HIGH SCHOOL by KifHvr

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									                                                                      Copy the high school packet on green paper.
                         HIGH SCHOOL

       The State of Michigan requires all pupil accounting records to be kept a minimum of three years.
District                                                                Building
Signature                                                               Count Date
Click/check “Yes” if applicable and “No” if not. The records/reports marked “Yes” are to be submitted to Oakland
Schools. On the next page is a list of records and reports that must be available to the auditors at the field audit.

Yes No

           Alphabetized building membership list (one copy) from CEPI’s SRSD that includes:
               district and building name; pupil’s legal name; address; birth date; residency; grade; FTE claim in general
               education and special education to two (2) decimal places; headcount and FTE grand total; official signature
               and date verified (PAM 1). Please print the list using the option “FTE greater than 0.00”.
           Alternative Education Report (PAM 4, 5A)
           Count Day Absence Form that includes: (PAM 1, 3)
               pupil’s legal name; grade and/or hours; class period absent; excused/unexcused; date returned for each class
               period absent; FTE reported
           Homebound/Hospitalized/Home Based/Mandatory Expulsion (PAM 5C-D, 5N)
           Homebound/Hospitalized/Home Based/Mandatory Expulsion Instructional Service Log
           Nonpublic Part-Time/Home Schooled (PAM 4, 5E)
           Nonresidents Under School State Aid Section 6(6) (PAM, 4)
           Nonresidents attending your General Education Cooperative Education Programs (PAM 4, 5B)
           Nonresident School of Choice Sec 105 (PAM 4, 5I)
           Nonresident School of Choice Sec 105C (PAM 4, 5I)
           Nonresident Waiver/Release (PAM 4)
           Part-Time (PAM 5F)
           Postsecondary Enrollment (PAM 5G)
           Reduced Schedule (PAM 5H) (4-block schedule: ___Yes ___No)
           Reduced Schedule Request and Approval (Sample Form)
           Residents attending another district’s General Education Cooperative Education Programs
               (CASA, GMTA, IA, OTC, etc.) (PAM 5B)
           Calendar—separate document located on website (September count only) (PAM 2)
           Split Schedule (PAM 4, 5M)
           Verification Statements
           Virtual Enrollment (PAM, 5O)
           Work Based Education Learning Experiences (PAM 5P)
               Unpaid In-District Placement Agreement (MDE Sample Form)
               Work-Based Learning Training Agreement/State-Approved CTE Program (MDE Sample Form)
               Work-Based Learning Training Agreement/Non-CTE Program (MDE Sample Form)
               Work-Based Learning Training Plan (MDE Sample Form)
           Work Site Based Learning Special Education (PAM 5L)

           Public School Academy Use ONLY: New grade in building:

Note: Special education A/B Worksheets must be signed by the special education teacher of record and submitted with
the special education packet. Also forward a duplicate set of worksheets to Oakland Schools’ special education
department.




1/08                                                         1
                                               HIGH SCHOOL

                                              Count Date

       The State of Michigan requires all pupil accounting records to be kept a minimum of three years.

                                                  Field Audit
The following records/reports are to be available to the pupil accounting auditors at the time of the field audit:

Alphabetized building membership list (one) that includes:
a. District and building name
b. Pupil’s legal name
c. Address
d. Birthdate
e. Grade
f. FTE claim in general education and special education to two (2) decimal places
g. Headcount and FTE grand total
h. Official signature and date verified

All Population III documentation

Attendance recording system approved by your Board

Course catalog that includes courses and credit granted toward high school completion

Excused Absence Documentation

Master schedule showing hour, course, and teacher assignment with special education teachers clearly identified

Pupil schedules as of the official count date (including all change in schedule forms)

Record of pupil adds/drops

Teacher attendance records—SIGNED (Electronic attendance must be printed weekly—one week prior to
count, count week, and four weeks after count.)




1/08                                                     2
                                     Alternative Education Report



District                                                        School Year
Building/Program                                                Count Date


We operate a K-12 alternative education program(s). Our alternative education program(s) is located at:


        Building

        Address




        Contact person                                                   Date



        Building

        Address




        Contact person                                                   Date



        Building

        Address




        Contact person                                                   Date



Authorized Signature                                                       Date




Revised 8/08                                       AER
                                                  Secondary Count Day Absence Form
 District                                                                         School Year
 Building/Program                                                                 Count Date
Instructions: List each pupil absent on the count day. Indicate the grade of the pupil and the date the pupil returned to each class period absent on Count
Day. Indicate whether the absence was excused or unexcused. If the pupil returned to all classes, check the box in Column 5. Indicate the total FTE reported
for each pupil.

