File Directory
The following is a listing of forms and files available on this website - listed according to the site map found here.
Close All | Open All Athletics
| Athletic Code of Conduct Form | 119 KB |
Dignity for All Students Act (DASA)
| DASA APPLICATION | 191 KB |
Achieve 3000 Literacy
| Liverpool Central School District Board of Education Presentation of Achieve 3000 and iReady Programs | 332 KB |
Allergy Management Plan
Athletic Hall of Fame
Athletics Booster Club
| Athletic Booster Club By Laws | 33 KB | ||
| Fundraiser Request Form | 42 KB | ||
| Disbursing Order Form | 35 KB | ||
| Booster Club Loan Form | 28 KB | ||
| Drop off Shed Information | 722 KB | ||
| August 2018 Meeting Minutes | 87 KB | ||
| October 2018 Meeting Minutes | 80 KB | ||
| November 2018 Meeting Minutes | 169 KB | ||
| December 2018 Meeting Minutes | 169 KB | ||
| January 2019 Meeting Minutes | 190 KB | ||
| February 2019 Meeting Minutes | 66 KB | ||
| May 2019 Meeting Minutes | 162 KB | ||
| August 2017 Meeting Minutes (Draft) | 276 KB | ||
| September 2017 Meeting Minutes (Draft) | 389 KB | ||
| November 2017 Meeting Minutes (Draft) | 334 KB | ||
| March 2018 Meeting Minutes (Draft) | 238 KB | ||
| May 2018 Meeting Minutes (Draft) | 104 KB |
Audit Committee
| Audit Commitee Charter | 149 KB |
Babysitter in Same Enrollment Area Form
Board Candidate Information
| Handbook for New LCSD Board Members | 863 KB |
Bus Stop Change Request Form
| Bus Stop Change Request Form | 49 KB |
Business Office
|
Quote Request Form
Fillable PDF to request Quotes |
66 KB |
Carbohydrate Counts
Certification
| Teaching Assistant Informational Brochure - OCM BOCES | 759 KB | ||
| Search Certification Requirements - TA | 135 KB | ||
| Search Certification Requirements - Teacher | 139 KB | ||
| TEACH Log in Problems | 75 KB |
Charter Company Information
| Charter Coach Trip Guidelines | 107 KB | ||
| District Approved Charter Companies and Travel Agencies | 237 KB | ||
| Planning a Charter Trip | 305 KB | ||
| Emergency Protocol | 662 KB | ||
| Information for Charter Company | 278 KB |
Chromebook 1:1
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GoGuardian Parent Flyer
A flyer from GoGuardian for parents. |
87 KB |
Coaching Certification
| Fingerprinting Instructions | 439 KB | ||
| Coaching Requirements Information | 226 KB | ||
| Coaching Time Extension Application | 100 KB |
Code of Conduct
| Code of Conduct Plain Language Summary | 86 KB | ||
|
Code of Conduct
Adopted by the Board of Education on September 9, 2019. |
393 KB | ||
| Athletic/Extracurricular Code of Conduct | 119 KB |
Common Core Instructional Shifts
| Common Core "Shifts" | 84 KB |
Communicable Diseases
| Fifth Disease | 521 KB | ||
| Head Lice | 139 KB | ||
| Impetigo | 513 KB | ||
| MRSA | 1.3 MB | ||
| Pertussis | 522 KB | ||
| Ringworm | 517 KB | ||
| Shigellosis | 533 KB | ||
| Shigellosis FAQ | 205 KB | ||
| Shingles | 526 KB | ||
| Strep Throat/ Scarlet Fever | 517 KB |
Concussions
| Concussion Information for Parents | 250 KB | ||
| Concussion Fact Sheet | 525 KB | ||
| Concussion Fact Sheet Page 2 | 206 KB | ||
| Signs of a Concussion | 792 KB | ||
| A Must Read for Youth Athletes | 441 KB |
Continuing Teacher and Leader Education (CTLE)
| Frontline Workshop Enrollment Directions | 1.3 MB | ||
| Frontline Print Workshop Enrollment Form | 1.1 MB | ||
| Frontline Print Workshop Certificate | 910 KB | ||
| NYSED Certification Registration and CTLE Chart | 12 KB | ||
| CTLE Requirements from NYSED | 230 KB | ||
| CTLE Individual Record Keeping Chart | 110 KB |
Course Approval
