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									                      Table of Contents CMS Forums Manual
                                      Online
(a) 0-TABLE OF CONTENTS
(b) Section 1 - COMMUNITY RELATIONS AND PUBLIC INFORMATION
                  1200 - Emergency Evacuation Plan - Hold Harmless Letter
                  1111.12 - Standard Photographic Release
                  1241 - Volunteer Profile
                  1242 - Volunteer Reference Inquiry
                  1244 - Volunteer Screening Sheet
(c) Section 2 - ADMINISTRATIVE OPERATIONS
                  2100 - School-Based Waiver Form
                  2101 - School-Based Waiver Form Example
                  2463 – Forms Request 02/03
                  2600.1A - Notification for Working Extended Employment
                  2600.1B – Extended Employment Error Request 8/99
                  2600.1 - Request for Approval of Extended Employment for Teacher-Level
                    Positions
                  2600.2 - Request for Approval of extended Employment for Hourly Employees
                    and Assistant Principals
                  2600.3 - Sign-In Timesheet for Employees Working Extended Employment
                  2600.4 FLSA Volunteer Waiver Form - Non-Exempt Employees
                  2600 - Directions for Extended Employment
(d) Section 3 NON-INSTRUCTIONAL DEPARTMENTS
      ACCOUNTING DEPARTMENT
              Position Exchange and Request for Position(s)
                          3415.2 – Position Exchange Information
                          Request for Position
               3326.2 - Commission or Other Compensation Check Request
               3415.1 - Budget Transfer Request (Blue Paper)
               3432.3 Expense Report REV 06
               3432.4 - State and Federal Funds Travel Expense Authorization Excess
                  Subsistence REV 06
               Instruction for 4133.1 & 4133.2
               4133.1 AND 4133.2 In-County and Extra Activity Mileage Sheets
               New Mileage Reimbursement Rate
               Updated Expense Report 9/2008
 Budget Department
          3423.3 Expense Report Form 11/07
          Balanced Scorecard Training Presentation
          Budget 2001-2002 Instructions
          Budget Narrative Form
          Department Worksheet
          Detail by Category Worksheet
          Division Balanced Scorecard Form
          Division Worksheet
          Example 1 Spreadsheet
          Example 2 Spreadsheet
          Example 3 Spreadsheet
          Position Form
          Updated Expense Report Form 9/2008
   Business System Technology




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            3423.3 Expense Report Form 11/07
            Balanced Scorecard Training Presentation
            Budget 2001-2002 Instructions
            3702 – Lawson Portal User Maintenance Request
            3703 – Lawson Appropriate Use Requirements
            Vendor Location Information 2/23/2006
     Capital Assets (Fixed)
         3509.1A School Property Loss Report
         3509.1B Break-In Theft and Vandalism Report
         Capital (Fixed) Assets Additions To Inventory
     CONTRACTS
         2500 NEW CONTRACT FORM REV 10/08
     Federal and State Compliance
         Exceptional Children - 504 of the Rehabilitation Act of 1973
     Project Management /Key Budget Initiative Management
         3000.1 - Project Charter
         3000.2 - Systemic Project Plan
         3000.3 - Monthly Project Management Report
         3000.4 - Change Order for PMOC Projects
         3000.5 Project Management Booklet
         3000.6 Project Schedule Template
         3001.1 - Key Budget Initiative Charter
         3001.2 - Key Budget Initiative Monthly Management Report
     Safety Department
         3532.2A General Liability Form - Accidents
         3532.2 - CMS/Supervisor's Accident Evaluation
         4118.8 Hepatitis B Declination
         5141.1 Student Accident Report
     Technology Services
         3510.2 - CMS Administrative Computer Request Form
         3510.3 - Technology Services Applications Development Work Order
         6160.2 - Request for Internet Access Administrative Staff Only
     Transportation Department
         3541.52 - Transportation Service Request Form
(e) Section 4 - HUMAN RESOURCES
         4117.34A – HR – Office Support Matrix
         4117.47A – HR – Supervisory Matrix
         4117.47 – HR Supervisory Form
         4117.8 – HR Supervisory Form
         4233.5 – Non-Exempt Employee Weekly Timesheet
         4233.8 – Payroll Correction Form
         Exempt Performance Evaluation FAQs
         4117.17 – Performance Appraisal Instrument Document
         Exempt Employee – Performance Evaluation Process - Weblink
     Appraisals/Observations - Licensed Positions
         4117.00F - Mentor Observation/Visit Form
         4117.00M - Mid-Year Appraisal - North Carolina Performance Appraisal System
         4117.00PLN - Initial Licensure Program Mentor Plan




