401.6PERSONNEL HEALTH - AIDS (REGULATION) (Approved 12-5-88)(Revised 9-95)
In accordance with the policy of the Board of Education, the following regulation shall govern the prevention and control of infection of school district employees by the Human Immunodeficiency Virus (HIV) and the employment status of HIV infected school employees.
Infection by HIV may result in the disease known as Acquired Immune Deficiency Syndrome (AIDS), or AIDS Related Complexes (ARC).
An employee who suspects infection or who has been confirmed through medical examination to be infected with HIV will inform the school nurse or the Superintendent. Failure to do so may result in the termination of employment for cause as set forth in school policy.
If an employee is infected with or is suspected of being infected with HIV, the Superintendent will conduct an interview to determine if the employee has knowledge of an infection and whether further medical examination is desired.
If an employee is confirmed as being infected with HIV, the Superintendent will compose a Health Review Committee (HRC) for the district. The HRC will be composed of the employee, the employee's physician, a member of the Oklahoma State Department of Health, the employee's supervisor, and the Superintendent.
Any decision regarding the employee=s status shall be based upon the best medical evidence available. The HRC shall determine the extent to which reasonable accommodation of the employee may be necessary due to the employee=s condition. Unless the medical experts are of the opinion that the employee=s condition could reasonably present a hazard of infection to students or other employees, the employee will be permitted to continue his or her usual duties. If the employee=s condition could reasonably present a hazard of infection to students or other employees, the Sapulpa School District will consider assigning the employee to other available duties for which the employee is qualified at no reduction in pay.
The employee is required to provide the Superintendent periodic written comprehensive reports from the employee=s personal physician as to the employee=s current health condition. The frequency of such reports will be determined in each case by the medical representatives of the employee and the Sapulpa School District.
Any employee may apply for and be granted a leave of absence without pay in compliance with the Sapulpa School District=s Family and Medical Leave Policy or another District policy authorizing leave, when approved by the Superintendent, upon advice of the employee=s personal physician, and when deemed appropriate, a district medical officer.
An employee may request and be granted return from a leave of absence without pay when approved by the Superintendent upon the advice of the employee=s personal physician, and when deemed appropriate , a district medical officer.
400 Section - ProceduresSapulpa Public Schools 2-2007
The employee will be requested to consent in writing to the notification of only those persons who, under the circumstances of the employee=s particular job duties and health condition, have a Aneed to know.@ Normally, this will mean the employee=s immediate supervisor, the Board of Education and its attorney, the Superintendents, the appropriate building supervisor and any health care professionals. Those persons will be instructed regarding their legal obligation to maintain the confidentiality of the information and the legal consequences of failing to do so. No entry regarding the employee=s HIV, AIDS or ARC status will be made in the employee=s personnel file. Under no circumstances will students or the parents of students be notified that any person infected with HIV, AIDS or ARC is employed by the Sapulpa School District.
The Superintendent is directed to establish regulations describing appropriate action to be taken when accidents involving the emission of body fluids occurs, e.g. vomiting, bleeding, diarrhea, etc. Hygiene and sanitation procedures are contained in school policy.
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401.10 FELONY RECORD SEARCH AUTHORIZATION AND RELEASE
This Authorization and Release is executed under penalty of perjury on the day of , , by , an applicant for employment ("Applicant") with the Sapulpa School District.
Applicant understands that the Sapulpa School District's receipt of a clear national felony record search of his/her name and fingerprints is a condition of employment with the Sapulpa School District. Because Applicant desires employment with the Sapulpa School District, Applicant authorizes the Sapulpa School District to request and obtain the results of a national felony record search of Applicant's name and fingerprints. Applicant hereby releases Applicant's felony record search results to the Sapulpa School District. Applicant also releases the Sapulpa School District of any and all liability relating to its request for, receipt and use of the search results.
Applicant acknowledges that Applicant has been furnished and understands all of the requirements of the Sapulpa School District's Felony Record Search Policy and agrees to be bound by all of its terms and conditions.
Applicant also agrees to truthfully answer the following questions:
HAVE YOU EVER:
YesNo
a. Entered a plea of guilty or nolo contendere to a state or federal felony charge?
b. Been convicted of a state or federal felony offense?
c. Been charged with a state or federal felony offense which was reduced to a
misdemeanor offense to which you entered a plea of guilty or nolo contendere?
d. Entered a plea of guilty or nolo contendere to, or been convicted of, a state or federal misdemeanor charge involving illegal chemical substances or illegal sexual activity?
