Colleton County School District

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Forms & Documents

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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".
00178	Personnel	Volunteer Application
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	Lateral Transfer Request Form If you are interested in a transfer from your current position, please complete the District Lateral Transfer Request Form and submit it to the Office of Human Resources.
00191	Personnel	Letter of Intent 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.
00275 word 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 20, 2011.
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.
00820	Medical	School Health Services Responsibility and Guideline Sheet for Medication - Parent-Child
00821	Medical	School Health Services Permission for School Administration of Prescription Medication
00822	Medical	School Health Services Self-Medicating and/or Self-Monitoring Student
00823	Medical	School Health Services Self-Medicating and/or Self-Monitoring Parent/Guardian
00824	Medical	School Health Services Self-Medicating and/or Self-Monitoring Health Care Practitioner Authorization
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.
01012	School Forms	Student Registration Form in Spanish Form used by all schools to gather student information when they register at the school.
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.
01021	School Forms	Pre-K Screening Application in Spanish 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.
01035	School Forms	School Lunch Form in Spanish
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.