District Policies, Procedures, and Forms

Salem-Keizer Public Schools has chosen a Quality Assurance Model (QAM), 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.

Accessible Athletics for Transgender, Nonbinary, and Gender Nonconforming Students ♦ INS-P040 — Athletics will be accessible to all students, including transgender, nonbinary, and gender nonconforming students.

Accessible Facilities for Students and Staff of all Genders ♦ FAC-P022 — Students, staff, and district visitors shall be provided access to gender-specific facilities at school consistent with their gender identity. Access to private facilities based on privacy, safety, or other concerns will also be made available to the extent possible.

Asthma Treatment Plan ♦ HST-F006 — this form is completed by District personnel and a student's parent. It provides basic information about asthma triggers, symptoms, and hospitalizations.

Attendance Policy ♦ INS-A009 — Official attendance policy of the district. Document is a vailable in English | Russian | Spanish.

Authorization to Use or Disclose Protected Information ♦ INS-F078 — used to request a release of student information

Bias Incidents and Symbols of Hate (Every Students Belongs) ♦ ADM-A012 — All students, employees, and visitors in the Salem-Keizer School District are entitled to learn, work, and participate in an environment that is safe and free from discrimination, harassment, and intimidation. The District is committed to providing a safe and welcoming environment for all. This document is available in English | Russian | Spanish | Swahili.

Bullying Policy, Poster Version — Official, text-only poster outlining the district's bullying policies in INS-A003; legal-sheet size. Poster is available in English | Spanish.

Community Transition Programs Brochure ♦ STS-W037 — brochure explains the CTP program and its locations. Document available in English | Spanish.

Complaints: Discrimination against Student with Disabilities ♦ STS-P005 — Explains parent's rights under section 504 and what they can do if they have a complaint. Document is available in English | Spanish.

Compulsory Attendance ♦ INS-A010 — A child who is considered a resident of Oregon shall receive a free and appropriate education from the district in which the child resides. Except as provided in ORS 339.030, all children between the ages of 7 and 18 years who have not completed the 12th grade are required to attend regularly a public full-time school of the school district in which the child resides. Document is available in English | Spanish.

Contractor Release & Authorization Form ♦ HUM-F025 — Authorization for background check for contractors working in Salem-Keizer schools. Contractors can use the online application for adult contractors or download and fill out a PDF in English | Spanish

COVID-19 Testing in SKPS K-12 Schools ♦ HST-W018 — Guidelines for COVID-19 testing onsite and reporting of the COVID-19 communicable disease within the student and staff population at Salem-Keizer Public Schools (SKPS). SKPS will follow the OHA COVID-19 Testing in Oregon’s K-12 Schools. SKPS will work collaboratively with LPHA and OHA during the communicable disease or virus outbreak process. This work instruction and all addendums attached, provide the framework for the districts COVID-19 testing response. The District Health Authority (DHA) and onsite testing team will be the liaison between SKPS and the LPHA and OHA for communicable disease response for COVID-19 testing.

Criminal History Check – Paid Student Workers ♦ PAP-F023 — This application is for all Salem-Keizer School District student workers. Document is available in Arabic | English | Russian | Spanish | Swahili.

Criminal History Check Packet ♦ PAP-F003 — For adults wanting to volunteer in Salem-Keizer schools. Apply using the online form or download the PAP-F003 form available in: Chuukese | English | Marshallese | Russian | Spanish.

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

Daily Medication Administration ♦ HST-W004 — informs school staff and parents of rules applicable to administration of medications to students. The instructions in this document are in English and Spanish.

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 — The District's current dress code policy for students.

Document available in Chuukese | English | Russian | Spanish.

Dual Language Application ♦ ISS-F068 — Form gathers information to place a student in the two-way, English/Spanish immersion program. Document is available in English | Spanish.

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

Document available in English | Spanish.

Equal Educational Opportunity ♦ ADM-A009 — The District's commitment to equal educational opportunities and treatment for all students is outlined in this administrative policy.

