ORGANIZATION, PHILOSOPHY AND GOALS Form 0320
School Board Organization
School Board Elections
The Missouri Department of Revenue Form 5120 – Candidate’s Affidavit of Tax Payments and Bonding Requirements is attached.
Adopted April 15
ORGANIZATION, PHILOSOPHY AND GOALS Form 0320.1
School Board Organization
School Board Elections – Declaration of Candidacy
AFFIDAVIT
I, ______, a resident and registered voter of the County of ______and the State of Missouri, residing at ______, do announce myself a candidate for the office of ______on the ______party ticket, to be voted for at the primary election to be held on the ______day of ______, 20__, and I further declare that if nominated and elected to such office I will qualify.
______
Signature of candidate
______
Residence address
______
Mailing address (if different)
______
Telephone Number (Optional)
Adopted Dec. 2015
ORGANNIZATION, PHILOSOPHY, AND GOALS Form 0342
School Board Organization
Conflict of Interest and Financial Disclosure Chart
0SELF
OR
SPOUSE / 1
CHILD / 2
GRAND
CHILD / 3
GREAT
GRAND
CHILD / 4
GREAT
GREAT
GRAND
CHILD
1
PARENTS / 2
BROTHER
OR
SISTER / 3
NEICE
OR
NEPHEW / 4
GRAND
NEICE
OR
NEPHEW
2
GRAND
PARENTS / 3
AUNT
OR
UNCLE / 4
FIRST
COUSIN
3
GREAT
GRAND
PARENTS / 4
GREAT AUNT
OR UNCLE
4
GREAT
GREAT
GRAND
PARENTS
A husband is related by marriage (affinity) to his wife’s relatives in the same way that she is related to them by blood (consanguinity), and she to his in the same manner, but the kindred of spouses are not related to one another. (A brother of the husband is not related to a brother of the wife, etc.)
Half relationship is the same as a whole relationship.
Step relationship is the same as a blood relationship.
ORGANIZATION, PHILOSOPY AND GOALS Form 0412
Meetings
Request To Address The Board of Education
STOUTLAND R-II SCHOOL DISTRICT
Request To Make Public Comment
To An Agenda Item
Instructions: If you wish to make a public comment to the School Board, please fill out this form
and return it to the Superintendent. All comments must be addressed to and limited
to an item(s) already on the Board Agenda for the meeting date.
Return this form before the meeting begins.
Date:______Regular Meeting ______Special Meeting ______
Name:______
Address:______
Phone:______Minutes required:______(3 Minutes Allowed)
1. Are you a resident of the Stoutland R-II School District? _____ Yes _____ No
2. Are you 18 years or older? _____ Yes _____ No
3. Have you read the “Rules for Public Comment” on the back of this form? ____Yes ____No
4. Agenda Item to Address (Letter):______
Title:______
5. Items of information you would like answered:
A) ______
B) ______
C) ______
D) ______
(Request for information will be referred to the Superintendent for written reply after the next regular board meeting.)
Adopted June 08
Form 0412
Page 2
Stoutland R-II School District
Rules for Public Comment
The Stoutland R-II Board of Education has established the following rules and procedures for persons wishing to make public comment on an agenda item(s) during open session.
Eligibility
To be eligible to make public comment to the school board regarding any item on the open agenda one must:
Be a resident of the Stoutland R-II School District.
Be of legal voting age.
Complete form requesting to make public comment.
Return the completed form to the Superintendent prior to the beginning of the meeting.
Ground Rules for Speaking
Each person may have three minutes to make his/her comment on any one agenda item.
One may receive permission to address more than one item, but one may only speak a total of three minutes.
Speakers will not ask questions of individual Board members or the Administration. (There is not time to give answers requiring detailed explanations. Refer questions to the Superintendent during office hours).
Do not repeat statement already given on the same item.
Comments will be made when the Board President has called your name for comment.
Comments must be limited to the agenda item for which he/she receives permission to address.
All public comments will be made under Announcements/Citizen’s Communications or closed session if required. This will allow the Board to consider comments before taking action on agenda items.
Ground Rules for the Board
The Board will not debate or argue with the speaker.
The Board will not attempt to answer questions nor refer questions to the Superintendent.
The Board will not respond to questions from the audience.
The Board will give information to written questions at a time other than the meeting date.
The Board will listen to every statement.
The Board wishes to thank you for taking the time to express your point of view. The business of the school is everybody’s business.
