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Colleton County School District Forms

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Form Number

Category
Description

All Forms

Retirement

ALL South Carolina Retirement System Forms
This website has all South Carolina Retirement System Forms

All Forms

Benefits

ALL Employee Insurance Program Forms.
This website has all state of South Carolina insurance forms.

00070

Workers'
Comp
Accident/Incident Report
This form is required for any workers' comp accident. Please return to Grace Spangler.

00080

Worker's
Comp
Witness Statement
This form is required for any witness of a workers' comp accident to complete and to return to Grace Spangler.

00090

Worker's
Comp
Accident/Investigation Form
The unsafe acts of person and the unsafe conditions that cause accidents can be corrected only when they are known specifically. It is your responsibility as a Supervisor to find them and name them to state the remedy for them in this report. Please return to Grace Spangler.

00100

Worker's
Comp
Accident Investigations Illness/Injury Loss Investigation Report
This form analyzes the Workers' Comp accident to prevent future injuries. Please complete and return to Grace Spangler.

00110

Finance
Discontinuation of Payroll Deduction Form
This form is to be used to discontinue a payroll deduction for insurance or tax shelter annuity. Please complete and return to Amy Drew.

00120

Finance
Direct Deposit Form
This form authorizes CCSD to inititiate credit entries and to initiate, if necessary, debit entries as adjustments for any credit entries made in error. Please complete and return to Amy Drew.

00130

Finance
Form W4
Complete Form w-4 so your employer can withhold the correct Federal Income tax from your pay. Because your tax situation may change, you may want to revise your withholding each year. If you wish, you may type your information directly onto this form and then print it.  Return to Amy Drew.

00135

Finance

Form W9
This form must be completed by all businesses or individuals providing products or services to the school district before they can be set up as a vendor in CSI. Completed forms should be sent to Sue Yin Chaplin.

00140

Finance
Budget Transfer Form
This form authorizes transfers within budgets as outlined. All transfer requests must be justified in writing on the back of this form or on an attached sheet.

00150

Finance
Pupil Activity Funds Accounting Manual
 The procedures used by CCSD elementary and secondary schools in establishing and managing pupil activity funds.

00155

Finance

Pupil Activity Funds Accounting Manual Fund Raiser
A Request for Fund Raising Project Form must be completed and approved by the Principal for each Fund Raising Project.

00160

Personnel
Certificate Renewal Form  **This form is now sent to Colleton County School District's Office of Personnel**
To renew certificate, please submit this form to Colleton County School District's Office of Personnel along with all supporting transcripts.

00170

Personnel
South Carolina Department of Education Working Guide B
This working guide provides guidance in the development of a district strategic/accountability plan OR annual update.

00175

Personnel
Colleton School District Classified Employment Form
Form to be filled out by those seeking non-certified employment positions with Colleton County School District.   Please fill out and return to the Personnel Office.

00177

Personnel
Identifying "Highly Qualified Teachers" Under the NCLB Act of 2001
This document from the SCDOE Office of Teacher Quality explains the criteria for identifying "Highly Qualified Teachers".

00182

Staff 
Development

Transcript Release Form for The Citadel for requesting a transcript
This form must be mailed to The Citadel to have a complete copy of your transcripts sent to the location you specify. Remember to include $5.00. If this is the first time you've ever requested a transcript from The Citadel then you do not have to include the $5.00 transcript fee.  For recertification purposes you must ask The Citadel to mail your transcripts to:

The Office of Personnel
Colleton County School District
213 Jefferies Boulevard
Walterboro, S.C. 29488

00184

Staff 
Development
Transcript Release Form (GENERIC)
This form can be used to request transcripts from almost any college/university. Make sure you check with the college/university for any fee required.

00186
PDF File

00186
Word File

Staff 
Development

Staff Development Verification
This form is to be used by teachers for staff development verification in cases where the instructor/presenter does not have a standard form to complete.

00190

Personnel
Location Transfer Request Form
This form is required for all teacher transfers throughout CCSD. Please complete and return to Cynthia Gant.

00191

Personnel


Letter of Intent for 2009-2010 School Term
This form is required to be filled out by all district employees.
 

00192

Personnel

Sanity Form
This form is required for all employees throughout CCSD. Please complete and return to Cynthia Gant.

00230
00240

Finance
Personal Travel Reimbursement Form
This form is required for reimbursement for both in district and out of district travel. BE SURE TO DOWNLOAD BOTH SIDES OF THE FORM! Please complete and return to William Saunders.

 00260

Finance
Reimbursement Form
This form must be used for all reimbursements, excluding travel. Simply click each line, fill in the information, print and return to William Saunders.

 00270

Technology
Computer Repair Form
This form must be attached to any computer that is brought in to the Tech Center for repair. All fields MUST be filled in completely.

 00272

Technology
Internet Acceptable Use Form for Students
This form must be signed and returned to the school's Media Specialist.  All students are required to have this form on file if they plan on using the Internet.  Both student and PARENT/GUARDIAN must sign this form.