Applicant understands that if Applicant is hired by the Sapulpa School District prior to receipt of the results of the felony record search, Applicant will be classified as a temporary employee until notified otherwise by the Superintendent of Schools. Furthermore, Applicant understands that if the felony record search reveals a prior felony offense conviction or if Applicant provides a false response to one or more of the above questions, then Applicant will be denied employment. If Applicant is employed prior to receipt of the search results then (1) Applicant is deemed to have resigned Applicant's temporary employment with the Sapulpa School District effective upon acceptance by the Board of Education; (2) the Board of Education may accept Applicant's resignation at any time within thirty (30) days after the date the Sapulpa School District was notified of either the unsatisfactory search results or the false response, whichever is later; and (3) Applicant waives Applicant's right to any and all due process procedures to which Applicant might otherwise be entitled under federal and state law and Sapulpa School District policies and procedures.
VERIFICATION
STATE OF OKLAHOMA)
) SS.
COUNTY OF )
, Applicant, of lawful age and being first duly sworn upon oath, deposes and states: that Applicant is familiar with the statements set forth above; that Applicant has read the foregoing Authorization and Release; and Applicant states that all the matters therein set forth are true and correct.
"Applicant"
SUBSCRIBED AND SWORN to me this day of , .
My Commission expires:
Notary Public
(SEAL)
400 Section - ProceduresSapulpa Public Schools 2-2007
401.12EMPLOYEE YEARLY CRIMINAL RECORD QUESTIONNAIRE
HAVE YOU WITHIN THE PAST 365 DAYS: / YES / NOEntered a plea of guilty or nolo contendere to a state (any state) or federal felony charge? / ___ / ___
Been convicted of a state (any state) or federal felony offense? / ___ / ___
Been charged with a state (any state) or federal felony offense which was reduced to a misdemeanor offense to which you entered a plea of guilty or nolo contendere? / ___ / ___
Entered a plea of guilty or nolo contendere to, or been convicted of, a state (any state) or federal misdemeanor charge involving illegal chemical substances or illegal sexual activity? / ___ / ___
Entered into a deferred prosecution agreement with a state (any state) or federal prosecutor? / ___ / ___
If any question is answered Ayes,@ give a detailed explanation on the reverse side of this form.
This form must be returned to the office of the Superintendent by September 15 of each school year.
Refusal by the employee to sign and return the required form or giving false information or misinformation on the form will constitute insubordination and willful neglect of duty and may be the basis for disciplinary action, including termination of employment.
______
Printed Name of Employee
______
Signature of Employee
______
Date
400 Section - ProceduresSapulpa Public Schools 2-2007
410.2MENTOR TEACHER (Negotiated 9-9-14)
A.Every entry level teacher (zero (0) years experience as a classroom teacher) employed shall serve under the guidance and assistance of a mentor teacher for a minimum of one (1) year. However, no beginning teacher shall serve under the guidance and assistance of a teacher consultant for less than 120 days.
B.When the entry level teacher is employed for less than 120 days during the school year, it will be necessary for the entry level teacher to continue as a beginning teacher during the next school year until a total of 180 days has been completed.
C.It is the responsibility of the school district to ensure that a mechanism be provided whereby the mentor teacher will provide guidance and assistance to the entry level teacher a minimum of 16 hours per year in classroom observation and consultation.
1. One observation per nine weeks by entry level teacher of mentor’s classroom and mentor of mentee’s classroom.
2. During the 1st 9 weeks, Mentor Teachers must meet with the entry year teacher weekly. Following the 1st 9 weeks, the Mentor Teachers must meet at least once per month.
D.To insure the 16 hours per year requirement is met, the mentor teacher will record monthly the classroom observations and consultations on a record sheet, submitting these to the principal each month. These reports are not to be evaluative reports, just time keeping reports.
E.The mentor teacher will be paid $500.00 for 180 days. If the beginning teacher assignment is less than 180 days, a portion of the $500.00 will be paid based on the number of days the entry level teacher is employed.
400 Section - ProceduresSapulpa Public Schools 2-2007
431.3*SALARY SCHEDULE FOR SUBSTITUTE TEACHERS (Negotiated 8-18-08) (Revised 8-8-11)(Revised 8-13-12)
Substitute Teacher Defined
Substitute teachers are employed temporarily to replace the regular teacher. Substitute teachers are subject to assignment from time to time in any school where the services are needed. All substitute teachers, employed for less than one semester, are paid at the applicable daily rate.
- Non-degree
$60.00 per day with the number of days permitted consistent with statelaw.
- Certificated and B.S. Degree Substitute Teachers
$70.00 daily for substitute teachers holding at least a bachelor degreefrom accredited college.