Adopted June 08
ORGANIZATION, PHILOSOPHY, AND GOALS Form 0440
Meetings
Notification of Board Meeting
POSTING LOG
POSTING LOCATION
Meeting Posted Date Posted Posted by (Initials)
1.(Feb 21. 1998 meeting) (Feb. 18, 1998) (TLC)
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
GENERAL ADMINISTRATION Form 1310
Equal Opportunity
Civil Rights, Title IX, Section 504 Notice
NOTICE OF NONDISCRIMINATION
Students, parents of elementary and secondary school students, employees, applicants for admission and employment, sources of referral of applicants for admission and employment with School District are hereby notified that this institution does not discriminate on the basis of sex or handicap in admission, access to, treatment, or employment in its programs and activities.
Any person having inquiries concerning School District's compliance with the regulations implementing TitleIX or Section504 is directed to contact ,
Title IX and Section 504 Coordinator, , (telephone number) who has been designated to coordinate School District's efforts to comply with the regulations Implementing TitleIX and Section504.
Any person may also contact the Assistant Secretary for Civil Rights, U.S. Department of Education, regarding School District's compliance with the regulations implementing TitleIX or Section504.
Superintendent
School District
GENERAL ADMINISTRATION Form 1310.1
Equal Opportunity
Civil Rights, Title IX, Section 504 Grievance Procedure
TITLE IX GRIEVANCE PROCEDURE
Students, parents of elementary and secondary school students, employees, applicants for admission and employment, sources of referral of applicants for admission and employment with School District have the right to file a formal complaint alleging noncompliance with regulations outlined in TitleIX of the Education Amendments of 1972.
Level 1: Principal or Immediate Supervisor
Employees claiming sex discrimination may first discuss the grievance with their principal or immediate supervisor, with the object of resolving the matter informally. A student or parent with a sex discrimination complaint may discuss it with the teacher, counselor, or building administrator involved. Level1 of the grievance procedure is informal and optional and may be bypassed by the grievant.
Level 2: Title IX and Section 504 Coordinator
If the grievance is not resolved at Level 1 with the District’s Title IX/Section 504 Coordinator and the grievant wishes to pursue the grievance, it may be formalized by filing a complaint in writing on a Compliance Violation Form. This form may be obtained from the TitleIX and Section504 Coordinator. The complaint shall state the nature of the grievance and the remedy requested. The filing of the formal, written complaint at Level2 must be within fifteen (15) working days from the day of the event giving rise to the grievance or from the date the grievant could reasonably become aware of such an occurrence. The grievant may request that a meeting concerning the complaint be held with the TitleIX and Section504 Coordinator. A minor student may be accompanied at that meeting by a parent or guardian. The TitleIX and Section504 Coordinator shall investigate the complaint and attempt to solve it. A written report from the Compliance Officer to the complainant regarding action taken will be sent within fifteen (15) working days after receipt of the complaint.
Level 3: Superintendent
If the complaint is not resolved at Level 2, the grievant may proceed to Level3 by presenting a written appeal to the Superintendent within ten (10) working days after the grievant receives the report from the TitleIX and Section504 Coordinator. The grievant may request a meeting with the Superintendent or his/her designee. The Superintendent
Form 1310.1
Page 2
or his/her designee has the option of meeting with the grievant to discuss the appeal. A decision will be rendered by the Superintendent or his/her designee within ten (10) working days after receiving the written appeal.
Level 4: Board of Education
If the complaint is not resolved at Level3, the grievant may proceed to Level4 by presenting a written appeal to the President of the Board of Education within ten (10) working days after the grievant receives the report from the Superintendent. The grievant may request a meeting with the Board of Education. The Board of Education has the option of meeting with the grievant to discuss the appeal. A decision will be rendered by the Board of Education at their next regularly scheduled meeting. The grievant will be notified in writing of the decision within ten (10) working days after the Board of Education action.
The procedure in no way denies the right of the grievant to file a formal complaint with the Missouri Civil Rights Commission, the Office for Civil Rights, or other agencies available for mediation or rectification of rights grievances, or to seek private counsel for complaints alleging discrimination.
Title IX and Section 504 Coordinator
Name
Address
Telephone
School District
GENERAL ADMINISTRATION Form 1310.2
Equal Opportunity
Civil Rights, Title IX, Section 504 Grievance Form
TITLE IX/SECTION 504
GRIEVANCE FORM
Date
Your name
Your school and/or position
Place where you may be reached
Address
Phone
Nature of your grievance. (Please describe the policy or action you believe may be in violation of Title IX/Section 504 or other civil rights statute: please identify any person(s) you believe may be responsible.)
