Forms & Documents Library

Form 506
(Title VI ED 506 Indian Student Eligibility Certification Form)

Calendar 2021-22 One Page (PDF)
All calendars may be subject to change.

Individual Calendar Pages

• September 2021
• October 2021
• November 2021
• December 2021
• January 2022
• February 2022
• March 2022
• April 2022
• May 2022
• June 2022
• July 2022
• August 2022

District Building Map (11 x 8.5, black & white)

District Building/Boundary Map (17 x 11, color)

St. Francis Area Schools Infographic

Census Form   (Print PDF)

MARSS Student Record Update Form

Directory Information Opt Out Form

Report Cards (Minnesota Department of Education)

Technology/Internet Use Agreement

Student Record Request

Parent/Guardian Guide and Refusal for Student Participation in Statewide Testing Form

Behind the Wheel Program Contract   (Print PDF)

Preschool Place 15 Registration Booklet

Preschool Place 15 Calendar

Early Childhood Screening Child Information Form

Minnesota Department of Education Registration for Early Childhood

Immunization Form

Current Rate Sheet & Terms and Conditions

Summer Change Form

Request of Absence Form

Automatic Payment Authorization

Scholarship Application

Immunization Form

Medication Authorization

Registration Form Send Instructions

Educational Benefits FAQ

Educational Benefits Income Guidelines

Application for Educational Benefits - Hmong

Application for Educational Benefits - Somali

Application for Educational Benefits - Spanish

Angel Fund Meal Account Request Form

Field Trip Bag Lunch Request Form

Lunch Account Refund/Transfer Form

PayPams Helpful Tips

Waiver of Confidentiality

Prescription Medication Authorization Form

Diabetes Management Form

Food Allergy Action Plan Form

Health Questionnaire

Immunization Form

Physical Form

Pre-Kindergarten Physical

McKinney Vento Student Referral Form

Restrictive Procedures Plan

Student Disability Discrimination Grievance Form

504 Parent Input Verification of Consent

Broadband Internet Service Resources

Cybersecurity Resources

Student Transportation Form

Mileage Reimbursement for Non-Public Students (PDF)

Participant Assumption Of Risk/Waiver Of Liability/Indemnification Agreement (online form)

Participant Assumption Of Risk/Waiver Of Liability/Indemnification Agreement (PDF form)

 

Helpful Phone Numbers at Your Fingertips

Dental

• Delta Dental Benefits Summary 2021-22
• Delta Dental Rate Sheet 2021-22
• Delta Dental Benefits 2022-23 Summary
• Delta Dental Rates 2022-23
• Delta Dental Enrollment Form (new enrollment)
  Delta Dental Membership Maintenance Form (change/cancellation form)
• Delta Dental Plan Booklet

Flexible Spending Accounts

• TASC Flexible Spending Account Enrollment Form*
  *Includes Direct Deposit Authorization form
• TASC Reoccurring Dependent Care Reimbursement Form
• Participant Reference Guide

VEBA - Health Savings Account (HSA) or Integrated and Retiree Funded Health Reimbursement Arrangement

• Investment Tool Kit Guide
• Qualified Expenses
• Participant Reference Guide
• TASC Universal Benefit Account Resources
• TASC Medical Expense Claim Form

Life Insurance & Long Term Disability

• Life Insurance, Long Term Disability Monthly Rates
• Life Insurance Beneficiary Form

Medical

• PEIP Rate Information 2021-22
• Step-by-Step Enrollment Instructions
• PEIP Enrollment or Waiving Coverage Form
• PEIP Change Form
• PEIP Advantage Health Plan 2021-22 Benefits Schedule
• PEIP Advantage Health Plan 2021-22 Benefits Schedule Value Option
• PEIP Advantage Health Plan 2021-22 Benefits Schedule HSA
• PEIP Medicare Part D 2020 Credible Coverage Disclosure Information
• PEIP Clinic Directory
• Innovo Annual Privacy Notice

Medical 2022-23 Information

• Innovo Benefits Administration Step-by-Step Enrollment Instructions and 2022-23 PEIP Summaries
• Step-by-Step Guide and Benefits Schedule
• PEIP 2022-23 Out of Network Benefits Schedule
• PEIP 2022-23 Advantage High Rates
• PEIP 2022-23  HSA Rates
• PEIP 2022-23 Value Plan Rates

Retirement Plan 403(b)

• Empower Retirement Guide
• 403(b) Participate/Change in Retirement Plan
• Coronavirus added relief for people in retirement plans
• Coronavirus-Related Loan Suspension Repayment
• Coronavirus-Related Withdrawal

Accounts Payable Check Run Schedule 2021-22 Online   (Print PDF)

Budget Transfer Form

Direct Deposit Authorization

District Mileage Chart Online   (Print PDF)

Extended Trip Approval Form

Fixed Asset Addition Form

Fixed Asset Disposal Form

Fixed Asset Transfer Form

Gift Contribution Form

Grant Procedures Checklist

Itemized Expense Form

MasterCard Order Log

P-Card Schedule 2021-22

Receipt Transmittal Form

Registration/Conference Expense Form

Requisition Data Entry Form

Student Activity List of Officers

Student Activity Meeting Minutes

Student Activity Purpose Form

Student Activity Request for Payment Form

Student Activity Receipt Transmittal Form

Travel Expense Form • January 1-December 31, 2022

UPS Approval Form

Essential Learning Benchmark Chart (PDF)

