INDEX TO APPENDIX Policy No. Policy Name Form Name No. of Pages SECTION I – OF EDUCATION 1.20 Public Participation in Board Meetings Request to Address the Board of Education 1 SECTION II – COMMUNITY RELATIONS 2.8 Use of School Facilities Facilities Use and License Agreement 2 2.11 Title I Complaints Grievance Complaint Form 1 2.22 Charter Schools Application for Charter School Sponsorship 12 SECTION III – ADMINISTRATION 3.2 – 2.5 Discrimination, Harassment, and Retaliation Implementation Guideline 7 3.2-3.0 Grievance Procedure for Filing, Processing and Resolving Complaints Alleging Discrimination Discrimination Grievance Complaint Form 2 3.2-5.0 Service Animals Request for use of a Service Animal 1 3.2-5.0 Service Animals Service Animal Registration/Agreement 1 3.22 Use of Computers and Electronic Communication Equipment Services Cyberbullying and Internet Safety Fact Sheet 1 3.2 Use of Computers and Electronic Communication Equipment Services Internet Access Agreement (Students) 1 3.2 Use of Computers and Electronic Communication Equipment Services Internet Access Agreement (Employees) 1 SECTION IV – INSTRUCTION 4.2-1.0 Protection of Pupil Rights Amendment Policy Notification of Rights Under the Protection of Pupil Rights Amendment (PPRA) 1 4.2-4.0 Selection of Instructional Materials Citizen’s Request for Reconsideration of Material 1 4.3 Student Promotion And Retention And Student Pass/Failure Of A Course Notification Form for Possible Student Retention or Possible Student Failure of a Course 1 SECTION V – BUSINESS MANAGEMENT 5.0-1.0 Reproduction of Records Policy Public Record Access Request Open Records Act 1 5.0-2.0 Document Retention Records Retention Plan 5
5.0-2.0 Document Retention Notice of Destruction 1 5.3-3.0 Guidelines For The Sanctioning Of Student Achievement Programs And Parent-Teacher Associations And Organizations Application For Sanctioning Under Okla. Stat. Tit. 70, § 5-129.1 2 5.4-1.0 Raffles Request For Raffle 1 5.12 Wellness Wellness 1 SECTION VI – PERSONNEL 6.2-4.0 Criminal Records Search Authorization and Release [For Applicants] 2 6.2-4.0 Criminal Records Search Employee Yearly Criminal Record Questionnaire 2 6.2-4.1 Drug Testing Post-Accident Drug/Alcohol Testing Worksheet 1 6.4-1.0 Compensatory Time for Overtime Compensatory Time Off Agreement 1 6.4-1.0 Multiple Employment Assignments Employee Acknowledgement of Receipt 1 6.4-6.0 Sick Leave and Workers’ Compensation Claims for All Employees Workers’ Compensation/Sick Leave Election Form 1 6.7 – 1.0 Hazcom Program Hazard Communiation 1 6.6-3.0 Suspension, Dismissal and of Teachers Letter: Notice of Hearing on for Nonreemployment due to Potential Reduction in Force 1 6.6-3.0 Suspension, Dismissal and of Teachers Letter: Notice that Nonreemployment [Dismissal] Due to Reduction in has been Approved by the Board of Education 1 6.6-3.0 Suspension, Dismissal and of Teachers Letter: Notice of Hearing on Superintendent’s Recommendation for Your [Nonreemployment/Dismissal [Career Teachers Only] 1 6.6-3.0 Suspension, Dismissal and of Teachers Letter: Notice of Hearing on Superintendent’s Recommendation for Your [Nonreemployment/Dismissal] [Probationary Teachers Only] 1 6.6-3.0 Suspension, Dismissal and of Teachers Letter: Notice that Nonreemployment [Dismissal From Employment] has been Approved by the of Education [Post Hearing Notice Letter] 1 6.6-5.0 Suspension, Demotion, Termination or Notice to Support Employee of Suspension Without Pay, Demotion or 2
Documentation attached that the Service Animal is: Properly and currently vaccinated Under the control of a properly trained handler Name of handler: _____________________ Covered by adequate liability insurance I have read and understand the District’s Service Animals Policy. I will abide by the terms of the Policy. I understand that if my Service Animal is: out of control and/or the animal’s handler does not effectively control the animal’s behavior; not housebroken or the animal’s presence or behavior fundamentally interferes in the functions of the District; or a direct threat to the health or safety of others that cannot be eliminated by reasonable modifications, the District has the discretion to exclude or remove my Service Animal from its property. I agree to be responsible for any and all damage to District property, personal property, and any injuries to individuals caused by my Service Animal. I agree to indemnify, defend and hold harmless Ponca City Public Schools from and against any and all claims, actions, suits, judgments and demands brought by any party arising on account of, or in connection with, any activity of or damage caused by my