Document available in English | Spanish.

Equal Employment Opportunity ♦ HUM-A017 — The commitment of the District to ensure equal employment opportunities and treatment, and to prevent discriminatory practices. (Replaces legacy policy GAAA.)

Document available in English | Spanish.

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

Every Student Belongs Poster — Poster version of ADM-A012 policy which holds that all students, employees, and visitors in the Salem-Keizer School District are entitled to learn, work, and participate in an environment that is safe and free from discrimination, harassment, and intimidation. The District is committed to providing a safe and welcoming environment for all.

This poster is available in English | Spanish.

Facility Rental Customer Information Form – COVID-19 ♦ FAC-F047 — $15.00 ANNUAL FEE WAIVED for COVID-19 SEASONS

Facility Rental Event Request ♦ FAC-F048 (Fillable PDF Form) — to request permission to rent a District facility and estimate the charges

Facility Rental Fee Schedule ♦ FAC-W028 — this document lists current rental fees for district facilities, including both indoor and outdoor rental fees

Federal Programs Manual ♦ ISS-M005 — This guide documents the manner in which we serve students through the use of Federal, state, and local grants in Salem-Keizer Public Schools (SKPS or the District). The District utilizes funding from each of these grant sources for the benefit of our most vulnerable learners in pursuit of a well-rounded educational experience for all.

Fingerprint Requirements for New Employees ♦ HUM-W023 — fingerprint requirements for new employees

Graduation Requirements ♦ INS-A032 — Classes and credits needed to meet the State Board of Educations' requirements to receive a high school diploma. Document available in English | Spanish.

Guidance for Coaches ♦ PAP-W021 — Provides guide lines for deciding when and how to physically assist students in the coaching environment.

Guide to Staff-Student Interaction ♦ HUM-W039 — Brochure for parents/guardians that describes expected interactions between employees/volunteers and students as well as the steps for reporting concerns. Brochure is available in Arabic | Chuukese | English | Russian | Spanish | Swahili.

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 — District policy on bullying and harassment involving students. The policy document is available in English | Russian | Spanish or get the legal-size poster: English | Spanish

Immigration Officials and Other Non-Local Law Enforcement: School Response ♦ INS-A035 — Policy for district interaction with non-local law enforcement. Document available in English | Spanish.

Immunization Requirements ♦ HST-W002 — Student immunization requirements by grade level. Document has both English and Spanish.

In-District Transfer Form, Elementary ♦ INS-F018 — Request form to transfer a K-5th grade Salem-Keizer student to a different elementary school within the school district. In-district transfers open twice a year, in March and November.

Visit the Student Transfers webpage for more information. This form is available in English | Spanish.

In-District Transfer Form, High School ♦ INS-F046 — Request form to transfer a 9th-12th grade Salem-Keizer student to a different high school within the school district. In-district transfers open twice a year, in March and November.

Visit the Student Transfers webpage for more information. The form is available in English | Spanish.

In-District Transfer Form, Middle School ♦ INS-F044 — Request form to transfer a 6th-8th grade Salem-Keizer student to a different middle school within the school district. The in-district transfer option is open twice a year, in March and November.

Visit the Student Transfers webpage for more information. This form is available in English | Spanish.

In-District Transfer Request Process for Elementary Students ♦ INS-P011 — Criteria and process to be followed to request permission for elementary age students to attend a District school other than the one within their regular attendance boundary. Document is available in English | Spanish.

In-District Transfer Request Process for High School Students ♦ INS-P015 — Criteria and process to be followed to request permission for high school students to attend a District school other than the one within their regular attendance boundary.

In-District Transfer Request Process for Middle Schools Students ♦ INS-P012 — Criteria and process to be followed to request permission for middle school students to attend a District school other than the one within their regular attendance boundary.

INS-F003 ♦ Student Registration Form — This form is used to register a student in school. Form is available in Chuukese | English | Russian | Spanish.

