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Alachua County Public Schools

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Human Resources Forms

24 Hour Meeting

24-Hour Meeting Notification - PER-2324-003.pdf

PER-2324-003 - 24-Hour Meeting Notification.pdf 283.21 KB (Last Modified on September 25, 2023)

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Record of Progressive Discipline - PER-2324-004.pdf

PER-2324-004 - Record of Progressive Discipline.pdf 155.12 KB (Last Modified on September 25, 2023)

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ADA

ADA Employee Self Referral - PER-2324-006.pdf

PER-2324-006 - American with Disabilities Act Employee Self Referral.pdf 156.82 KB (Last Modified on September 26, 2023)

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Request for Medical Status Evaluation Under ADA - PER-2324-005

PER-2324-005 - Request for Medical Status Evaluation Under ADA.pdf 225.13 KB (Last Modified on September 26, 2023)

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Certification

Application for a District Educators Certificate - PER-2425-004

Please call Michael Jacobi, 955-7721, for access to this form

PER-2425-004 - Application for a District Educators Certificate 1.pdf 280.34 KB (Last Modified on October 25, 2024)

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Certificate Application Fee Payroll Deduction - PER-2223-002

PER-2223-002 - Certificate Application Fee Payroll Deduction.pdf 134.99 KB (Last Modified on October 10, 2022)

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Demonstration of Subject Area Expertise Designation Request - PER-2324-007.pdf

Please call Human Resources for access to this form

PER-2324-007-Demonstration of Subject Area Expertise Designation Request Form - LOCKED.pdf 226.45 KB (Last Modified on September 26, 2023)

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Professional Education Competence Verification--PER-2425-003

PER-2425-003 - Professional Education Competence Verification.pdf 121.23 KB (Last Modified on October 25, 2024)

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Compassionate Leave Program

Compassionate Sick Leave Transfer Authorization - PER-021-005

PER-021-005 - Compassionate Sick Leave Transfer Authorization.pdf 301.19 KB (Last Modified on April 13, 2021)

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Compassionate Leave Program Physician's Statement - PER-021-006

PER-021-006 - Compassionate Leave Program Physicians Statement.pdf 142.51 KB (Last Modified on April 15, 2020)

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Compassionate Leave Program Application Form - PER-021-004

PER-021-004 - Compassionate Leave Program Application Form.pdf 200.69 KB (Last Modified on April 15, 2020)

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Current Employees

Employee Information Change Form - PER-2324-009.pdf

PER-2324-009 - Employee Information Change Form.pdf 155.97 KB (Last Modified on September 26, 2023)

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Grandfathered Instructional Change Form - PER-2425-001

PER-2425-001 - Grandfathered Instructional Change Form.pdf 173.8 KB (Last Modified on July 31, 2024)

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Pay Frequency - PER-2324-008.pdf

PER-2324-008 - Pay Frequency.pdf 198.58 KB (Last Modified on September 26, 2023)

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Personal Data Form - PER-2324-010.pdf

PER-2324-010 - Personal Data Form.pdf 174.62 KB (Last Modified on September 26, 2023)

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Supplement Performance Responsibilities (Template) - PER-2122-002.pdf

PER-2122-002 - Supplement Performance Responsibilities.pdf 150.19 KB (Last Modified on May 10, 2023)

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Drug-Free Workplace

Anti-Drug Program - PER-2324-011

PER-2324-011 - Anti-Drug Program.pdf 181.61 KB (Last Modified on September 27, 2023)

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Authorization for Medical Report and Records - PER-2324-012

PER-2324-012 - Authorization for Medical Reports and Records.pdf 134.54 KB (Last Modified on September 27, 2023)

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Self Report of Arrest - PER-2324-013

PER-2324-013 - Self Report of Arrest.pdf 147.67 KB (Last Modified on September 27, 2023)

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Self Report of Final Disposition - PER-2324-014

PER-2324-014 - Self Report of Final Disposition.pdf 145.93 KB (Last Modified on September 27, 2023)

