1. No category

Welcome to Klein ISD
Congratulations and welcome to your new position at Klein ISD. As part of our
hiring process, we ask that you follow the hiring steps listed below:
1. If your position requires certification and you are not already holding a current
certificate, please review these items and select the category that bests describes
you. These can be found under the “How to Apply For Certification” section. If
your position does not require certification, please skip to #2.
•
•
•
•
I am a recent college graduate with a degree in Education and will be applying
for my Texas Standard Teaching Certificate.
I have teaching credentials from another state or country and need to apply for
a Texas Teaching Certificate
I am obtaining my Texas Teachers Certification through an alternate
certification program (ACP).
I am a para-professional (Teachers Aide working with students) and need to
apply for my Para-Professional Certificate. – Your HR Specialist may
complete this with you at signing – they will let you know when they call to
set up your appointment.
2. Read the “Frequently Asked Questions Sheet”. The FAQ sheet can be found
under the “Important Links” section.
3. Download, print (single sided only) and bring with you the completed
“Professional/Teacher New Hire Packet”. The appropriate packet is attached to
this Welcome page. You will also need to bring your unexpired drivers license
and social security card.
**Your Human Resource Specialist will contact you soon to set up an appointment to
complete the hiring process and answer any questions you may have.
We wish you all the best!!!!
Instructions for
New Hire Professional/Teacher Paperwork
Information Requiring Action and Signatures
The items following this instruction sheet will need to be downloaded, completed with
required information and signed. All forms in red must be brought with you on your
contract signing day. Please print all forms single sided.
•
Employee Registration/Open Records Information –
Fill in Top Section and select from the two boxes
Sign the bottom
•
Criminal History Record Information –
Sign and Date
HR Specialist will sign as witness at contract signing
Fill in Additional Information section at bottom if needed
•
TEA Staff Ethnicity and Race Questionnaire (Part l and Part 2) –
Make selection from Part 1 and Part 2
Sign, Date and add your Employee ID that was given to you by your HR
Specialists.
•
W-4 Form –
Complete bottom section of form, sign and date
•
Statement Concerning Your Employment in a Job Not Covered by Social Security
Fill in information at top (Name and Social Security Number)
Sign and Date both copies
•
Internet-E-Mail and Student Information Services Employee Agreement FormFill in middle portion of form
Fill in Employee ID that was given to you by your Specialists
•
Requirements/Responsibilities Form –
This is a Requirements/Responsibilities Form for Newly Employed KISD
Teachers. Complete this form and bring with your at signing.
•
I-9 Form –
Fill in Section 1, sign and date
Bring in your current Drivers License and Social Security Card on the
day of your contract signing.
Acceptable Documents are listed on page 3 of the I9 Form
•
ESL Requirement Form –
This form covers the new ESL requirements for all teachers. Complete
the form and bring it with you on signing day. Requirement guidelines are
attached to the form.
•
Authorization Agreement for Direct DepositsBring this with you and you will take this to the payroll department on the
day of contract signing. You will need your bank routing numbers
•
Bilingual Requirements –
This section is for Bilingual Teachers and Bilingual Support Staff only.
Go to the Bilingual Requirements Section under Links and complete the
appropriate Bilingual Forms and bring with you on signing day. You will
also see the Bilingual Professional Development schedule under this link.
•
Employee Acknowledgement of the Alliance Direct Contracting Program –
Please complete, sign and date the first page and bring with you. The rest
is yours to keep.
•
Acknowledgement of Receipt of Benefits Information –
Complete, sign and date this form and bring it with you on signing day.
General Information
This is general information you will want to keep for your records
•
Human Resources Employee List
•
Drug Prevention Program Certification
•
Policy Number C-10
•
Fraud Line Information
•
Employee Access Center – Preferred First Name
Contract Signing Day Information
Your HR Specialist will call you for a signing appointment. At that time, you will be
given your Employee ID. In addition to these completed forms, these items will be
required or completed with your HR Specialist on your signing day:
•
You must bring with you your current drivers license and Social Security Card.
•
Bring with you your Original Official Transcript(s) with degrees posted and
Original Services Records if you have received them from your previous
employer. If you have requested these, please let your HR Specialist know at the
time of signing.
•
You will sign your Letter of Intent, Contract and turn in all signed New Hire
Packet documents.
•
You will have your photo taken and receive your school/department ID Badge.
Other Important Information for
New Employees
Required New Teacher Orientation Information:
Please review the New Teacher Information and the New Teacher Orientation Schedule
found under the “Important Links” section. This information applies to new teachers to
the profession as well as new teachers to the district.
