District Policies, Procedures, and Forms for External Use

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 the 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

Bus Rules ♦ TRN-W040 — Rules for pupils riding the bus

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
Form in Chuukese: Elementary Parent Handbook - Chuukese

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

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

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

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

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-A033 (PDF Document) — policy for district interaction with police officers investigating a case

Document in Spanish: INS-A033 ♦ 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

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

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

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.

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 Application and Information ♦ TRN-F054 (PDF Document) — school bus rider registration form and bus rider information

Form in Spanish: School Bus Rider Application and Information

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

Document in Spanish: School Supply Recommendations

School Volunteers Policy ♦ PAP-A003 (PDF) — official, text-only document outlining the district's school volunteer policies (PAP-A003)

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.

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

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

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

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

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

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

Document in Spanish: INS-W019 ♦ Standard School Supplies Needed 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
Wisen ewe chon sukuun me an pwüüng │Student Rights & Responsibilities [Chuukese] - Unusekapen önnukun non ei kinikin faniten chon sukuun me mënapen porausen ekkewe föfför mei atai önnuk me met epwe fis murin än emon föri ekkei föfför mei atai önnuk

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

TAG Parent Handbook ♦ TAG-M002 — provides parents with information about TAG Programs and Services

Handbook in Spanish: TAG Parent Handbook ♦ TAG-M002 - Spanish

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

Wellness Policy and Procedure ♦ FNS-A001 — policy that 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.

Wellness Procedure ♦ FNS-P002