BEHAVIORAL THREAT ASSESSMENT AND MANAGEMENT MANUAL November 2018 Kenai Peninsula Borough School District 1 Revised: November 2018 General Guidelines for School Behavioral Threat Assessment (BTA) and Management The objective of this Behavioral Threat Assessment (BTA) is to determine if a student poses a threat to the sa

Form #05-17-045 Alaska Department of Education & Early Development Accommodations for Students Identified as English Learners Individual Student Documentation Form All students identified as English Learners (ELs) must participate in statewide academic assessments. Accommodations are allowed for ELs when testing for ac

1 AVTEC (ALASKA VOCATIONAL TECHNICAL CENTER) SCHOLARSHIP APPLICATION Sponsored by the Kenai Peninsula Borough School District Career & Technical Education 2010-1011 One 2011/2012 full-year tuition waiver This application form is intended to aid in the Career & Technical Education scholarship review process. If you wish

1 KENAI PENINSULA COLLEGE SCHOLARSHIP APPLICATION Sponsored by the Kenai Peninsula Borough School District Career & Technical Education 2010-2011 One 2011/2012 full-year tuition waiver This application form is intended to aid in the Career & Technical Education scholarship review process. If you wish to be considered f

www.kenaipeninsulabuilders.com KENAI PENINSULA BUILDERS ASSOCIATION SHELBY JOHNSON MEMORIAL SCHOLARSHIP Three $1,000.00 SCHOLARSHIPS Any member of the Kenai Peninsula School District 2011 Senior Class, or High School Graduate residing on the Kenai Peninsula who plans to pursue a career in a building-related field, and

www.kenaipeninsulabuilders.com KENAI PENINSULA BUILDERS ASSOCIATION SHELBY JOHNSON MEMORIAL SCHOLARSHIP Three $1,000.00 SCHOLARSHIPS Any member of the Kenai Peninsula School District 2012 Senior Class, or current juniors that will graduate in 2013 who plans to pursue a career in a building-related field, and who will a

Revision to Improvement Plan in LEP Plan of Service 2012-2017 Revised March 2014 Description of Improvement Plan for addressing failure to meet AMAOs 2012-2013 Targets: ? AMAO 1 (Making Progress) 34.3% o KPBSD 50.30% -Target MET ? AMAO 2 (Attaining Proficiency) 5.2% o KPBSD 6.78% -Target MET ? AMAO 3 o Reading 48.67% ?

KENAI PENINSULA BOROUGH SCHOOL DISTRICT PARENT’S GUIDE TO SECTION 504 This brochure is distributed by Kenai Peninsula Borough School District to inform parents and the community about Section 504 of the Employee Rehabilitation Act which prohibits discrimination against students because of a disability. What is “Section

KENAI PENINSULA SCHOOL DISTRICT AFTER SCHOOL ACADEMY PARENT/GAURDIAN AUTHORIZATION TO PARTICIPATE The Kenai Peninsula Borough School District has been awarded a grant through the State of Alaska to provide basic training to interested high school stu dents. The program is free of charge and is conducted b

ANCHOR POINT COOPER LANDING HOMER HOPE KACHEMAK SELO KENAI MOOSE PASS NANWALEK NIKISKI NIKOLAEVSK NINILCHIK PORT GRAHAM RAZDOLNA SELDOVIA SEWARD SOLDOTNA STERLING TUSTUMENA TYONEK VOZNESENKA KENAI PENINSULA BOROUGH SCHOOL DISTRICT Planning & Operations Kevin Lyon, Director 148 North Binkley Street Soldotna, Alaska 9966

KENAI PENINSULA BOROUGH SCHOOL DISTRICT 148 N. Binkley Street, Soldotna, Alaska 99669 MEMORANDUM TO: All Borough and School District Employees FROM: Kevin Lyon, Planning and Operations Director DATE: Fall, 2019 SUBJECT: AHERA School Management Plans As mandated by Federal Regulation 40CFR Part 763, known as AHERA (the

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STATE OF ALASKA DEPARTMENT OF EDUCATION & EARLY DEVELOPMENT SPECIAL EDUCATION HANDBOOK 2013 Alaska Special Education Handbook -2013 -1 -Table of Contents CONTACT INFORMATION ......................................................................................................... 5 PURPOSE OF HANDBOOK ..................

Alaska Youth Transition Handbook Page 2 of 28 AJA –January 13, 2012 The Alaska Department of Labor and Workforce Development, Division of Vocational Rehabilitation (DVR), completed this Alaska Youth Transition Handbook designed to assist DVR staff, teachers, students and their families in the delivery of transition ser

ANCHOR POINT COOPER LANDING HOMER HOPE KACHEMAK SELO KENAI MOOSE PASS NANWALEK NIKISKI NIKOLAEVSK NINILCHIK PORT GRAHAM RAZDOLNA SELDOVIA SEWARD SOLDOTNA STERLING TUSTUMENA TYONEK VOZNESENKA KENAI PENINSULA BOROUGH SCHOOL DISTRICT To: School Administrators, School Nurses, PE Teachers, Head School Secretaries From: John

ALLERGY/ANAPHYLAXIS CARE PLAN Name _________________________________ Birthdate _________ Teacher __________________________ School Nurse________________________________ Phone __________________Fax _____________________ Healthcare Provider __________________________ Preferred Hospital _______________ HISTORY OF ASTHMA:

Kenai Peninsula Borough School District ALMR Checkout Agreement ALMR radio checkout is intended for traveling teams’ communication with their home school for travel beyond the Matanuska-Susitna Valley where there may be no cellular service. Administrative staff from the home school will need to monitor the school’s ALM

APPLICATION FOR ADDING/COMBINING AN ACTIVITY A completed application must be received by the KPSAA Executive Board sixty (60) days prior to the start of the activity season. Please email completed form to KPSAA Executive Secretary John O’Brien, JO’Brien@KPBSD.k12.ak.us 1. Activity, school and contact information ______

AR 1330 Community Relations USE OF SCHOOL FACILITIES AND PROPERTIES Conditions of Use Sponsoring organizations shall provide competent adult supervision agreed upon at the time the request for facility use is submitted.  Principals are program supervisors and shall not be called upon to supervise

Created by Asthma and Allergy Foundation of America, Alaska Chapter and the Alaska Asthma Coalition, October 2005. Revised 2012 KPBSD Health Services 8/2012 Name: _____________________________________________ D.O.B. _____________ Teacher _____________ School Nurse: ____________________________________ Phone Number: ___

AVTEC (ALASKA VOCATIONAL TECHNICAL CENTER) SCHOLARSHIP APPLICATION Sponsored by the Kenai Peninsula Borough School District Career & Technical Education 2011-1012 One 2012/2013 full-year tuition waiver This application form is intended to aid in the Career & Technical Education scholarship review proces

Kenai Peninsula Borough School District BBP Exposure Control Plan -Attachment C Revised -March 29, 2018 Page 1 of 1 Bloodborne Pathogens Annual Training Information about Precautions to Prevent Spread of Infectious Diseases Federal OSHA requires that employees be protected from exposure to Bloodborne pathogens. In the

BP 1330 Community Relations USE OF SCHOOL FACILITIES AND PROPERTIES Note:  A.S. 14.03.100 authorizes boards to grant the use of school facilities for lawful gatherings and assemblies and mandates that boards adopt written bylaws to insure reasonable and impartial use of school facilities. The

KENAI PENINSULA BOROUGH SCHOOL DISTRICT PROFESSIONAL DEVELOPMENT BROKERED COURSE GUIDE I. Overview Brokered Course: The Kenai Peninsula Borough School District (KPBSD) and Kenai Peninsula College (KPC) have established a partnership where KPBSD employe es can enroll in upper division 500-level professional

Career Development Flow ChartApplicationSubmitted to Emily NicholsonApplication Reviewed for CompletenessApplication Reviewed by CommitteeApplicant Notified of Committee’s Recommendation via emailApplication Mailed to District Office for Assistant Supt. ApprovalApplicant Notified of Ass’t Supt. Approval by Mari AuxierA

Chart of Accounts – Cheat Sheet CODE STRUCTURE: Fund Location Function Program Object xxx xx xxxx xxxx xxxx For purposes of budget building, the "100 School Operating (General Fund)” is used. FUND CODES 100 School Operating (General Fund) 260 Title IV, Drug & Violence Prevent 293 School Health -YRBS 201 State Staff Dev

KENAI PENINSULA BOROUGH SCHOOL DISTRICT COOP EDUCATION TRAINING AGREEMENT The work station will permit (student name) to be employed in their business for the purpose of gaining knowledge and experience in the occupation of _____ from , 200 , to , 200 . The training will be provided in accordance with the following