| Request for Job-Related Tuition Assistance Exclusion | 31 KB | ||
| Accreditation List 2017 | 1.5 MB | ||
| Course Approval Form - SEIU | 545 KB | ||
| Course Approval Form - Teaching Assistants | 545 KB |
Development of the Preschool Child
|
Developmental Checklists
Developmental Checklists for children birth to five years of age in the areas of movement, vison, hearing, speech, language, cognition, and social/emotional skills. Developmental red flags are listed as well. |
193 KB | ||
|
Checklist for Speech/Language Development of 4 and 5 year olds
Checklist for speech/language development for four and five year olds. |
37 KB | ||
|
Checklist for Sensory Integration
When to take a closer look at behavior related to sensory challenges. |
36 KB |
Diabetes Management Plan
| Diabetes Management Plan | 584 KB | ||
| Hyperglycemia Action Plan | 536 KB | ||
| Hypoglycemia Action Plan | 546 KB | ||
| Hypoglycemia & Hyperglycemia Information Sheet for Teachers | 85 KB |
Distinguished Service Award
Employee Benefits
| Excellus Enrollment Form | 210 KB | ||
| Excellus Prescription Claim Form | 75 KB | ||
| Excellus Claim Form | 117 KB | ||
| Excellus Shared Information Authorization | 383 KB | ||
| Flex Plan Change in Status Form | 25 KB | ||
| Flex Plan Reimbursement Voucher | 343 KB | ||
| Flex Plan Termination of Service Form | 92 KB | ||
| Flex Plan Claim Submission Guidelines | 252 KB | ||
| Flex Plan Over the Counter Products Guidelines | 70 KB | ||
| Flex Plan Q & A Brochure | 2.2 MB | ||
| Guardian Enrollment Form | 281 KB | ||
| Guardian Plan Information Booklet | 286 KB | ||
| Dental Dependent Eligibility Certification Form | 29 KB |
Employment
| Bus Driver Application | 264 KB | ||
| Bus Attendant Application | 264 KB | ||
| Food Service Helper Application | 264 KB |
Ethics Committee
| Ethics Committee Charter | 103 KB |
Fine Arts Hall of Fame
| 2019 Hall of Fame Nomination Form | 118 KB |
Food Allergies & Special Dietary Needs
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General Mills Allergen Statement
Added 12/21/17 |
73 KB | ||
|
SkyBlue Bakery Peanut/Tree Nut Statement
Added 12/21/17 |
139 KB | ||
| docx |
Super Bakery Peanut/Tree Nut Statement
Added 12/21/17 |
docx | 32 KB |
| docx |
Frito Lay Peanut/Tree Nut Response
Added 12/21/17 |
docx | 13 KB |
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Hershey's Ice Cream Nutrition Information
Updated 8/26/19 |
7.8 MB | ||
|
Gluten Free Cereal 2019
Updated 8/12/19 |
86 KB | ||
|
Gluten Free Snacks 2019
Updated 8/26/19 |
132 KB | ||
|
Snack Allergen Poster October 2018
Added 10/29/18 *ALL NUTRITION/ALLERGEN INFO IS SUBJECT TO CHANGE* |
529 KB | ||
| Kindergarten Orientation - Food Service FAQs | 445 KB |
Food Service
| Universal Breakfast Flyer | 644 KB |
Free and Reduced Applications
| 2018 - 2019 Eligibility Manual for School Meals | 1.4 MB | ||
| 2019 - 2020 Application for Free and Reduced School Meals | 369 KB |
Health and Wellness Information
Health Information
| Immunization Requirements 2017-2018 | 126 KB | ||
| Dental Health Certificate | 98 KB |
Home Instruction
Homeless Assistance
| McKinney Vento Act | 1.2 MB |
i-Ready Math
| Liverpool Central School District Board of Education Presentation of Achieve 3000 and iReady Programs | 332 KB |
Immunizations
Important Forms
|
Attendance Transmittal Form - Revised for 2016
This form should be used for all attendance transmittals. it is a fillable Pdf so you can all it out and submit to supervisor. Download to complete. |
57 KB | ||
| District Conference and Travel Authorization Form | 140 KB | ||