C.Long Term Assignments:
A long term assignment is defined as one of more than twenty consecutive days for the same teacher or in the same assignment. Highly Qualified teachers are required for long term substituting assignments. For each consecutive day over 20 the substitute teacher will be paid the daily rate for Step 0 B.S. degree Teacher.
- Substitute teachers are limited to 90 days of teaching each school year and degreed substitute teachers are limited to 100 days. Properly certified teachers may substitute an unlimited number of days.
- Noncertified substitute teachers may work a maximum of 20 days in the same assignment.
400 Section - ProceduresSapulpa Public Schools 2-2007
431.15HEAD TEACHERS
A.Qualifications for Head Teacher (Established 9-11-89)
1.Certified in education
2.No relation to principal
3.Tenured in district and have at least (1) one year in building of available position
4.Satisfactory evaluation year prior to applying
B.Responsibilities of Head Teacher
1.Familiar with building procedures
2.Act in the absence of principal
3.Perform duties as assigned by the principal. (This may vary from building to building) i.e., night time activities
4.Serve as representative at special education meetings
400 Section - ProceduresSapulpa Public Schools 2-2007
433.1OKLAHOMA DIRECT SERVICE – MEDICAID CLAIMING SERVICES CHECKLIST (Approved 8-13-12)
______Receive signed School Medicaid Direct Service Agreement from District
If the District chooses electronic signature
______Review Uniform Electronic Transaction Act with the District (OAC 317:30-3-4.1), Revised 6/25/11
______Review CAS’s response to requirements of OAC 317:30-3-4.1
______Review requirement for District to have a Data Access Policy in force as required by OAC 317:30-3-4.1
______Review Records Retention requirements under OAC 317:30-3-15
______Review requirement for each District provider (employee or contract) to have a signed Statement of Control on file
______Receive a signed Business Associate agreement from the District
______Present and review with the District the CAS Confidential Information Breach procedures
______Receive signed District Request for Electronic Signature
We have jointly reviewed the OHCA requirements for electronic signature of student records submitted for Medicaid reimbursement.
For DistrictFor Computer Automation Systems, Inc.
______
SignedSigned
______
TitleTitle
______
DateDate
433.1Statement of Control of Access to Electronic Records (Approved 8-13-12)
I, ______confirm that all access to records that I have documented for students in the DSCtopTM service documentation system is under my sole control.
I confirm that I must enter both a unique identifier and a secure password to access records.
I confirm that I do not and will not share my unique system identifier and my secure password to any other person.
I understand that the confidentiality and control of these records is of the utmost priority and that I will notify my superiors if I believe this confidentiality or control has been compromised.
I understand that sanctions are in place for any improper or unauthorized use of computer key/code(s), PKIs, voice authentication systems or other code types of electronic signature.
______
Signed
______
Title
______
Date
441.1Personal Development Plan (PDP)(Negotiated 8-02)(Negotiated 8-17-12)
The following terms will be recognized by the Board and Association in dealing with teacher due process. A principal may repeat any level or enter the process at any level deemed necessary.
A.Verbal Counseling is a term used when the principal has a one-on-one discussion with the teacher concerning a situation which requires correction.
B.Written Reprimand is a written notification for a teacher to change a behavior in an area defined by the administrator. Failure to change or improve in the area defined could result in a Personal Development Plan (PDP)and/or an Admonishment. A Written Reprimand will be included in the Principal=s Working File and a copy given to the teacher. No signature of the teacher is required and no representation is required at this level.
C.An Admonishment occurs when any teacher is required to attend a conference with an administrator in which the teacher will receive a formal Written Admonishment which could lead to dismissal or termination and/or correspondence from the supervisor to the teacher will be placed in the permanent personnel file.
Any Admonishment may or may not result in a Personal Development Plan (PDP). A Personal Development Plan (PDP)is a form of Admonishment; however, not all Admonishments require a Personal Development Plan (PDP).
441.1 TULSA MODEL GOAL SETTING FORM (Negotiated 9-9-14)
TULSA
TulsaModelGoalSetting Form
Teacher:Date:
Evaluator:School:
Instructions: ThisformistobecompletedcollaborativelybytheteacherandevaluatortoaddressanyTulsaModelIndicatorsinneedofdevelopment.Itmaybeusedafteranyobservationor,withregardtoanevaluation,inlieuofaPDPwhenateacherreceivesa2-NeedsImprovementonnomorethantwoIndicatorsandno ratingsof1-lneffective.Localdistrictpoliciesmaylimitor controltheuseofthisform.