                     1                    2                                       3                                                4             5        6
                                                                         Class Period Absent                                   Type of       Returned    FTE
          Pupil’s Legal Name           Grade
                                                                                                                                              to All    Member-
                                                                      Date Returned Indicated Below                            Absence
            (Last, First, MI)                                                                                                                Classes      ship
                                                                                                                               (Excused or              Reported
                                                                                                                               Unexcused)
                                                      st         nd          rd       th         th        th          th
                                                  1          2           3        4          5         6           7
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I certify that this is a true and accurate list of all eligible FTE reported for pupils who were absent on the count day.

Authorized Representative                                                                                                   Date

Title of Authorized Representative


11/07
                     Homebound/Hospitalized/Home Based/Mandatory Expulsion

District                                                          School Year
Building/Program                                                  Count Date
INSTRUCTIONS
Complete the report below for all eligible pupils enrolled in a homebound/hospitalized, home based, or
mandatory expulsion program who meet the required criteria. Please list pupils together within each area and
include a copy of their attendance record for the count period.

Homebound/Hospitalized Program (HB/HS)—State School Aid Act Section 109 (if eligible, FTE equals 1.0)
Home Based Program (HBP)— State School Aid Act, Section 6(4)(u) (if eligible, FTE equals the number of hours
actually provided/1098; i.e., prorated FTE)
Mandatory Expulsion Program (MEP)—MCL 380.1311(2) and MCL 380.1311a (if eligible, FTE equals 1.0)

                                              HB/HS                      Ex. Abs.   Physician Date
                                              HBP     GE      SE         On         Letter    Service
Pupil’s Legal Name                            MEP     Grade   Category   Count      Y/N/NA Began         FTE
                                                                         Day
                                                                         Y/N

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The above pupils should appear on the building membership list and, if in a special education classroom, on an
A or B worksheet.
I certify that this is a true and accurate list of eligible FTE reported for State Aid.

Authorized Signature                                                       Date
Revised 8/08                                            HHHBME
                  Homebound/Hospitalized/Home Based/Mandatory Expulsion
                                Instructional Service Log
                                                                                                       SAMPLE

District                                                          School Year
Building/Program                                                  Count Date

INSTRUCTIONS
Complete the report below for each period of instruction provided to an eligible pupil enrolled in a
homebound/hospitalized, home education, or mandatory expulsion program.

Pupil’s Legal Name                                           Teachers



Date                         Instructional Time Start     Instructional Time End       Hours/Minutes




Certified Teacher’s Signature                                                Date

Revised 12/04                                        HHHBMEISF
                             Nonpublic Part-Time/Home Schooled Pupils

District                                                           School Year
Building/Program                                                   Count Date


                                  Resident                       Meeting      Total Days    Total Hours
Pupil’s Legal Name       Grade    District       Course          Time/Day     Instruction   Instruction     FTE

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I certify that this is a true and accurate list of eligible nonpublic part-time/home schooled memberships reported
for state aid.

Authorized Signature                                                         Date




Revised 8/08                                 NPTHSP
                        Nonresidents under State School Aid Act
SECTION 6(6):(f) (assault), (g) (moved), (h) (alternative education), OR (j) (child of
district employee) —release not required

District                                                             School Year
Building/Program                                                     Count Date

INSTRUCTIONS: Complete the following information for all nonresident pupils enrolled under Section 6(6)
(f), (g), (h), OR (j).

                                                                  General               Special Education
Resident District       Pupil’s Legal Name                        Education Grade       Category               FTE

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I verify that this is a true and accurate list of eligible nonresident memberships reported for state aid. I certify
that we have complied with SAA Section 6(6)(f), (g), (h), or (j) to enroll these students without a release.


Authorized Signature                                                            Date




Revised 12/04                                          NUSSAAS
            Nonresident Pupils Attending General Education Cooperative Programs
                                     (To be completed by Operating District)
District                                                            School Year
Building/Program                                                    Count Date

Instructions: Complete the report below for all pupils attending cooperative education programs (OTC, IA, etc.)
           1               2            3                  4           5          6           7           8
                                                                    Agree- FTE            Co-op
                                 Resident          Program          ment     claimed at Program       Co-op
Pupil’s Legal Name      Grade District             Name             (Y/N) Res. Dist? Hrs/YR           FTE/YR
                                                                             (Y/N)

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I certify that this is a true and accurate list of all nonresident pupils attending cooperative education programs.

Authorized Signature                                                            Date

Send to resident district for verification.