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   4117.00R - Response to Formative Observation Data Analysis
   4117.01B - Senior Management Appraisal Instrument
   4117.02B - Senior Management Mid-Year Appraisal Instrument
   4117.8 - Senior Manager Appraisal Matrix
   4190 - Principal Mid-Year Assessment rev 1/03
   4117.02G - Action Plan Template for Licensed Employees
   4117.01 - Professional Performance Evaluation
   4117.02H - SAMPLE Action Plan for Licensed Employees
   Verification of Ability to Impact Student Learning Form SPII
     Assistant Principal
                  4117.06A - Formative Observation Data Analysis-Assistant Principal
                  4117.06B Assistant Principal Performance Matrix
                  4117.06M Final Assistant Principal Mid-Year evaluation
                  4117.06 - Performance Appraisal Instrument-Assistant Principal
                  4163 - Experienced Assist. Principal Growth Plan
     Audiologist
                  4117.24A - Formative Observation Data Analysis-Audiologist
                  4117.24 - Performance Appraisal Instrument-Audiologist
     C&I and Instructional Excellence
                  4118.02 - C & I Hourly Form
                  4118.03 - C & I Hourly Matrix
                  4118.04 - C & I Professional and Supervisory Matrix
                  4118.05 - C & I Supervisory Form
                  4118.18 – C&I Professional Form
     Career Development Coordinator
                  4117.02cdc - Career Development Coordinator Appraisal System
     Content Coaches and Mentors
                  4119.10 - Academic Content Coach and Mentor - Evaluation Form
                  4119.11 - Academic Content Coach and Mentor Matrix
     Coordinating Teacher/Facilitator – Literacy/Academic
                4117.25A - Formative Observation Data Analysis-Coordinating Teacher
                4117.25 - Performance Appraisal Instrument-Coordinating Teacher
     Coordinator
                  4117.17 – Performance Appraisal Instrument Document
                  4117.17A - Formative Observation Data Analysis-Coordinator
                  4164 - Experienced Coordinator Growth Plan
     Counselor
                  4117.04A - Formative Observation Data Analysis
                  4117.04B SCHOOL COUNSELOR PERFORMANCE APPRAISAL
                     (Middle School)
                  4117.04C - School Counselor Performance Appraisal (High School)
                  4117.04 - Performance Appraisal Instrument-School Counselor
                  4166 - Experienced School Counselor Growth Plan
     Industry Education Coordinator
                  4117.20A - Formative Observation Data Analysis-Education
                     Coordinator
                  4117.20 - Performance Appraisal Instrument-Education Coordinator
     Media Coordinator




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             4117.05b Media Coord FODI (data instrument)
             4117.05 - Performance Appraisal Instrument-Media Specialist
             4165 - Media Specialist Growth Plan
   Pre-K Teacher
             4117-02PK - Formative Observation dta Analysis Pre-K Teacher
             4117.26MOD - Modifications for using TPAI for PRE-K
             4117.26 – Pre-K Teacher Performance Appraisal System
   Principals
             4190 - Principal Mid-Year Assessment rev 1/03
             4191 Performance Matrix for Principal
             4192 Prepare for Greatness - Principal Appraisal Worksheet
             4193 End-Of-Year Performance Appraisal
             4194 Individual Growth Plan for Principal
             Evaluation Rubric
             Evaluation Rubric Example
             Goal Setting Worksheet
             Goal Setting Worksheet Example
             Mid-Year Evaluation Form
             Process Documentation Form
             Rubric Self Assessment Form
             Summary Evaluation Worksheet
             Summary Goal Form
             Summary Rating Evaluation Form
   Psychologist/Student Services Specialist
             4117.09A - Formative Observation Data Analysis-School Psychologist
             4117.09 - Performance Appraisal Instrument-School Psychologist
             4167 - Experienced School Psychologist Growth Plan
             4170 - Experienced Student Services Specialist Growth Plan
             4117.10 - Student Services Specialist Appraisal
   Social Worker
             4117.08A - Formative Observation Data Analysis-School Social
               Worker
             4117.08 - Performance Appraisal Instrument-School Social Worker
             4168 - Experienced Social Worker Growth Plan
   Speech Clinician
             4117.07A - Formative Observation Data Analysis Speech Language
               Clinician
             4117.17 - Performance Appraisal Speech - Language Clinician
             4169 - Experienced Speech Clinician Growth Plan
   Supervisor
             4117.19A - Formative Observation Data Analysis-General Supervisor
             4117.19 - Performance Appraisal Instrument-General Supervisor
   Teachers
             4117.02I - Informal Observation Instrument
             4160 - Beginning Teacher Individualized Growth Plan
             4161 - Experienced Individual Growth Plan
             4175 and 4176 - Pre-Conference Questions & Forms
             4177 - TPAI - Snapshot (Short Version)




