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Series 3000 Operations Finance and Property (12)
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3102-F Alcohol Request Use Form
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3105-F Visitors and Volunteers Service Form
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3107-F Use of Detection Dogs Policy Notice
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3108-F Notification of Service Animal
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3109-F Therapy Dog Request
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3111-F Drone Use Request Form
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3115-F-1 Discrimination Harassment and Retaliation Complaint Form
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3116-F-2 Agreement for Acceptable Use of Technology Resources Middle and High School
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3118-F-1 Title IX Sexual Harassment Formal Complaint Form
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3118-F-12 Initial Procedures upon a Report of Title IX Sex Discrimination
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3118-F-13 Sample Title IX Investigation Report
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3304-F Facilities Use Request Form
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Series 4000 District Employment (19)
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4104-AG Employment Complaint Procedure
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4104-F-1 Employment Complaint Procedure - Investigation Checklist
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4104-F-2 Employment Complaint Procedure - Sample Outcome Letter to Complainant-Respondent
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4110-AG Reimbursement
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4110-F-1 Reimbursement Form
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4110-F-2 Reimbursement Form-Overnight Expenses
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4113-F Attachment - ESTA
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4202-AG CPS and APS Reporting and Student Safety and Welfare
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4205-AG-2 Hiring and Background Checks
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4205-F Authorization for Release of Information and Employee History Check
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4214-F Outside Activities and Employment
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4215-F District Technology and Acceptable Use
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4224-AG Personnel Files and Payroll Information
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4224-F Cash in Lieu Form
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4304-AG Timekeeping and Payroll Information
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4307-AG Performance Evaluation
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4403-F-R Performance Evaluation Checklist
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4503-F-R Performance Evaluation Checklist
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4508-AG Administrator Non-Renewal
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Series 5000 Students Curriculum and Academic Matters (34)
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5103-F-1 Search and Seizure Considerations
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5103-F-2 Cell Phone Search and Seizure Considerations
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5201-F-1 Non-School Related Student-Law Enforcement Contact Checklist
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5201-F-2 School Related Student-Law Enforcement Contact Checklist
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5206-F-1 Checklist for Factors to Consider Before Suspending-Expelling
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5206-F-19 Due Process - Hearing Rights and Procedures
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5206-F-2 Victim-Offender Conference Agreement
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5206-F-2 Victim-Offender Conference Agreement
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5303-F-1 Student Enrollment Form
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5303-F-2 Student Withdrawal Form
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5309-F-1 Amendment of Student Records
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5409-F Graduation Requirements Checklist
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5416-F Homebound and Hospitalized Instruction Request Form
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5418-F Grade Change Procedure
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5420-F-1 Sex Education Advisory Board Checklist
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5602-F-5 Suggested Sources for Independent Educational Evaluations (IEE)
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5602-F-8 IEE Parent-Guardian Consent Form
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5603-F-1 Section 504 Checklist
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5603-F-11 Section 504 Plan
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5603-F-12 Section 504 Grievance Procedure
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5603-F-13 Section 504 Complaint Form
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5603-F-15 Section 504 Manifestation Determination Review Form
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5603-F-16 Section 504 Impartial Hearing Procedures
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5603-F-2 Section 504 Referral for Evaluation
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5603-F-3 Notice of Section 504 Procedural Safeguards
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5603-F-5 Section 504 Parent Consent Form
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5603-F-6 Section 504 Authorization for Medical Information
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5603-F-8 Section 504 Physicians Statement
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5603-F-9 Section 504 Teacher Input Form
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5702-F Student Injury Report Form
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5703-F-1 Medication Administration Daily Log
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5703-F-2 Consent for District Administered Medication Form
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5703-F-3 Consent for Student to Self-Administer Medication Form
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5705-F Emergency Anaphylaxis Checklist
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Disclaimer of Liability: For documents available from this site, Michigan School Board Association
does not warrant or assume any legal liability or responsibility for the
accuracy, completeness, or usefulness of any information. This online manual is the sole
property of Eastern Upper Peninsula Intermediate School District and is not an official copy of the school
board’s official policy/procedure manual. These documents may not contain the most recent
changes made by the Board of Education. For an official copy of a policy or procedure, please
contact the Eastern Upper Peninsula Intermediate School District Central Office.