Benefits Information:
It is important that you review all Benefits Information under the “Important Links”
Section
• Enrollment Guide for Health Plans
• Klein ISD Benefits Plan Information Booklet
• Notice of Privacy Practices (HIPPA)
• NOTICE – Federal Affordable Care Act
• NOTICE – Federal Continuation of Coverage under COBRA
• NOTICE – KISD Workers’ Compensation Insurance
• Available Individual Retirement Plans
• Required Deduction for Medicare
REMEMBER: The Benefits meeting is required.
EMPLOYEE REGISTRATION/OPEN RECORDS INFORMATION
Date:___________________________________________
I UNDERSTAND MY SALARY WILL BE PAID OVER 12 MONTHS.
Full Name as will be shown on Payroll Check (please print)_________________________________
Employee ID Number:__________________________Phone Number:__________________________
Address:_________________________________________________________________________________
_________________________________________________________________________________
OPEN RECORDS INFORMATION
_________
I give my permission to release my home telephone number and/or home
address. This allows your information to leave the district and become
public information outside of the school district.
_________
Please do not disclose my home address or home telephone number to anyone
without my approval unless it is for emergency purposes as determined by my
supervising administrator. This request is being made in accordance with Texas
Government Code Chapter 552 (Texas Public Information Act).
Your social security number is confidential
DRUG PREVENTION PROGRAM CERTIFICATION
The Klein Independent School District, in accordance with the requirements in the Drug-Free
Schools and Communities Act (41 U.S.C. 702) and as a condition of the receipt of any federal
funds and/or federal financial assistance, has developed the following statement regarding
employee conduct that must be made to all staff members and provided to the Texas
Education Agency for their official records:



The unlawful possession, use or distribution of illicit drugs and alcohol on school premises
or as part of its activities is considered to be reprehensible conduct.
Violators will be subject to the provisions of Board of Trustees’ policy C-61 that appears
in all staff handbooks. Any infractions will be considered on a case-by-case.
Compliance with the requirements and prohibitions of this legislation is a mandatory
condition of employment.
Information pertaining to Houston area drug and alcohol counseling and rehabilitation
programs is published annually in the Klein School News. Copies are available from Klein ISD
Human Resource Services Office and from the Office of the Superintendent of Schools.
_________________________________________________________________
Signature
NOTICE TO APPLICANTS REGARDING
CRIMINAL HISTORY RECORD INFORMATION
Section 22.083 of the Texas Education Code permits school districts to obtain criminal history
record information on each applicant for employment. The school district will, therefore,
request that the Texas Department of Public Safety provide us with your criminal history, if any,
which as reported to us, includes arrests for any offense, location of arrests, charges brought
and disposition.
You were specifically asked on the application form you filed with the school district whether
you have ever been convicted of any felony or a misdemeanor involving moral turpitude
regardless of the disposition (i.e., an actual sentence, suspended sentence, deferred
adjudication, probation, etc.). A definition of moral turpitude was also included in the
application. It is absolutely essential that your application is truthful in all respects, including
your responses to this question. If there is any doubt in your mind as to whether you should
have answered the question differently, please discuss it with the district’s personnel officer. If
you need to change your answer, please provide the necessary information in the block
provided below. Changing your answer, at this time, will not, in and of itself, affect your
chances for employment. Your failure to answer accurately will.
If you have been convicted of any felony, or a misdemeanor involving moral turpitude, and have
not already disclosed this information to the school district, you must now disclose this
information on this form. If you have any reason to believe that information which the school
district might obtain on a criminal history record check would be contrary to or different from
that which you have already provided, please also note that on this form.
As indicated above, the district will receive information as to all arrests, regardless of whether
there was subsequent trial or a conviction. Thus, if you believe that there is any other
information that will disclosed to us which may related to your ability to perform the duties of
the job you are applying for, please so indicate that in the block provided below, as well.
Your signature on this form is your acknowledgement of agreement to the following:
• Your employment or offer of employment is conditioned upon the receipt by the school
district of a criminal history record report from the Texas Department of Public Safety
which is consistent with your application and the ability to perform the duties of the job.
• The school district reserves the right to take any action based on the information
received from the criminal history record report.
________________________
DATE
________________________________
APPLICANT’S SIGNATURE
________________________
WITNESS
I wish to provide the following additional information to the school district:
Revised 1/3/05
KLEIN INDEPENDENT SCHOOL DISTRICT 7200 Spring Cypress Road, Klein, Texas 77379 Phone: 832.249.4218 Fax: 832.249.4018
Texas Education Agency
Texas Public School Student/Staff Ethnicity and Race Data Questionnaire
The United States Department of Education (USDE) requires all state and local education
institutions to collect data on ethnicity and race for students and staff. This information is used
for state and federal accountability reporting as well as for reporting to the Office of Civil Rights
(OCR) and the Equal Employment Opportunity Commission (EEOC).
