NORTH BEND HIGH SCHOOL STAFF NOTEBOOK TABLE OF

NORTH BEND HIGH SCHOOL
STAFF NOTEBOOK
TABLE OF CONTENTS
SECTION I
NBHS Faculty & Staff .......................................................................................... 2
NBHS Map .......................................................................................................... 3
ADT Alarm System .............................................................................................. 4
Classroom Aides ................................................................................................. 4
District Calendar .................................................................................................. 5
Class Schedules.................................................................................................. 6
Sample Forms.................................................................................................... 7
STUDENT RELATED FORMS
Pre-Arrangement for an Absence ...................................................................... 8
Informed Consent/Participant Release ............................................................. 9
Attendance Office—Field Trip Group Excuse ................................................... 10
Overnight/Yearly Travel Permission Slips ......................................................... 11
Transportation (Activity) Request ...................................................................... 12
Participation Notice ........................................................................................... 13
Discipline Record .............................................................................................. 14
Tardy/Detention Record .................................................................................... 15
Student Accident Injury Report ......................................................................... 16
NBHS Student Billing ........................................................................................ 17
SHOWING MOVIES IN CLASSROOM
Building Administrator Permission .................................................................... 18
Parent Permission (PG 13) ............................................................................... 19
Parent Notification (Less than PG 13) ............................................................... 20
NBHS ACTIVITY ACCOUNTS/PURCHASING
NBHS Check Requisition .................................................................................. 21
DISTRICT PURCHASING
D.O. Purchasing Procedures ............................................................................ 22
D.O. Purchase Request .................................................................................... 23
VARIOUS EMPLOYEE FORMS
Employee Request For Absence ...................................................................... 24
Expense Voucher.............................................................................................. 25
Tuition Reimbursement Request....................................................................... 26
Mileage Report.................................................................................................. 27
Application & Permit for use of School Buildings & Facilities ............................ 28
1
FACULTY & STAFF
ADMINISTRATION
FORRESTER, Mike
LUCERO, Bill
YESTER, Bill
COUNSELORS
ROE, Heidi
ROMANKO, Pam
SECRETARIES
COLLICOTT, Michelle
DUBISAR, Mindy
HEANEY, Brenda
LUCERO, Kari
RICHARDS, Karen
SHARMAN, Andrea
SPRAGUE, Gail
NURSE
MAYFIELD, Emerald
LIBRARY TECHNICIANS
LANCE, Adrienne
EDUCATIONAL ASSIST.
ERICSON, Vicki (Skills Lab)
EUNICE, Sarah (Life Skills)
FLETCHER, Tyna (Skills Lab)
JAMISON, Judy (Life Skills)
LEWIS, James (Life Skills)
MCALLISTER, Marti (Skills Lab)
TROLARD-WILSON, Kathryn
(Skills Lab)
TEACHERS
BAVARO, Shaun
CARLSON, Leif
CAVANAUGH, Jessica
CONRAD, John
DEMING, Blaine
FOBERT, Ryan
GRABER, Ken
HELEY, Tracy
HOOD, Dustin
HORNING, Brad
JANSEN, Terry
JOHNSON, David
KOHN, Brad
LANCASTER, Ali
LONDAGIN, Paul
MCGRADY, Barney
MORIN, Kathy
MUTH, Simmie
MURPHY, Frank
NOLAN, Virginia
NORDAHL, Laurie
OLSON, John
PETERS, Scott
PRINCE, Gary
PRINCE, Sarah
RANSOM, Todd
SAUSE, Marilyn
SCHEIRMAN, Josh
SCHULTZ, Richard
SINKO, Tonya
SMITH, Jake
SMITH, Mara
TILDON, Shelley
WESTERN, Steve
YESTER, Amber
2
COOKS
CLEMENS, Teresa
COSSETTE, Mary
DENNIS, Diane
JOHNSON, Judy
JOHNSON, Tammy
CUSTODIANS
BOGS, Dave
BRIDGES, Robin
FITZHENRY, Mike
GROTZKE, Chuck
SWOCC
MILLER, Barry (ETS)
CHORAL ACCOMPANIST
BECKER, Patty
ASPIRE/(NAGGER PROGRAM)
LONG, Ginger
INDIAN ED TUTOR
BRAINARD, Annette
SPEECH
UPWARD BOUND
GILL, Grant
HS YOUTH TRANS
DOWNS, Melissa
3
ADT ALARM SYSTEM
Each building has installed a motion-sensor alarm system. The alarm code boxes are
set up in the following locations:
Main (Administration) Building ---- Mailroom
Library Wing ---------------------------- Copy Room
Science Wing -------------------------- Staff Room
When coming into each building during the off-hours, you will be responsible for disarming/arming the system. There will be staff check in/out sheets located by each
alarm code box. On the sheets, you will be responsible for putting your name, date,
time in and time out. You will have 90 seconds time to unarm/arm the system after entry and before exit of the building. During a regular work day, a custodian will disarm
the alarms by 6:30 AM and they will be armed by 11:00 PM.
