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NYCSA Guide

Staff Forms

Staff Attendance

Staff Attendance Form

Staff Attendance Form This form is used by staff to record their daily attendance, helping the administration maintain accurate records for payroll, compliance, and internal tracking. It captures essential details such as the date, time of arrival and departure, and any remarks regarding absences or tardiness. This ensures a transparent system for monitoring attendance patterns. It is an integral part of the school's operational workflow, ensuring staff accountability.

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Personal Day Request Form

This form must be submitted to request a personal day in advance of the absence. Be sure to provide the specific date(s) of your request and any relevant notes. Requests are subject to approval and may require additional documentation. Submit the form below to begin the approval process.

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Arrive late | Leave Early Request

This form allows staff to request permission to arrive late or leave early on a specific day, providing details such as the date, time, and reason for the request. It supports transparency and ensures that any adjustments to work schedules are properly communicated and approved. By documenting these changes, the form helps the administration manage staff schedules efficiently. It also facilitates planning to ensure smooth operations despite adjustments.

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Vacation Request form

IF you worked on Spring Break 2020, please request your vacation days at least 10 days in advance. You will receive a reply within 48 hours.

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Student Attendance

Parent Outreach for staff

This form enables staff to document their communication efforts with parents regarding student progress, behavior, or other essential matters. It includes fields to note the date, time, and method of communication (e.g., phone call, email, or in-person meeting). By keeping a record of outreach, this form helps ensure strong collaboration between parents and staff. It also supports follow-up actions and accountability in maintaining effective communication channels.

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Staff Handbook

Staff Handbook Verification Form

This form serves to confirm that staff members have received, read, and understood the policies and procedures outlined in the staff handbook. By signing this form, employees acknowledge their responsibilities and agree to adhere to the organization’s rules. It provides a clear record of policy awareness and compliance. This form is typically completed at the start of employment or when updates to the handbook are issued.

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Documentation of Incidents

SWIS / Anecdotal Referral Online Form

The SWIS (School-Wide Information System) Anecdotal Referral Online Form is a digital tool used by schools to document student behavior incidents, track patterns, and provide structured, data-driven support. This form allows staff members, such as teachers and administrators, to record specific anecdotal information about student behavior or academic concerns in a standardized format.

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Injury Report Form

​This must be completed when a staff member or student is injured while at school.
​Statements must state the victim/witness' name, the date, time and where the occurrence took place, and a description of the incident.

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Field Trips

Trip Request Form

All trips should be linked to the instructional program being provided in the summer program. Trips should not be scheduled on a Friday, unless there is a compelling reason for selecting that date. No trips on the last 2 days of the program. No trips planned the day of the culminating activity. Remember you are only allowed one trip per week. A lesson plan must be uploaded before the trip can be approved. Please complete all sections of this form. Please email an administrator for questions/concerns.

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Parent Consent Form

Complete the form below with the details of your trip and ensure that both A670 Trip Plan and Parent Permission Slip are attached. An administrator will address your request via your DOE email account.

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Bus Request Form

If necessary, all changes must be requested 3 days prior to the date of the trip.

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Field Trip Meal Request Form

​This form must be submitted to the Kitchen at LEAST ONE WEEK PRIOR to the trip date.

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Nursing Request Form

Students who require nursing services cannot leave the building without a trip nurse.

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Bus Captain List

For trips with multiple busses, this form helps to organize the captains in charge of each bus.

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Work Study/Trip Sign-Out/Sign-In

Complete the form below with the details of your trip and ensure that both A670 Trip Plan and Parent Permission Slip are attached. An administrator will address your request via your DOE email account.

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Professional Development

PD Reflection

This form is used by staff to reflect on their professional development experiences, summarizing key learnings, takeaways, and how these will be applied to their role. It typically includes prompts for identifying actionable insights and future goals related to their professional growth. The form helps the administration assess the impact of training programs and identify areas for further development. It fosters a culture of continuous learning and improvement among staff members.

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