School district staff and parents or guardians of students enrolling in school are requested to
provide this information. If you decline to provide this information, please be aware that the
USDE requires school districts to use observer identification as a last resort for collecting the
data for federal reporting.
Please answer both parts of the following questions on the student’s or staff member’s ethnicity
and race. United States Federal Register (71 FR 44866)
Part 1. Ethnicity: Is the person Hispanic/Latino? (Choose only one)
Hispanic/Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or
other Spanish culture or origin, regardless of race.
Not Hispanic/Latino
Part 2. Race: What is the person’s race? (Choose one or more)
American Indian or Alaska Native - A person having origins in any of the original peoples
of North and South America (including Central America), and who maintains a tribal affiliation
or community attachment.
Asian - A person having origins in any of the original peoples of the Far East, Southeast
Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan,
Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American - A person having origins in any of the black racial groups of
Africa.
Native Hawaiian or Other Pacific Islander - A person having origins in any of the original
peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White - A person having origins in any of the original peoples of Europe, the Middle East, or
North Africa.
________________________________
Student/Staff Name (please print)
________________________________
Student/Staff Signature
________________________________
Student/Staff Identification Number
________________________________
Date
Texas Education Agency – March 2009
Revised: 10/27/2011
KLEIN INDEPENDENT SCHOOL DISTRICT 7200 Spring Cypress Road, Klein, Texas 77379 Phone: 832.249.4218 Fax: 832.249.4018
Statement Concerning Your Employment in a Job Not Covered by Social Security ____________________________________________ ___________________________________ Employee Name Employee ID#/SS# Klein Independent School District_______ 74‐6002337_____________ Employer Name Employer ID# Your earnings from this job are not covered under Social Security. When you retire, or if you become disabled, you may receive a pension based on earnings from this job. If you do, and you are also entitled to a benefit from Social Security based on either your own work or the work of your husband or wife, or former husband or wife, your pension may affect the amount of the Social Security benefit you receive. Your Medicare benefits, however, will not be affected. Under the Social Security law, there are two ways your Social Security benefit amount may be affected. Windfall Elimination Provision Under the Windfall Elimination Provision, your Social Security retirement or disability benefit is figure using a modified formula when you are also entitled to a pension from a job where you did not pay Social Security tax. As a result, you will receive a lower Social Security benefit than if you were not entitled to a pension from this job. For example, if you are age 62 in 2005, the maximum monthly reduction in your Social Security benefit as a result of this provision is $313.50. This amount is updated annually. This provision reduces, but does not totally eliminate, your Social Security benefit. For additional information, please refer to Social Security Publication, “Windfall Elimination Provision.” Government Pension Offset Provision Under the Government Pension Offset Provision, any Social Security spouse or widow(er) benefit to which you become entitled will be offset if you also receive a Federal, State or local government pension based on work where you did not pay Social Security tax. The offset reduces the amount of your Social Security spouse or widow(er) benefit by two‐thirds of the amount of your pension. For example, if you get a monthly pension of $600 based on earnings that are not covered under Social Security, two‐
thirds of that amount, $400, is used to offset your Social Security spouse or widow(er) benefit. If you are eligible for a $500 widow(er) benefit, you will receive $100 per month from Social Security ($500‐$400=$100). Even if your pension is high enough to totally offset your spouse or widow(er) Social Security benefit, you are still eligible for Medicare at age 65. For additional information, please refer to Social Security Publication, “Government Pension Offset.” For More Information Social Security publications and additional information, including information about exceptions to each provision, are available at www.socialsecurity.gov. You may also call toll free 1‐800‐772‐1213, or for the deaf or hard of hearing call the TTY number 1‐800‐325‐0778, or contact your local Social Security office. I certify that I have received Form SSA‐1945 that contains information about the possible effects of the Windfall Elimination Provision and the Government Pension Offset Provision on my potential future Social Security benefits. ________________________________________________________ _______________ Signature of Employee Date KLEIN INDEPENDENT SCHOOL DISTRICT 7200 Spring Cypress Road, Klein, Texas 77379 Phone: 832.249.4218 Fax: 832.249.4018