Service Animal. OWNER ___________________________ Signature Date:_______________________ Note: This Registration/Agreement is valid until the end of the current school year. It must be renewed prior to the start of each subsequent school year or whenever a different Service Animal will be used. Bullying and Internet Safety Fact Sheet People can be bullied in lots of ways, including through cyber bullying. Cyber bullying is when someone sends or posts things (words, pictures, recordings) that are mean, embarrassing or make people feel scared, embarrassed or uncomfortable. Even if they don't do this at school sometimes cyber bullying makes things at school hard. No student is allowed to disrupt school through cyber bullying. Cyber bullies work in lots of ways, but here's some of their most common: ▪ Send or post mean messages ▪ Make up websites or accounts with stories, cartoons, pictures or that are mean to others
▪ Take embarrassing pictures or recordings (without asking first) ▪ Send or post to embarrass others ▪ Hack into other people's accounts or read their stuff ▪ Hack into other people's accounts and send or post their private stuff ▪ Pretend to be somebody else to get someone to give them private info ▪ Send threats If you're a cyber bully knock it off! Ask your principal/counselor how you can make things right. If someone is cyber bullying you, there's something you can do about it: ▪ Don't respond to and don't ignore a cyber bully. Instead, tell an adult you trust. If cyber bullying follows you to school, tell your teacher, counselor or principal. ▪ Even if what the does is embarrassing, don't delete it. Instead, get a copy so you can prove what happened. ▪ Have an adult help you contact a company representative (cell phone company, Yahoo, Facebook, Twitter, etc.) about blocking or removing the bad stuff. You can't always stop people from being mean, but there are ways to help yourself: ▪ Don't give out your personal info in electronic or digital communications ▪ Don't tell anyone but your parents what your name, password or PIN number is ▪ Don't post or send embarrassing pics or recordings (even on your own - bullies love to copy your stuff Suggestions for Parents: ▪ Help your child understand how permanent electronic or digital communications are ▪ Talk to your child about understanding, preventing and responding to cyber bullying ▪ Contact your student's school for help if you suspect your child is being cyber bullied – or if you suspect your child is engaging in cyber bullying INTERNET ACCESS AGREEMENT (STUDENTS) STUDENT SECTION: Student Full Name: School Site: ___________________________________ Grade: Home Address: Home No.: I have received a copy of the policy titled Acceptable Use of Internet and Electronic and Digital
Completion of this form is required of each applicant for a transfer in order to apply the criteria of this policy. Failure to fully and truthfully complete and timely submit this form to the district will result in a denial of the transfer. Completion of this form will be in addition to completion of any form required by the State Board of Education. Full name of student as it appears on the student’s birth certificate: Date of student’s birth: Current address of student: Full names of parent(s), guardian(s), or custodian(s) of the student: Educational history of the student: A. School district in student currently resides: B. School in which the student is currently enrolled, if different from above. C. If the student has not exclusively attended the school district in which the student is currently enrolled, list the name of each school district and addresses, if known, in which student has ever been enrolled: School: Dates of Attendance: Grade Completed Upon Leaving District: School: Dates of Attendance: Grade Completed Upon Leaving District: School: Dates of Attendance: Grade Completed Upon Leaving District: Current or last completed grade of student: Grade in which the student desires to enroll:
OJA Referral: Yes No Demographics – Target (or alleged target) Race Hispanic / Latino American Indian / Alaska Native Asian Native Hawaiian / Pacific Islander or African American White Multiracial Other: Gender Male Female Transgender Religion Disability Status None known IDEA 504 Plan English Proficiency Proficient LEP Demographics – Bully (or alleged bully) Race Hispanic / Latino American Indian / Alaska Native Asian Native Hawaiian / Pacific Islander Black or African American White Multiracial Other: Gender Male Female Transgender Religion Disability Status None known IDEA 504 Plan English Proficiency Proficient LEP Signature of Investigator Date