Please bring the everything into me at your convenience, but before your anticipated start date. I am located in the finance office by the parking lot. You may also return the required paperwork by mail to Michelle Bovard, SWSF, 655 Willowside Road, Santa Rosa, CA 95401. If I am not here, feel free just to drop it off.
ATTENTION: Proof of the COVID-19 vaccination or submission of weekly COVID test results is a requirement of employment. If you are unable to adhere to this requirement, contact Michelle Bovard immediately.
Only the forms listed below need to be returned as noted–there may be some listed on this page that do not apply to you.
Please read the following instructions carefully and return paperwork back to me as requested.
Employee Notice: You should have received an Employee Notice or Letter of Employment in person. Please read, sign and return to me.
Employee Handbook, and Code of Conduct: Sign and return the Handbook Acknowledgement back to me.
Employee Emergency Authorization Request: Please fill out and return to me.
Form I-9: Please fill out Section 1 of the I-9 and return to me. Please bring with you the required documents proving citizenship as mentioned on page 3.
- Form I-9 (print and return pages 1 and 2)
Form W-4: Please fill out and return to me.
Form DE4: Please fill out and return to me.
Automatic Deposit Authorization: Please fill out and return to me.
TB Risk Assessment and/or Examination Certificate of Completion: California law requires that school staff working with students be free of infectious tuberculosis (TB). It is required that a TB risk assessment be administered and if risk factors are identified, a TB test and examination be performed by a health care provider to determine that the person is free of infectious tuberculosis. The use of the California School Employee TB Risk Assessment and the Certificate of Completion (below) is also required. You may choose to go to your personal physician, or go to Concentra Medical Clinic with whom the school has an account.
Fingerprints:. It is necessary for you to have a Live Scan fingerprint clearance before you begin your work. Your offer of employment is not official until we receive this clearance. A list of Live Scan offices near you can be found by clicking the link below. You may not transfer results from another company or school; we are required by the State to collect our own results. The results will be forwarded to us by the Dept. of Justice. The rolling fee you pay for this service can be reimbursed by Summerfield if you so request.
Workers’ Comp Written Notice and MPN Notice: Read the Notices below, sign the Acknowledgement, and if you want, the Pre-designation form, and return it to me.
The Workers’ Comp Written Notice is for your information explaining how the Workers’ Comp system works. The Employee Notification and MPN handout is provided by our WC insurance company and explains what to do in case you are injured on the job, and describes what the MPN is.
Mandated Reporter Training
Mandated Reporter Training is required of all educators by the State of California. The link below will take you to the training website. When you have completed the mandatory training, provide me a copy of your Certificate of Completion, either electronically or hard copy.
For all Educators:
For all Early Childhood Educators:
For your Reference
In addition to the paperwork, the standard is that you have a current certification in CPR and First Aid, of which I can recommend an evening class held once a month in Santa Rosa. Let me know your preference.