lndicator(s)Addressed(Nomorethantwopergoalform-onlyone"active"goalformatonetime.)ReasonforGoalSettingForm
GoalStatementsbyIdentifiedIndicators-theIntendedOutcomes
(Tobedevelopedcollaboratively
byteacherandevaluator.} / - ·
TeacherResourcesand SupportsforAccomplishingGoals (Atleastonemustbechosenbyteacherand evaluator incollaboration.) / UseofspecifiedTulsaModelPortalvideos,TeachingChannelVideos,orother video_
resources-
Web-based resources(PleaseSpecify)
Printresources(PleaseSpecify)
Mentoringorcoaching resources(PleaseSpecify}
Districtprofessional developmentresources{Please Specify)-
OtherTeacherandEvaluatorApprovedOpportunity(PleaseSpecify)
EvidencethatwillDemonstrate SuccessinReachingGoal
(Atleastonemustbechosen
byteacherandevaluatorin
Collaboration.) / Follow-UpObservationbyEvaluatorCompletionofResourceReflection
OtherTeacherandEvaluatorApproved Evidence(PleaseSpecify)
ExpectedDatetoReviewEvidence
(Thereviewdatemustnotbemorethan20daysfromthestartdateofthegoalform.Follow-Up, Conference MustOccurwithin5daysofthereviewdate.)
400 Section - ProceduresSapulpa Public Schools 2-2007
_.cc
TULSA
TeacherGoalPost-Conference Documentation
(Mustbecompletedwithin5daysofReviewDate)
Teacher:Date:Evaluator: School:
PleaseSelectOneoftheFollowing:
Teacherhascompletedallgoalrelatedactivitieswithevidenceprovided/obtained.Goal(s)havebeensuccessfullyachieved.
Teacherhadcompletedallorsomeofthegoalrelatedactivitieswithatleastpartialevidenceprovided/obtained. Oneormoreoftheestablishedgoalshasnotbeenentirelyachieved. Aneworcontinuing goalformwillbeestablished.
Teacher has not completed goal related activities and/orevidence has not been provided/obtained. Anew/continuinggoalform (orPDPifappropriate)willbeestablished.
Pleaseprovideanyadditional/relevantinformationpertainingtothe completionornon-completionof goal(s)andrelatedactivities:
Teacher Signature:Date:Evaluator Signature: Date:
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441.1 INSERT ONE-PAGE - Sapulpa Public Schools Teacher’s Confidential Evaluation - 2012-2013 (Negotiated 8-17-12)
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441.1 INSERT ONE-PAGE - Sapulpa Public Schools Librarian Confidential Evaluation - 2012-2013 (Negotiated 8-17-12)
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441.1 INSERT ONE-PAGE - Sapulpa Public Schools Speech - Lang Path/ School Psychologist’s Confidential Evaluation - 2012-2013(Negotiated 8-17-12)
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441.1 INSERT ONE-PAGE - Sapulpa Public Schools Counselor’s Confidential Evaluation – 2012-2013(Negotiated 8-17-12)
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441.1 INSERT TWO-PAGES - Sapulpa Public Schools Nurse’s Confidential Evaluation – 2012-2013 (Negotiated 8-17-12)
400 Section - ProceduresSapulpa Public Schools 2-2007
461.1 REQUEST FOR APPROVAL OF ABSENCE
SAPULPA PUBLIC SCHOOLS
REQUEST FOR APPROVAL OF ABSENCE
______
Date
______hereby requests approval of absence
(Print name)
for ______. This absence is necessary for a reason which date (s)
is permitted under the Policies and Procedures established by the Board of Education I-33.
No Deduction in Pay:
Approved Professional Activities - Reason ______
Emergency Leave (3 days per year) - Policy # 461.6
Death/Funeral Leave - Policy 461.7 - Relationship ______
Jury Duty - Policy # 461.10
Wellness Day - Policy # 467
Deduction in Pay:
Personal Leave (Substitute pay deducted) (5 days per year) - Policy # 461.7
Leave without Pay (Full day=s pay deducted) - Policy # 461.8
This form is to be submitted in duplicate to the principal as soon as possible in advance of absence. Request for substitute form must also be completed and turned in to principal.
Employee's Signature ______
Approved by ______
Principal
Approved by ______
Superintendent/Deputy Superintendent
Disapproved by ______
Superintendent/DeputySuperintendent
400 Section - ProceduresSapulpa Public Schools 2-2007
461.17FAMILY AND MEDICAL LEAVE (Revised 11-06)
NOTICE OF INTENTION TO RETURN FROM LEAVE
Name:______
Principal or Supervisor: ______
Date leave commenced: ______
Date of planned return: ______
I understand that my reinstatement is subject to the following conditions: