Forms

Below, you will find links to download a variety of forms used by staff throughout the district.

These forms are not for the general public.

Bargaining Agreements and Salary Schedules may be viewed under the General Information tab on the Human Resources department page.

EVALUATION

• Comprehensive Observation

• Comprehensive Summative Evaluation

• Walk-through Form

• Student & Instructional Growth Rubrics

• Pre-Observation Form

• Student Growth Goal-Setting Template (Student Growth Goal-Setting Template/Fillable)

• Focused Observation Forms - Criteria 1 Criteria 2 Criteria 3 Criteria 4 Criteria 5 Criteria 6 Criteria 7 Criteria 8

• Focused Evaluation Forms - Criteria 1 Criteria 2 Criteria 3 Criteria 4 Criteria 5 Criteria 6 Criteria 7 Criteria 8

GENERAL REFERENCE

• Clock Hour Provider - https://www.k12.wa.us/educator-support/continuing-education-clock-hours/approved-providers

• Change of Address/Phone/Name - Please note: Primary phone number will be the number to get autodialer notifications.

• Leave of Absence Request Form- Request for leave of absence/purpose of leave. Please note, PRIOR approval is required for personal leave by your supervisor/building principal.

• Transfer Request SCEA 4.10.5

• Assignment Preference Request SCEA 4.10.3

• Driver's Abstract - Complete and submit to HR for processing (Online abstracts are NOT acceptable unless pre-approved by HR to ensure correct format is requested.)

• Employee Separation Checklist

NETWORK & TECHNOLOGY

• SCAN Code Authorization

• Telecommunications Request

VOLUNTEER

• Visit our Volunteer webpage to learn more and to sign up

ACCIDENT REPORTING INFORMATION

• All incident/accident claim reporting is now found online at www.pswct.org. Whether you choose to seek medical treatment for an injury or not, you are required to call the Nurse Triage Line at 833-928-6877 to submit an accident report.

ADMINISTRATIVE INTERNSHIP INFORMATION

A complete application packet includes:

• A Stanwood-Camano School District Application for Administrative Internship

• Principal Recommendation Form

• Confidential Reference Form from each of the following:

  • Your evaluating administrator • A central office staff member • A co-worker/peer

2024-25 Intern Packet

SCSD Administrative Intern Application Form

PAYROLL

• Direct Deposit Authorization

• W-4 Form

• Substitute Sick Leave Documents

• Leave of Absence Form

• WA Paid Family & Medical Leave- Information Sheet

• WA Paid Family & Medical Leave- Intention Sheet

• Request for Shared Leave

• Leave Donation Authorization

• Post Season Time Sheet (Extra Curricular)

• VEBA Information

• VEBA Claim Form

• F5231 Comp Time Record: At the request of supervisor ONLY. As allowed by Policy 5231 and stated in Procedure 5231P

• Record of Extra Time/Individual

• Record of Extra Time/Excurr/ASB-High School

• Record of Extra Time/ Excurr/ASB Middle School

• Record of Time Extra Curricular/ASB (WORD SCSDPay003)

• Employee Separation/Check Out Form Employee separation check out Checklist

• Retirement/Resignation Form