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                     4179 - TPAI - Snapshot (Long Version)
                     Beginning Teacher Matrix of Data Sources (state Form) April 04
                     4117.00RA - Employment Recommendation for Non-Tenured
                      Employees - 03/2001
                  4117.02ExpSum - Experienced Teacher Summative Evaluation Form
                  4117.02ExpForm - Formative - Experienced Teacher
                  4117.02A - Formative Observation Data Analysis-Teacher
                  4117.00I - Formative Observation Data Instrument
                  4117.00PLN - Initially Licensed Teacher Mentor Plan
                  Recommendation for a Standard Professional II License
                  4171 - Teacher Performance Appraisal Instrument Observation report
                  4117.02 - Teacher Performance Appraisal System
                  4117.00F - Teacher TPAI - Checklist
                  4117.02F - TPAI Full Review- experienced Teachers
 Appraisals- Non-Licensed Positions
                  4117.34A – HR Office Support Matrix
                  4117.34 – HR Office Support Form
                  4117.47A – HR – Supervisory Matrix
                  4117.47 – HR – Supervisory Form
                  4117.8 – Senior Management Appraisal
                  Exempt Performance Evaluation FAQ’s
                  Hourly Employee Performance Appraisal Hourly Evaluation Form –
                      12/2009
                  Senior Manager Rating Scale
      Alternative Education
                  4117.50A BMT, Campus Security Associate, First Class Physical
                      Trainer - Hourly Matrix
                  4117.50 BMT, Campus Security Associate, First Class Physical
                      Trainer - Hourly Evaluation Form
                  4117.51A Lead Campus Security Associate - Supervisory Matrix
                  4117.51 Lead Campus Security Associate - Supervisory Evaluation
                      Form
                  4117.52A - Alternative Education - Professional Evaluation Form
                  4117.52 - Alternative Education Professional and Supervisory Matrix
                  4117.52B - Alternative Education - Supervisory Evaluation Form
      ASEP
                  4117.36 - ASEP Assistant Hourly Evaluation
                  4117.36A - ASEP Associate Hourly Evaluation
                  4117.36B - ASEP Site Coordinator Supervisory Evaluation
      Assessment
                  4118.10 Assessment Professional Form
                  4118.11 Assessment Professional and Supervisory Matrix
                  4118.12 Assessment Supervisory Form
      Athletics
                  4117.35A Athletics Professional Matrix
                  4117.35 Athletic Professional Planning and Evaluation Form
      Building Services
                  4118.30A - Building Services - Professional Evaluation Form




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             4118.30B - Building Services - Supervisory Evaluation Form
             4118.30 - Building Services - Professional and Supervisory Matrix
   C&I and Instructional Excellence
              4118.02 - C & I Hourly Form
              4118.03 - C & I Hourly Matrix
              4118.04 - C & I Professional and Supervisory Matrix
              4118.18 - C & I Professional Form
              4118.05 - C & I Supervisory Form
   Child Nutrition
             4117.30a - Child Nutrition Hourly Matrix
             4117.30b - Child Nutrition Professional Evaluation Form
             4117.30c - Child Nutrition Professional Matrix
             4117.30 - Child Nutrition Employee Evaluation Sheet
             4117.30d - Child Nutrition Supervisory Evaluation Form
             4117.30e - Child Nutrition Supervisory Matrix
             4117.30f - Child Nutrition Cafeteria Manager Evaluation Form
   CMPS and Office of Strategic Partnerships
             4117.80 - CMPS and Office of Strategic Partnerships - Professional
                 Evaluation Form
             4117.81 - CMPS and Office of Strategic Partnerships - Professional
                 Matrix
   Content Coaches and Mentors
             4119.10 - Academic Content Coach and Mentor - Evaluation Form
             4119.11 - Academic Content Coach and Mentor Matrix
   Education Office Personnel
             4117.34A - Evaluation of Educational Office Personnel- Matrix
             4117.34 Evaluation of Education Office Personnel - Evaluation Form
   Exceptional Children
             4117.32a - Exceptional Children Hourly Matrix
             4117.32b - Exceptional Children Professional Evaluation Form
             4117.32c - Exceptional Children Professional Matrix
             4117.32d - Exceptional Children Supervisory Evaluation Form
             4117.32e - Exceptional Children Supervisory Matrix
             4117.32 - Exceptional Children Hourly Evaluation Form
   Federal and State Program Compliance
             4117.15A - Federal and State Compliance Professional Evaluation
                 Form
             4117.15B - Federal and State Compliance Professional Matrix
             4117.15C - Federal and State Compliance Supervisor Evaluation
                 Form
             4117.15D - Federal and State Compliance Supervisor Matrix
   Finance
             4118.06 Finance Hourly Matrix
             4118.07 Finance Hourly Form
             4118.08 Finance Professional and Supervisory Matrix
             4118.09A Finance Supervisory Form
             4118.09 Finance Professional Form