Statement Concerning Your Employment in a Job Not Covered by Social Security ____________________________________________ ___________________________________ Employee Name Employee ID#/SS# Klein Independent School District_______ 74‐6002337_____________ Employer Name Employer ID# Your earnings from this job are not covered under Social Security. When you retire, or if you become disabled, you may receive a pension based on earnings from this job. If you do, and you are also entitled to a benefit from Social Security based on either your own work or the work of your husband or wife, or former husband or wife, your pension may affect the amount of the Social Security benefit you receive. Your Medicare benefits, however, will not be affected. Under the Social Security law, there are two ways your Social Security benefit amount may be affected. Windfall Elimination Provision Under the Windfall Elimination Provision, your Social Security retirement or disability benefit is figure using a modified formula when you are also entitled to a pension from a job where you did not pay Social Security tax. As a result, you will receive a lower Social Security benefit than if you were not entitled to a pension from this job. For example, if you are age 62 in 2005, the maximum monthly reduction in your Social Security benefit as a result of this provision is $313.50. This amount is updated annually. This provision reduces, but does not totally eliminate, your Social Security benefit. For additional information, please refer to Social Security Publication, “Windfall Elimination Provision.” Government Pension Offset Provision Under the Government Pension Offset Provision, any Social Security spouse or widow(er) benefit to which you become entitled will be offset if you also receive a Federal, State or local government pension based on work where you did not pay Social Security tax. The offset reduces the amount of your Social Security spouse or widow(er) benefit by two‐thirds of the amount of your pension. For example, if you get a monthly pension of $600 based on earnings that are not covered under Social Security, two‐
thirds of that amount, $400, is used to offset your Social Security spouse or widow(er) benefit. If you are eligible for a $500 widow(er) benefit, you will receive $100 per month from Social Security ($500‐$400=$100). Even if your pension is high enough to totally offset your spouse or widow(er) Social Security benefit, you are still eligible for Medicare at age 65. For additional information, please refer to Social Security Publication, “Government Pension Offset.” For More Information Social Security publications and additional information, including information about exceptions to each provision, are available at www.socialsecurity.gov. You may also call toll free 1‐800‐772‐1213, or for the deaf or hard of hearing call the TTY number 1‐800‐325‐0778, or contact your local Social Security office. I certify that I have received Form SSA‐1945 that contains information about the possible effects of the Windfall Elimination Provision and the Government Pension Offset Provision on my potential future Social Security benefits. ________________________________________________________ _______________ Signature of Employee Date NEW
Professional and Paraprofessional Staff
Internet/E-Mail, Student Information Services and New Teacher Orientation
Employee Agreement Form
I have read and understand the Klein ISD’s electronic communication and data management policy/directives and Acceptable Use Procedure
for the Network/Internet and agree to abide by their provisions. I further understand that any violation of these policies and directives will
result in the revocation of my privileges regarding Klein network access and that other disciplinary action and/or appropriate legal action will be
taken. I hereby release Klein ISD, its operators, and any institutions with which they are affiliated from any and all claims and damages of any
nature arising from my use of or inability to use the system including, without limitation, the type of damages identified in the policy and
administrative directives. You may find the Acceptable Use Procedure at http://www.kleinisd.net - under Policies and Procedures – Acceptable
Use Procedures.
Employee’s Name:
Please Print
______________________________________________________________________________
(Last)
(First)
(MI)
Address _________________________________________ City:__________________________ Zip: _____________
Job Title: __________________________________________________________
Alternate ID # (5digit) ___________________
Social Security # _____________________________
(Given to you at Signing)
Assigned Campus/Campuses: ______________________Subject/Grade _________
Start Date:______________
Teachers Only Select A or B:
A_____1st Time Employed as Classroom Teacher
OR
B_____1st Time Employed as Classroom Teacher in Klein
Employee’s Signature: ________________________________________________
Date: ___________________
***********************************************************************************************
This space reserved for SIS only:
SMS User Name: ____________________
Date Issued:
SMS Password:
Date E-Mailed: ______________
____________________
______________
SIS Initials_____
REQUIREMENTS/RESPONSIBILITIES FOR NEWLY EMPLOYED KISD TEACHERS FOR THE
2015-16 SCHOOL YEAR
1.) All new teachers to Klein Independent School District, beginning teachers and veteran teachers, will be
required to attend four (4) days of New Instructional Employee Orientation on August 10-13, 2015. A
maximum of 6 hours of exchange day credit will be embedded within the required 4-day orientation.
2.) Beginning teachers will be required to attend three (3) induction trainings per semester their first year; two
(2) induction trainings per semester their second year; and one (1) induction training per semester their
third year. Teachers will not be compensated for attending, but they will receive CPE credit hours. The
credit hours earned at these meetings may be applied to the hours needed for exchange day credit with
prior written approval from the principal.
3.) Teachers new to Klein Independent School District but not new to the teaching profession will be required
to attend two (2) meetings per semester their first year and one (1) meeting per semester their second year.