Integrated Pest Management Plan ♦ RSK-M006 (PDF Document) — District policies and procedures relating to the application of pesticides and herbicides on school grounds. Document available in English | Spanish.

Intent to Renew for Non-Resident Transfers ♦ INS-F024 — Form for students who are not residents of Salem-Keizer 24J School District and want to renew their transfer from another school district. Form available in English | Spanish.

Internet Filtering ♦ TIS-A004 (PDF Document) — district policy to prevent access to inappropriate material via the Internet

Investigating Reports of Bias Incidents and Symbols of Hate Poster ♦ ADM-P010 — Process for reporting and investigating bias incidents and symbols of hate. The terms “bias incidents”, “symbols of hate” and “persons impacted” are defined in Administrative Policy ADM-A012. Document available in English | Spanish.

Investigating Reports of Student Hazing, Harassment, Intimidation, Bullying, Cyberbullying and Menacing ♦ INS-P006 — Describes the process for reporting and investigating hazing, harassment, intimidation, bullying, cyberbullying and menacing involving students. Document available in English | Spanish.

Investigation by Law Enforcement Agencies ♦ INS-A033 — Policy for district interaction with police officers investigating a case. Document available in English | Spanish.

LGBTQ+ Affirming Education ♦ INS-P039 — District staff and teachers, program associates, and administrators will create an inclusive and encouraging environment for students of all genders and sexualities.

Lice Notification to Parents, Sample Letter ♦ HST-F008 — Word template with suggested wording to notify a parent of head lice on their student

LPHA Communicable Disease Line List ♦ HST-F014 — List used for contact tracing. Consult nurse help line for assistance.

Maintaining Appropriate Staff/Student Boundaries ♦ PAP-W006 — This brochure provides guidance for staff to establish boundaries with students.

Available in Web-friendly version, English or Trifold brochure, English

Maintaining Appropriate Volunteer/Student Boundaries ♦ PAP-W016 — Expectations for volunteers to follow when interacting with students. This document is available in Chuukese | English | Spanish.

McKinney-Vento Program ♦ ISS-W018 — Brochure with contacts, information, and resources for homeless students and families.

Brochure is available in English | Marshallese | Spanish.

Media Relations ♦ COM-A001 — describes how Salem-Keizer Public Schools, through the Community Relations and Communications department, will respond and cooperate with professional news media.

New Employee Orientation Policies ♦ HUM-M008 — policies and administrative rules applicable to Licensed and Classified employees

New Employee Password Set-up ♦ TIS-W024 (PDF Document) — Instructions for a new employee to set their computer, email, Office 365 password.

Options Brochure ♦ INS-M007 — Brochure describes flexible academic programs available to students who need more structure and guidance. Brochure is available in English | Spanish.

Out of District Transfer Application ♦ INS-F023 — Form for students outside of Salem-Keizer School District 24J boundaries who wish to attend a school within this district. Form available in English | Russian | Spanish.

Pandemic Flu and Infectious Disease ♦ HST-M001 — provides guidance to district leadership and staff in the event of a pandemic outbreak in the Salem-Keizer Public Schools (SKPS) or the region.

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

Preparing for and Administering Breathalyzer Tests ♦ INS-W050 — This work instruction describes the steps to prepare for and administer breathalyzer tests at school-sponsored major events including prom and homecoming. Students and guests will be randomly tested according to policy INS-A015-Student Search and Seizure.

Protecting Transgender Student Privacy ♦ INS-P038 — Steps that district staff should take in order to protect the privacy of a student when they wish to affirm their identity at school as two-spirit, transgender, nonbinary, or another gender nonconforming identity.

Public Complaints: Process for Resolving ♦ ADM-A008 — Procedure for bringing complaints of discrimination to the district's notice for investigation. Document available in English | Spanish.

Public Record Requests ♦ ADM-P002 — Details the process to request inspection or copies of Salem-Keizer School District public records. Document available in English | Spanish.

Pupil Medical Record ♦ HST-F003 — Pupil medical record form. Form is available in English | Spanish.

