Forms and Documents Staff

Frequently Used Acronyms A List of Acronyms that are used frequently within the District.
STAFF FORMS
Check Google Docs for Updated Form

 

 

In-House Job Application

 

Request to advertise an open position within a department or school. Please submit to the district office.

 

Current Konocti Unified School District Employees may use this convenient online application to apply for current vacancies listed on Edjoin.org for which a transfer/reassignment request was NOT submitted prior to April 1st. Please submit a separate application for each position you are interested in. Applications must be received by 12:00 (noon) on the close date listed.

Change Request Complete this form and submit to the District Office if you have any changes. It is important that your current contact information and name are accurate in our records.
Facilities Use Form (District Office Use) Form for requesting the use of the District Office building for an event. Please submit the completed form to the district office for further processing.
Facility Use Application (School Facilities) Form for requesting the use of a School district facilities for an event. Please submit the form to the district office once proper approval has been obtained from the site.
Field Trip Approval Form to have your field trip approved
Leaves

 

Employee Assistance Program

The following is a list of Leave Forms/Information:FMLA Rights & Responsibilities FMLA Absence Request Form KEA Bargaining Agreement: Article VIII – LeavesKPA Bargaining Agreement: Article VI – LeavesCSEA Bargaining Agreement: Article III – Leaves

Employee Assistance Program – Anthem Blue Cross

Letter of Resignation Form Internal form for submitting a resignation or retirement request.
Report of Loss or Damage to District Property If an incident occurs in which damage to property or personal injury is involved, please immediately notify the District Office. Complete this report in its entirety and send to the district office within two days of the incident. District office staff will report to the district’s insurance company if appropriate.
Supervisor’s Report of Employee Injury From for an administrator to complete for an employee injury.
Employee Reimbursements Information on Employee Reimbursements
PARENT/STUDENT FORMS
2016-17 Notification to Parents and Guardians – English

2016-17 Notification to Parents and Guardians – Spanish

This packet is for your use as a parent or guardian to inform you of a variety of rights you possess as the parent/guardian of students in our school district.
Williams Uniform Complaint Form – English

Williams Uniform Complaint Form – Spanish

Education Code 35186 creates a procedure for filing of complaints concerning deficiencies  in instructional materials, teacher vacancy or mis-assignment, maintenance of facilities, and CAHSEE Prep.  The following form contains elements required by Education Code 35186.  You may return this form to your child’s school.
Inter-district Attendance Agreement School Board Policy 5117 provides information on this process. For students transferring out of the district, please go to the school district’s Welcome Center at 9800 Highway 53, Lower Lake, CA to complete this form.
Complaint Form
English | Spanish
General complaint form against an employee employed by the the district. Please submit to the district office.
Home & Hospital Instruction Physician’s Form School Board Policy 6183 – A student with a temporary disability which makes school attendance impossible or inadvisable shall receive individual instruction in the student’s home or in a hospital or other residential health facility, excluding state hospitals. A copy of the policy, as well as the form, is included in this document.
Student Accident Insurance

Student Accident Insurance Brochure – English

Student Accident Insurance Brochure – Spanish

Student Accident Insurance Claim Form

Information and Claim form for Student Accident Coverage
Readmission Application Form for Expelled Students who have completed their expulsion rehabilitation plan to ask for Readmission.

News

KUSD Schools Re-Open on Monday, Oct. 16, 2017

All Konocti Unified Schools will be re-opened on Monday, Oct. 16, 2017.  Schools and buses will run on their regular schedules. Konocti Unified School District ...

KUSD Update for Wednesday, Oct. 11, 2017

Konocti Unified School District is continuing to have school closure at all school sites for Wednesday, October 11th.  We plan on re-opening all schools except ...

All KUSD School Closed , October 9th & October 10th

All Konocti Unified School District Schools are closed Monday, October 9, 2017  and Tuesday, October 10, 2017 due to the wildfires.  Please stay safe.  We ...
parent-summit-pic

Coming Up: KUSD Parent Summit – October 14th, 2017

Mark Your Calendar On Saturday, October 14th, Konocti Unified School District (KUSD) will host a parent/guardian summit from 9am until 1pm at the ...

View All Recent News >>

Upcoming Events