Forms and Documents

Employment Applications

PDF Documents 
Aide Application
AmeriCorps Member Application
Buildings & Grounds Application
Cafeteria Application
Coach Application

Secretary Application
Substitute Teacher Application
Teacher Application
Transportation Employment

RTF Documents *for accessibility
Aide Application
AmeriCorps Member Application
Buildings & Grounds Application
Cafeteria Application
Coach Application

Secretary Application
Substitute Teacher Application
Teacher Application
Transportation Employment

Public Forms

PDF Document
Activity Ticket Senior Citizen

RTF Document *for accessibility
Activity Ticket Senior Citizen 

Staff Forms

PDF Documents
Lane Change Request
Payroll Health Savings Account
Public Purpose Verification
Employee Accident Report

Reimbursement Request
Trip Request
United Way Form
Universal Availability Notice

RTF Document* for accessibility
Lane Change Request
Payroll Health Savings Account
Public Purpose Verification

Reimbursement Request
Trip Request
United Way Form
Universal Availability Notice

Staff Health Documentation 19-20

PDF Documents
Health Savings Account Direct Deposit Form
Group Insurance Policy – Wellmark Health Plan of Iowa, INC.
Group Insurance Policy – Wellmark Blue Cross and Blue Shield of Iowa

Summary of Benefits and Coverage – PPO
Summary of Benefits and Coverage – HDHP PPO 
Summary of Benefits and Coverage – HMO

Notice of our Information Privacy Policies and Practices
Women’s Health and Cancer Rights Act Notice
DOC128 Doctor Selection Form

RTF Documents* for accessibility
Health Savings Account Direct Deposit Form
Group Insurance Policy – Wellmark Health Plan of Iowa, INC.
Group Insurance Policy – Wellmark Blue Cross and Blue Shield of Iowa

Summary of Benefits and Coverage – PPO
Summary of Benefits and Coverage – HDHP PPO 
Summary of Benefits and Coverage – HMO

Notice of our Information Privacy Policies and Practices
Women’s Health and Cancer Rights Act Notice
DOC128 Doctor Selection Form

Student Forms

PDF Documents
Affidavit for Minor School License
Concussion Form

RTF Documents* for accessibility
Affidavit for Minor School License
Concussion Form

PDF Documents
Diet Modification Request Form 2018-2019
Insurance Waiver
Physical Exam

RTF Documents* for accessibility
Diet Modification Request Form 2018-2019
Insurance Waiver
Physical Exam

Transportation Forms

PDF Document
Transportation Form

RTF Documents* for accessibility
Transportation Form