District Policies, Procedures, and Forms for External Use

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Salem-Keizer Public Schools has chosen a Quality Assurance Model, a continuous improvement process, that demonstrates our commitment to our students. Through a constant commitment to QUALITY, we provide a pathway to success for every child, every day.

For internal QAM documents, click here to log into Insight 24J QAM page

Bullying Policy ♦ INS-A003 (PDF Poster - Legal) — official, text-only document outlining the district's bullying policies; legal-sheet size, black & white, 2014 (INS-A003)

Poster in Spanish: INS-A003 ♦ Bullying Policy - Spanish

Community Transition Programs ♦ STS-W037 (PDF Brochure) — brochure explaining the CTP program and locations

Brochure in Spanish: Community Transition Programs - Spanish ♦ STS-W037

Complaints, Public: Process for Resolving ♦ ADM-A008 (PDF Document) — procedure for bringing complaints of discrimination to the district's notice for investigation

Document in Spanish: Complaints, Public: Process for Resolving - Spanish ♦ ADM-A008

Complaints: Discrimination against Student with Disabilities ♦ STS-P005 (PDF Document) — explains parent's rights under section 504 and what they can do if they have a complaint; STS-P005

Compulsory Attendance ♦ INS-A010 — All children between the ages of 7 and 18 years who have not completed the 12th grade are required to attend school regularly

Criminal History Check Packet ♦ PAP-003 (Fillable PDF Form) — for adult wanting to volunteer in Salem-Keizer schools; download and open with Acrobat for best results

Form in Spanish: Criminal History Check Packet - Spanish
Form in Russian: Criminal History Check Packet - Russian
Form in Chuukese: Criminal History Check Packet - Chuukese
Form in Marshallese: Criminal History Check Packet - Marshallese

Custom Requisition ♦ REP-F002 (Fillable PDF) — fillable form for custom print requisitions from Reprographics.

Daily Medication Administration ♦ STS-W016 (PDF Document) — work instructions for medication adminstration in school

In Spanish: Daily Medication Administration

Diploma Options / Tipos de diplomas ♦ INS-M012 (PDF Booklet) — alternate diploma options explained (modified, extended diploma, certificate requirement) - in English & Spanish

Dress Code: Student ♦ INS-A025 (PDF Document) — district dress code policy for students

Elementary Parent Handbook ♦ INS-M005 (PDF Document) — 2017-18 manual provides a calendar of school dates, general information about school processes, and information about educational programs

Form in Spanish: Elementary Parent Handbook - Spanish
Form in Russian: Elementary Parent Handbook - Russian

Entrance Age Policy ♦ INS-A006 — describes entrance age requirements for admittance of children entering kindergarten and first grade

Equity ♦ ADM-A010 (Administrative Policy PDF) — describes the District's committed to equity for all students

Facility Rental Event Request ♦ FAC-F011 (Fillable PDF Form) — to request permission to rent a District facility and estimate the charges

Graduation Requirements ♦ INS-A032 — classes and credits needed to meet the State Board of Educations' requirements to receive a high school diploma

Guide to Staff-Student Interaction ♦ HUM-W039 (PDF Brochure) — expectations for employess and volunteers to follow to ensure a safe learning environment for students

Flyer in Spanish: Guide to Staff-Student Interaction
Flyer in Russian: Guide to Staff-Student Interaction
Flyer in Chuukese: Guide to Staff-Student Interaction

Guidelines for Attendance and Physical Activity in School ♦ STS-F100 (PDF Form) — form for health care providers to fill out for releasing students back into sports participation

Hazing, Harassment, Intimidation, Bullying, Cyberbullying and Menacing; Student ♦ INS-A003 (PDF Document) — district policy on dealing with bullying

Document in Spanish: Hostigamiento, intimidación, intimidación cibernética y amenaza; Estudiante

High School Athletic Participation ♦ INS-F025 (PDF Form) — a form students need to fill who wish to participate in high school athletics, including the fees associated with each sport

Form in Spanish: INS-F025 ♦ High School Athletic Participation - Spanish

High School Student Athlete Agreement Statement ♦ INS-F001 (PDF Document) — high school student guidelines for athletes and parent to read and sign before a student can participate in athletics

Document in Spanish: High School Student Athlete Agreement Statement - Spanish

Immigration Officials and Other Non-Local Law Enforcement: School Response ♦ INS-A035 (PDF Document) — policy for district interaction with non-local law enforcement

Document in Spanish: Immigration Officials and Other Non-Local Law Enforcement: School Response - Spanish

Immunization Requirements ♦ STS-W002 (PDF Document) — student immunization requirements by grade level, includes both English and Spanish

In-District Transfer Request Process – Elementary ♦ INS-P011 (PDF Document)

Document in Spanish: In-District Transfer Request – Elementary - Spanish

In-District Transfer Request Process – High Schools ♦ INS-P015 (PDF Document)

In-District Transfer Request Process – Middle Schools ♦ INS-P012 (PDF Document)

Integrated Pest Management Plan ♦ RSK-M006 (PDF Document) — this manual explains District policies and procedures relating to the application of pesticides and herbicides on school grounds

Intent to Renew for Non-Resident Transfers ♦ INS-F024 (PDF Form) — form for students who are not residents of Salem-Keizer 24J School District and want to renew their transfer from another school district

