TABLE OF CONTENTS

Registration | Attendance | Custodial | Staff Evaluation | Health | Pupil Info | Staff | Special Ed |

Business Office | Crisis Plan | Stragegic Plan | DLT Agreement | Administration

I.          REGISTRATION/TRANSFERRING FORMS/BIRTH CERTIFICATE INFORMATION
R-1	New Student Enrollment & Registration Requirements
R-2	Student Registration Form
R-3	Physical Form Notice for Students
R-4	Physical Form for Students
R-4A	Dental Form for Students
R-5	Student Enrollment Release of Information From Sending School
R-6	Application for Waiver of School Fees
R-6A	Application for Payment Plan
R-7	Registration Checklist
R-8	New Student Placement
R-9	How to get the State Birth Number needed for registration
R-10	Amendment to Birth Certificate to Add Father’s Name
R-11	Obtaining Birth Certificate - Currency Exchange
R-12	Birth Certificate Notice
R-13	Statement of Temporary Custodial Care
R-14	State of Illinois Student Transfer Form-In-State
R-15	8th Grade Transfer Student Information & Form
R-16	Registration Information for K, 1, & Grade 5 Out-of-State Transfers
R-17	Illinois Transfer Form - Out-of-State
R-17A	Special Education Transfer In and Out Procedures
R-18	Cold Storage Transfer Check List
R-19	Parental Permission Form to Release Student Records
R-20	Student Add/Drop Form for Enrollment
R-21	Enrollment Letter from Superintendent
R-22	Residency Checks
R-23	Residency Investigation Request
R-24	Residency Letter for Disenrollment
R-25	Religious Exemption from Immunization
R-26	Special Education Transfer Procedures
R-27	Special Education Student Transfer Checklist
R-28	Home Language Survey
R-30	Race and Ethnicity Data Standards 2010 - Staff
R-31	Race and Ethnicity Data Standards 2010 - Student
R-32	Race and Ethnicity Data Standards - Parent Letter
R-33	Shared Residency Form

II.          ATTENDANCE REPORTS/PERMANENT RECORD CARD
A-1	Principal’s Monthly Attendance Verification Instructions
A-2	Guidelines for Student Attendance
A-3	Late Arrival/Early Dismissal Sign-In Sheet
A-4	Enrollment Transfer In/Out Form
A-5	Permanent Record Card Instructions/Maintenance

III.         CUSTODIAL FORMS/RENTAL OF FACILITIES
C-1	Custodial Supply Requisition
C-2	DSA Overtime Report
C-3	Record of Evening Use of School Facilities after Hours
C-4	Application for use of School Building & Facilities
C-5	District 148 Time Sheet
C-6	Work Order Request - Blank

IV.        STAFF EVALUATION FORM
E-1	Pre-Conference Guidelines
E-2	DSA Notification of Evaluation
E-3	Custodial Evaluation
E-4	Secretarial Evaluation Form
E-5	One-on-One Paraprofessional Information
E-6	Paraprofessional Evaluation
E-7	Certified Staff Evaluation Form
E-8	Teacher Evaluation Instrument / Performance Rating
E-9	DEA/DSA Memorandum of Oral Warning
E-10	DEA/DSA Notice of Disciplinary Conference
E-11	Evaluation Compliance Report
E-12	Administrator’s Evaluation Form
E-13	Administrator’s Evaluation Tentative Process for 2005-2006

V.        HEALTH
H-1	Religious Exemption from Immunization
H-3	School Medication Authorization Form
H-4	Authorization to Exchange Information
H-5	Food Safety
H-6	Report of Student Injury
H-7	Form for Being Sent to the Nurse’s Office
H-8	Emergency Procedures in Case of Injury
H-9	Application for Home/Hospital Services
H-10	Home/Hospital Tutoring Report
H-11	Defibrillator Guidelines/Operational Services
H-12	Allergy/Anaphylaxis Action Plan