Resident District Signature                                                    Date


Revised 12/04                                         NPAGECP
                             Nonresident Schools of Choice--Section 105

District                                                         School Year
Building/Program                                                 Count Date

                                                   GE         GE         SE            SE        Total
Pupil’s Legal Name             Resident District   Grade      FTE        Category      FTE       FTE

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I certify that we have complied with all School of Choice requirements including timelines, conducted a random
draw if necessary, enrollment was not refused due to disability or discrimination, and district of residence was
identified as required under SAA Sec. 105/105c.


Authorized Signature                                                        Date

Revised 8/07                                        NSCP105
                            Nonresident Schools of Choice--Section 105c

District                                                         School Year
Building/Program                                                 Count Date

                                                     GE        GE       SE           SE       SE       Total
Pupil’s Legal Name             Resident District     Grade     FTE      Category     FTE      Agree    FTE
                                                                                              ment
                                                                                              Y/N

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I certify that we have complied with all School of Choice requirements including timelines, conducted a random
draw if necessary, enrollment was not refused due to disability or discrimination, an agreement covering special
education costs was entered into and district of residence was identified as required under SAA Sec. 105/105c.

Authorized Signature                                                        Date

Revised 12/04                                       NWR
                                   Nonresident Waiver/Release Pupils

District                                                              School Year
Building/Program                                                      Count Date


                                                                                                 FTE Alt     Release
                                                              GE                    FTE          Ed thru     on File?
Resident District    Pupil’s Legal Name                       Grade     SE Category K-12         Ad Ed       Y/N

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I certify that this is a true and accurate list of eligible nonresident waiver/ release memberships reported for state
aid.

Authorized Signature                                                            Date




Revised 12/04                                          NWR
                                                 Part-Time Pupils
District                                                        School Year
Building/Program                                                Count Date

INSTRUCTIONS: Complete the report below for all pupils scheduled for less than 1098 hours of instruction
and not approved for a reduced schedule.
                                                Enrolled in two or
                                                                               Annual hours
                                                more districts?
                                                                               of instruction FTE               Prorated
Pupil’s Legal Name                  Grade      (Y/N)     Other district(s)     (see below)    Denominator       FTE

1                                                                                                   1098

2                                                                                                   1098

3                                                                                                   1098

4                                                                                                   1098

5                                                                                                   1098

6                                                                                                   1098


Calculation Options (choose one) and enter annual instructional hours in above box:

        Number of classes scheduled divided by the number of class periods multiplied by the total building hours
        including professional development hours.

        Hours per day multiplied by days scheduled (include half days only if class meeting that half day) plus building
        professional development hours.

        Other (please explain)




I certify that this is a true and accurate list of part-time memberships reported for state aid.

Authorized Signature                                                         Date




Revised 8/08                                             PTP
                                   Postsecondary Enrollment

District                                                    School Year
Building/Program                                            Count Date
                                                            District Paid
                                                              Tuition         Total
                                                                                          # Class   Split
Pupil’s Legal Name                                Grade         Y/N          Classes   High     College     FTE


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MCL 388.511-388.524 (Postsecondary Enrollment Option Act)


Authorized Signature                                                        Date




Revised 12/04                                  PEP
                                         Reduced Schedule Pupils

District                                                          School Year
Building/Program                                                  Count Date
State School Aid Act Section 101 (7)(c) states: "A pupil in grades 9 to 12 for whom a reduced schedule is
determined to be in the individual pupil's best educational interest must be scheduled for a number of hours
equal to at least 80 percent of the required minimum number of hours of pupil instruction (878.4 hours) to be
considered a full-time equivalent pupil".

A pupil in grades 9 to 12 who is scheduled in a 4 block schedule may receive a reduced schedule if the pupil is
scheduled for a number of hours equal to at least 75% of the required minimum number of hours of pupil
instruction (823.5 hours) to be considered a full-time equivalent pupil.

NOTE: It is assumed a district would not have many pupils taking fewer than the prescribed 1098 hours. There
is to be involvement of parents, counselors and administration before a determination is made to place the pupil
on such a reduced schedule.

Administrative Rule 340.10(5) governs the pupils listed below. All information requested must be provided.