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 Graphic Production
            4117.40A - Graphic Production Hourly Matrix Form 3/04
            4117.40 - Graphic Production Hourly Planning and Evaluation Form
            4117.41A - Graphic Production Supervisory Matrix Appraisal Form
            4117.41 - Graphic Production Supervisory Planning and Evaluation
               Form
 HR Exempt Evaluation Forms
            4117.34A – HR – Office Support Matrix
            4117.34 – HR – Office Support Form
            4117.47A – HR – Supervisory Matrix
            4117.47 – HR – Supervisory Form
            4117.8 – HR Supervisory Form
            Exempt Performance Evaluation Form FAQs
            Exempt Performance Evaluation Memorandum & Instructions
            Exempt Employee – Performance Evaluation Process - Weblink
 Human Resources
            4117.46A - HR Hourly Matrix Appraisal Forms
            4117.46 - HR Hourly Planning and Evaluation Form
            4117.45A - HR Professional Matrix Appraisal Form
            4117.45 - HR Professional Planning and Evaluation Form
            4117.47A - HR Supervisory Matrix Appraisal Form
            4117.47 - HR Supervisory Planning and Evaluation Form
 Instructional and Non Instructional School-Based Assistants
            4117.11B - Instructional Teacher Assistant Matrix
            4117.11 - Instructional Teacher Assistants
            4117.11C - Non-Instructional Teacher Assistant Matrix
            4117.11A - Non-Instructional Teacher Assistants
 Maintenance
            4117.37A - Maintenance Hourly Matrix
            4117.37 - Maintenance Hourly Planning and Evaluation Form
            4117.43A - Maintenance Supervisory Matrix Appraisal Form 3/04
            4117.43 - Maintenance Supervisory Planning and Evaluation Form
 PDF Versions
            4116 - Principal Appraisal Instrument
            4117.15 - Elementary FLES Associate Performance Appraisal
            4417.02ExpSum - Summative - Experienced Teacher
 Planning
            4118.40A - Planning - Hourly Evaluation Form
            4118.40B - Planning - Professional Evaluation Form
            4118.40 - Planning - Hourly and Professional Matrix
 Public Information
            4117.76 - Public Information Matrix Form
            4117.79 - Public Information Professional Form
            4117.77A - Public Information Supervisory Form
            4117.77 - Public Information Supervisory Matrix
 School Law Enforcement
            4117.39D - School Law Enforcement Hourly Matrix




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                  4117.39 - School Law Enforcement Hourly Planning and Evaluation
                   Form
                4177.39A - School Law Enforcement Professional Appraisal Form- rev
                   3/04
                4117.39C - School Law Enforcement Professional Matrix Appraisal
                   Form
                4117.39B - School Law Enforcement Supervisory Appraisal Form - rev
                   3/04
                4117.39E - School Law Enforcement Supervisory Matrix
      Storage and Distribution
                4117.75 - Storage and Distribution Hourly Appraisal Form 3/04
                4117.75A - Storage and Distribution Hourly Matrix
                4117.78A - Storage and Distribution Supervisory Appraisal Form
                4117.78 - Storage and Distribution Supervisory Matrix
      Student Placement
                4118.12 Student Placement Hourly Form
                4118.13 Student Placement Hourly and Professional Matrix
                4118.14 Student Placement Professional Form
      Student Services Management
                4117.12A Student Services Management Hourly Matrix
                4117.12B Student Services Management Professional Evaluation
                4117.12C Student Services Management Professional Matrix
                4117.12D Student Services Management Supervisory Evaluation
                4117.12E Student Services Management Supervisory Matrix
                4117.12 Student Services Management Hourly Evaluation
      Technical Theatre and Performance Facilities
                4119.20A - Professional Evaluation and Planning Form
                4119.20 - Professional Matrix Form
      Technology
                4118.00 Technology Professional and Supervisory Matrix
                4118.01 Technology Supervisory Form
                4118.15 Technology Hourly Form
                4118.16 Technology Hourly Matrix
                4118.17 Technology Professional Form
                4118.20 Technology Associate Form
                4118.21 Technology Associate Matrix
                4118.75 - Instructional Technology - Professional Evaluation Form
                4118.76 - Instructional Technology - Professional Matrix
      Transportation
                4217.3 - Transportation Bus Driver Hourly Evaluation
                4217.3A - Transportation Hourly Evaluation
                4217.3B - Transportation Hourly Matrix
                4217.3C - Transportation Professional Evaluation
                4217.3D - Transportation Professional Matrix
                4217.3E - Transportation Supervisory Evaluation
                4217.3F - Transportation Supervisory Matrix
 Compensation
         4130.1 Stipends-Professional Development/Staff Development - Participant