If others are affected by the possible violation, please give their names and/or positions:
Please describe any corrective action you wish to see taken with regard to the possible violation. You may also provide other information relevant to this grievance.
Form 1310.2
Page 2
(Continuation of corrective action you wish to see taken)
Signature of Grievant Date Location
Signature of Person Receiving Grievance
Note: This form should be filed with the District’s Title IX/Section 504 Coordinator.
Name:
Address:
Phone:
GENERAL ADMINISTRATION Form 1310.3
Equal Opportunity
Civil Rights, Title IX, Section 504 Documentation Form
DOCUMENTATION FORM
(Title IX and Section 504)
Name of individual alleging noncompliance with Regulations outlined in TitleIX and Section 504.
Name:
Grievance Date:
State the nature of the complaint and the remedy requested.
Indicate Principal's or Supervisor's response or action to above complaint.
Principal’s Signature
GENERAL ADMINISTRATION Form 1405
School/Community Relations
Volunteers
STOUTLAND R-II
VOLUNTEER REGISTRATION FORM
Name: Date:
Address:
Telephone: (Home) (Work)
Do you have a child or children in our school system?
Child's Name Teacher's Name
Please list the times you are available in the spaces provided.
Day of the Week / Beginning at: / Ending at: / All DayMonday
Tuesday
Wednesday
Thursday
Friday
Which building would you prefer to work in?
Elementary (preschool—6th) High School (7—12)
Please mark the services you wish to volunteer for.
Teacher's aide (classroom) Tutor (working with one or two students)
Clerical aide Cafeteria aide
(Parents will not be assigned to their own child's classroom.)
Please read and sign the following.
To the best of my knowledge, I am in good health and free from any disease that might be communicated to any child with whom I might be in contact. I have no past record of a negative nature that might cast doubt upon the appropriateness of me working with children.
Signature Date
Form 1405 Page 2
STOUTLAND R-II
VOLUNTEER GUIDELINES
1. Be sure to sign in and out.
2. Be sure to wear a nametag.
3. Be prompt and reliable. Call if you cannot be at school.
4. Remember to follow all school policies, regulations, and rules.
5. Keep school matters confidential.
6. Communicate closely with your assigned teacher/staff member.
7. Remember that you are a role model to students.
8. Remember to check with the assigned teacher/staff member before conducting any new activities.
9. Remember to enjoy yourself! We appreciate you!
Form 1405
Page 3
STOUTLAND R-II SCHOOLS
VOLUNTEER ASSIGNMENT
Name of Volunteer:
Elementary High School
Name of Cooperating Teacher/Staff Member:
Assigned Classroom/Area
Day(s) Assigned
Time In Time Out
The Stoutland R-II staff and students are counting on your help on the days and times listed above. Your cooperating teacher/staff member will plan for and instruct you about your duties. Please try to attend regularly, as activities cannot proceed as planned when a volunteer does not show up. In case of illness or an emergency, call the assigned school office as soon as possible prior to your assigned day and time.
WE APPRECIATE YOUR COMMITMENT AND PROFESSONALISM AS A STOUTLAND R-II VOLUNTEER!
Form 1405 Page 4
STOUTLAND R-II
VOLUNTEER RECORD
DATE / NAME / ASSIGNMENT / TIME IN / TIME OUT
Form 1405
Page 5
VOLUNTEER REQUEST FORM
Yes! I would like to work with a volunteer!
Date:
Teacher/Staff Member Name:
Volunteer duties will consist of:
Day of the week preferred:
VOLUNTEER REQUEST FORM
Yes! I would like to work with a volunteer!
Date:
Teacher/Staff Member Name:
Volunteer duties will consist of:
Day of the week preferred
GENERAL ADMINISTRATION Form 1420
School/Community Relations
Community Use of School Facilities
REQUEST TO USE FACILITIES
Date of use: ______Time of use: ______
Group/Individual requesting use: ______
Facility requested: ______
Additional equipment needed (i.e. lights for ball-field, kitchen, sports equipment, etc.):
Purpose of use:______
Will admission charge be made? YES / NO ______
If yes, purpose of raising funds:______
Facilities must be left in clean condition or a custodial fee will be assessed. Report any unclean conditions or damage prior to and after your use. Your signature indicates that you are the responsible person for your organizational/individual use.