In Spanish: Intent to Renew form

Investigating Reports of Student Hazing, Harassment, Intimidation, Bullying, Cyberbullying and Menacing ♦ INS-P006 — document describes the process for reporting and investigating hazing, harassment, intimidation, bullying, cyberbullying and menacing involving students

Investigation by Law Enforcement Agencies ♦ INS-A03 (PDF Document) — policy for district interaction with police officers investigating a case

Document in Spanish: INS-A03 ♦ Investigation by Law Enforcement Agencies - Spanish

Middle School Athletic Participation Form ♦ INS-F010 (PDF Form) — a form students need to fill who wish to participate in middle school athletics, including the fees associated with each sport

Form in Spanish: INS-F010 ♦ Middle School Athletic Participation Form - Spanish

MIddle School Student Athlete Agreement Statement ♦ INS-F011 — middle school student guidelines for athletes and parent to read and sign before a student can participate in athletics

Document in Spanish: INS-F011 ♦ MIddle School Student Athlete Agreement Statement - Spanish

Out of District Transfer Application ♦ INS-F023 (PDF Form)

Form in Spanish: Out of District Transfer Application - Spanish

Parent’s Guide to Section 504 of the Rehabilitation Act ♦ STS-W008 (PDF Handbook) — explanation of 504 plans, identification, process, and parent rights

Programs Eligible for In-District Transfers ♦ INS-F073

Pupil Medical Record ♦ STS-F003 (PDF Form) — pupil medical record form

Form in Spanish: Historial Médico del Alumno

Radon Testing Work Instructions ♦ RSK-W029 — procedures to be taken to test District owned and/or occupied buildings for radon

Reporting During Inclement Weather and Other Emergencies ♦ HUM-A002 (PDF Document) — based on job classification, outlines what actions district staff should take when there is inclement weather or emergencies that cause a delayed school start, school closure, early release, and district closure

Responding to Suspected Child Abuse: Guidelines for Salem-Keizer School District Volunteers ♦ PAP-W007 — guides volunteers in identify child abuse, what to do if a child confides in you about abuse, and the proper steps for reporting abuse

S.T.E.P. Youth Resources Brochure ♦ ISS-W023 (PDF Brochure) — S.T.E.P. Youth Resources Brochure with information on meal sites, shelters, medical, family, education, emergency assistance, employment, food/cloothing, housing, legal, social servics.

Brochure in Spanish: ISS-W023 ♦ S.T.E.P. Youth Resources Brochure - Spanish

School Bus Rider Information - Spanish ♦ TRN-F054 — school bus rider registration form and bus rider information in Spanish

School Bus Rider Information ♦ TRN-F054 — school bus rider registration form and bus rider information

School Supply Recommendations ♦ INS-W019 (PDF Document) — standard school supplies needed by students

Document in Spanish: School Supply Recommendations

Service Animal: Student Use ♦ STS-A003 (PDF Document)

Sharing Free or Reduced-Price Information for Other Programs ♦ FNS-F001 (PDF Form) — form to allow the information on the Free & Reduced Meal application to be shared with other school district programs

Form in Spanish: FNS-F001 ♦ Sharing Free or Reduced-Price Information for Other Programs - Spanish

Standard School Supplies Neeeded by Students ♦ INS-W019 (PDF Document)

Document in Spanish: INS-W019 ♦ Standard School Supplies Neeeded by Students - Spanish

Student and Parent Concussion Statement ♦ INS-F071 (PDF Form) — statement for parents and students to sign showing that they understand the risks of concussions and how to take care if a concussion occurs

Form in Spanish: Student and Parent Concussion Statement

Student Education Records and Information ♦ INS-A011

Student Fees ♦ INS-A012 (PDF Document) — administrative policy outlining what fees students might be charged and how the district can pursue collection

Student Report of Harrassment and Bullying (PDF Form) ♦ INS-F030 — confidential form for a student to fill out in the case of harrassment or bullying

Form in Spanish: Student Report of Harrassment and Bullying

Student Rights & Responsibilities ♦ INS-M001 (PDF) — general district policies for students and a summary of discipline offenses & consequences

Derechos y Responsabilidades de los Estudiantes-Spanish [PDF] — incluye un resumen de los delitos y consecuencias de la disciplina junto con otras políticas del distrito
Права и обязанности студентов | Student Rights & Responsibilities [Russian] — Включает краткое изложение дисциплинарных правонарушений и последствий, а также других районных политик

Student Volunteer Criminal History Check Summary ♦ PAP-F007 (PDF Form) — form for individuals under 18 years old who want to be Salem-Keizer volunteers

In Spanish: Student Volunteer Criminal History Check Summary Form
In Russian: Student Volunteer Criminal History Check Summary Form
In Marshallese: Student Volunteer Criminal History Check Summary Form

Students in Transition Education Program ♦ ISS-W018 (PDF Brochure) — S.T.E.P. brochure with contacts, information, and resources

Brochure in Spanish: Students in Transition Education Program
Brochure in Marshallese: Students in Transition Education Program

Visitors to Schools and Campus ♦ INS-A024 (PDF Document) — an individual who wishes to visit a school of the District shall be permitted to do so subject to the conditions contained in this policy. Keywords: Firearm, weapons, handgun, concealed weapon

Form in Spanish: Visitors to Schools and Campus

Volunteer Handbook ♦ HUM-F046 — handbook to help volunteers know the do's and do not's, important policies and answers common questions

In Spanish: Volunteer Handbook

Our Vision: All students graduate and are prepared for a successful life

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