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Corning Union Elementary School District

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    Counseling Release Forms

    School Counseling Release Form-English (PDF)
    School Counseling Release Form-Spanish (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)
    Sp Ed Transportation Request Form (PDF)
    SBAC Usability Form (PDF)
    CAASP Testing Tools and Support Matrix (PDF)

    Staff Use Forms

    Enrollment Forms

    Request for Student Records (PDF)
    Registration Form_NEW 2016_rvsd 2019.pdf (PDF)
    Registration Form_NEW 2016 SPAN_rvsd 2019.pdf (PDF)

    Field Trip Request

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

    Field Trip Forms for Students & Parents

    Field Trip Request_Med Authorization form_ENG_EOP stmt UE.pdf (PDF)
    Field Trip Request_Med Authorization form_SPAN_EOP stmt UE.pdf (PDF)
    Field Trip_Adult Medical Authorization-English (PDF)
    Field Trip_Adult Medical Authorization-Spanish (PDF)

    Independent Home Study Forms

    Ind Study Master Agreement-English (PDF)
    Ind Study Master Agreement-Spanish (PDF)

    Misc. Forms

    Complaints Concerning Dist Employees Form-English (PDF)
    Complaints Concerning Dist Employees Form-Spanish (PDF)
    Complaints Concerning Dist Employees-AR and BP 1312.1-English (PDF)
    Complaints Concerning Dist Employees-AR and BP 1312.1-Spanish (PDF)
    Donation Form-English (PDF)
    Donation Form-Spanish (PDF)
    In-House Employment Application (PDF)
    Use of Facilities Form-English (PDF)
    Use of Facilities Form-Spanish (PDF)
    Internet and Technology Use Form-English (PDF)
    Internet and Technology Use Form-Spanish (PDF)
    Training Credit Request Form (PDF)
    Volunteer Registration Packet-English (PDF)
    Volunteer Registration Packet-Spanish (PDF)
    Meeting Sign-In Sheet (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)
    Titan Online Meal Payments

    Misc. Student Related Forms

    Academic Action Plan-English (PDF)
    Academic Action Plan-Spanish (PDF)
    CDS Administrative Placement Checklist (PDF)
    CDS Administrative Placement Contract (PDF)
    Child Abuse Reporting Form (DOC)
    Reclassification Checklist-All Grades (PDF)
    Reclassification Letter-English (PDF)
    Reclassification Letter-Spanish (PDF)
    Grade Promotion Agreement-English (PDF)
    Grade Promotion Agreement-Spanish (PDF)
    Media Opt-Out Form-Eng.pdf (PDF)
    Media Opt-Out Form-Span.pdf (PDF)
    Retention Notification Form-English (PDF)
    Retention Notification Form-Spanish (PDF)
    Kindergarten Continuance Agreement-English (PDF)
    Kindergarten Continuance Agreement-Spanish (PDF)
    Online Claims Reporting Process - Help Guide (2).pdf (PDF)
    Accident Injury Report 2020 Fillable PDF.pdf (PDF)

    Reimbursement Forms

    Conference_Workshop REIMBURSEMENT Claim Rvsd 1-1-21 UE.pdf (PDF)
    Meals and Mileage Reimbursement Rates_Rvsd 1-1-21.pdf (PDF)
    Mileage Claim_Rvsd 1-1-21_UE.pdf (PDF)
    Supplies and Materials REIMBURSEMENT Form (PDF)

    Request Forms

    Leave Request Form (PDF)
    Maintenance Work Request Form (PDF)
    Supplies and Materials Order Form (PDF)
    Hotel/Motel Transient Occupancy Tax Waiver (PDF)
    Requst to attend Conference_Workshop Rvsd Jan 2021 UE.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 Attendance Validation Form (PDF)

    Time Sheets & Extra Pay Request

    Pay Request-Extra Duty (PDF)
    Pay Request-Sports and Activities (PDF)
    Timesheet_rvsd 2020.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

    Corning union elementary school district

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

     

     

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    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.