                                    Grade     Annual Hrs                  For Oakland Schools Use Only
                                              of
Pupil’s Legal Name                            Inst/Year  FTE         Approval Form(s)      Comments

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Documentation is on file and is available for audit.
Authorized Signature                                                        Date
Revised 8/07                                           RSP
                                    Reduced Schedule Request                                        SAMPLE
                              (To be completed by student or parent)                                Page 1 of 2

District                                                           School Year
Building/Program                                                   Count Day

Student:                                              Grade:                 Birthdate:

Building

The above-named student requests a reduction in scheduled classes (not to total less than 878.4 hours per year)
for the following reason(s):




                                                 SIGNATURES

Student Signature                                                             Date

Parent Signature                                                              Date

Pupil Accounting Rule 340.10-5 states, in part “…a local school district may provide less than the prescribed
number of hours of student instruction for an individual pupil attending the senior high school, when the school
district determines that the education needs of the pupil are best served by a reduced schedule and may count
each pupil as a full-time pupil in membership if the pupil is taking a minimum of 878.4 hours of student
instruction for the school year.”

Note: The State Department of Education has determined that a reduced schedule may not be accepted if the
stated reason is that the student may graduate with a reduced schedule; i.e., needs only four credits to graduate.




Revised 8/08                                       RSR
                               REDUCED SCHEDULE REQUEST                                                 SAMPLE
                               (To be completed by school official)                                     Page 2 of 2

School District:                                               School Year:

Building:                                                      Date form completed:

Student’s Name:                                                Birthdate:                      Grade:

The educational needs of the above-named student are best served by a reduced schedule (minimum of 878.4
hours in accordance with SSAA 388.1701(7)(c).

        Page 1 of this form must be completed before a reduced schedule may be approved.

Permission for a reduced schedule has been granted for the reason(s) listed on Page 1 of this form.

It is agreed that if the student fails to perform satisfactorily under a reduced schedule, he/she will be required to
return to a full schedule.

                                                  SIGNATURES

In our professional judgement, the above-named student’s education needs would be best served through a
reduced schedule.

Counselor:                                                             Date:

Building Administrator:                                                Date:

SSAA 388.1701(7)(c) states“Except as otherwise provided in this subdivision, a pupil in grades 9 to 12 for
whom a reduced schedule is determined to be in the individual pupil’s best educational interest must be
scheduled for a number of hours equal to at least 80% of the required minimum number of hours of pupil
instruction to be considered a full-time equivalent pupil. A pupil in grades 9 to 12 who is scheduled in a 4-
block schedule may receive a reduced schedule under this subsection if the pupil is scheduled for a number of
hours equal to at least 75% of the required minimum number of hours of pupil instruction to be considered a
full-time equivalent pupil.”

Note: The State Department of Education has determined that a reduced schedule may not be accepted if the
stated reason is that the student may graduate with a reduced schedule; i.e., needs only four credits to graduate.




Revised 8/08                                        RSR
 Resident Pupils Attending Another District’s General Education Cooperative Program
                         (to be completed by resident district)
District                                   School Year
Building/Program                           Count Date
Instructions: Complete the report below for all pupils attending cooperative education programs (OTC, IA, etc.)

         1               2           3             4           5         6           7          8          9        10      11
                                                                                 Annual     Travel
                               Other Dist                             FTE        hours of   time per    Annual
                               or OTC-SE,                             claimed    inst at    year (see   hours
                               OTC-SW,         A.M./P.M.    Agree     at Res     home       below)      of inst    Total   Total
Pupil’s Legal Name     Grade   OTC-NE,                      ment      Dist       (see                   at other   hours   FTE
                               OTC-NW                       Y/N       Y/N        below)
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7. Calculation Options (choose one) and enter annual instructional hours in box 7:

        Number of class periods scheduled at the home school divided by the number of class periods required to qualify
        for a full FTE multiplied by the total building hours including professional development hours.
        Hours per day multiplied by days scheduled (include half days only if class meeting that half day) plus building
        professional development hours.
        Other (please explain)

8. Maximum: 36 minutes divided by 60 multiplied by the number of school days scheduled. Travel time is allowed if it
   is the only reason a pupil is not 1.00 FTE.

I certify that this is a true and accurate list of all resident pupils attending cooperative education programs.

Authorized Signature                                                                    Date

Send to operating district for verification.
Operating District Signature                                                           Date


Revised August 07                                           RSPADGECP
                                 Split-Schedule Pupils (Within District)

District                                                            School Year
Building/Program                                                    Count Date

Instructions: Complete the report below for all pupils who attend two or more buildings/programs within the
same district.