10/12/11 -KENAI PENINSULA BOROUGH SCHOOL DISTRICT 148 N. Binkley, Soldotna, AK 99669 (907) 262 5846, Fax (907) 262 6354 Medical management of sports-related concussion continues to evolve. Recently, there has been a significant amount of new research regarding sports-related concussions in high school athletes. The Ken

Developed 5/19/2016 Crisis Preparedness Team Checklist Administrator assembles a crisis response team List team members: Team meets during in-service days before school starts Team reviews and completes the “Crisis Response Team Checklist” Team reviews crisis binders and materials ensuring only current versions are in

D 102 KPBSD Health Services Rev 4/16 KENAI PENINSULA BOROUGH SCHOOL DISTRICT HEALTH SERVICES FIRST-AID AND EMERGENCY PROTOCOL I. When Nurse is IN the building: The nurse will be available for providing first-aid treatment and for coordinating emergency care for the school-based population. II. When Nurse is NOT in the

6/14 Business Office Kenai Peninsula Borough School District PAYROLL DIRECT DEPOSIT AUTHORIZATION Name (please print) E# or Social Security Number Work Location I hereby authorize the KPBSD to make net payroll deposits to my account as indicated below: Payroll remittance to: Checking Savings Financial Institution Routi

DOING BUSINESS WITH KENAI PENINSULA BOROUGH SCHOOL DISTRICT 148 NORTH BINKLEY SOLDOTNA, AK 99669 (907)714-8888 FAX (907)262-9645 Website: www.kpbsd.k12.ak.us Updated: January 2013 Superintendent Dr. Steve Atwater Assistant Superintendent, Instructional Support Dave Jones Director of Finance Laurie Olson Director of Pla

Complete Part I and Part II from Quality Assurance application Is initiative Technology related?Yes – complete general technology information sheetNo – Submit to Instructional DirectorSubmit both documents to technology committeeLeadership Team review with Director recommendationSuperintendent approves and informs Boar

E 0200(c-1) Kenai Peninsula Borough School District Technology/Digital Resource Approval Request Form Instructions In order to evaluate the effectiveness of digital resources in KPBSD and to ensure alignment with district goals, an approval process has been developed regarding the purchase of hardware and software. Inc

E 6153(a) Preliminary Field Trip Preparation For Extended Out-of-State or International Field Trips This form is to be submitted to the Superintendent a minimum of 10 months (for out-of-state) prior to trip, 18 months (for international) prior to trip, or as soon as plans are initiated (whichever comes first) as th

E 6153(c) KPBSD FIELD TRIP INFORMATION FORM DEFINITIONS AND TIME LINES Routine: These trips are one day or less and require PRIOR approval by local administrator. A completed copy of this form for each routine field trip, approved by the site admini strator, shall be on file in the site administrator's off

E 6153(e) Kenai Peninsula Borough School District FIELD TRIP QUESTIONNAIRE What are the hours of intended travel between the District and the point of disembarkation? What specific lodging arrangements have been made for students, chaperones and drivers if anticipated departure or return times are be

Keywords: field trip E 6153(f)STUDENT INDEMNIFICATION STATEMENT (Waiver of Liability) STUDENT CONSENT FOR MEDICAL TREATMENT STUDENT CONSENT TO PARTICIPATE ****

E 6153(g) Out-of-State or International Student Behavior Contract Student Name: Parent Name: Phone #: Work #: Cell Phone: Email: I give my permission for my child to participate in the field trip to on Parental Preparation: 1. I will go over the rules with my child prior to the trip. 2. I w

Keywords: field trip E 6153(h) CHAPERONE/VOLUNTEER INDEMNIFICATION STATEMENT (Waiver of Liability) VOLUNTEER ALCOHOL / DRUG-FREE STATEMENT To the maximum extent allowed by law, I, ____________________________________, being a ___________________________ (parent/volunteer, e tc.) at ___________________________ School, agree to defe

Keywords: field trip E 6153(i) Permission to Travel Outside the United States Due to international concern over child abduction, many governments have initiated additional requirements at arrival and departure points when children under 18 years old are not traveling with bot h parents. Many countries require documentary evidence of th

1 APPENDIX A CO-CURRICULAR PARTICIPATION CONSENT FORM ELEMENTARY SCHOOL WARNING, ASSUMPTION OF RISK And HOLD HARMLESS AGREEMENT Student Name (Please Print) School Date FOR ALL SPORTS AND ACTIVITIES I understand that all co-curricular activities have a certain degree of risk. I also understand these risks may include