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              4130.2 Stipends - Professional/Staff Development - Instructor
              4140.2A Application for Voluntary Shared Leave
              4140.2B Donor Leave Form
              4233.1A Building Services Admin Staff Overtime Request and Authorization
               Sheet
           4233.2A Custodial - Verification of Custodial Overtime Approval
           4233.3A Custodial Overtime and Extra Time Payroll - Spanish
           4233.4 Compensatory Time record
           4233.5 Non-Exempt Weekly Blank Timesheet
           4233.6 Compensatory Time Agreement
           4233.7A Maintenance Overtime Authorization Sheet
           4233.7B Building Services Non-Exempt Employee Weekly Time Report -
               Spanish
           4240.1A FMLA Acknowledgement Form
           433.2 Custodian Overtime & Extra Time Payroll - English
           Bus Driver/Monitor Weekly Time Report
           Family Medical Leave Act (FMLA) Policy
           Flexible Spending Account Reimbursement Form
           4142.5 - Honorariums - Payment of Honorariums
           4233.1 - Overtime Request Form
           Parental Leave Information
           Qualifying Event Rules
           4141.01 - Request to Leave Early Form
           State Health Plan ID Cards Request Form
           4140.2C - Voluntary Shared Leave -PY Information Form
           4121.2 - Workers Comp - NCIC Employer's Report of Injury to Employee
               Attachment A - Employee's Statement
           4141.01 – Request To Leave Early Form
           4233.8 – Payroll Correction Form
   Employee Information - general
          4112.13 - Staff Emergency Contact Information
   Employee Relations-
           4219.a - CMS Employee Work Performance Counseling Form
           4300.3 - Correction Action Form
           4300.1 - Corrective Action Form Directions
           4300.4 - Corrective Action Form Guide
           4300.2 - Corrective Action Form Journal
           4219 - Disciplinary Notice to School Bus Driver Suspension or Termination
           4115.5 - Internal Personnel Action Form
           4118.1 - Performance Prior to Formal Disciplinary Action
   Employment Documents
           4117.00RA - Employment Recommendation for Non-Career Employees
           Job Write-Up
           Senior Management Job Write-Up
   Employment Status Change
           4119.3 - CMS Exit Packet Cover Letter
           4119.1A - CMS Exit Questionnaire
           4119.5 - Separation Packet/Supervisor's Release Form




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      Licensure/ license
                  4131.10 - Proposed In-service Activity
                  4131.19 - SDC Workshop Registration & Attendance Roster
                  08-09 Licensure Case Manager Assignment
                  Action Plan Sample
                  Action Plan Template
                  Mentor Pay Assignment 08-09
                  Praxis Reimbursement
      Substitutes
                  4123 - Employment of Long-Term Substitute on Approved Workdays
                  4122.1A - Substitute Application
                  4122.1 - Substitute Application - Cover Letter
                  4122.1B - Substitute Demographic Sheet
(f) Section 5 - STUDENT RELATED - General
          5119.11 – Application for Release from the Charlotte-Mecklenburg Administrative Unit
          5119.12A – Residency Affidavit
          5810 – Statement of Good Standing
          5118.1 – Student Withdrawal/Exit Form (Elementary/middle)
          5118.1 – Student Withdrawal/Exit Form (Elementary/middle) Spanish
          5118.1 – Student Withdrawal/Exit Form (Elementary/middle) - Vietnamese
      After School Enrichment Program
      Student Miscellaneous School Operations
             5135.2 - Fund Raising Report
             5162.00 – Think COLLEGE Talent Search Enrollment Application
      Parent Alerts/Attendance Reporting
          5123.12 - Principal's Notice of Unexcused Absences
          5123.12 - Principal's Notice of Unexcused Absences - Spanish
          5123.12a – Tardy Letter to Parents
          5123.12a – Tardy Letter to Parents - Vietnamese
          5123.12a – Tardy Letter to Parents - Spanish
          5123.13 - Prevention and Intervention Absentee Letter
          5123.13A - Prevention and Intervention Absentee Letter - Spanish
          5123.13B - CMS-DSS Beginning of Yr letter to Parents 7-20-06
          5123.14 - Letter to Parent on Unexcused Absences
          5123.14A - Letter to Parent on Unexcused Absences - Spanish
          5123.16A - Excessive Unexcused Absence Procedure Summary
          5123.16A - Excessive Unexcused Absence Procedure Summary - Spanish
          5123.16B - Compulsory Evidence Attendance Form
          5123.16B - Compulsory Evidence Attendance Form - Spanish
          5123.17A - Prevention and Intervention No Show/Withdrawn letter - Spanish
          5123.17D - Ten Day Statistical Report
          5123.17 - Prevention & Intervention No Show/Withdrawn letter
          5123.21 - Elementary Form to Request Absence for Valid Educational Opportunity
          5123.22A - Police Officer's Truancy Incident Report Form
          5123.22B - Parent Notification Letter for Truancy
          5123.24 - Truancy Home Visit Form
          5123.9 - Teacher 3 Day Attendance Letter
          5123.9 - Teacher 3 Day Letter - Spanish