Teachers will not be compensated for attending, but they will receive CPE credit hours. The credit hours
earned at these meetings may be applied to the hours needed for exchange day credit with prior
written approval from the principal.
4.) All teachers whether they are half time or full time are required to earn 30 hours of staff development
annually.
5.) Alternative Certification Program (ACP) teachers are responsible for immediately obtaining a Texas (1)
Year Probationary Certificate upon employment.
6.) ACP teachers are solely responsible for taking and passing the TEXES Professional Pedagogy &
Responsibilities exam during their 1st year of employment or the date determined on the letter of intent.
7.) Before an ACP teacher’s Texas (1) Year Probationary Certificate expires, the teacher must apply for the
Texas (5) Year Standard Certificate. The teacher is solely responsible for completing this task.
8.) Teachers coming from out of the state and holding a valid teaching certificates from that state, must
immediately apply for a (1) year Texas Certificate. The teacher must work with the Texas State Board of
Educator Certification (SBEC- www.sbec.state.tx.us/ ) during that year to obtain a Texas (5) Year Standard
Teacher Certificate.
9.) KISD teachers must obtain (150) professional development hours during the term of their (5) year
certificate. Teachers are solely responsible for renewing their certificate prior to the expiration date.
Should you have any certification renewal questions, SBEC can assist you.
10.) All professional Bilingual Stipend recipients are required to earn 24 hours of professional development in
the area of bilingual education, beyond the 30 hours required by Klein ISD. These professional
development hours are tied to $1,000.00 of the $4,000.00 bilingual stipend. Teachers hired by September
30, 2015 must complete the 24 hours by February 1, 2016. Teachers hired after September 30, 2015
will received a prorated stipend based on the number of days worked for the 2015-16 school year.
11.) All professional Bilingual Stipend recipients are required to successfully complete an oral and written
language proficiency assessment before the bilingual stipend is approved.
12.) All teachers will meet the certification and sheltered instruction requirements, for their position, by April
1st of their first year of employment (see HR representative for details).
13.) My signature below indicates that I will abide by the above guidelines. Failure to comply may result
in termination of my employment.
Name (Please Print):______________________________________
X ___________________________________________
Employee Signature
Revised: 4/16/15
________________________
Date
__________________________
Campus
KLEIN INDEPENDENT SCHOOL DISTRICT
7200 Spring Cypress Road, Klein, Texas 77379
Mr. Curt Drouillard
Associate Superintendent
Human Resource Services
April 23, 2015
ESL CERTIFICATION REQUIREMENTS FOR TEACHERS
2015-16 School Year
Grades PK-12
As the Klein ISD continues to experience growth in the English Language Learner student
population and as the academic needs of the District’s language programs continue to change,
teachers must be fully equipped to meet the needs of the students and the district. Both the Texas
Education Agency and the Klein ISD Board of Trustees expect the District to increase student
achievement and meet state and federal requirements.
Therefore, Klein ISD is requiring teachers to obtain and maintain ESL certification and/or certain
training. Each teacher is expected to review the attached chart and determine whether
certification or training is required for his or her position. Each teacher then must, by the date set
out in the chart, obtain this required certification and/or training.
Klein ISD will assist teachers with their ESL certification in the following manner:
• The Multilingual Program will offer TEXES review sessions at no cost to prepare
teachers to take the ESL Supplemental #154.
• If teachers opt to take the Computer Administered Test (CAT) they will need to register
and pay themselves and get reimbursed as part of the onetime $500.00 stipend
*Contact the office of Ms. Ana Izquierdo for further instructions on how to register
832-249-4314
Please mark your calendar in order to meet the important ESL certification deadlines. These
requirements are not optional, and failure to comply may adversely impact employment. We
look forward to working with you to improve instructional practices for our English Language
Learners.
Employee Name: (Please Print)
Employee Signature
Date
KLEIN ISD
ESL CERTIFICATION AND SHELTERED INSTRUCTION REQUIREMENTS
ELEMENTARY
INTERMEDIATE
HIGH SCHOOL
NEW Language Arts
Teachers
ALL Language Arts Teachers ESL
CERTIFIED by April 1 of school year
hired, if hired during the first
semester. New Teachers hired
after first semester ESL CERTIFIED
by April 1 of the following school
year.
ALL English Teachers ESL CERTIFIED
by April 1 of school year hired, if
hired during the first semester.
New Teachers hired after first
semester ESL CERTIFIED by April 1
of the following school year.
ALL English Teachers ESL CERTIFIED
by April 1 of school year hired, if
hired during the first semester.
