bus Check Out / In Form
  • TBG-024 - CUSTODIAL CHECKLIST FOR CLASSROOM CLEANING-SUMMER