If you enter a door other than at the door closest to the alarm system, the alarm
will go off instantly.
DO NOT ARM OR DISARM THE SYSTEM WITHOUT CHECKING TO MAKE SURE
THAT THERE ISN’T ANOTHER PERSON ALREADY CHECKED INTO THE BUILDING THAT YOU ARE ABOUT TO ENTER.
CLASSROOM AIDES
Teachers are allowed to have student aides for their classrooms. However, they are
only allowed to have one aide per trimester. You should have that aide during one of
your regular class times and not during a Prep period.
4
5
6
SAMPLE FORMS
7
NORTH BEND HIGH SCHOOL
PRE-ARRANGEMENT FOR AN ABSENCE
STUDENT
DATE
INITIATED BY
(FACULTY) or
(Requests initiated by faculty complete section
A)
On
“A” below, parent/guardian will complete section “B” below.)
,
(Day of week)
(PARENT)
(date)
, a group of NBHS students in the
will participate in a
(Name of course/group)
at
________
(Convention/filed trip/workshop/conference)
. The group will leave from the high school at
(Location)
(Time)
and return at approximately
.
(Time)
Students are required to present this form to each of their teachers, to the Attendance Office, and to their
parents/guardians for signature. Then the form must be returned by 3:15pm the day before the trip to:
(Faculty/advisor of group)
A)
My student
will be absent from
(Name)
(Dates gone)
If possible, please have assignments that will be covered during this time ready so this student may pick up his/her work
prior to the absence dates.
Teacher notification and space for teacher signature and comment are below. A circled “no” indicates that in the
opinion of that teacher the student should not be absent because of academic deficiency. This does not mean that the
student cannot participate in the field trip.
_____________________________________________ (yes) (no)_____________________________________________ (yes) (no)
Period 1
Period 5
_____________________________________________ (yes) (no)_____________________________________________ (yes) (no)
Period 2
Period 6
_____________________________________________ (yes) (no)_____________________________________________ (yes) (no)
Period 3
Period 7
_____________________________________________ (yes) (no)
Period 4
Attendance Office Signature: __________________________________________________________
(Attendance Secretary)
My son/daughter may participate in this school-related activity &/or has permission to be absent on these dates.
Parent/Guardian Signature: __________________________________________________________
(Parent/Guardian)
STUDENTS WILL NOT BE PERMITTED TO PARTICIPATE IN ANY SCHOOL-RELATED TRIP WITHOUT PARENT/GUARDIAN PERMISSION.
Teachers, if possible, please give the student the work/assignments to be covered during this time. He/She is
responsible for making up the class work missed. An equal amount of time should be allowed for make-up work in accordance with the absence, e.g., student is gone 3 days, he/she has 3 days to do the make-up work. If you have any questions see Bill Yester, Assistant Principal.
8
NORTH BEND HIGH SCHOOL
2323 Pacific Avenue
North Bend, Oregon 97459-2605
Telephone: 541-756-8328
Fax: 541-756-6945
A N I M P O R T A N T S C H O O L I N T H E N O R T H B E N D S Y S T E M O F P U B L IC E D U
INFORMED CONSENT/PARTICIPANT RELEASE
Activity:
Date of Activity:
Name of Participant/Student:
School Name:
“I, the parent/guardian of the above named participant, understand the possibility of injuries resulting from the activities indicated above or other activities sponsored by North Bend High
School. I hereby acknowledge and accept all risks and hazards, incidental to participation in
such activities. I hereby release, absolve, indemnify and hold harmless the District and its directors, employees and agents from any injury, whether to person or property of the participant
resulting from such activities. In case of personal injury to participant, I herby waive any and
all claims against the District, its directors, employees and agent. I understand there is no insurance coverage provided by the District for participant and that such coverage constitutes a responsibility of the participant and/or the undersigned.