VI.        PUPIL INFORMATION AND FORMS
P-1	New Student Grade Assignment
P-2	Attendance Notice to Parents/Guardians
P-3	Viewing of Student Record
P-4	Consideration for Retention
P-5	Retention Warning Notification
P-6	Retention Warning List
P-6A	Mid Year Retention Notice Notification
P-7	Retention Notice
P-8	Official Retention Form List
P-9	Student Behavioral Referral
P-10	School Safety Parent Notification
P-11	Use of Reasonable Force Report
P-12	Notice of In-School Suspension
P-13	Parent/Student Out-of-School Suspension Notice
P-13A	Waiver of Right to Discipline Review
P-14	Field Trip Procedures
P-15	Field Trip Approval Form
P-15A	Field Trip Permission Slip
P-16	Extra-Curricular Activities Insurance Waiver
P-17	Physical Fitness Form for Participation in Athletics
P-18	Cumulative Folder - Temporary Record
P-19	Permanent Record Card
P-19A	Permanent Record Card Maintenance
P-20	Behavior Guidelines
P-21	Pupil Responsibilities
P-22	Student Safety Attendance Sheet (in school suspension)
P-23	After School Activities Rules
P-24	Educating Homeless Children and Youth: Dispute Resolution Guidelines
P-25	Student Transportation Request
P-25A	Student Transportation Information
P-26	Physical Education – Letter to Parent/Guardian
P-27	Abuse Reports
P-28	Written Confirmation of Suspected Child Abuse/Neglect Report
P-29	Additional Support Activities
P-30	Student Promotion Process
P-31	Student Cellular Phone Guidelines
P-32	Student Permission Form to Publish - Consent
P-33	Student Record Access Form

VII.       STAFF
S-1	Staff Sign-In - Sign-Out Sheet
S-2	Daily Program of Classes
S-2A	Weekly Time Apportionment In Minutes
S-3	In-House Requisition
S-4	Textbook Inventory
S-5	Before/After School Activity Application
S-6	Before/After School Activity Completion Sheet
S-7	After School Activities Sign-In Grades 5,6,7,8  (Submit to DEA)
S-7A	District Time Sheet
S-8	Professional Day Request
S-9	Professional Day Request for Reimbursement
S-10	Application for Personal Leave (Send to Superintendent)
S-10A	President/Association Leave  (Send to Superintendent)
S-11	District Time Sheet
S-12	District Reimbursement
S-13	Non-Scheduled Travel Reimbursement
S-13A	Monthly Travel Reimbursement
S-14	Waiver of Duty-Free Lunch
S-15	Substitute Teacher - Rate of Pay
S-16	Substitute Teacher Report
S-16A	Substitute Teacher Assignment Form
S-17	Internal Substitute Report for Payment
S-18	Graduate Credit Hours
S-19	Graduate Course Work Pre-Approval Form
S-20	Graduate Course Work Completion Form
S-21	Employee Report of Injury or Accident
S-21A	Supervisor’s Investigation Report
S-22	What to Do In the Event of an Accident (Workman Compensation Benefits (7 pages)
S-23	Notice of Employee Separation
S-23A	Separation of Employment Survey
S-24	Instructional Experience Verification for Salary Determination
S-25	District Time Sheet
S-26	Multimedia Approval Video/DVD
S-27	Professional Development Sign-In Sheet
S-28	Professional Development Evaluation
S-29	Bomb Threat Checklist
S-30	Request for Leave of Absence from S.D. 148
S-31	Bereavement Leave
S-32	Monthly Report of Extra Duty
S-33	Employees' Work Hours
S-34	Faculty Change of Address
S-35	Enlargement Request Form
S-36	Computers and Use of Electronic Networks (Internet)
S-37	Returning/Not Returning Form
S-38	Short Term Emergency Certificate Agreement

VIII.    SPECIAL EDUCATION INFORMATION
SP-1	Intervention Process
SP-2	Speech/Language Case Study
SP-3	Referral to Determine Eligibility for Services/or AccommodationS Under Section 504 of the Rehabilitation Act, 1973
SP-4	Section 504 Conference Summary and Student Accommodation Plan
SP-5	Section 504 Conference Report

IX.              BUSINESS OFFICE INFORMATION
B-1	Student Nutrition Program
B-2	Quarterly Lunch & Milk Program Fees
B-3	Weekly School Lunch & Milk Program Price List
B-4	Notification Letter to Parent/Guardians of Lunch & Milk Program
B-5	Application for Free and Reduced Price Meal Services
B-6	Letter to Households for Special Milk Program Only
B-7	Application for Free Milk Only
B-8	Income Eligibility Guidelines for Current Year
B-9	Denied/Approval Form for Lunch & Milk Program
B-10	Transportation Information
B-11	Field Trip Transportation
B-12	Equipment Repair
B-13	Building Supply Accounts
B-14	Sales Tax Exemption Letter
B-15	Student Accident/Injury Insurance Plan
B-16	Student Accident Insurance Form (sample)
B-17	Payroll Schedule for Current Year
B-18	Certified Employee Salary Schedule
B-19	Workman Compensation Benefits
B-20	Supervisor’s Investigation Report
B-21	DEA and DSA Health Insurance Expense
B-22	DEA & DSA Health Insurance Expense
B-23	Acknowledgement of Voluntary Participation
B-24	Waiver and Release of All Claims
B-25	Lunch Changes
B-26	Student Activity Account
B-27	Student Activity Account Check request form instructions
B-28	Student Activity Account Check request form
B-29	Fundraising Activity Tally sheet instructions
B-30	Fundraising Activity Tally sheet form
B-31	Fundraising Activity Final Report Instructions
B-32	Fundraising Activity Final Report Form
B-33	Ticket Report Instructions
B-34	Ticket Report Form
B-35	Business Office Personnel

