Van Buren Local School District
Forms
Table of Contents


2000 - PROGRAMS
2210f1Quality Assessment of Core Curriculum Programs
2220f1Characteristics of a High-Quality Work Ethic
2220f2Characteristics of a High-Quality Work Ethic (Student)
2240bf1Request for Release from Instruction
2252f1Evaluation of a Plan
2260f2Title VI, IX, 504 Grievance Form
2260f3Section 504 Evaluation Summary/Student Accommodation Plan
2260f8Notice of Nondiscrimination and Grievance Procedures (Including Title II, Title VI, Title VII, and Title IX, Section 504, and ADA)
2260.01af1Checklist for Compliance with Section 504
2260.01af2Procedural Safeguards for Section 504
2260.01af3Notice of Parent/Student Rights in Identification, Evaluation, and Placement of Individuals with Disabilities
2260.01af4Referral for Suspected Section 504 Disability
2260.01af5Parent Notice of Section 504 Referral
2260.01af6Parental Permission for 504 Evaluation
2260.01af7Section 504 Release of Information and Records
2260.01af8Section 504 Physician Questionnaire
2260.01af9Notice of Section 504 IAT Conference
2260.01af10Section 504 IAT Conference Report
2260.01af11Eligibility Checklist for Section 504 Disability in Learning
2260.01af12Examples of Disabilities that are Potentially Covered by Section 504
2260.01af13Section 504 Accommodation Plan
2260.01af14Classroom Adjustment Checklist
2260.01af15Section 504 Causal Relationship IAT Conference Report
2260.01af16Accessibility Checklist
2260.01bf1Section 504/ADA Grievance - Student
2260.01bf2Section 504/ADA Grievance - Employee/Other
2260.01cf1Request for Reasonable Accommodation
2261f1Title I
2261.01f1Parent/Teacher/Student Compact
2271f1Statement of Responsibility
2271f2Student Status Report
2271f3Postsecondary Enrollment Programs
2271f4Waiver and Release
2340f1Field Trip Request Form
2340f2Parent Consent For Trip
2340f2aParent Consent For Partially-Unsupervised Trip
2340f3Checklist for Trips
2340f4Trip Request - Co-Curricular/Extra-Curricular
2340f5Proposal for Overnight/Extended Student Trips
2340f6Responsibility Contract for Overnight Trips
2340f7Field Trip Evaluation
2340f8Responsibilities of Trip Chaperones
2340df1Disclaimer of Responsibility
2370f1Educational Options Agreement Form
2370bf1Application for Tutoring for Credit
2411f1Informed Consent for Individual Counseling
2411f2Informed Consent for Group Counseling
2412f1Application for Homebound Instruction
2416f1Written Consent for Student to Submit to or Participate in a Survey, Analysis, or Evaluation
2416f2Request to Inspect Materials Used in Conjunction with any Survey, Analysis, or Evaluation
2423f1Work-Site Learning Agreement
2430f2Activity Advisor Evaluation Form
2430bf1Disclaimer of Responsibility
2431f1Parent Acknowledgement of Risk and Release
2431f2Student Acknowledgement of Risk and Release
2431f3Head Coach Evaluation Form
2431f4Assistant Coach Evaluation Form
2431bf1Sportsmanship Expectations for Coaches
2431bf2Sportsmanship Expectations for Student-Athletes
2431bf3Sportsmanship Expectations for Cheerleaders
2431bf4Sportsmanship Expectations for Student Groups
2431bf5Sportsmanship Expectations for Spectators
2431bf6Sportsmanship Expectations for Announcers
2464f1Identification Checklist - Gifted Students
2510f1Textbook Selection
2520f1Rating Nondistrict Instructional Materials
2531f1Request for Permission to Copy
2531f2Request Permission to Retain an Off-Air Copy
2623af1Intervention Assistance Record
2623bf1Annual Notice Regarding Security Provisions for Statewide Assessment Tests and Standards For the Ethical Use of Tests
2623cf1Assessment Program Documentation for Disabled Students
2626f1Analyzing a Test Section
2626f2Worksheet for Analyzing a Test Section
2626af1Analyzing a Test Item - Example
2626af2Worksheet for Analyzing a Test Item