I hereby release from liability and waive any and all claims against any person who, on behalf
of the District, is involved in the transportation of participant in connection with District activities. I hereby consent to emergency medical treatment of participant to assure prompt treatment
and prevention of undue delay, and I understand that either a licensed physician or trained
emergency care technician may provides such treatment. I acknowledge that I have read, fully
understand an accept the above provisions and I recognize that the District is relying on such
acceptance in permitting participant to engage in District activities.”
Parent/Guardian Signature:
Date:
9
ATTENDANCE OFFICE
TEACHER/COUNSELOR
FIELD TRIP/GROUP EXCUSE
Form pasted here
10
OVERNIGHT/YEARLY TRAVEL PERMISSION SLIPS
PASTE ON PAGE
11
12
NORTH BEND HIGH SCHOOL
2323 Pacific Avenue
North Bend, Oregon 97459-2605
Telephone: 541-756-8328
Fax: 541-756-6945
A N I M P O R T A N T S C H O O L I N T H E N O R T H B E N D S Y S T E M O F P U B L IC E D U C A T I ON
PARTICIPATION NOTICE
Date:
Parent/Guardian:
Address:
Dear Parent/Guardian:
Your student,
period
, has been marked absent from
, for
,
days since the beginning of the trimester.
The North Bend High School Participation Policy states: “Students who miss more than five
participations per trimester are required to make up missed classroom participations beyond the fifth miss
at the convenience of the instructor. Only school-related missed participations would be exempt.
Students not making up missed participations will receive NG (no grade) and receive no credit for the
class(es) involved. Students are encouraged, and required by instructors, to make up missed
participations within certain time restrictions.”
Please encourage your student to schedule make up time with me as soon as possible. Thank you for
your help in this matter.
Sincerely,
2nd Notice

rd
 3 Notice –
Please contact teacher @
Teacher Signature
NBHS
White: Parent
Yellow: Attendance Clerk
13
Pink: Teacher
DISCIPLINE RECORD
PASTE ON PAGE
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NORTH BEND HIGH SCHOOL
TARDY/DETENTION RECORD
Student’s Name: ____________________________ Student I.D. Number: ____________
Date of Incident: ___________________
Class Period: ______
Tardy to Class - Detention Date Assigned: ___________________
Time / Location: 3:15 – 4:00 PM Study Hall Room
Administrator’s Signature: _________________________________
Student’s Signature: ________________________________
Original: Mail Home
Yellow: Attendance Clerk
15
Pink: Administrator’s
Goldenrod: Student
STUDENT ACCIDENT INJURY REPORT
PASTE ON PAGE
16
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NORTH BEND HIGH SCHOOL
2323 Pacific Avenue
North Bend, Oregon 97459-2605
Telephone: 541-756-8328
Fax: 541-756-6945
TEACHER:
CLASS:
TITLE OF MOVIE:
MOVIE RATING:
DATE SHOWING:
PURPOSE FOR SHOWING:
EXPLANATION OF EDUCATIONAL OBJECTIVES:
PARENTAL NOTIFICATION WAIVED (PG):
Building Administrator
PARENTAL NOTIFICATION REQUIRED (PG):
Building Administrator
PARENTAL CONSENT REQUIRED (PG-13):
Building Administrator
G
PG
PG-13
* requires parental
not permitted
not permitted
notification
*********************************************************************
5-8
* requires parental
requires parental
not permitted
notification
consent
*********************************************************************
9-12
not required
* requires parental
consent required
notification
K-4
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NORTH BEND HIGH SCHOOL
2323 Pacific Avenue
North Bend, Oregon 97459-2605
Telephone: 541-756-8328
Fax: 541-756-6945
DATE:
On
,
Movie Showing Date
‘s
Teacher
class will be showing
Name of Class
the movie
. It is rated
PG 13
.
Title of Movie
My son/daughter,
, DOES NOT have permission to
view the movie. Those form only need to be returned if you do not wish your child to view
the movie.
Parent/Guardian Signature
Date
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NORTH BEND HIGH SCHOOL
2323 Pacific Avenue
North Bend, Oregon 97459-2605
Telephone: 541-756-8328
Fax: 541-756-6945
DATE:
On
,
Movie Showing Date
‘s
Teacher
class will be showing
Name of Class
the movie
. It is rated
Title of Movie
Notification only, no response necessary.
20
.
NBHS CHECK REQUISITION
PASTE ON PAGE
21
D.O. PURCHASING PROCEDURES
PASTE ON PAGE
22
23
EMPLOYEE REQUEST FOR ABSENCE
PASTE ON PAGE
24
25
26
MILEAGE REPORT
PASTE ON PAGE
27
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