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

Release of Ill or Symptomatic Student ♦ HST-W017 — Process for staff to follow when a student displays signs of infection illness consistent with COVID-19. Document available in English | Spanish.

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

Reports of Sexual Harassment Investigation: Students ♦ INS-P032 — Process for reporting and investigating sexual harassment involving students. Document is available in English | Russian | Spanish | Swahili. See INS-F082 for sample letter.

School Supply Recommendations ♦ INS-W019 — Recommendations for the most common school supplies needed for students in kindergarten through high school. Document available in English | Marashallese | Russian | Spanish.

School Volunteers Policy ♦ PAP-A003 — Outlines the district's school volunteer policies.

Search and Seizure of Students ♦ INS-A015 — School officials have the authority to conduct searches of District property and the personal property of students based upon reasonable suspicion, and to seize unauthorized, illegal or unsafe materials, and/or identify unsafe conditions as a proactive response to keeping schools safe.

Severe Allergy and Anaphylaxis Emergency Care Plan ♦ HST-F007 — This form outlines signs and symptoms of systemic (anaphylactic) reactions for an individual student and provides response directions.

Sexual Harassment Employee 3rd Party Notice Letter ♦ HUM-F047 — Sample employee/third party notification letter related to sexual harassment reports. This Word document is available in English | Russian | Spanish | Swahili.

Sexual Harassment Employee-Third Party Notice – Reported Person ♦ HUM-F049 — Sample letter for notice to employees and third parties on the results of a sexual harassment investigation. Word document is available in English | Russian | Spanish | Swahili.

Sexual Harassment Parent-Student Notice ♦ INS-F082 — Example letter of notice to parents and students parties about a harassment investigation. Word document available in English | Russian | Spanish | Swahili.

Sexual Harassment Policy ♦ HUM-A029 — The district’s policy is to maintain a work and educational environment that is free from harassment related to a person’s gender or sexual orientation. Document available in Chuukese | English | Russian | Spanish | Swahili

Sexual Harassment Student-Guardian Notice – Reported Person ♦ INS-F083 — Sample letter to a person reported to have violated the district's sexual harassment policy. Word document available in English | Russian | Spanish.

Social Media Accounts ♦ INS-W036 — explains how school sponsored social media accounts are requested, created, and maintained.

Social Media Guidelines ♦ COM-A004 — Through a variety of social media channels, Salem-Keizer Public Schools communicates information about the District and its schools to raise awareness of its services and activities and to communicate with the Salem-Keizer community. These channels are not intended to be public forums covering all topics.

Special Education & Related Services Brochure ♦ STS-W009 — This brochure itemizes special education services provided by the Student Services department. The brochure is available in English | Russian | Spanish | Swahili.

Student Acceptable Use of Electronic Resources ♦ INS-A004 — Rules for student use of electronics for academic and personal use within the District such as computers, tablets, smart phones, peripherals, networks, email, telecommunications, and internet connections. Document is available in Arabic | Chuukese | English | Spanish | Swahili.

Student and Parent Concussion Statement ♦ INS-F071 — 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 is available in English | Spanish.

Student Discipline Procedure ♦ INS-P028 — Describes the discipline process for student conduct and behavior issues. Also describes offenses and applicable consequences. This document is available in English | Russian.

Student Education Records and Information ♦ INS-A011 — Administrative policy on the sharing of student information.

Student Fees ♦ INS-A012 — Administrative policy outlining what fees students might be charged and how the district can pursue collection.

Student Report of Harassment and Bullying ♦ INS-F030 — Confidential form for a student to fill out in the case of harassment or bullying. Form is available in English | Spanish.

Student Rights & Responsibilities Handbook ♦ INS-M001 (PDF) — District handbook for students and a summary of discipline offenses & consequences. Document is available in Chuukese | English | Russian | Spanish.

Student Volunteer Criminal History Check Summary ♦ PAP-F007 — Form for individuals under 18 years old who want to be Salem-Keizer volunteers. Form is available in English | Marshallese | Russian | Spanish.