 00274

Technology
Internet Acceptable Use Form for Employees
This form must be signed and returned to the school's Media Specialist.  All employees are required to have this form on file if they plan on using the Internet.

00276
pdf

Technology
State Required Site Information for Internet Access Lines
Yearly SCDOE form that is required to be filled out by principal/director or their designee at each school district site. These forms are due to Cheryl Rourke at The Technology Center no later than May 28, 2010.

00277

Technology
School District Required Form for Summer Checkout of Computer Equipment
This form is required to be completed and then approved by the Technology Center before any computer equipment is removed from a school.

00278

Technology

School District Required Form for Laptop Checkout
Employee Laptop Agreement
This form is required to be completed by ANY employee at your school/location that is assigned a district owned laptop. The form basically states that the employee is responsible for the laptop, they will return the laptop to the school if they are no longer employed and that they will follow the district's AUP when using the laptop regardless of the location.

Each school should maintain a file of these completed forms and a copy of the completed form should be sent to Cheryl Rourke at the Technology Center.

 00280

Personnel
District Termination-Transfer Form
This form must be completed and submitted to the Office of Personnel whenever a principal or department head learns that one of his/her employees will terminate employment with the district.

00300

Finance
Buildings and Grounds Budget Request Form
For Principals ONLY. Request for Maintenance needs for next year. This form should be returned to William Saunders.

00310

Finance
Personnel and Other Budget Request Form
 For Principals ONLY. Request for non-maintenance related needs for next year including additional personnel needs, all instructional needs, etc.. This form should be returned to William Saunders.

00320

Legal
Parental Residency Affidavit
This affidavit is used to document that a student is eligible to attend public school in Colleton County, but it does not entitle the student to attend a particular school.  Parents/Guardians are required to return the completed and notarized affidavit with two (2) proofs of residency to their child's school office or the district office if proof-of-guardianship issued by a court is not available.   Documentation of the special condition(s) necessitating an affidavit must be submitted with the affidavit. 

00330

Finance
Absent Employee/Substitute Report
 Use this form to report employee absence to the district office. This new form will replace the three part form currently being used by the district. Schools are to copy this form as needed.
Click here to download this form as an Excel file.

00340

Attendance
3 Day attendance letter - PDF Format
3 Day attendance letter in PDF format.

00350
Attendance 3 Day attendance letter - Word Format
 3 Day attendance letter in word format.

00360
Attendance 5 Day attendance letter - PDF Format
5 Day attendance letter in PDF Format.

00370
Attendance 5 Day attendance letter - Word Format
 5 Day attendance letter in Word Format.

00380
Attendance 10 Day Letter - PDF Format
10 Day Elementary letter in PDF format.

00390
Attendance 10 Day Letter - Word Format
10 Day Elementary letter in Word Format.

00460
Attendance District Truancy Intervention Plan - PDF Format
District Truancy Intervention Plan in PDF Format.

00470
Attendance District Truancy Intervention Plan - Word Format
District Truancy Intervention Plan in Word Format.

00500
Attendance Letter After Court Order - PDF Format
Letter after court order in PDF Format.

00510
Attendance Letter After Court Order - Word Format
Letter after court order in Word Format.

00520
Attendance Pupil Accounting Form - PDF Format
Pupil accounting form in PDF Format.

00530
Attendance Pupil Accounting Form - Word Format
 Pupil accounting form in Word Format.

00540
Attendance Family Court Rule to Show Truancy Cause - PDF Format
Family Court Rule to Show Truancy Cause in PDF Format.

00550
Attendance Family Court Rule to Show Truancy Cause - Word Format
Family Court Rule to Show Truancy Cause in Word Format.

00551

Attendance Family Court Petition For Truancy - PDF Format
Family Court Petition For Truancy in PDF Format

00552

Attendance Family Court Petition For Truancy - Word Format
Family Court Petition For Truancy in Word Format