XI.        DOLTON-RIVERDALE SCHOOL DISTRICT 148 STRATEGIC PLAN 2002-2006

XII.     DOLTON WEST SCHOOL DISTRICT 148 DISTRICT LEADERSHIP TEAM STAKEHOLDERS’AGREEMENT

ADMINISTRATION INFORMATION / PROCEDURES
AD-1	Administrator Absence
AD-2	Answering Service –Absence from Assignment
AD-2A	Absence Reporting Procedure
AD-3	Animals
AD-4	Certified Plan Periods
AD-5	Company Packing Slips
AD-6	Emergency Procedures for Students and Staff
AD-7	Administrator Convention Expense
AD-8	Employee Personnel Cards
AD-9	Emergency Evacuation Sites
AD-10	End of Year – Non-Certified Return Form
AD-11	Heat Warning Precautions
AD-12	District 148 Hiring Practices
AD-13	Hiring (Submit to Asst. Superintendent Office)
AD-13b	Non-Certified Hiring Form (Submit to Asst. Superintendent Office)
AD-14	Home Schooling
AD-14B	Statement of Assurance Parent-Taught Home Instruction
AD-15	Intentional Injury Procedure
AD-16	Job Description -Principal
AD-17	Job Description -Teacher
AD-18	Job Description -Paraprofessional
AD-19	Job Description -Temporary Class Size Paraprofessional
AD-20	Job Description - One-on-One Teacher Assistant
AD-21	Job Description – Lunchroom Monitor
AD-22	Job Description – Admin. Asst. to Bus. Mgr
AD-23	Job Description – Asst. Supt. Human Res. And Competitive Grants
AD-24	Job Description – District Bookkeeper
AD-25	Job Description – Bus. Mgr Chief Financial Officer
AD-26	Job Description – Curriculum Adaptation Coordinator for Support Programs
AD-27	Job Description – Director of Technology
AD-28	Job Description – Director of Support Programs
AD-29	Job Description – School Liaison Teacher
AD-30	Job Description – Mentor Coordinator
AD-32	Job Description – Safety Facilitator
AD-33	Job Description – Superintendent
AD-34	Job Description – Reading First Coach Teacher
AD-35	Check Request
AD-36	Job Description – Office Assistant
AD-37	Job Description – Full/Part-time Custodian
AD-38	Job Description – Head Custodian
AD-39	Job Description – Health Aide
AD-40	Job Description – Maintenance Position
AD-41	Job Description – Nutrition Coordinator
AD-42	Liability Insurance
AD-43	Life Touch – Name Plate Requisition
AD-44	Schedule of Hourly Rates for Certified Staff Members
AD-45	Mail Paid by School District
AD-46	Newspaper Information
AD-47	Office Personnel Absence
AD-48	Staff Tardiness
AD-49	Long Distance Telephone Record
AD-50	Temporary Class Size Aide for Regular Education Classes
AD-51	Tornadoes
AD-52	Vacation Request Form
AD-53	Visitors in Schools
AD-54	Work Permit for Students
AD-55	Acknowledgement of Voluntary Participation
AD-56	Waiver and Release of All Claims
AD-57	Dolton Support Association
AD-58	Parent Participation Survey
AD-59	Principal’s Parent Participation Data Collection Table
AD-60	Principal’s Summary of Parent Participation Surveys
AD-61	Jury Duty
AD-62	District 148 Administrator Continuing Professional Education Plan
AD-63	JD – Coordinator of Support Programs
AD-64	JD – Certified School Nurse
AD-65	JD – One on One Aide
AD-66	JD – Psychologist
AD-67	JD – School Social Worker
AD-68	JD – Special Education Teacher
AD-69	JD – Speech and Language Pathologist
AD-70	JD – Speech/Language Paraprofessional
AD-71	JD – Supplemental Teacher
AD-72	JD – Teacher Aide
AD-73	JD – Technology Network Engineer
AD-74	JD – Data Analyst/Network Specialist
AD-75	JD – Media Center Specialist
AD-76	JD – Technology Integration Teacher
AD-77	JD – Information Service Secretary
AD-78	JD – Exit Interview Questions
AD-79	JD – Assistant to the Director of Support Programs
AD-80	JD – Instructional Coach
AD-81	Parent Involvement Contract
AD-82	JD - School Safety Facilitator
AD-83	JD - Director of Buildings and Grounds

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