New Teachers hired after first
semester ESL CERTIFIED by April 1
of the following school year.
NEW Math, Social
Studies, and Science
Teachers
ALL Math, Social Studies, and
Science TeachersESL CERTIFIED by
April 1 of school year hired, if hired
during the first semester. New
Teachers hired after first semester
ESL CERTIFIED by April 1 of the
following school year.
ALL Math, Social Studies, and
Science Teachers required to be
trained in Sheltered Instruction by
April 1 of school year hired, if hired
during the first semester. New
Teachers hired after first semester
trained in Sheltered Instructionby
April 1 of the following school year.
ALL Math, Social Studies, and
Science Teachers required to be
trained in Sheltered Instruction by
April 1 of school year hired, if hired
during the first semester. New
Teachers hired after first semester
trained in Sheltered Instructionby
April 1 of the following school year.
ALL Language Arts Teachers
required to be ESL CERTIFIED by
April 1, 2015.*
ALL English Teachers required to be
ESL CERTIFIED by April 1, 2015.*
ALL English Teachers required to be
ESL CERTIFIED by April 1, 2015.*
Language Arts
Teachers Hired prior
to the 2015-16 School
Year
Revised 04-27-15
Math, Social Studies,
and Science Teachers
Hired prior to the
2015-16 School Year
ALL Math, Social Studies, and
Science Teachers required to be
ESL CERTIFIED by April 1, 2015.*
ALL Math, Social Studies, and
Science Teachers required to be
trained in Sheltered Instruction by
April 1, 2015.*
ALL Math, Social Studies, and
Science Teachers required to be
trained in Sheltered Instruction by
April 1, 2015.*
EXISTING Teachers
reassigned to a
position requiring ESL
certification
Required to be ESL CERTIFIED by
April 1 of school year following
transfer.
Required to be ESL CERTIFIED by
April 1 of school year following
transfer.
Required to be ESL CERTIFIED by
April 1 of school year following
transfer.
ALL Special Education Teachers,
regardless of the area taught,
required to be ESL Certified by
April 1 of school year hired, if hired
during the first semester. New
Teachers hired after first semester
ESL CERTIFIED by April 1 of the
following school year.*
ALL CTE, Music, Art, and P.E.
Teachers are not required, but
highly encouraged to receive
training in Sheltered Instruction.*
ALL Special Education Teachers,
regardless of the area taught,
required to be ESL Certified by
April 1 of school year hired, if hired
during the first semester. New
Teachers hired after first semester
ESL CERTIFIED by April 1 of the
following school year.*
ALL CTE, Music, Art, and P.E.
Teachers are not required, but
highly encouraged to receive
training in Sheltered Instruction.*
ALL Special Education Teachers,
regardless of the area taught,
required to be ESL Certified by
April 1 of school year hired, if hired
during the first semester. New
Teachers hired after first semester
ESL CERTIFIED by April 1 of the
following school year.*
ALL CTE, Music, Art, and P.E.
Teachers are not required, but
highly encouraged to receive
training in Sheltered Instruction.*
Special Education
Teachers
CTE, Music, Art, and
P.E. Teachers
Revised 04-27-15
KLEIN INDEPENDENT SCHOOL DISTRICT
AUTHORIZATION AGREEMENT FOR DIRECT DEPOSIT (CREDITS)
SUBMITTING INSTRUCTIONS
1. Please sign form in any color, NO BLACK INK
2. Print out and bring this form to Klein Central Office – Payroll Room #211
3. Bring check for verification of your bank routing # and your account #
4. For identity theft protection please DO NOT submit via inter-school mail, fax or email.
Forms received by these methods will not be processed.
5. Retain one copy for your records.
NAME
KLEIN ID/ #
CHECK ONE: ___ADD NEW
___CHANGE EXISTING ___ CANCEL
CHECK ONE: ___CHECKING
___SAVINGS
___ CHANGE AMOUNT
Amount $________________
If no specific amount, write ALL.
If change, enter new amount.