1 APPENDIX B KENAI PENINSULA BOROUGH SCHOOL DISTRICT Elementary School Activities Guidelines I. PHILOSOPHY STATEMENT The Kenai Peninsula Borough School District believes co-curricular activities are an integral part of the educational program. Activities shall be tailored to the physical, mental, emotional and social

1 APPENDIX C ELEMENTARY SCHOOL CO-CURRICULAR PARTICIPANT USER FEE CONTRACT __________________________ _____________________ ______ ______ Student Name (printed) School Grade Date Activity Fee Obligations In an effort to supplement available state and District funds for our co-curricular programs, a fee will be

KPSAA END OF SEASON ANALYSIS FORM FOR ACTIVITIES In order to ensure equity and Title IX compliance in all of our school districts activities, please complete this Analysis Form at the conclusion of each activity season. DATE _________ ACTIVITY __________LEVEL (C, JV, V) ___V_________ OUTSOURCE ACTIVITY?____________

Kenai Peninsula Borough School DistrictFEDERAL PROGRAMS ADVISORY COMMITTEEVOLUNTEER FORMPlease return to the Federal Programs Office as soon as possibleName (please print):Address:Phone:Email:I am a (please check): Parent Guardian Grandparent Teacher Student Community MemberI would like to

For all field trips, please read policies: BP 6153 School-Sponsored Trips AR 6153 School-Sponsored Trips BP 3541.1 School-Related Trips AR 3541.1 School-Related Trips For field trips which include a Special Needs student: AR 6153.1 School-Sponsored Trips/Special Medical Needs Field Trip Requi

ANCHOR POINT COOPER LANDING HOMER HOPE KACHEMAK SELO KENAI MOOSE PASS NANWALEK NIKISKI NIKOLAEVSK NINILCHIK PORT GRAHAM RAZDOLNA SELDOVIA SEWARD SOLDOTNA STERLING TUSTUMENA TYONEK VOZNESENKA KENAI PENINSULA BOROUGH SCHOOL DISTRICT To: Elementary, Middle and High School Administrators, Athletic Directors, and Coaches Fr

KENAI PENINSULA BOROUGH SCHOOL DISTRICT GIFTED PLAN OF SERVICE Revised 11/25/06 STATEMENT OF PHILOSOPHY The Kenai Peninsula Borough School District is committed to a differentiated program which serves those gifted students whose abilities, talents, and potential for accomplishments are so outstanding that they

APPENDIX A KPBSD Athletic/Activity Participation Registration User Fee Form, Consent Form, Warning, Assumption of Risk, and Hold Harmless Agreement Eligibility Requirements for students participating in KPBSD and ASAA sponsored activities: • This form must be complete and on file in the Activities office for each

APPENDIX B KENAI PENINSULA BOROUGH SCHOOL DISTRICT HIGH SCHOOL ACTIVITIES GUIDELINES I. PHILOSOPHY STATEMENT The KPBSD believes co-curricular activities are an integral part of the educational program. We believe each student should have an equal opportunity to participate in a broad number of activities based on

Alaska Paraprofessional Qualifications Form Directions: 1. Print the paraprofessional s name in the space provided. 2. Indicate method used to determine the requirements were met by checking appropriate box or boxes. 3. The form must be signed an d dated by the paraprofessional and the district rep

STATE OF ALASKA MEDICAL EXEMPTION /IMMUNITY FORM Alaska Immunization Regulations 7 AAC 57.550 and 4 AAC 06.055 require that all children in Alaska public/private schools and child care facilities be immunized unless he/she is exempted or immune. This form is required to be on file at school and/or child care when a chi

State of Alaska Religious Exemption Form Alaska Immunization Regulations 7 AAC 57.550 and 4 AAC 06.055 require that all children in Alaska public/private schools and child care facilities be immunized unless he/she is exempted or immune. This form is required to be on file at the school, preschool, or child care facili

KENAI PENINSULA BOROUGH SCHOOL DISTRICT PROFESSIONAL DEVELOPMENT KPBSD COURSE GUIDE I. Overview Course: The Kenai Peninsula Borough School District (KPBSD) is providing the opportunity for staff to receive contact hour credit through district-sponsored events. Administrators and certified staff are encou

