WASHOE COUNTY SCHOOL DISTRICT Classified Personnel EMPLOYEE by irs18267

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									                                                WASHOE COUNTY SCHOOL DISTRICT
                                                       Classified Personnel
                                                 EMPLOYEE CONFIRMATION FORM

I, _______________________________________________, have received the following (please initial where appropriate):
         (Please Print Name)

          ________             Administrative Regulation on Drug-Free Environment
          ________             Americans with Disabilities Act - School Board Policy and Commitment
          ________             Classified Negotiated Agreement available at www.washoe.k12.nv.us/staff/negotiated.agreements
          ________             Driver Selection, Standards, Evaluation and Training Program
          ________             Employee Discipline (Administrative Regulation 4219)
          ________             Ethical Standards (Administrative Regulation 4111.4)
          ________             Family and Medical Leave Act Summary
          ________             Focus on Benefits
          ________             Performance Evaluation Procedure
          ________             School Board Policies and Administrative Regulations on Harassment and Sexual Harassment
          ________             Employee Network Rules of Acceptable Use
          ________             Payroll Beneficiary Form
          ________             Workers' Compensation - Questions and Answers
          ________             If eligible for group medical insurance, I am responsible for viewing video.
          ________             I have viewed the "Hazardous Communications Program" video.
          ________             I have read the pamphlet or viewed the videotape, entitled, "Workplace Safety: Your Rights and
                               Responsibilities" and I understand my rights and responsibilities for safety in the workplace.
           ________            I understand that if I do not select a PERS retirement plan within five (5) business days of today, the District
                               will select the Employee Paid Salary Schedule (schedule B) plan for my retirement benefit.
           ________            I understand and acknowledge that by signing below, IF in the future I transfer into a position with WCSD that
works less than twenty-five (25) hours per week, it is my responsibility to obtain a copy of the Washoe County School District Employee
Handbook For Classified Employees Regularly Scheduled To Work Less Than Twenty-Five (25) Hours A Week, and that I understand that
it provides guidelines and summary information about the District’s personnel policies, procedures, benefits, and rules of conduct. I also
understand that it is my responsibility to read, understand, become familiar with, and comply with the standards that have been established. I
further understand that the District reserves the right to modify, supplement, rescind, or revise any provision, benefit, or policy from time to
time, with or without notice, as it deems necessary or appropriate. I also acknowledge that both the District and I have the right to terminate
the employment relationship at any time, with or without cause or advance notice. I understand that this employment at will agreement
constitutes the entire agreement between me and the District on the subject of termination and it supersedes all prior agreements. I also
understand that, although other District policies and procedures may change from time to time, this employment at will agreement will
remain in effect throughout my employment with the District unless it is specifically modified by an express written agreement signed by me
and the Assistant Superintendent, Human Resources with the approval of the Superintendent of Schools. I further understand that this
employment at will agreement may not be modified by an oral or implied agreement. This Handbook may be viewed and obtained from the
WCSD's web site, which is located at www.washoe.k12.nv.us.
           ________            If working less than 25 hours per week: This is to acknowledge, by signing below, that I have received a copy
of the Washoe County School District Employee Handbook For Classified Employees Regularly Scheduled To Work Less Than Twenty-
Five (25) Hours A Week and that I understand that it provides guidelines and summary information about the District’s personnel policies,
procedures, benefits, and rules of conduct. I also understand that it is my responsibility to read, understand, become familiar with, and comply
with the standards that have been established. I further understand that the District reserves the right to modify, supplement, rescind, or revise
any provision, benefit, or policy from time to time, with or without notice, as it deems necessary or appropriate. I also acknowledge that both
the District and I have the right to terminate the employment relationship at any time, with or without cause or advance notice. I understand
that this employment at will agreement constitutes the entire agreement between me and the District on the subject of termination and it
supersedes all prior agreements. I also understand that, although other District policies and procedures may change from time to time, this
employment at will agreement will remain in effect throughout my employment with the District unless it is specifically modified by an
express written agreement signed by me and the Assistant Superintendent, Human Resources with the approval of the Superintendent of
Schools. I further understand that this employment at will agreement may not be modified by an oral or implied agreement.

By signing below, I acknowledge that I have received a copy of the documents initialed above. I also acknowledge that I am responsible for
being aware of and complying with the information contained in the above named documents.

____________________________________________                           __________________________
(Employee Signature)                                                           (Date)

____________________________________________                           __________________________
(Personnel Technician Signature)                                               (Date)




Date: 12/1/09, Rev. C                                               HR-F107                                                          Page 1 of 1

								
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