Mt. Healthy City School District
Forms
Table of Contents


3000 - PROFESSIONAL STAFF
3120f1New Employee Orientation Checklist
3120f3Acknowledgement of Receipt of Ohio Ethics Law
3120df1Authorization to Contact Employment References
3120df2Information from Telephone Reference
3120.04f1Substitute Teacher's Report
3120.07f1Supplemental Contract
3121f1Request for a Criminal History Record Check
3122f2Staff Request for Reasonable Accommodation
3122f8Notice of Nondiscrimination and Grievance Procedures for Title II, Title VI, Title VII, and Title IX, Section 504, Age Act, and ADA
3122.01f1Certification Regarding Drug-Free Schools
3122.01f2Certification Regarding a Drug-Free Workplace
3122.01f3Memorandum to Staff Members on Federal Regulations Concerning Drug Prevention
3124f1Teacher's Contract - Limited
3124f2Administrative Contract
3130f1Request for Change of Assignment or Transfer
3160f1Emergency Medical Authorization Permit
3220af1Substitute Teacher's Evaluation Checklist
3220bf1Administrative Appraisal
3231af1Participation in Political Activities
3242f1Request for Permission to Attend a Professional Meeting
3242f2Professional Day Evaluation Form
3242cf1Rating the Quality of a Staff Development Program
3243f1Professional Meeting/Visitation Request Form
3243f2Professional Meeting Reimbursement Request Form
3362f1Report of Harassment
3421af1Request for Certificate of Health Coverage
3421af2Certificate of Group Health Plan Coverage
3430f1Personal Leave Notification
3430f2Emergency Personal Leave Application
3430f3Personnel Absentee Report
3430f4Parental Leave Form
3430f5Sabbatical Leave Form
3430f6Assault Leave Form
3430f7Vacation Time Request
3430.01f1Family Leave Request Form
3430.01f2Certification of Health Care Provider
3430.01f3Family & Medical Leave Act (FMLA)
3440f1Mileage Reimbursement Request