BANK / DEPOSITORY NAME
BANK ROUTING #
Verified by payroll
ACCOUNT #_____________________
_____ (First nine digits on bottom of check)
Verified by payroll _____
The KLEIN ISD is not responsible for overdraft charges that might result from an inactivated account. I hereby authorize KLEIN
INDEPENDENT SCHOOL DISTRICT hereinafter to initiate credit entries and, if errors occur, authorize correcting entries to my
ACCOUNT indicated below and the depositary name below to credit the same to such account credit entries or change amounts as
stated above:
SIGNATURE
DATE
Bank Code # ________
Bank Code #
578
OFFICE USE ONLY
Ded Code #
1530 – 1510 Checking
Circle One
1520 – 1500 Savings
Ded Code #
1501 – Smart Financial Saving
Date Entered: _________ Entered By: _________
EMPLOYEE ACKNOWLEDGMENT OF THE ALLIANCE
DIRECT CONTRACTING PROGRAM
I have received information that tells me how to get health care under my employer’s workers’
compensation coverage. If I am hurt on the job and live in a service area described in this information, I
understand that:
1. I must choose a treating doctor from the Alliance list of doctors designated as treating doctors.
2. I must go to my treating doctor for all health care for my injury. If I need a specialist, my treating
doctor will refer me. If I need emergency care, I may go to any licensed medical professional
within the United States.
3. Even though my treating doctor should refer me to a specialist of providers contracted with the
Alliance, I understand that I need to verify that the referral doctor is a member of the Alliance
provider panel.
4. The Texas Association of School Boards Risk Management Fund will pay the treating doctor
and other Alliance providers for all health care related to my compensable injury.
5. I may have to pay the bill if I receive health care from a provider other than an Alliance provider
without prior approval from the Fund.
6. Making a false or fraudulent workers’ compensation claim is a crime that may result in fines and
or imprisonment.
7. If I want to change doctors after my first choice, I can only choose from the Alliance list of
providers. A third choice requires approval from my adjuster.
_____________________________________________________
Signature
/
/
Date
Printed Name
I reside at: ____________________________________
Street Address
___________________,______,_________________
City
State Zip Code
Name of Employer: Klein ISD
Name of Direct Contracting Program: Political Subdivision Workers’ Compensation Alliance (the
Alliance)
Direct contracting service areas are subject to change. To locate a treating doctor within your area, visit
the PSWCA web site at www.pswca.org or call your adjuster at 800-482-7276.
To be completed by the employer only
Please indicate whether this is the:
Initial Employee Notification
Injury Notification (Date of Injury:
/
/
)
DO NOT RETURN THIS FORM TO THE TASB RISK MANAGEMENT FUND UNLESS REQUESTED.
EMPLOYEE ACKNOWLEDGMENT OF THE ALLIANCE DIRECT
CONTRACTING PROGRAM
RECONOCIMENTO DEL EMPLEADO PARA EL PROGRAMA DE CONTRATAR
DIRECTAMENTE CON MEDICOS
He recibido la información que explica como obtener tratamientos médicos si me lastimo en el
trabajo. También entiendo si me lastimo en el trabajo:
1. Tengo que escoger un doctor de la lista de Alliance (PSWCAA), que son designados para
tratar.
2. Tengo que ir al doctor escogido por mí para tratamiento relacionado a mi lastimadura. Si
necesito un especialista, el doctor que escogí tiene que referir me a ese especialista. Si
necesito tratamientos de emergencia, yo entiendo que puedo ir a cualesquier doctor
licenciado en los Estados Unidos.
3. Si el doctor que escogí me refiere a un especialista, tengo que verificar que el especialista
también es aprobado por la PSWCA.
4. La compañía TASB le pagara al doctor escogido por mí y a doctores también que son
partidos de PSWCA.
5. Si voy a un doctor que no es aprobado por TASB, y no pertenece al partido de la PSWCA,
y no he obtenido aprobación, entiendo que es posible que tendré que pagar esa cuenta.
6. Reportando un reclamo falso de lastimadura en el trabajo es un crimen que pueda resultar
en multas o encarcelamiento.
7. Si deseo cambiar doctor después del primer doctor escogido, nada mas puedo escoger de
la lista de doctores aprobados por PSWCA. Si deseo cambiar doctor por la tercera ves,
tendré que recibir aprobación de mi ajustador de la compañía TASB, antes de cambiar.
Signature (firma):______________________________ Date (Fecha)_________________
Printed Name (Nombre en imprenta): ___________________________________________
Address (Dirección de domicilio incluyendo cuidad, estado y zip):_____________________
_________________________________________________________________________
Employer (Nombre de empleador): Klein ISD
Nombre del programa de contratar doctores directamente: POLITICAL SUBDIVISION WORKERS’
COMPENSATION ALLIANCE (PSWCA)
El servicio de contratar doctores directamente en las áreas de servicio, son subjetivos a cambiar.
Para localizar un doctor de tratamiento en su área, visite al Internet en: www.pswca.org o llame a
su ajustador al numero: 800-482-7276.