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   5123.9 - Teacher 3 Day Attendance Letter - Vietnamese
 Progress Reports
   5128.1 - Student Accountability Standards K-12 Agreement
   5128 - Parent Notification of 5th Grade Student Performing Below Grade Level
 Student Accountability Forms
   5124.1 - Student Financial Obligation
   5130.00 - Graduation Waiver
   6165.3Z - Student Required Exit Interview Form
   5130.2 - End of Year Summary Report
   5210 - Quarterly READING Assessment Results
   5209 - Quarterly MATH Assessment Results
   5130.1 - Review Committee Reporting Form
   5211 - WRITING
 Student Activities
   Study Abroad
           10 Steps to Studying Abroad
           Graduation Contract for Study Abroad
           Study Abroad Prior Approval Form
   5302 FIELD TRIP - Checklist for CMS-Sponsored Overnight Travel
   5303 Permission slip opposite sex 4-26-04
   6153.4 - FIELD TRIP - Class Trip Student Permission Form
   5300, 5301 and 5302 - FIELD TRIP - LETTER TO PRINCIPALS instructing use of
      forms
   5300 - FIELD TRIP - Notice, Permission and Release Form
   5301 - FIELD TRIP - Required Addendum to Contract for Travel-related Svcs
   CMS Release Agreement – Long Term Travel
   Field Trip – Letter to Principals – instructions of use of forms
 Student Conduct - Bus
 Student Conduct - Drugs, Tobacco, Alcohol
   5131.2E - Approval/Voucher for School-Based Tobacco Education Program
   5131.6A - Letter to Parent-Referral for a Drug & Alcohol Screening due to a Drug &
      Alcohol Violation
   5131.6 - Drug, Alcohol or Weapon Offense Report
 Student Conduct - Suspension
   5131.7L - Request for Conference and Appeal of Suspension (Parent request to
      Principal)
   5131.7M - Request for Appeal of Suspension to the Regional Asst. Superintendent for
      QA
   5131.7N - Regional Assistant Superintendent Review of Appeal of Suspension of
      Student
   5800 - Report of School Suspension
 Student Medical/Health Related
   5120.20 - Fingerprint Consent Form (Student fingerprinting offered by PTA)
   5120.5b Health Room Pass
   5120.6A - Cover Letter for Authorization for Medication for Students
   5120.6 Authorization of Medication and Self-Medication for Students
   5120.6C - Authorization for Treatment/Procedure at School
   5120.6C-SP - (Spanish) Authorization for Treatment/Procedure at School




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     5120.6D - Doctors Order Severe Food Allergy
     5120.6E - Open Airways for Schools Program Consent Form For Parents of Children
      with Asthma
   5120.6F - Medication Check-In Log
   5120.6G - Incident Report-Medication Administration
   5120.6-SP - (Spanish) Page 2 - Authorization of Medication and Self-Medication for
      Students
   5120.6-SP - (Spanish) Page 1 - Authorization of Medication and Self-Medication for
      Students
   5120.7A - Physician's Order - Emergency Procedure for use in Insect Stingss
   5120.7 - Statement/Release-Allergic Reaction to Stinging Insects
   5120.8A - Letter to Parents-Head Lice in Classroom
   5120.8A – Letter to Parents-Head Lice in Classroom Spanish
   5120.8B - Letter to Parents-Child Has Head Lice
   5120.8B-SP (Spanish Version) - Letter to Parents-Child Has Head Lice
   5120.8 - Letter to Parents-Head Lice in School
   5120.9 - Teacher Referrals to Nurse
   5120.H - Doctors Order Tube Feeding in School
   51206.A-SP (Spanish Version) - Med 4-Medication Policy Letter
   5122.INS – Kindergarten Health Assessment Instructions & Parent Survey
   5122 – Kindergarten Health Assessment – Print on Blue Paper
   English - NC Certificate of Immunization Status
   Immunization Requirements for School Entry 2008
   Immunization Requirements for School Entry 2008 Spanish
   Notice of Deficiency K-12 English - 2008
   Notice of Deficiency K-12 Spanish - 2008
   Notice of Deficiency PreK English - 2008
   Notice of Deficiency PreK Spanish - 2008
 Student Placement/Assignment
   5118.1 - Secondary School Transfer/Withdrawal Form
   5119.11 - Application for Release from the Charlotte-Mecklenburg Administrative Unit
   5119.12A - Statement of Domicile
   5119.12 - Education Power of Attorney
   5810 - Statement of Good Standing
 Student Prevention/Intervention
   FBA-BIP CMS Formatted Adaptation 1
   IT Form with Confidential Stamp
   IT Form without Confidential Stamp
   Suicide Risk Assessment Form
 Student Records/Promotion Letters/Testing
   5125.19 - Sample Letter for Excluding ESL Students from System Wide Testing
   5125.20A - ESL Student Testing Exclusion Form (NC End-of-Writing Assessment)
   5125.20B - ESL Student Testing Exclusion Form (NC End-of-Grade Test)
   5125.20C - ESL Student Testing Exclusion Form (NC Competency Test)
   5125.21 - Consent for ESL Student Exclusion from Competency Testing
   5125.22 - Student Accountability At-Risk Letter
   5125.23 - Student Accountability Intervention Plan
   5125.8 - Letter to Parents-Competency Testing