Suicide Prevention and Intervention Policy ♦ INS-A038 — This policy covers actions that take place in the school, on school property, at school-sponsored functions and activities, on school buses or vehicles and at bus stops, and at school sponsored out-of-school events where school staff are present. Document is available in Arabic | Chuukese | English | Marshallese | Russian | Spanish.

Suicide Prevention Protocol Preface ♦ INS-P037 — Cover letter included with INS-A038 sent to students and families. SKPS Suicide Risk Assessment Policy and Procedure Preface document is available in English | Spanish.

TAG Parent Handbook ♦ TAG-M002 — This handbook provides parents with information about the Talented & Gifted Program and Services. Handbook is available in English |Spanish or visit our web page for additional information on the TAG program.

Teen Dating Violence Policy ♦ INS-A013 — The process for reporting teen dating violence that occurs at school, on school grounds, at school-sponsored activities and in vehicles used for school-provided transportation. Document is available in English | Russian | Spanish.

Tile IX Grievance Procedure ♦ HUM-P020 — This procedure outlines for steps the District will follow to receive, investigate, and resolve complaints of Title IX sexual harassment involving students and/or staff.

Title IX ♦ HUM-A036 — Title IX of the 1972 Educational Amendments of the Civil Rights Act of 1964 states in part that, “No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance.” Salem-Keizer School District Administration is committed to providing educational and employment opportunities that are free from discrimination based on sex, and promptly investigating reported violations. Document available in English | Spanish.

Transgender, Nonbinary, and Gender Nonconforming Student ♦ INS-A040 — Salem-Keizer's commitment to the overall safety, wellbeing, education, and success of two-spirit, transgender, nonbinary, and gender nonconforming students.

Transportation Guide for Parents of Children in Special Programs ♦ TRN-W023 — This guide has been designed to provide parents with general information regarding transportation for students with special needs. Document is available in English | Spanish.

Two-Way Immersion Application ♦ ISS-F068 — This form gathers information necessary to place a student in the two-way immersion program.

Available in English | Spanish.

Visitors to Schools and Campus ♦ INS-A024 — Any individual who wishes to visit a school of the District shall be permitted to do so subject to the conditions contained in this policy. Document is available in Arabic | Chuukese | English | Russian | Spanish.

Volunteer Frequently Asked Questions ♦ PAP-W011 — This work instruction provides answers to questions commonly asked by volunteers about the application process.

Document is available in Chuukese | English | Marshallese | Russian | Spanish.

Volunteer Handbook ♦ HUM-F046 — Handbook helps volunteers know the do's and do not's, important policies, and answers common questions. Document is available in English |Russian | Spanish | Swahili.

Volunteer Letter ♦ PAP-W010 — This is a form letter that provides instructions about becoming a volunteer at the District. This letter is available in multiple languages. Document is available in Chuukese | English | Marshallese | Russian | Spanish.

Waiver of Liability and Hold Harmless Agreement ♦ FAC-F049 — waiver of liability and hold harmless agreement for use of indoor and outdoor facilities

Wellness Policy and Procedure ♦ FNS-A001 — Policy outlines the district's responsibility within the school day to provide students with healthful food options, physical activity, and health education programs that promote lifelong well-being. Document is available in English | Spanish. See also Wellness Procedure (FNS-P002) policy.

Youth Resources for Homeless Students ♦ ISS-W023 — McKinney-Vento Program brochure with information on meal sites, shelters, medical, family, education, emergency assistance, employment, food/clothing, housing, legal, social services.

Brochure is available in English | Spanish.

District Policies, Procedures, and Forms

Time

Location

Event Details

Event Details

Agenda

Watch the Meeting

Time

Location

Event Details

Event Details

Time

Location

Event Details

Event Details

Agenda

Watch the Meeting

Time

Event Details

Event Details

Time

Location

Event Details

Event Details

Agenda

Watch the Meeting

Staff Quick List