Monroe County Intermediate School District
Forms
Table of Contents


4000 - SUPPORT STAFF
4120f1New Employee Orientation Checklist
4120f2Consent to Obtain Records
4120df1Authorization to Contact Employment References
4120df2Information from Telephone Reference
4120.09f1Volunteer Release Form
4121f1Request for a Criminal History Record Check
4121.01f1Letter to School Employees Regarding Criminal History Record Checks
4122f2Staff Request for Reasonable Accommodation
4122f8Notice of Nondiscrimination and Grievance Procedures (Including Title II, Title VI, Title VII, and Title IX, Section 504, and ADA)
4122.01f1Certification Regarding Drug-Free Schools
4122.01f2Certification Regarding a Drug-Free Workplace
4122.01f3Memorandum to Staff Members on Federal Regulations Concerning Drug Prevention
4141f1Termination/Resignation Form
4160f1Emergency Medical Authorization Permit
4162f1Pre-Implementation and Program Review Checklist
4162f2Acknowledgement of Training
4162f3Authorization to Release Personal Information
4220f1School Secretary Evaluation Form
4220f3Food Services Department Employee Evaluation
4231af1Participation in Political Activities
4362f1Report of Harassment
4421af1Request for Certificate of Health Coverage
4421af2Certificate of Group Health Plan Coverage
4430.01f1Request for Unpaid FMLA Leave
4430.01f2Medical Certification from Health Care Provider FMLA Leave
4430.01f3Board's Notice to Employee Concerning FMLA Leave
4430.01f4Fitness-For-Duty Certification FMLA Leave
4430.01f5Health Care Provider Authorization for Release of Information
4440af1Professional Meeting Reimbursement Request Form
4440cf1Personal Daily Use of School Vehicle