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            5127.2 - Parent/Guardian Petition for Release of a Minor Applicant to an Alternative
             Education Assignment
         5128.00 - Office Referral Form
         Elementary and MS Combined Data Collection Form
         High School Combined Data Collection Form
     Student Registration
         5110.1C - New Enrollment Immunization Compliance List
         5110.1D - Non-Compliance List for Physical Exams and Immunizations
         5110.1E - Letter to Parents-Kindergarten Health Assessment and Immunization
             Requirements
         5110.1F - Letter to Parents - Student Suspension due to Immunization Non-
             Compliance
         5110.1G - Immunizations Letter
         5110.2A - Parental Consent for Non-Immigrant Student
         5110.2B - Obligation of Sponsor of Non-Immigrant Student
         5110.2 - Letter to Parents Concerning Registration at International Center
         5110.3 - Parent's Statement Regarding Refusal to Allow Language Dominance
             Assessment of Student
         5110.4 - International Center-Grade Placement
         5110.5 - International Center - Statement of Educational Status
         5110.6 - Beginner's Day Letter Spanish
         5110.1 - Student Registration Form
     Student Scheduling
         5121.14 - SOCRATES Master Schedule
         5121.15 - SOCRATES Class Assignment Requests
         5121.16 - SOCRATES Free-Time Requests
         5121.17 - SOCRATES Student Homeroom / Abilities Update
         5121.18 - SOCRATES Courses Worksheet
         5121.6 - Room Identifier List (SOCRATES)
         5121.8 - Instructor Resource List (SOCRATES)
         5220 - New Course Proposal
         SOCRATES Final Reports Request
         SOCRATES Specification Sheet
(g) Section 6 - CURRICULUM AND INSTRUCTION
         RE1 – Focus of Concern
         RE 2 – HCA Exceptional Children – Invitation Letter
     Curriculum Specific Forms
           Keyboarding
                    6110 - Keyboarding 5th Grade Skill Checklist
           Mathematics
                    6144.40A – Mathematics K-2 Summative Profile
                    6144.40E – Mathematics K-2 Summative Profile Supplement First Grade
                        Goals & Objectives
                    6144.40D – Mathematics K-2 Summative Profile Supplement
                        Kindergarten Goals and Objectives
                    6144.40F – Mathematics K-2 Summative Profile Supplement Second
                        Grade Goals & Objectives
                    6144.40G – Mathematics K-2 Summative Profile Supplement Third
                        Grade Goals & Objectives




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              Performing Arts
                         6162.5 - Band Instrument Disclaimer Form
              Reading
                         6144.47 - Phonemic Awareness and Decoding Assessment Record
                         6144.48 - Phonemic Awareness and Decoding Assessment Record -
                            Decoding Assessments
                         6144.46 - Phonics Progress Chart K-2
                         6144.49 - Reading Comprehension Record - Individual Assessment
                         6010 - Reading List Parent Permission 2/03
              Writing
                         5210.0K-2 – Writing Continuum Directions
                         5210.0K-2 – Writing Proficiency Continuum
                         5210.1K-2 – Writing Assessment Rubric
      Student Services
      Textbooks
              2124.2 - Teacher Textbook Accountability
              2124.3 - Department Textbook Master Count
(h) Section 7 - Instructional Accountability (Testing)
(i) Section 8 - SPECIAL PROGRAMS AND SERVICES
      Communities in Schools
             6165.53 - Communities in Schools -High Risk Checklist
      Exceptional Children
          6164.10 Exceptional Children Hearing Screening
          6164.12 Exceptional Children Vision Screening
          6164.14 Exceptional Children - Physician's report - Other Health Impaired
          6164.41 Exceptional Children Educational Summary
          6164.62 Exceptional Children - Speech Language Diagnostic
          6164.99P Exceptional Children Pre-School Database Update
          6164.pso Exceptional Children - Preschool Observation
          6164-41p Exceptional Children - Preschool Educational Summary
          Exceptional Children Dept - Tools for Effective IEP Meetings
          S100.01 - Exceptional Children Private School Parent Acknowledgement of
             Reevaluation Request
      Performance Learning Center
          HS Counselors
              Counselor Forms to be completed after passing BASI Test
                   Counselor Application Guidelines
                   PLC Invitation to Apply Letter
                   PLC Student Application For Admission
                   PLC Counselor Admission Referral Form
              Application Process Step by Step
              BASI Referral Form
              Fast Facts
              General Overview
              PLC Student Objectives
      Pre-K, Pre-School
          6169.17 - Pre-Kindergarten Children-Transportation Agreement for
          6169 - Pre-Kindergarten Program Discipline Plan




