FORMS INDEX

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SECTION B:  
BBBB-F Board Member Oath of Office
BBFA-F Board Member Conflict of Interest
BDC-F Executive Sessions
BDDH-F Request to Address the Board
BHE See Audit Dept. Web Site for School Support Organization Forms
   
SECTION D:  
DJH-R-F Corporate Card Cardholder Responsibilities and Agreement
   
SECTION E:  
EBA-R-F Emergency Response and Incident Command Procedures - School Emergency Response Plan
EDB-F Equipment Transfer Form (available on Property Management Intranet site)
EGAA-R-F(1) Copyright - Request for Permission to Reprint Copyrighted Material
EGAA-R-F(2) Copyright - Authorization to Reprint Copyrighted Material
EJ-R-F Report/Certificate of Records Destruction
   
SECTION G:  
GBCA-F Notice of Conflict of Interest Memorandum
GBCB-R-F(1) Annual Statement of Understanding (For All Employees)
GBCB-R-F(1)S Annual Statement of Understanding (For All Employeees) - Spanish Version
GBCB-R-F(2) Statement of Awareness - Classified Employee
GBCB-R-F(2)S Statement of Awareness - Classified Employee - Spanish Version
GBCB-R-F(3) Statement of Awareness Addendum - Classified Employee
GBCB-R-F(3)S Statement of Awarness Addendum - Classified Employee - Spanish Version
GBCB-R-F(4) Statement of Awareness - Certificated Employee
GBCB-R-F(5) Statement of Awareness Addendum - Certificated Employee
GBCB-R-F(6) Statement of Awareness - Classified Director
GBCB-R-F(7) Statement of Awareness - Classified Supervisor
GBCB-R-F(8) Statement of Awareness Addendum - Classified Director or Supervisor
GBCB-R-F(9) Statement of Awareness - Certificated Administrator
GBCB-R-F(10) Statement of Awareness -Specialist
GBCB-R-F(11) Statement of Awareness Addendum - Administrator/Specialist
GBKB For Drug & Alcohol Testing Locations and Checklists, see the Human Resources Web Site for Classified and Certificated Employees
GBLA-F Authorization to Release Information
GBQB-F Copyright and Invention Assignment Agreement
GCBA-R-F(1) Acknowledgement of Conditions of Employment for Contract Employee Receiving Retirement Benefits
GCBA-R-F(2) Acknowledgement of Conditions of Employment for Part-Time Employee Receiving Retirement Benefits
GCD-R-F Loyalty Oath – Professional Staff
GCPD-F(1) Employee Letter of Reprimand – Professional Staff
GCPD-F(2) Appeal of Letter of Reprimand – Professional Staff
GDBA-R-F(1) Retiree Return to Work Form for Full-Time Employee Receiving Retirement Benefits
GDBA-R-F(2) Retiree Return to Work Form for Part-Time Employee Receiving Retirement Benefits
GDD-R(1)-F(1) Support Staff Hiring – Background Investigation Form (Employer)
GDD-R(1)-F(2) Support Staff Hiring – Background Investigation Form (Personal)
GDD-R(1)-F(3) Support Staff Loyalty Oath
GDD-R(2)-F Support Staff Hiring – Fingerprint Requirements
GDPD-R-F(1) Classified Personnel – Employee Written Warning: Building/Unit Level
GDPD-R-F(2) Classified Personnel – Employee Letter of Reprimand: District Level
GEA-R-F Volunteer Application & Referral Forms
GEC-F Field Experience Agreement (for student teachers)
   
SECTION I:  
IGBF (ADE form #1) Parental Waiver Application
IGBF (ADE form #2) Parent Request for Student Withdrawal from an English Language Learner Program
IGBH-R-F(1) Checklist for Referral of a Special Education Student to a Focus School/Alternative Program
IGBH-R-F(2) Checklist for Special Education Student to Return from a Focus SchoolAlternative /Program
IGDD-F Criteria for Performances and Presentations to Students
IGDF-R-F Activity/Fund Raising Request
IGDJ-R-F Interscholastic Athletics Statement of Awareness of Safety and Health Practices
IIBE-F Off-Air Video Tape Request Form
IICA-R In-State/Single Day Travel Planning Guide
IICA-R Out-of-State/Overnight Travel Planning Guide
IKE-R-F(1) Promotion/Retention of Kdg Students - Letter to Parents
IKE-R-F(1)S Promotion/Retention of Kdg Students - Letter to Parents - Spanish Version
IKE-R-F(2) Promotion/Retention of 1st-6th Gr Students - Letter to Parents
IKE-R-F(2)S Promotion/Retention of 1st-6th Gr Students - Letter to Parents - Spanish Version
IKE-R-F(3) MPS Record of Student Progress and Grade Placement
IKE-R-F(3)S MPS Record of Student Progress and Grade Placlement - Spanish Version
IKF-R-F Alternative Graduation Requirements Appeal Form
IKG-R-F(1) Transcripts Evaluation
IKG-R-F(2) Course Challenge Test Application Form
INE-R-F Criteria for Performances and Presentations to Students
ING-R-F(1) Principal Approval Form for Animals in the Classroom
ING-R-F(2) Animals in the Classroom - Parent Notification
ING-R-F(2)S Animals in the Classroom - Parent Notification - Spanish Version
   