Direct Deposit Authorization (PDF)

2021-22 Staff District Holidays Calendar  (In Color)  (In Black/White)

2022-23 Staff District Holidays Calendar  (In Color)  (In Black/White)

2021-22 Staff Duty Days Calendar  (In Color)  (In Black/White)

2022-23 Staff Duty Days Calendar  (In Color)  (In Black/White)

Participate in Retirement Plan

Payroll Claim Form

Payroll Schedule 2021-22

W-4 Minnesota (2022)

W-4 Federal (2022)

Accident Investigation Report  (Print PDF)

First Report of Injury Online  (Print PDF)

Minnesota Occupational Health Injured at Work Form

Safety Suggestion Form Online  (Print PDF)

Compensatory Time Claim (Print PDF)

Data Privacy Form PDF

2021-22 Staff District Holidays Calendar  (In Color)  (In Black/White)

2022-23 Staff District Holidays Calendar  (In Color)  (In Black/White)

2021-22 Staff Duty Days Calendar  (In Color)  (In Black/White)

2022-23 Staff Duty Days Calendar  (In Color)  (In Black/White)

Educational Assistant Transfer Request for the Upcoming School Year (Print PDF)

Employee Personal Data Change (Print PDF)

Employee Reasonable Accommodations Request Form (Print PDF)

Helpful Phone Numbers at Your Fingertips

Leave Request Pre-approval Form (Print PDF)

Lane Change Request (Print PDF)

Personnel Action Form

Request for Pre-approval of Graduate Credits (Print PDF)

Request for Pre-approval of Lane Change (Print PDF)

Retirement: Licensed Staff Intent to Retire (Print PDF)

Teacher Transfer Request for the Upcoming School Year

Transportation - Bus Driver Recruitment Form

Vacancy Notice

FMLA - Leave of Absence - Employee

FMLA - Leave of Absence - Family Member

Leave Request Pre-approval Form

Employee Leave Donation Request

Return to Work After Quarantine Related Absence Form

Dental

• Delta Dental Benefits Summary
• Delta Dental Plan Booklet

Medical

• PEIP Enrollment or Waiving Coverage Form
• PEIP Advantage Health Plan 2020-21 Benefits Schedule High Option
• PEIP Advantage Health Plan 2020-21 Benefits Schedule Value Option
• PEIP Advantage Health Plan 2020-21 Benefits Schedule HSA Compatible
• PEIP Medicare Part D 2018 Credible Coverage Disclosure Information
• Innovo Annual Privacy Notice

Student Services Order Form

CELC Clock Hour Approval

2021-22 Minnesota State High School League Sports Qualifying Physical Form

2021-22 Minnesota State High School League Eligibility Brochure

Waiver of Confidentiality

Facility Use Request Form 

Facility Use Change Form

Sponsorship Request Form

COVID-19 Safety Plan for Facility Users Form (online form)

Program Assumption Of Risk/Waiver Of Liability/Indemnification Agreement (Print PDF)

Kindergarten Registration Booklet 2021-22 (PDF)

K-5 Parent/Student Handbook

• Kindergarten School Supply List (PDF)
• Grade 1 School Supply List (PDF)
• Grade 2 School Supply List (PDF)
• Grade 3 School Supply List (PDF)
• Grade 4 School Supply List (PDF)
• Grade 5  School Supply List (PDF)
• Life Skills School Supply List (PDF)

Kindergarten Registration Booklet 2021-22 (PDF)

K-5 Parent/Student Handbook

• Kindergarten School Supply List (PDF)
• Grade 1 School Supply List (PDF)
• Grade 2 School Supply List (PDF)
• Grade 3 School Supply List (PDF)
• Grade 4 School Supply List (PDF)
• Grade 5 School Supply List (PDF)
• Center-based School Supply List (PDF)

 

Kindergarten Registration Booklet 2021-22 (PDF)

K-5 Parent/Student Handbook

• Kindergarten School Supply List (PDF)
• Grade 1 School Supply List (PDF)
• Grade 2 School Supply List (PDF)
• Grade 3 School Supply List (PDF)
• Grade 4 School Supply List (PDF)
• Grade 5 School Supply List (PDF)

Parent/Student Handbook

• Grade 6 School Supply List (PDF)
• Grade 7 School Supply List (PDF)
• Grade 8 School Supply List (PDF)
• Life-Skills School Supply List (PDF)

Middle Years Newsletters

• Standardized Test Secrets
• Homework Help
• Understanding Your Middle Grader
• Web Literacy
• No More Bullying

Athletics & Fine Arts

• 2021-22 Minnesota State High School League Eligibility Brochure
• 2021-22 Minnesota State High School League Sports Qualifying Physical Form
• Waiver of Confidentiality

Parent/Student Handbook

Counseling Department/College & Career Center

• College/Military Visit Permission Form
• SFHS Registration Guide 2021-22 (PDF)
• 9th Grade Registration Sheet 2021-22
• 8th Grade Registration Presentation 2021-22
• SFAS Graduation Credit Requirements Form 2021-22 (PDF)
• Waiver of Confidentiality

Dance Guest Permission Form

• Grades 9-12 Basic School Supply List (PDF)
• Life-Skills School Supply List (PDF)

Senior Lunch Account Refund Form

School Supply Lists

• Basic Supply List
• Life Skills Supply List

Saints Academy/Saints Online Handbook (PDF)