| Expense Reimbursement Form | 63 KB | ||
| Cancer Screening Form | 25 KB |
Important Forms (Human Resources)
| District Conference and Travel Authorization Form | 140 KB | ||
| Request for Leave of Absence Without Pay | 142 KB | ||
| SET Professional Development Request Form | 56 KB |
Leave of Absence
| FMLA Poster | 42 KB |
Lunch Menus
| Breakfast K-12 Menu - November 2019 | 655 KB | ||
| Elementary Schools Lunch Menu - November 2019 | 453 KB | ||
| Middle Schools Lunch Menu - November 2019 | 447 KB | ||
| LHS Annex Lunch Menu - November 2019 | 454 KB | ||
| LHS Main Building Lunch Menu - November 2019 | 495 KB | ||
| Gluten Free Lunch Menu - November 2019 | 436 KB | ||
| BOCES Lunch Menu - November 2019 | 420 KB |
Medications
|
Permission to Administer Medication Form
For Health Care Provider and Parental Consent to Administer Medication During School Hours |
555 KB |
My Learning Plan
New Page
Next Generation Standards
| Understanding Common Core State Standards | 151 KB |
Non-Public Transportation Request Forms
| Non-public Transportation Request Form | 186 KB |
NYS Weight Status Study
| Weight Study Exemption Form 2019-2020 | 124 KB |
Page
Parent and Resident Affidavits
| Parent and Resident Affidavit | 121 KB |
Parent Information Letter 2019 - 2020
| 2019 - 2020 Parent Information Letter | 1.6 MB |
Parents Bill of Rights for Data Privacy and Security
Payroll Calendar
Phase Four Project
Phase Three Project
Phase Three Reauthorization Vote
Phase Two Project
Physicals
|
Health Certificate/Physical Form
This form will become the only acceptable form in New York State during the 2019-2020 school year. |
1008 KB | ||
| Dental Certificate | 95 KB |
Policy Committee
| Policy Committee Meeting Minutes - October 3, 2019 | 74 KB | ||
| Policy Committee Meeting Minutes - February 2019 | 101 KB | ||
| Policy Committee Meeting Minutes - December 2018 | 143 KB | ||
| Policy Committee Meeting Minutes - October 2018 | 76 KB | ||
| Policy Committee Meeting Minutes - April 2018 | 120 KB | ||
| Policy Committee Meeting Minutes - October 2017 | 78 KB | ||
| Policy Committee Meeting Minutes - May 2017 | 68 KB | ||
| Policy Committee Meeting Minutes - April 2017 | 81 KB | ||
| Policy Committee Meeting Minutes - March 2017 | 127 KB | ||
| Policy Committee Meeting Minutes - January 2017 | 107 KB |
Preschool to Kindergarten
|
Transition Meeting Diagram
When attending your child's transition meeting there will be two committees at the meeting. Committee on Preschool Special Education (CPSE) and Committee on Special Education (CSE). This diagram shows the responsibilities of each committee. The CPSE will determine services for the summer and the CSE will determine services for your child's kindergarten year. |
39 KB | ||
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Criteria for Eligibility for Preschool Special Education Programs and/or Services
The following information is available in this section: Criteria for Eligibility for Preschool Special Education Programs and/or Services, Extended School Year Programming, Determining Eligibility for Preschool Special Education Services, Continuum of Services at School-Age Level, Kindergarten Registration, Kindergarten Screening, Kindergarten Transition Workshops, and Kindergarten Orientation. |
76 KB | ||
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Acronyms
A list of Acronyms (abbreviations) that are used frequently in special education. |
58 KB | ||
|
Description of Special Education Classifications