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          6170.2F - Preschool Eligibility Record Title I, ESEA
          6169.17A - Preschool -Transportation Notice for the Preschool Child
      Talent Development
          TD1R - Talent Development 1R
          8005 - Talent Development Program Invitation to Conference/Prior Notice
          8003 - Talent Development Program Prior Notice and Parent/Guardian Consent for
             Evaluation
          TD3R - Talent -Summary of Evaluation Results/Eligibility/Recommendation/Consent
             for Services
          8001.A TD Order Procedure
          8005.1 TD Program Notification of Results
(j) Section 9 - Teacher Supplies and Materials
(k) Section 10 - Instructional Materials, Guides, and Resources
      Media Services
             6005 - Video Usage Permission Form
             6001 Fees Owed Form
             6604 – Citizen’s Request for Reconsideration of Library Media Center &
                  Supplementary Instructional Materials
      C&I
             ES Instructional Material Standards
             MS Instructional Material Standards
             HS Instructional Material Standards
(l) Section 11 - NON-Instructional Manuals, Guides, Books and Materials
      Inventory Management
              1st Semester Textbook Audits 05-06
              2005-2006 Textbook Contacts
              2nd Semester Textbook Audit Schedule 05-06
              ES Instructional Material Standards
              HS Instructional Material Standards
              Instructional Material Standards Manual
              MATERIALS STANDARDS UPDATE PROCEDURE
              MMIS (Material Management Inventory System) Manual 06-07
              MMIS Tracked Inventory Audit Schedule
              MS Instructional Material Standards
              MMIS Tracked Inventory Audit Schedule
              MMIS Training Dates
              School MMIS Coordinators Contact Listing
              Textbook Manual
              Year End Confirmation
      Quality Department
         Quality Excellence Award Nomination Form
(m) Section 12 - State Forms - Quick Reference
      DPI Templates
              2001-02 Disciplinary Data Collection Form
              2001-02 Discipline Data Form Instructions
              2002-03 Disciplinary Data Collection Form
      Kindergarten Health Assessment
         5122.INS K Health Assessment Instructions and Parent Survey




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        5122 – K Health Assessment
(n) Section 13 - Student Activity Report ( SAR) Forms
          SAR A/B Week Matrix Worksheet - Pink Sheet
          SAR Master Schedule
          SAR Meeting Time Matrix - Blue - Period 1 Starts on the Hour
          SAR Meeting Time Matrix Worksheet (Half hour - Green)
          SAR Part-time Assistant List
          SAR Resource Teacher Pullout Roster
          SAR Resource Teacher Schedule
(o) Section 14 - SUPPLY SERVICES
          ICDINV010 AIJ Warehouse Discontinued Items Report
          ICDINV020 Discontinued Inventory Items Alpha List
          ICDINV030AIJ Warehouse Alpha List
          ICDINV270AIJ Non-Discontinued Item List
(p) Section 15 - Graphics
        CMS Logo Black JPG Image
(r) Section 16 - CMS Board of Education
        II.A. Agenda Item Blank Document
DELETED FORMS
              4117.71 - Occupational Therapist Performance Appraisal Instrument
              4117.72 - Physical Therapist Performance Appraisal Instrument
              4193 Principal Appraisal Instrument
              5123.15 - CMS Notice of Excessive Absences to District Attorney
              5800 - Report of School Suspension
              Deleted Forms Listing(from hardcopy manual)
      New Contract Forms Applicable for 2001-2002 3.1
          2500.1 New Contract Control Sheet POTENTIAL OBSOLETE
          2500.2 New Contract Long Form (Greater than $750) (OBSOLETE FORM)
          2500.4 Contract Envelope POTENTIAL OBSOLETE
          2500.6 New Contract Short Form ($750 or less) (OBSOLETE FORM)
          Contract Reference Manual POTENTIAL OBSOLETE
          New Contract Procedures Manual - Appendices




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