Board of Education Forms

BOARD FORMS

SECTION A: FOUNDATIONS AND BASIC COMMITMENTS
· AC-AF1 – Prohibition Against Illegal Discrimination and Harassment (Notice of
Nondiscrimination)
· AC-AF2 – Prohibition Against Illegal Discrimination and Harassment (Grievance Form)
· AC-AF3 – Prohibition Against Illegal Discrimination and Harassment (Level I Grievance
Report)
· AC-AF4 – Prohibition Against Illegal Discrimination (Level II Grievance Report)
· AC-AF5 – Prohibition Against Illegal Discrimination (Level III Grievance Report)
· AC-AF6 – Prohibition Against Illegal Discrimination (Appeal Form)
· ADF-AF1 - District Wellness Program (Wellness Policy Implementation Evaluation)

SECTION B: SCHOOL BOARD GOVERNANCE AND OPERATIONS
· BBB-AF1 – School Board Elections (Public Notice of Filing)
· BBB-AF2 – School Board Elections (Candidate Declaration for Seven-Member Districts)
· BBB-AF3.1A – School Board Elections (Acknowledgment Candidate Received Required Information)
· BBB-AF4 – School Board Elections (Notice of Candidate’s Obligation to File Financial Interest Statement)
· BBB-AP.1A – School Board Elections
· BBE-AF – Unexpired Term Fulfillment/Vacancies (Notice of Appointed Member’s Obligation to File Financial Interest Statement)
· BBFA-AF1.1A – Board Member Conflict of Interest/Financial Disclosure (Chart of Relations)
· BBFA-AF2.1A – Board Member Conflict of Interest/Financial Disclosure (Statement of Substantial Interest)
· BBF-AF.1A – School Board Member Ethics
· BCA-AF.1A – Board Organizational Meeting (Board Member Oath of Office)
· BDDA-AF1.1B – Notification of Board Meetings (Notice of Open Public Meeting)
· BDDA-AF1.1C – Notification of Board Meetings (Notice of Open Public Meeting)
· BDDA-AF2.1B – Notification of Board Meetings (Notice of Closed Meeting)
· BDDA-AF2.1C – Notification of Board Meetings (Notice of Closed Meeting)
· BDDA-AF2.1D – Notification of Board Meetings (Notice of Closed Meeting)
· BDDl-AF.1B – Release of Information (Request to Examine and/or Copy District Records)

SECTION C: GENERAL SCHOOL ADMINISTRATION
· CBG-AF1.1A – Superintendent Evaluation (Statement of Purpose)
· CBG-AF2.1A – Superintendent Evaluation
· CC-AP.CNT – Administrative Organizational Plan
· CGC-AP.1B – State and Federal Programs Administration

SECTION D: FISCAL MANAGEMENT
· DG-AF1.1A – Depository of Funds (Bank Depository Services Bid Notice and Specifications)
· DG-AF2 – Depository of Funds (Depository Bid Sheet for Current School Year)
· DG-AF3 – Depository of Funds (Depository Contract and Pledge Agreement)
· DG-AP.1B – Depository of Funds (Seven-Director District)
· DIE-AP.1B – Audits (Seven-Director Districts)
· DJF-AF – Purchasing
· DM-AP.1A – Cash in School Buildings
· DN-AP.1B – Surplus School Property

SECTION E: SUPPORT SERVICES
· EB-AF.1A – Facility Safety Inspection Report
· EBAB-AP.1A – Hazardous Materials (Asbestos Control)
· EB-AF.1A – Safety Program (Facility Safety Inspection Report)
· EB-AP1.1A – School Safety (Identifying Potential Hazards)
· EB-AP2.1A – School Safety (Safe Schools Checklist)
· EBBA-AF1.1B – Illness and Injury Response and Prevention (Emergency Information Form –
Student)
· EBBA-AF2.1A – Illness and Injury Response and Prevention (Emergency Information Form –
Employee) 
· EBBA-AF3 – Illness and Injury Response and Prevention (Incident Report)
· EBBA-AF4.1A – Illness and Injury Response and Prevention (Log of Attempts to Contact
Parent/Guardian)
· EBBA-AP.1A – Accident Response and Prevention (First Aid Guidelines)
· EBC-AF.1B – Emergency Plans/Safety Drills (Information Sheet for Threat Calls)
· EBCC-AF.1A – Bomb Threat (Information Sheet)
· EEA-AF1.1A – Student Transportation Services (Activity Trip Bus Request)
· EEA-AF2.CNT – Student Transportation Services (Proof of Vehicle Liability Insurance)
· EGAAA-AF1.1B – Reproduction of Copyrighted Materials (Copyright Notices)
· EGAAA-AF2.1B – Reproduction of Copyrighted Materials (Request for Off-Air Video
Recording)
· EGAAA-AF2.1C – Reproduction of Copyrighted Materials (Request for Off-Air Video
Recording)
· EGAAA-AF3.1A – Reproduction of Copyrighted Materials (Interim Designation of Agent to
Receive Notification of Claimed Infringement)
· EGAAA-AF3.1B – Reproduction of Copyrighted Materials (Interim Designation of Agent to
Receive Notification of Claimed Infringement)
· EHB-AF1 – Technology Usage (Parent/Guardian Technology Agreement)
· EHB-AF2 – Technology Usage (Student User Agreement)
· EHB-AF3 – Technology Usage (Employee Technology Agreement)
EHB-AF4 - Technology Usage (External User Technology Agreement)