KENAI PENINSULA BOROUGH SCHOOL DISTRICT Assessment Data Release Student test scores provide teachers and administrators with valuable information about your students academic strengths and challenges. Reviewing test data helps us focus on the skills your student most needs to develop. If your student is new to our

KENAI PENINSULA COLLEGE SCHOLARSHIP APPLICATION Sponsored by the Kenai Peninsula Borough School District Career & Technical Education 2011-2012 One 2012/2013 full-year tuition waiver This application form is intended to aid in the Career & Technical Education scholarship review process. If you wish to b

Language Acquisition-Related Acronyms used in the Kenai Peninsula Borough School District Acronym Meaning Used to indicate… ACCESS for ELLs (or ACCESS) Assessing Comprehension and Communication in English State-to-State for English Language Learners WIDA’s annual English proficiency test BICS/CALP Basic Interpersonal C

17 P a g e LANGUAGE OBSERVATION CHECKLIST – PART A This form must be completed by English speaking teacher(s) in collaboration with program staff familiar with the student. Student Name: __________________________________________________Alaska Student ID # _______________ (Last Name, First Name) School: ______________

KPBSD TECHNICAL GUIDANCE FOR SPECIFIC LEARNING DISABILITY CRITERIA TABLE OF CONTENTS Contents KPBSD Response to Intervention -Explained _________________________________________________________ 1 RTI Tier 2 and Tier 3 Defined ___________________________________________________________________________ 2 What is required

Sheet3 Sheet2 Sheet1 Business Office Signature Name (print) Address City, State, Zip Date Please cash in School / Department Location Kenai Peninsula Borough School District Must be received by Payroll on or before May 31 Check here if this is a permanent change of address. 6/8/15-ln Exployee # EXEM

KENAI PENINSULA BOROUGH SCHOOL DISTRICT HEALTH SERVICES WELCOME TO KINDERGARTEN Dear Parents /Guardians: We hope that this is the first of many years that you and your child will enjoy at our wonderful schools here on the Kenai Peninsula. To expedite your child’s entrance into the classroom there are a few things requi

Kindergarten School Entry Health Requirements Check List Forms and information I need to bring to School Nurse. Immunization Records Health Review Form • This form allows you to tell us detailed information about allergies, illness, medications your child takes, concerns you may have about your child’s health and limit

KENAI PENINSULA BOROUGH SCHOOL DISTRICT 148 North Binkley Street, Soldotna, AK 99669-7598 Phone 907/714-8888-Fax 907/262-9645 STUDENT PHYSICAL EXAMINATION THIS SECTION TO BE COMPLETED BY PARENT STUDENT’S NAME_____________________________________________________ DOB___________ SCHOOL_____________________________________

KPBSD Health Services M114 Rev 8.2019 Kenai Peninsula Borough School District Health History STUDENT NAME (print)______________________________________DOB______________GRADE_____ SCHOOL_________________________________ PERMISSION FOR EMERGENCY CARE ___YES ___NO ALLERGIES ___YES ____NO Please list allergy, and describe

Kenai Peninsula Borough School District 148 North Binkley Street Soldotna, AK 99669 Name of Student: Date of Birth: Name of Parent/Guardian: Is this student currently eligible for Medicaid or Denali Kid Care Benefits? YES NO Has this student ever been eligible for Medicaid or Denali Kid Care Benefits? YES NO

Memorandum of Agreement Language IF Then you need this language Only requires wireless access KPBSD will provide a guest username and password allowing specific named users the ability to login to the “KPBSD Guest” wireless network. In the event this agreement spans multiple years, guest wireless accounts supplied unde

KENAI PENINSULA BOROUGH SCHOOL DISTRICT WORK EXPERIENCE MENTORSHIP AGREEMENT The Mentor will permit (student's name) to be trained in their career field for the purpose of gaining knowledge and experience in the occupation of ____________ from , 200 , to , 200 . The training will be provided in accordance with the

KENAI PENINSULA BOROUGH SCHOOL DISTRICT148 N. BINKLEY STSOLDOTNA, AK 99669METHOD OF PAYROLL PAYMENTCERTIFICATED PERSONNELPayday is the last business day of each month. If a bank holiday falls on the last business day of the month pay day will be the business day before the bank holiday.Each certificated employee has