There are 13 classifications outlined by the state of New York in which students are eligible to receive special education services as a K-12 student. |
69 KB | ||
| Extended School Year Programming | 59 KB | ||
| Transition Meeting | 31 KB | ||
| Purpose of the Meetings | 39 KB | ||
| School Age Classifications | 24 KB | ||
| Continuum of Services | 52 KB |
Registered Daycare Request Form
Requesting the Use of LHS & Athletic Facilities
| Chestnut Hill Middle Athletic Fields | 325 KB | ||
| Donlin Drive Elementary Athletic Fields | 325 KB | ||
| Elmcrest Elementary Athletic Fields | 312 KB | ||
| Liverpool High School Auditorium Diagram | 31 KB | ||
| Liverpool High School & Wetzel Road Athletic Fields | 10 MB | ||
| Liverpool Middle & Liverpool Elementary Athletic Fields | 335 KB | ||
| Long Branch Elementary Athletic Fields | 299 KB | ||
| Morgan Road Elementary & LHS Annex Athletic Fields | 265 KB | ||
| Nate Perry Elementary Athletic Fields | 307 KB | ||
| Soule Road Middle & Soule Road Elementary Athletic Fields | 299 KB | ||
| Willow Field Elementary Athletic Fields | 268 KB |
Requests for Babysitters Outside of Attendance Area
Retiree Benefits
| Wegmans RX Home Delivery Application | 46 KB | ||
| Wegmans RX Home Delivery Brochure | 78 KB | ||
|
Understanding Medicare and Your Options
Excellus brochure |
3.6 MB |
Retirement Planning
| NYS Retirement | 121 KB | ||
| Retirement Self Checklist | 95 KB |
Rights for Parents of Children with Disabilities
|
Procedural Safeguards Notice
This packet from New York State Education Department explains the rights for parents of children with disabilities, ages 3-21. |
296 KB |
School Bell
| School Bell - Back to School 2019 | 933 KB | ||
| School Bell - Graduation 2019 | 7.5 MB | ||
| School Bell - Spring 2019 | 297 KB | ||
| School Bell - Winter 2019 | 597 KB | ||
| School Bell - Fall 2019 | 3.2 MB |
School Board Policies Pertaining to Acceptable Use
|
Staff Use of Computerized Information Resources
Policy 6470 |
47 KB | ||
|
The Children's Internet Protection Act: Internet Content Filtering/Safety Policy
Policy 8271 |
63 KB |
School Boundaries
Screenings
| List of Required Health Screenings | 203 KB |
Seizure Management Plan
| Parent Interview Questionnaire for Seizure History | 515 KB | ||
| Emergency Action Plan: Seizure Disorder | 557 KB |
Special Education
| docx | Special Education-Parent Workshops | docx | 155 KB |
| Procedural Safeguards NYSED | 3.1 MB |
Sports Medicine
| CONCUSSION MANAGEMENT SCHOOL POLICY | 96 KB |
Summer Music and Art Camps
|
LCSD Summer Music and Art Camps
The brochure includes all camps listings, descriptions and registration forms. |
2 MB |
Tech Tools and Tips
| Brightlink Manual for Teachers | 3.8 MB | ||
| Easy Interactive Tools for the Mac | 463 KB | ||
| png | Cheat Sheet for Mac Easy Interactive Tools | png | 168 KB |
Technology
| School Tool Teacher Guide | 915 KB |
Transportation
|
Application for Non-Public Transportation 2019-2020
Application |
257 KB | ||
|
Application for Childcare 2019-2020
Application |
247 KB |
Transportation Request Forms
| CHILDCARE TRANSPORTATION FORM | 247 KB | ||
| K-1 Authorization Form | 171 KB | ||
|
2019-2020 Nonpublic Transportation Application
Application |
257 KB |
Trimester Elementary Report Cards
|
Standards Based Report Card Brochure
Distributed During Curriculum Night Events at Each Elementary School |
2.4 MB | ||
| New Report Card Q&A Document | 63 KB |
ULFA & LCSD Professional Development Grants
Use of District Buildings & Athletic Facilities
| Facilities Use Request Form | 528 KB |
Who Can Meet the Bus Form (K-1)
| Who Can Meet the Bus Form (K-1) | 171 KB |