SECTION G: PERSONNEL
· GBE-AF – Staff Health and Safety (Accommodations Information Form to Physician)
· GBEBA-AF.1B – Drug-Free Workplace (Notice)
· GBEBB-AF – Employee Alcohol and Drug Testing
· GBL-AF1.1B – Personnel Records (Certificated New Employee Information)
· GBL-AF2.1B – Personnel Records (Non-Certificated New Employee Information)
· GBL-AF3.1A – Personnel Records (Educator Data Form)
· GBL-AF5.1A – Personnel Records (Ethnicity and Race Staff-Identification Form)
· GBLB-AF1 - References (Authorization to Provide Employment Information)
· GBLB-AF2 - References (Notice of Disclosure of Allegations of Sexual Misconduct with a
Student)
· GBM-AF.1A – Staff Complaints and Grievances (Grievance Initiation Form)
· GBM-AF1.1B – Staff Complaints and Grievances (Grievance Initiation Form)
· GBM-AF2.1A – Staff Complaints and Grievances (Grievance: Level One Findings)
· GBM-AF3.1A – Staff Complaints and Grievances (Grievance: Level Two Findings)
· GBM-AF4.1A – Staff Complaints and Grievances (Grievance: Level Three Findings)
· GBM-AF5.1A – Staff Complaints and Grievances (Grievance: Level Four Findings)
· GBM-AF6.1A – Staff Complaints and Grievances (Grievance: Appeal)
· GCBDA-AF.1B – Professional Staff Leaves and Absences (Professional Leave Application
Form)
· GCD-AF1 – Professional Staff Hiring (Job Vacancy Notice)
· GCI-AF – Employee Transfer Request Form
· GCPB-AF – Resignation of Professional Staff Members (Checklist Following Termination or
Resignation of Employment)
· GCPB-AF.1A – Resignation of Professional Staff Members (Reference Copy Checklist)
· GDBB-AF – Nonexempt Employee Supplementary Pay Plans (District Uses Compensatory
Time)
· GDI-AF – Support Staff Assignments and Transfers (Request for Transfer)
· GDPB-AF – Resignation of Support Staff Members (Checklist Following Termination or
Resignation of Employment)
· GDPB-AF.1A – Resignation of Support Staff Members (Reference Copy Checklist)

SECTION I: INSTRUCTION
· IGBA-AF1 – Programs for Students with Disabilities (Section 504 of the Rehabilitation Act of
1973 Procedural Safeguards)
· IGBA-AF2 – Programs for Students with Disabilities (504 Eligibility Determination)
· IGBC – Parent/Family Involvement in Instructional and Other Programs
· IGBCA-AF.1B – Programs for Homeless Students (Assignment to a School Other than School
of Origin/School Requested by the Parent)
· IGBCB-AF.1B – Programs for Migrant Students (Family Interview Form)
· IGBH-AF1.1B – Programs for Limited English Proficient/Language Minority Students (Student
Home Language Survey)
· IGBH-AF2.1A – Programs for Limited English Proficiency/Language Minority Students
(Parental Notification for Children Identified as Limited English Proficient)
· IGBI-AF.1B – Home Schooling (Written Declaration of Enrollment)
· IGDA-AF.1B – Student-Initiated Group Use of District Facilities (K-12 Districts)
· IGD-AF – District-Sponsored Cocurricular and Extracurricular Activities and Organizations
(Application for Approval of Clubs or Organizations)
· IGD-AF1 – District-Sponsored Cocurricular and Extracurricular Activities and Organizations
(Approval of Sunday Noncurricular Group Activities)
· IGDF-AF – Student Fundraising (Fundraising Approval Form)
· IIAC-AF.1A – Instructional Media Centers/School Libraries (Consent for Disclosure of Library
Records)
· IICA-AF1.1B – Student Field Trips and Excursions (Permission Slip and Medical Release Form)
· IICA-AF2.1B – Student Field Trips and Excursions (School-Related Student Trip Request
Form)
· IKFA-AF.1A – Early Graduation
· IKF-AF – Graduation Requirements (Request for Credit)