INDEX J:  
JB-R-F Section 504 Complaint Form
JC-R-F(1) Student Admissions ­ Request for Proof of Identity/Age Letter
JC-R-F(2) Second Request for Proof of Identity/Age
JC-R-F(3) Open Enrollment Application Form
JC-R-F(5) Parental Acknowledgement of Responsibility for Part-Time Students
JC-R-F(6) Information for Host Parent Enrolling a Foreign Student Who Requires an I-20
JC-R-F(7) Caregiver & Living Arrangements Affidavit for Homeless or Abandoned Student
JC-R-F(7)S Caregiver & Living Arrangements Affidavit for Homeless or Abandoned Student (Spanish)
JC-R-F(8) Student Identity Affidavit
JC-R-F(9) Rights of Homeless Students
JC-R-F(9)S Rights of Homeless Students (Spanish)
JC-R-F(10) Student Residency Questionnaire
JC-R-F(10)S Student Residency Questionnaire - Spanish Version
JC-R-F(11) Homeless Student Dispute Resolution Forms
JEAA-R-F(1) Certificate of Chronic Health Condition
JEAA-R-F(2) Parent Notification of Chronic Health Condition Guidelines
JEAA-R-F(2)S Parent Notification of Chronic Health Condition Guidelines -Spanish Version
JEAA-R-F(3) Chronic Health Condition Eligibility Checklist
JEAA-R-F(4) Parent Notification of Child Placed on Chronic Health Conditions List
JEAA-R-F(4)S Parent Notification of Child Placed on Chronic Health Conditions List - Spanish Version
JEGA For Affidavit of Intent for Home Schooling, see www.maricopa.gov/SCHOOLS
JEGA-R-F(1) Information Sheet for Parents Instructing Their Child(ren) at Home
JEGA-R-F(2) Acknowledgement of Parental Awareness (re: Safety of Children Instructed at Home, But Enrolled Part-Time With District)
JFC-R-F(1) Student Conduct ­ Student Removal from Class
JFC-R-F(2) Notice to Principal of Refusal to Readmit Student
JFCC-R-F(1) School Bus Safety Program - Emergency Bus Evacuation Drill
JFCC-R-F(2) Bus Incident Referral to Administrator (Order Form 94-80-54 D from MDC)
JFD-R-F Harassment or Bullying Report
JFG-R-F Student Interview, Arrest or Custody Transfer - For Investigation Not Related to Child Abuse. (Use form JHG-R-F(2) for child abuse investigations.)
JFH-F Criteria for Performances and Presentations tor Students
JGD/JGE-F(2) Application for Readmission after Expulsion - Student Report
JGD/JGE-F(2)S Appliction for Readmission after Expulsion - Student Report - Spanish Version
JGD/JGE-F(3) Application for Readmission - Memo to Governing Board
JGD/JGE-F(4) Application for Readmission - Authorization to Release Confidential Information
JGD/JGE-F(4)S Application for Readmission - Authorization to Release Confidential Information - Spanish Version
JGD/JGE-F(5) Application for Readmission - Conditions of Probation/Conditional Liberty
JGD/JGE-F(6) Student Readmission Agreement
JGD/JGE-F(6)S Student Readmission Agreement - Spanish Version
JHCD-R-F(1) Parent’s Consent for Giving Medication at School
JHCD-R-F(2) Individualized Health Care Plan
JHCD-R-F(3) Consent for Student Self-Administration of Medication or Dietary Supplement at School
JHCD-R-F(4) Medication Incident Report
JHCD-R-F(5) Field Trip Form for School Personnel Giving Medication in Absence of the School Nurse
JHCD-R-F(6) Student Overnight Travel Emergency and Medication Form
JHCD-R-F(6)S Student Overnight Travel Emergency and Medication Form - Spanish Version
JHCD-R-F(7) Release for Student to Carry Prescribed Inhaler or Emergency Medication
JHF-F Student Accident/Incident Report Form
JHG-R-F(1) Child Abuse Report Form
JHG-R-F(2) CPS/Law Enforcement Student Interview/Custody Transfer Form - For Child Abuse Investigations. (Use form JFG-R-F for situations not involving child abuse.)
JHG-R-F(3) Child Abuse Report Status
JN-F Request for Fee Waiver of Material Usage Charges

JO-R-F

 Parent Authorization for Disclosure or Release of Educational Records
   
SECTION K:  
KBA-F Request for Public Records of the School District
KBAA-F Request to Withdraw from Activities or Classes
KG-R Permit for Use of School Facilities (order 94-26-25 W from MDC)
KH-R-F Gift/Donations Acceptance Form (order 94-54-01 W from MDC)
KI Request to Distribute Flyers (see Community Relations Web site)
KLB-F Citizens Request for Reconsideration of Materials
   
SECTION L:  
LC-E(1) Sample Letter to Researcher to Engage in Research
LC-E(2) Agreement While Conducting Research
LC-E(3)

Permission to Engage in Research Form
   
OTHER FORMS  

 

Opt Out Forms - See Community Relations Web Site

Optional Student Travel Planning Guides
      Step-By-Step Guide for Planning In-State/Single Day Trips
      Step-By-Step Guide for Planning Overnight/Out-of-State Trips

Power of Attorney Forms - English Versions
      Joint Custody
      Sole Custody

Power of Attorney Forms - Spanish Versions
      Joint Custody
      Sole Custody

 



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This web site is maintained by the Office of the General Counsel.
Contact Kay Boyer, legal assistant, at skboyer@mpsaz.org if you have any questions.
Last updated: October 2, 2009
Mesa Public Schools
Copyright © 2004