APPENDIX A CO-CURRICULAR PARTICIPATION CONSENT FORM MIDDLE SCHOOL WARNING, ASSUMPTION OF RISK And HOLD HARMLESS AGREEMENT Student Name (Please Print) School Date FOR ALL SPORTS AND ACTIVITIES I understand that all co-curricular activities have a certain degree of risk. I also understand these risks may include injury

APPENDIX B KENAI PENINSULA BOROUGH SCHOOL DISTRICT MIDDLE SCHOOL ACTIVITIES GUIDELINES I. PHILOSOPHY STATEMENT The KPBSD believes co-curricular activities are an integral part of the educational program. We believe each student should have an equal opportunity to participate in a broad number of activities based on

1 APPENDIX C MIDDLE SCHOOL CO-CURRICULAR PARTICIPANT USER FEE CONTRACT __________________________ _____________________ ______ ______ Student Name (printed) School Grade Date Activity Fee Obligations In an effort to supplement available state and District funds for our co-curricular programs, a fee will be collected

Memorandum of Agreement for Training / Consulting Services Kenai Peninsula Borough School District 2018-2019 Partners Name of Trainer/Consultant Kenai Peninsula Borough School District Address 148 N. Binkley St. Address Soldotna, AK 99669 Contact Name of Contact Name of KPBSD contact Title Titl

The Final Report of the National Mathematics Advisory Panel 2008 U.S. Department of Education This report was produced under U.S. Department of Education Contract No. ED04CO0082/0001 for Widmeyer Communications and No. ED04CO0015/0006 for Abt Associates Inc. Ida Eblinger Kelley served as the contracting officer’s techn

KPBSD Native Youth Council Information WHAT IS A YOUTH COUNCIL? As an Alaska Native youth, you can make a difference! But first you must be organized and prepared for action. An effective way to accomplish this is through a youth council. The youth council represents a practical way of enabling youth to have a meaningf

KPBSD Native Youth Council Letter of Recommendation Student you are recommending: School: Relationship to student: Your Name: Email: Contact #: Give a brief recommendation in the space below including any of the following: strengt hs, leadership skills, work ethic, weaknesses, concerns.

KENAI PENINSULA BOROUGH SCHOOL DISTRICT HEALTH SERVICES RECOMMENDATIONS FOR CARE CONJUNCTIVITIS (PINK EYE) Student Date ____________ Student Presents the Following: _____________________________________ Notify your health care provider if you observe the following signs of infection: pink or red color where the eye

KENAI PENINSULA BOROUGH SCHOOL DISTRICT HEALTH SERVICES RECOMMENDATIONS FOR CARE SORE THROAT Student____________________________ Date ____________ Grade______ Student Presents the Following: _____________________________________ GENERAL INFORMATION Sore throats have a variety of causes. A new sore throat is often

ANCHOR POINT COOPER LANDING HOMER HOPE KACHEMAK SELO KENAI MOOSE PASS NANWALEK NIKISKI NIKOLAEVSK NINILCHIK PORT GRAHAM RAZDOLNA SELDOVIA SEWARD SOLDOTNA STERLING TUSTUMENA TYONEK VOZNESENKA KENAI PENINSULA BOROUGH SCHOOL DISTRICT Dear Parent: The District receives federal funding through Title VI based on the number o

START HEREIEP case manager contacts OT to discuss student concernsInvolvement of the Related Services Occupational TherapySpecial Education StudentsProceed with assessment?Gen. ed. classroom interventions discussed – Refer to “Interventions for Classroom Difficulties” and data collection formNoProgress?Continue with in

Intervention Team -Student concern is introducedGen. ed. classroom interventions discussed – Refer to“Interventions for Classroom Difficulties” and data collection formI-Team Follow Up -Discuss intervention results and review data form colelction (4–6 weeks later)Progress?Continue with general ed. interventions as need

Career and Technical Education Parent Permission Form Dear Parent: As part of our vocational/career & technical education program, your son or daughter will have the opportunity to operate various types of power machinery. We would like to stress that, before a student is allowed to operate power tools: 1. S/he will

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Page 1 of 2 PG-701 (10/18)(cs) AS 13.26.020 & 13.26.066 POWER OF ATTORNEY OVER MINOR CHILD POWER OF ATTORNEY OVER A MINOR BY PARENT OR GUARDIAN (Delegation of Powers Over Minor Child under AS 13.26.066) I, , certify that I am the parent or guardian of the minor child(ren) listed below, and I designate (name of attorney