SECTION J: STUDENTS
· JCB-AF – Intradistrict Transfers (Application for Change in School Assignment)
· JEC-AF1 – School Admissions (Proof of Residency Form)
· JEC-AF2.1A – School Admissions (Statement of Student Discipline)
· JEC-AF3.1A – School Admissions (Statement of Student Discipline)
· JECA-AF.1A – School Admissions (Request for Waiver)
· JECB-AF.1B – Admission of Nonresident Students (Registration Form)
· JECC-AF.1B – Assignment of Students to Grade Levels/Classes (Application to Change in
School Assignment)
· JFCC-AF.1A – Student Conduct on School Buses (Bus Driver’s Report)
· JFCL-AF – A+ Schools Program (A+ Participation Agreement)
· JG-AF1.1A – Student Discipline (Receipt of Student Handbook)
· JG-AF2.1B – Student Discipline (Initial Referral)
· JG-AF4.1A – Student Discipline (Letter for Suspensions of Ten Days or Less)
· JG-AF5.1A – Student Discipline (Letter for Suspensions of Ten Days and Recommendation of
More than Ten Days)
· JG-AF6.1A – Student Discipline (Letter for Suspensions of More than Ten Days but Less than
181 Days)
· JG-AF7.1A – Student Discipline (Superintendent Review/Hearing Preparation Checklist)
· JG-AF8.1A – Student Discipline (Acknowledgment of Request for Hearing)
· JG-AF9.1A – Student Discipline (Letter to Parents Recommending Suspension of More than
181 Days)
· JG-AF10.1A – Student Discipline (Letter to Parents Recommending Expulsion)
· JG-AF11.1A – Student Discipline (Notice of Charges for Suspension Greater than 180 Days or
Expulsion)
· JG-AF12.1A – Student Discipline (Waiver of Right to Hearing)
· JG-AF13.1A – Student Discipline (Final Administrative Adjudication)
· JG-AF14.1A – Student Discipline (Expulsion Notice)
· JGB-AF.1B – Detentions and/or In-School Suspension of Students (Notification to
Parent/Guardian)
· JGF-AF.1A – Discipline Reporting and Records
· JHC-AF.1A – Student Health Services and Requirements (Emergency Health Care Plan)
· JHCC-AF.1A – Communicable Diseases (Reporting Forms)
· JHCD-AF1.CNT – Administration of Medications to Students (Permission Form for Student to
Self-Administer Medication)
· JHCD-AF2 – Administration of Medications to Students (Permission Form for Medications)
· JHCD-AF3 – Administration of Medications to Students (Physician Certification)
· JHCD-AF4.CNT – Administration of Medications to Students (Permission to Administer
Medication and to Test Blood Sugar)
· JHCD-AF5 – Administration of Medications to Students (Request for Inhalation
Medication/Administration During School Attendance)
· JHCD-AF6.CNT – Administration of Medications to Students (Asthma Emergency Action Plan)
· JHDA-AF – Surveying, Analyzing or Evaluating Students
· JO-AF1.2A – Student Records (FERPA Release)
· JO-AF2.1A – Student Records (Record of Requests for Information)
· JO-AF3.1A – Student Records (Request to Amend Education Records and Request for a
Hearing)
· JO-AF4.1A – Student Records (Response to Hearing)
· JO-AF5.1B – Student Records (Request for Education Records)
· JO-AF6.1B – Student Records (Transfer of Records to School Student is Currently or
Prospectively Attending)
· JO-AF7.1A – Student Records (Conditions for Disclosure of Student Records to Officials and
Authorities of the State Juvenile Justice System)
· JO-AF8.1A – Student Records (Letter to Parent Regarding Receipt of a Subpoena)

SECTION K: SCHOOL-COMMUNITY RELATIONS
· KG-AF1 – Community Use of School Facilities (Equipment Use Request)
· KL-AF.1B – Public Complaints (Complaint or Concern to the Board)
· KLB-AF – Public Questions, Comments or Concerns Regarding District
Instructional/Media/Library Materials
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