Southwestern Consolidated School District of Shelby County
Forms
Table of Contents


4000 - SUPPORT STAFF
4120f1New Employee Orientation Checklist
4120df1Authorization to Contact Employment References
4120df2Information from Telephone Reference
4121f1Pre-Employment Requirements
4121f2Request for a Criminal History Record Check
4121f3Expanded Criminal History Check and Expanded Child Protection Index Check Requirements Checklist
4122f1Nondiscrimination and Equal Opportunity/Access Internal Complaint Form
4122f2Notice of Nondiscrimination and Complaint Procedures (Including Title II, Title VI, Title VII, and Title IX, Section 504, and ADA)
4122.01f1Certification Regarding Drug-Free Schools
4122.01f3Memorandum to Staff Members on Federal Regulations Concerning Drug Prevention
4123bf1Section 504/ADA Internal Complaint - Employee/Other
4141f1Termination/Resignation Form
4160f1Emergency Medical Authorization Permit
4160f2Authority to Release Medical Records/Information
4161f1Attending Physician's Fitness for Duty Certificate
4162f1Pre-Implementation and Program Review Checklist
4162f2Acknowledgement of Training
4162f3Authorization to Release Personal Information
4220f1School Secretary Evaluation Form
4362f1Report of Harassment
4362f2Alleged Harassment Investigative Report
4421af1Request for Certificate of Health Coverage
4421af2Certificate of Group Health Plan Coverage
4440cf1Personal Daily Use of School Vehicle