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Employment

New Employee Checklist - PER-2324-028

PER-2324-028 - New Employee Checklist.pdf 194.02 KB (Last Modified on October 20, 2023)

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Scan-Copy Records Request - PER-2324-021

PER-2324-021 - Scan-Copy Records Request.pdf 178.85 KB (Last Modified on October 18, 2023)

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Verification of Experience--Non-Instructional - PER-2324-022

PER-2324-022 - Verification of Experience-Non-Instructional.pdf 174.73 KB (Last Modified on October 18, 2023)

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SAMPLE: Verification of Experience--Non-Instructional - PER-2324-022

PER-2324-022 - SAMPLE - Verification of Experience--Non-Instructional.pdf 181.02 KB (Last Modified on October 19, 2023)

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Verification of Teaching/Instructional Experience - PER-2324-023

PER-2324-023 - Verification of Teaching Instructional Experience.pdf 224.09 KB (Last Modified on October 19, 2023)

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SAMPLE: Verification of Teaching / Instructional Experience - PER-2324-023

PER-2324-023 - SAMPLE - Verification of Teaching Instructional Experience.pdf 226.73 KB (Last Modified on October 19, 2023)

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Extended School Year

ESP Application for Extended School Year - PER-2324-024

PER-2324-024 - ESP Application for Extended School Year.pdf 205.88 KB (Last Modified on October 19, 2023)

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Instructional Application for Extended School Year - PER-2324-020

PER-2324-020 - Instructional Application for Extended School Year.pdf 202.34 KB (Last Modified on October 18, 2023)

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FMLA - Family Medical Leave Act

Covered (Military) Service Member - PER-2324-026

PER-2324-026 - FMLA Cert of Health Care Provider for Covered Military Service Member.pdf 212.19 KB (Last Modified on October 20, 2023)

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Family Member's Serious Health Condition - PER-2324-029

PER-2324-029 - FMLA Cert-Health Care Provider for Family Members Serious Health Condition.pdf 333.84 KB (Last Modified on October 20, 2023)

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FMLA Application-Designation Notice -PER-2324-018

PER-2324-018 - FMLA Application-Designation Notice.pdf 366.76 KB (Last Modified on Thursday at 8:23 AM)

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FMLA Certification of Health Care Provider for Employees Serious Health Condition - PER-2324-017

PER-2324-017 - FMLA Certification of Health Care Provider for Employees Serious Health Condition.pdf 212.52 KB (Last Modified on October 17, 2023)

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FMLA Certification of Qualifying Exigency for Military Family Leave - PER-2324-019

PER-2324-019 - FMLA Certification of Qualifying Exigency for Military Family Leave.pdf 196.32 KB (Last Modified on October 17, 2023)

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Intent Forms

Intent Form-ESPs, PTs, Admin - PER-2425-005

PER-2425-005 - Intent Form-ESPs PTs Admin.pdf 136.77 KB (Last Modified on January 21, 2025)

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Intent Form-Instructional Personnel - PER-2425-006

PER-2425-006 - Intent Form-Instructional Personnel.pdf 102.91 KB (Last Modified on January 21, 2025)

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Leave Forms

Application for Leave - PER-2425-007

PER-2425-007 - Application for Leave.pdf 207.07 KB (Last Modified on January 21, 2025)

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Employee In-County Assignment - PER-2324-027

PER-2324-027 - Employee In-county Assignment.pdf 148.82 KB (Last Modified on October 20, 2023)

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Orientation

Alcohol and Drug-Free Workplace Notice - PER-2425-011

PER-2425-011 - Alcohol and Drug-Free Workplace Notice.pdf 205.17 KB (Last Modified on January 21, 2025)

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Code of Ethics - PER-2425-013

PER-2425-013 - Code of Ethics.pdf 143.65 KB (Last Modified on January 21, 2025)

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Data Sheet for New Employees - PER-2425-009

PER-2425-009 - Data Sheet for New Employees.pdf 197.45 KB (Last Modified on January 21, 2025)

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Notice of Confidential and Exempt Employee Personnel Information - PER-2425-012