Kenai Peninsula Borough School District Federal Programs Sandy Miller, Assistant Director 148 North Binkley Street Soldotna, Alaska 99669-7553 Phone (907) 714-8892 Fax (907) 262-6354 Title I PRE-K Application circle school of attendance area SECTION 1 – CHILD INFORMATION Child s Name:

Kenai Peninsula Borough School District Principal Performance Survey Community Feedback on School Administrator Once completed, send to the Office Superintendent of Schools, KPBSD, 148 N. Binkley Street, Soldotna, AK 99669 Please check one of the following: Parent Student Community Member Other Principal and School: Yo

PURCHASING STAFF ASSIGNMENTS Updated May 1, 2018 MEGAN SCOTT Aurora Borealis Charter Kenai Central High SUPPLY BUYER Chapman Kenai Middle 714-8827 Connections Marathon mscott2@kpbsd.org Cooper Landing McNeil Canyon Fireweed Academy Moose Pass Homer Flex Mt. View Elementary Homer High Assessment Homer Middle Elementary

2018-19 Kenai Peninsula Borough School District School Closure /Delayed Start Radio Station Contacts During the winter, there may be times in both the morning and afternoon when road conditions become too hazardous for buses to travel on certain roads. This information will be posted on the District web site, http://ww

InterventionDescriptionUsed For/TargetsGrade LevelsEffectiveness ReportLexia Early ReadingLexia Primary Reading is designed to help students acquire and improve their basic reading skills. The interactive, phonics-based activities reinforce sound-symbol correspondence and help develop automatic word recognition and com

INDEX Replacement and Improvement Guiding Principles ..................................................................1 Replacement Standards Guidelines ...........................................................................................2 Improvement Standards Guidelines ........................................

Requisition Import Process Qty UOM Desc1/Title Desc2/Author Desc3/ISBN Unit Cost Discount Merge Desc 1 ea Adoration of Jenna Fox, The Joan of Arc 312594410 5.99 N Y 1 ea Airborn Jim Dahler 756353997 7.19 N Y 1 ea Breathing Underwater Jane Doe 80285297 1 7.65 N Y 1 ea Brigid's Cloak John Doe 64472574 15.49 N Y

Sheet3 Sheet2 Sheet1 Qty UOM Desc2/Author Desc3/ISBN Unit Cost Discount Merge Desc ea Adoration of Jenna Fox, The Joan of Arc N Y Desc1/Title 1.00 312594410.00 5.99

School Administrator Mid-Year Feedback School Year: 2018-2019 Administrator: School: Evaluator: Date Completed: Domain 1: Vision, Culture and Mission -Indicators Unsatisfactory Basic Proficient Exemplary 1a. Mission and Vision and Core Values 1b. School Improvement Overall Domain 1 Comments: Domain 2: Teaching and Lear

School Administrator Summative Evaluation Form School Year: 2018-2019 Administrator: School: Evaluator: Date Completed: Domain 1: Vision, Culture and Mission Unsatisfactory Basic Proficient Exemplary 1a. Mission and Vision and Core Values 1b. School Improvement Overall Component 1 Comments: Domain 2: Teaching and Learn

Section 125 Reimbursement Forms

SEIZURE ACTION PLAN Effective Date THIS STUDENT IS BEING TREATED FOR A SEIZURE DISORDER. THE INFORMATION BELOW SHOULD ASSIST YOU IF A SEIZURE OCCURS DURING SCHOOL HOURS. Student’s Name: Date of Birth: Parent/Guardian: Phone: Cell: Treating Physician: Phone: Significant medical history: SEIZURE INFORMATION: Seizure Type

KENAI PENINSULA BOROUGH SCHOOL DISTRICT PROFESSIONAL DEVELOPMENT SITE LEVEL COURSE GUIDE I. Overview Site-Level Course: The Kenai Peninsula Borough School District (KPBSD) is providing the opportunity for staff to receive contact hour credit through si te-level professional development. Administrators and

140 2015-2016 • Alaska School Activities Association • Handbook Forms AUTHORIZATION TO RELEASE MEDICAL INFORMATION RELATING TO STUDENT HEALTH REVIEW/EXAM I hereby authorize you to release copies of all medical information in your possession, whether paper or electronic, relating to student health review/exams of the st

SI 11210 1 of 1 (12/17) This designation will apply to the following Standard Insurance Company coverage(s) if available to you through your Employer: Life Insurance, Life with Accidental Death & Dismemberment (AD&D) Insurance, AD&D Insurance and, unless specified otherwise on a separate signed sheet of paper, Suppleme