00560
Attendance Spice Roster Forms - PDF Format
Spice Roster Forms in PDF Format.

00570
Attendance Spice Roster Forms - Word Format
Spice Roster Forms in Word Format.

00581
Attendance Student Attendance Intervention Plan- PDF Format
Student Attendance Intervention Plan in PDF format

00591
Attendance Student Attendance Intervention Plan- Word Format
Student Attendance Intervention Plan in Word format

SAFE-T Summative ADEPT Formative Evaluation for Classroom Teachers

00712
PDF

00712
WORD

Teacher Evaluation ET1: Classroom Observation Record

00716
PDF

00716
WORD

Teacher Evaluation ET2: Professional Performance Review

00711
PDF

00711
WORD

Teacher Evaluation ET3: SAFE-T Summary

00713
PDF

00713
WORD

Teacher Evaluation TT1: Long Range Plan

00715
PDF

00715
WORD

Teacher Evaluation TT2:  Unit Work Sample

00717
PDF

00717
WORD

Teacher Evaluation TT3: Reflection on Instruction and Student Learning

00714
PDF

00714
WORD

Teacher Evaluation TT4: Professional Self-Assessment

00718
PDF

Teacher Evaluation SAFE-T Guide for Teachers and Evaluators

Goals Based Evaluation (GBE) – Professional Development Plan

00710
PDF

00710
WORD

Goals Based Evaluation

Goals-Based Evaluation
Manuals and Forms

ADEPT Diagnostic Assistance (ADA)  – Individualized Assistance Plan

00719
PDF

00719
WORD

Teacher
Observation
ADEPT-  Diagnostic Assistance Requirements

00720
PDF

00720
WORD

Teacher
Observation
IAP Orientation

00721
PDF

00721
WORD

Teacher
Observation
APS 1

00722
PDF

00722
WORD

Teacher
Observation
APS 2

00723
PDF

00723
WORD

Teacher
Observation
APS 3

00724
PDF

00724
WORD

Teacher
Observation
APS 4

00725
PDF

00725
WORD

Teacher
Observation
APS 5

00726
PDF

00726
WORD

Teacher
Observation
APS 6

00727
PDF

00727
WORD

Teacher
Observation
APS 7

00728
PDF

00728
WORD

Teacher
Observation
APS 8

00729
PDF

00729
WORD

Teacher
Observation
APS 9

00730
PDF

00730
WORD

Teacher
Observation
APS 10

00800

Science
Fair
Colleton County Science Fair Pre-Registration Form
Form used by  teachers to Pre-Register their students for the Science Fair.

00810

Science
Fair
Colleton County Science Fair Student Guide
Guide used by  both teachers and students in preparing for the District Science Fair.

00900

EPOP
EPOP Introduction and User Guide
Guide used by  District EPOP Users.   Memo written by Coach Bullock.

01000

School Forms
Field Trip Request Form
Form used by all schools in requesting Field Trips

01005

School Forms

Activity and Travel Parent Permission Form
Form used by all schools to request a parent's permission to allow their student to participate in an off campus school sponsored activity.

01010

School Forms
Student Registration Form
Form used by all schools to gather student information when they register at the school.
01011 School Forms Early Childhood Registration Form
This form must be completed by ALL students enrolling in either Pre-Kindergarten or Kindergarten. 

01015

School Forms
Student Withdrawal Form 
Form used by all elementary and middle schools to gather student information when they withdraw from  the school.

01020

School Forms
Pre-K Screening Application
Form used to request a screening appointment to determine child's eligibility for the four year old program.

01030

School Forms

Student School Transfer Request Form
Form used to transfer a student to a school outside of his/her attendance zone.

01050

School Forms
Special Olympics

2005 Special Olympics Entry Forms and General Information
Forms used for Special Olympics and General Information on the 2005 Special Olympics

01051

School Forms
Special Olympics

2005 Special Olympics Athlete Medical Form
Form used for Special Olympics

01052

School Forms
Special Olympics

2005 Special Olympics Athlete Release Form
Form used for Special Olympics
01060 Gifted & Talented Elementary School Gifted & Talented Academic Referral Form - Word Format
Form used by elementary school teachers to refer students for Gifted & Talented program.
01061 Gifted & Talented Elementary School Gifted & Talented Academic Referral Form - PDF Format
Form used by elementary school teachers to refer students for Gifted & Talented program.
01062 Gifted & Talented Middle School Gifted & Talented Academic Referral Form - Word Format
Form used by middle school  teachers to refer students for Gifted & Talented program.
01063 Gifted & Talented Middle School Gifted & Talented Academic Referral Form - PDF Format
Form used by middle school teachers to refer students for Gifted & Talented program.

01200

Training
Tranquility Case Management Training Manual
Training manual for special education teachers in pdf format.

01300

Health & Safety
Bloodborne Pathogen Sign In Sheet
This form is for each location to have all employees sign in when attending training.

01301

Health & Safety
Bloodborne Pathogen Training Form
This form is required to be signed by all employees each year after attending training.

01400

EDI
EDI Lesson Plan Template (revision date 5-31-04)
This Word document is a template for creating the Explicit Direct Instruction Lesson Plan.  Save this file to your computer and then open the file to make revisions.

01410

EDI
EDI Rubric (version 4)
This Word document is a template for creating the Explicit Direct Instruction Implementation Rubric.  Save this file to your computer and then open the file to make revisions.

01500

Release Form

Records Release Form
This form is to be used to request Transcripts or Driver Education Certificates for students who have attended Colleton County High School, Walterboro High School, Ruffin High School or Adult Education.

01600

Service Learning

The Complete Guide to Service Learning
This form has been posted by Willie Davis.  


To add any forms please contact the Technology Center (843-782-4520) or send an email to Beth Frank.

 

        
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213 North Jefferies Blvd. Walterboro, SC 29488 - 843.782.4510

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