                                                      Educating          Hrs of              FTE              FTE
Pupil’s Legal Name                          Grade     Bldgs/Progs        Instruction in      Denominator      claimed
                                                                         This Bldg                            at this
                                                                                                              Bldg

1                                                                                                 1098

2                                                                                                 1098

3                                                                                                 1098

4                                                                                                 1098

5                                                                                                 1098

6                                                                                                 1098

7                                                                                                 1098

8                                                                                                 1098

9                                                                                                 1098

10                                                                                                1098

11                                                                                                1098

12                                                                                                1098

13                                                                                                1098

14                                                                                                1098

15                                                                                                1098

I certify that this is a true and accurate list of eligible split-schedule and part-time memberships reported for
state aid.


Authorized Signature                                                    Date
Revised 10/08                                          OSVS
                                           Verification Statements

District                                                             School Year
Building/Program                                                     Count Date


                                                    Birth Date
Birthdates of all pupils entering your district for the first time have been verified according to pupil accounting
regulations. Any exceptions to this are listed below.

We are in the process of obtaining birthdate documentation for the following new enrollees who were counted
in membership.

Pupil’s Legal Name                               Grade      Pupil’s Legal Name                                Grade
1                                                           5

2                                                           6

3                                                           7

4                                                           8



I certify that this is a true and accurate list of all pupils whose birth documentation has not been procured.

Authorized Signature                                                                   Date


                                            Educational Field Trip
All of our field trips counted as instruction time are educational trips supervised by certificated personnel and
attendance is taken. Regular instruction is provided for those pupils who do not participate in an educational
trip and attendance is taken.

I certify that this is a true and accurate statement for all educational field trips conducted during instructional
time and claimed for membership.

Authorized Signature                                                            Date

                                          Recess (Elementary Only)
I certify that no more than 30 minutes per day of recess time supervised by a certified teacher is counted as
instructional time. The recess time is not scheduled at the beginning or end of the school day.

Authorized Signature                                                            Date
Revised 10/08                                          OSVS
                                   Virtual Enrollment/Distance Learning

District                                                  School Year
Building/Program                                          Count Date

Instructions: Complete this form for all pupils enrolled in virtual high school/distance learning classes.
No more than two (2) classes per pupil may count toward pupil membership. List each class per pupil on a
separate line.

                                                                  Enrolled in   On-Site     In Attn
                                   H.S.                 Dist Pd   Concurrent    Mentor      Count     FTE
                                   Credit   Course      Tuition   Courses Y/N   Teacher     Day       for this   Total
Pupil’s Legal Name         Grade   Y/N      Title(s)    Y/N/NA                  Name        Y/N       Class      FTE

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I certify that this is a true and accurate list of pupils enrolled in virtual/distance learning classes.

Authorized Signature                                                              Date



Revised 8/06                                            VE
                     Work Based Education Learning Experiences—General Education

District                                                        School Year
Building/Program                                                Count Date

Instructions: Complete the following for all pupils enrolled in Work Based Education Learning CTE and Non-CTE Program, Work
Based Education Learning State-Approved Career and Technical Education Programs. Access this link for a types of programs:
http://www.michigan.gov/documents/5P-attachment_100278_7.pdf
                                                                      Requirements to be verified by Oakland Schools

                                                                                       Training Plan
                                                                                         Skills aligned
                                                                                            w/EDP and if
                                                                  Training Agreement        unpaid, new
                                                                   Start & end date        skills every 45
                                                                   Workers comp            hrs.
                                               CTE or                and general         Responsibility      ≤ 0.50   Atten-
                                               Non-     WBE          liability ins       Safety inst         FTE      dance       Cr toward   Monitor
                                                                   Signatures           Related inst        in       signed by   h.s.        every 9
Pupil’s Legal Name                  Grade      CTE      FTE        Job activities       Signatures          WBE      employer    diploma     weeks



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Authorized Signature                                                                          Date
Revised 8/07                                              WSBLSE
                            Work Site Based Learning—Special Education

District                                                         School Year
Building/Program                                                 Count Date

     None of our pupils are enrolled in Work Site Based Learning.
     The pupils listed below are in Work Site Based Learning and meet the requirements.

                                                pupils enrolled be verified by Oakland Schools
INSTRUCTIONS: Complete the report below for allRequirements to in Work Site Based Learning Special
Education programs.



                                                                         Training Plan
                                                                           Skills aligned
                                              Training Agreement            w/EDP or IEP
                                               Start & end date           Responsibility               Atten-     Monitor
                                               Workers comp and           Safety inst.        ≤ 0.50   dance      every
                                      Work      general liability ins.     Related inst. (if   FTE in   signed     30
Pupil’s Legal Name            Grade   Site     Signatures                  applicable)         work     by emp     calendar
                                      FTE      Job activities             Signatures          based    or coord   days


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Authorized Signature                                                                 Date




Revised 8/06                                          WSBLSE

								
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