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Corning Union Elementary School District

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    Counseling Release Forms

    School Counseling Release_Eng.pdf (PDF)
    School Counseling Release Form_SPAN.pdf (PDF)

    IEP/Medi-Cal Billing Parent Consent Form

    Parent Consent to Bill Medi-Cal-English (PDF)
    Parent Consent to Bill Medi-Cal-Spanish (PDF)

    Medi-Cal Billing Assessment Forms

    These forms to be used by the School Counselor, School Psychologist, School Nurse and Speech Therapist

    2020.COUNSELING Legend.IEP Direct Services Form.xls (XLS)
    2020.NURSE.ASSESSMENTS.xls (XLS)
    2020.PSYCHOLOGICAL.ASSESSMENTS.xls (XLS)
    2020.SPEECH ASSESSMENTS.xls (XLS)
    2020.SPEECH.IEP Direct Services Form EXPANDED.xls (XLS)
    2020.SPEECH.IEP Direct Services Form SITE LEGEND.xls (XLS)
    2020.SPEECH.IEP Direct Services Form.xls (XLS)
    2020.SPEECH.IEP Direct Services.SLP-A.Form.xls (XLS)

    SDC Referral Forms

    SDC Packet-Documentation of Interventions (PDF)
    SDC District Referral (PDF)
    SELPA Sp. Ed. Procedures Manual (zipped).zip (ZIP)
    SELPA ESY Procedures-Forms.pdf (PDF)

    Special Education

    Manifestation Determination Findings.pdf (PDF)
    Sp Ed Transportation Request Form (PDF)
    SBAC Usability Form_.pdf (PDF)
    CAASP Testing Tools and Support Matrix (PDF)

    Staff Use Forms

    Enrollment Forms

    Request for Student Records (PDF)
    Registration Form_rvsd 2022.pdf (PDF)
    Registration Form SPAN_rvsd 2022.pdf (PDF)

    Field Trip Request

    Field Trip Req Form (PDF)
    Field Trip Required Forms Checklist (PDF)

    Field Trip Forms for Students & Parents

    Field Trip Request_Med Authorization form_English (PDF)
    Field Trip Request_Med Authorization form_Spanish (PDF)
    Field Trip_Adult_Med Auth English (PDF)
    Field Trip_Adult_Med Auth Spanish (PDF)

    Misc. Forms

    Complaints Concerning Dist Emplys_AR 1312.1_FORM_English (PDF)
    Complaints Concerning Dist Emplys_AR 1312.1_Comb_FORM_Spanish (PDF)
    Complaints Concerning Dist Employees-AR and BP 1312.1-English (PDF)
    Complaints Concerning Dist Employees_BP_AR 1312.1 SP.pdf (PDF)
    Donation Form_English(PDF)
    Donation Form Spanish (PDF)
    Employment Application InHouse.pdf (PDF)
    Use of Facilities English (PDF)
    Use of Facilities Spanish (PDF)
    Internet__Technology Use Form English (PDF)
    Internet__Technology Use Form_Spanish (PDF)
    Training Credit Request_ (PDF)
    Volunteer Registration Packet_English (PDF)
    Volunteer Registration Packet Spanish (PDF)
    Meeting Sign in Sheet.pdf (PDF)

    Staff Evaluation

    Certificated Evaluation Form (PDF)
    Classified Evaluation Form (PDF)
    Employee Improvement Plan Form-Page 1 (PDF)
    Employee Improvement Plan Form-Page 2 (PDF)

    Grievance

    Grievance Form (DOCX)
    Staff Vaccination Verification Google Form
    Weekly Testing Google Form
    Staff Testing Schedule and Instructions
    Titan Online Meal Payments

    Misc. Student Related Forms

    Academic Action Plan_English (PDF)
    Academic Action Plan_Spanish (PDF)
    CDS Administrative Placement Checklist.pdf (PDF)
    CDS Administrative Placement Contract.pdf (PDF)
    Child Abuse Reporting Form (DOC)
    Reclassification Checklist all grades.pdf (PDF)
    Reclassification Ltr_English  (PDF)
    Reclassification Ltr_Spanish (PDF)
    Grade Promotion Agreement English (PDF)
    Grade Promotion Agreement Spanish (PDF)
    Media Opt-Out Form-English (PDF)
    Media Opt-Out Form-Spanish (PDF)
    Retention Notification Form English (PDF)
    Retention Notification Form Spanish  (PDF)
    Kindergarten Continuance Agreement_English (PDF)
    Kindergarten Continuance Agreement_Spanish (PDF)

    Reimbursement Forms

    CUESD Travel Reimbursement Guidelines.pdf (PDF)
    Conference_Workshop Reimbursement Claim.pdf (PDF)
    Meals and Mileage Reimbursement Rates.pdf (PDF)
    Mileage Claim.pdf (PDF)
    Supplies and Materials REIMBURSEMENT Form (PDF)

    Request Forms

    CUESD Employee Travel Process Overview.pdf (PDF)
    Request for Planned Leave.pdf (PDF)
    Maintenance Work Request Form.pdf (PDF)
    Supplies_Materials Request Order Form (PDF)
    Hotel/Motel Transient Occupancy Tax Waiver (PDF)
    Requst to attend Conference_Workshop.pdf (PDF)

    Student Attendance Verification Forms

    Hourly Attendance Form for Multi-Hour Sessions (Sat School).pdf (PDF)
    Hourly Attendance Form for One Hour Sessions-After School Tutoring.pdf (PDF)
    Period Attend Validation Form.pdf (PDF)

    Time Sheets & Extra Pay Request

    Pay Request_Extra Duty_ (PDF)
    Pay Request-Sports and Activities (PDF)
    Timesheet - rvsd 2022.pdf (PDF)
    Transportation Time Sheet (PDF)
    Extra Duty / Overtime Request (PDF)

    Transportation Forms

    School Bus Student Referral (PDF)
    Transportation Time Sheet (PDF)

    NCSIG Insurance Claim Forms

    Accident/Injury Claim Form

    Corning union elementary school district

    1005 Hoag Street
    Corning, California 96021
    (530) 824-7700 Phone | (530) 824-2493 Fax

     

     

    Accessibility  |   Title IX    |   Non-Discrimination   |   Complaints   |  Wellness   |  Careers

    School Informational Image

    1005 Hoag Street 

    Corning, CA  96021

    Make changes to the header and footer on the "Edit Header and Footer" tab on the left.