PER-2425-012 - Notice of Confidential and Exempt Employee Personnel Information.pdf 225.92 KB (Last Modified on January 21, 2025)

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Oath of Loyalty - PER-2425-014

PER-2425-014 - Oath of Loyalty.pdf 138.69 KB (Last Modified on January 21, 2025)

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Sexual Harassment Prevention Policy - PER-2425-015

PER-2425-015 - Sexual Harassment Prevention Policy.pdf 146.13 KB (Last Modified on January 23, 2025)

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Staff Data Collection - PER-2425-017

PER-2425-017 - Staff Data Collection.pdf 197.38 KB (Last Modified on January 23, 2025)

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Staff Network and Internet Acceptable Use and Safety Policy, PER-2425-016

PER-2425-016 - Staff Network and Internet Acceptable Use and Safety Policy.pdf 144.7 KB (Last Modified on January 23, 2025)

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Statement on the Collection Use or Release of Social Security Numbers . . . PER-2425-010

PER-2425-010 - Statement on the Collection Use or Release of Social Security Numbers.pdf 191.14 KB (Last Modified on January 21, 2025)

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Tobacco Use in District - PER-2425-018

PER-2425-018 - Tobacco Use in District.pdf 138.64 KB (Last Modified on January 23, 2025)

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Retirement

DROP Extension Request - PER-2425-028

PER-2425-028 - DROP Extension Request.pdf 205.72 KB (Last Modified on January 31, 2025)

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Notice of Election to Participate in DROP and Resignation of Employment - PER-2425-027

PER-2425-027 - Notice of Election to Participate in DROP and Resignation of Employment.pdf 177.98 KB (Last Modified on January 31, 2025)

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Retirement - Separation From Service - PER-2425-029

PER-2425-029 - Retirement Separation From Service.pdf 325.36 KB (Last Modified on January 31, 2025)

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Sick Leave

Sick Leave Transfer Authorization - PER-2425-019

PER-2425-019 - Sick Leave Transfer Authorization.pdf 200.67 KB (Last Modified on January 23, 2025)

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Sick Leave Bank

Physician's Statement--PER-2425-021

PER-2425-021 - Physicians Statement.pdf 161.69 KB (Last Modified on January 23, 2025)

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Principal's-Worksite Supervisor's Statement - PER-2425-020

PER-2425-020 - Principals Worksite Supervisors Statement.pdf 193.57 KB (Last Modified on January 23, 2025)

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Sick Leave Applicant Information Sheet--PER-2425-022

PER-2425-022 - Sick Leave Applicant Information Sheet.pdf 187.65 KB (Last Modified on January 23, 2025)

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Sick Leave Bank Enrollment - PER-2425-024

PER-2425-024 - Sick Leave Bank Enrollment.pdf 165.9 KB (Last Modified on January 23, 2025)

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Sick Leave Bank Withdrawal Application--PER-2425-023

PER-2425-023 - Sick Leave Bank Withdrawal Application.pdf 228.45 KB (Last Modified on January 23, 2025)

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Terminations

Employee Exit Property Return - PER-2425-025

PER-2425-025 - Employee Exit Property Return.pdf 240.41 KB (Last Modified on January 24, 2025)

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Exit Interview Questionnaire for Teachers - PER-2324-015

PER-2324-015 - Exit Interview Questionnaire for Teachers.pdf 215.69 KB (Last Modified on October 17, 2023)

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Exit Interview Questionnaire for Non-Instruct Emp.--PER-2324-016

PER-2324-016 - Exit Interview Questionnaire for Non-Instructional Employees.pdf 280.68 KB (Last Modified on October 17, 2023)

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Separation From Service - PER-2324-002.pdf

PER-2324-002 - Separation From Service.pdf 245.38 KB (Last Modified on August 10, 2023)

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Veterans

Veterans Preference Claim Form - PER-2425-026

PER-2425-026 - Veterans Preference Claim Form.pdf 201.18 KB (Last Modified on January 24, 2025)

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