Kenai Peninsula Borough School District Standard Life Insurance Enrollment Form Policy# 757518 Name (Last, First, Middle Initial): Address: City,State,Zip: Date of Birth: Sex: Male or Female Marital Status: Single Married Widowed Divorced Legally Separated SPOUSE EMPLOYED BY KPBSD? Yes or No Employment Date: Social Sec

ANCHOR POINT COOPER LANDING HOMER HOPE KACHEMAK SELO KENAI MOOSE PASS NANWALEK NIKISKI NIKOLAEVSK NINILCHIK PORT GRAHAM RAZDOLNA SELDOVIA SEWARD SOLDOTNA STERLING TUSTUMENA TYONEK VOZNESENKA KENAI PENINSULA BOROUGH SCHOOL DISTRICT Pupil Services Clayton Holland, Director 148 North Binkley Street, Soldotna, Alaska 99669

SUICIDE RISK ASSESSMENT AND INTERVENTION MANUAL January 2019 Kenai Peninsula Borough School District KPBSD January 2019 Page 1 Kenai Peninsula Borough School District SUICIDE RISK ASSESSMENT A suicide risk assessment should be initiated immediately whenever a student talks about harming himself/herself, or if there is

Career Development Proposal Kenai Peninsula Education Support Association (Please allow up to 4 weeks for approval, and up to 8 weeks for final processing.) Applicants Name: Position: Address: Job Site: Course Title: (Workshop, seminar, etc.) Conducted by: (Name of company, etc.) Location: Dates: Estimated Costs Travel

Kenai Peninsula Educational Support Association CAREER DEVELOPMENT PROGRAM GUIDELINES KPESA bargained a career development program to provide reimbursements for out-ofpocket expenses for classes/trainings for support employees to further their education and professional development. (Collective Bargaining Agreement, Ar

Kenai Peninsula Borough School District Educational Support PersonnelPlan for Improvement ____________________________________________________________________________________Employees SignatureEvaluators SignatureInitial DateTarget Date for CompletionArea that needs improvement (taken from Performance Evaluation

KENAI PENINSULA BOROUGH SCHOOL DISTRICT EDUCATIONAL SUPPORT PERSONNEL EVALUATION PROCEDURES Revised 2/1/96 TABLE OF CONTENTSBoard of Education Policy Statement................................................................................... 1 Statement of Responsibility for Supervision and Evaluation.................

Kenai Peninsula Borough School District TITLE VII PARENT ADVISORY COMMITTEE VOLUNTEER FORM Please return to the Federal Programs Office Name: (please print): Addr

KPBSD Employee Travel Guidelines All travel must have prior approval of supervisor Reimbursement requests must be signed by your administrator Travel expenses must be submitted on a monthly basis (per board policy – BP 3360) Original itemized receipts must be attached to reimbursement requests (Hotel bills, registratio

KENAI PENINSULA BOROUGH SCHOOL DISTRICT Health Services Authorization to Access Student Immunization Records on VacTrAK Student Name (last,first) I, _ , request and authorize Print full name of parent or guardian the school nurse at the Kenai Peninsula Borough School District to access information for my above named ch

Kenai Peninsula Borough School District VENDOR Application Applicant Information Business Name: Current address: City: State: ZIP Code: Federal Employer ID or SSN: Phone: Fax: Contact Name & Email Address: Previous Business Name ( if applicable): Previous address: City: State: ZIP Code:

At KPBSD, we take very seriously our responsibility to safeguard students while they are in our care. Unfortunately, in this day and age, not everyone's intentions are genuine, and the District cannot in good conscience overlook the possible threat to

What is the Difference between Section 504 and IDEA? Component IDEA Section 504 Title Individuals with Disabilities Act (IDEA) The Rehabilitation Act of 1973 Type An Education Act A Civil Rights Law General Purpose Individuals with Disabilities Education Act is a federal funding statute thats purpose is to provide

  Employee Accident & Workers CompensationRisk Management InstructionsOccupational Injury Illness InstructionsOn the Job Injury or Illness Flow ChartFORMSMandatoryReport of Occupational Injury or Illness (Workers' Comp Form) with State instructionsEmployee Injury Illness Report (Risk Management)Supplementary Temporary Prescription Services IDPhysicians Return to