To be completed by the employer only (Para completar por el empleador solamente)
Please Indicate whether this is the:
□ Initial Employee Notification
□ Injury Notification (Fecha de lastimadura _________)
DO NOT RETURN THIS FOR TO THE TASB RISK MANAGEMENT FUND
UNLESS REQUESTED. (NO REGRESE ESTA FORMA A TASB SOLO QUE SEA
REQUERIDA)
EMPLOYEE NOTICE OF ALLIANCE REQUIREMENTS
Important Contact Information
To locate a provider, go to www.pswca.org or call (866) 997-7322
To contact your adjuster at the TASB Risk Management Fund, visit www.tasbrmf.org or call (800) 4827276.
Information, Instructions, Rights and Obligations
If you are injured at work, tell your supervisor or Workers’ Comp Coordinator immediately. The
information in this notice will help you to seek medical treatment for your injury. Your employer will also
help with any questions about how to get treatment. You may also contact your adjuster at the TASB
Risk Management Fund (the Fund) for any questions about treatment for a work related injury. The Fund
is Klein ISD’s workers’ compensation coverage provider and they are working with your employer to
ensure you receive timely and appropriate health care. The goal is to return you to work as soon as it is
safe to do so.
•
How do I choose a treating doctor?
If you are hurt at work and you live in the Alliance service area, you are required to choose a treating
doctor from the provider list. This is required for you to receive coverage of healthcare costs for your
work related injury. A provider listing is available through the Alliance website at www.pswca.org and
a link to that site is also contained on the Fund’s website at www.tasbrmf.org. It identifies providers
who are taking new patients.
If your treating doctor leaves the Alliance, we will tell you in writing. You will have the right to choose
another treating doctor from the list of Alliance doctors. If your doctor leaves the Alliance and you have
a life threatening or acute condition for which a disruption of care would be harmful to you, your doctor
may request that you treat with him or her for an extra 90 days.
•
What if I live outside the service area?
If you believe you live outside of the service area, you may request a service area review by
calling your adjuster.
•
How do I change treating doctors?
If you become dissatisfied with your first choice of a treating doctor, you can select an alternate
treating doctor from the list of direct contract treating doctors in the service area where you live.
The Fund will not deny a choice of an alternate treating doctor. Before you can change treating
doctors a second time, you must obtain permission from your adjuster.
•
How are treating doctor referrals handled?
Referrals for health care services that you or your doctor request will be made available on a
timely basis as required by your medical condition. Referrals will be made no later than 21 days
after the request. Your doctor should refer you to another Alliance provider unless it becomes
medically necessary to make a referral outside of the Alliance. You do not have to get a referral if
you are in need of emergency care.
•
Who pays for the healthcare?
Alliance providers have agreed to seek payment from the Fund for your health care. They should
not request payment from you. If you obtain health care from a doctor who is not in the Alliance
without prior approval from your adjuster, you may have to pay for the cost of that care. You may
treat with medical providers that are not contracted with the Alliance only if one of the following
situations occurs:
o
o
o
Emergencies: You should go to the nearest hospital or emergency care facility.
You do not live within an Alliance service area.
Your treating doctor refers you to a provider or facility outside of the Alliance. This referral
must be approved by your adjuster.
1
EMPLOYEE NOTICE OF ALLIANCE REQUIREMENTS – PAGE 2
How to File a Complaint
You have the right to file a complaint with the Alliance. You may do this if you are dissatisfied with any
aspect of direct contract program operations. This includes a complaint about the program and/or your
Alliance doctor. It may also be a general complaint about the Alliance. A complainant can notify the
Alliance Grievance Coordinator of a complaint by phone, from the Alliance website www.pswca.org or in
writing via mail or fax. Complaints should be forwarded to:
PSWCA (The Alliance)
Attention: Grievance Coordinator
P.O. Box 763
Austin, TX 78767-0763
866-997-7322
A complaint must be filed with the program grievance coordinator no later than 90 days from the date the
issue occurred. Texas law does not permit the Alliance to retaliate against you if you file a complaint
against the program. Nor can the Alliance retaliate if you appeal the decision of the program. The law does
not permit the Alliance to retaliate against your treating doctor if he or she files a complaint against the
program or appeals the decision of the program on your behalf.
What to do when you are injured on the job
If you are injured while on the job, tell your supervisor or Workers’ Comp Coordinator as soon as possible.
A list of Alliance treating doctors in your service area may be available from your employer. A complete
list of Alliance treating doctors is also available online at www.pswca.org. Or, you may contact us directly
at the following address and/or toll-free telephone number:
TASB Risk Management Fund
P.O. Box 2010
Austin, TX 78768
(800) 482-7276
In case of an emergency…
If you are hurt at work and it is a life threatening emergency, you should go to the nearest emergency
room. If you are injured at work after normal business hours or while working outside your service area,
you should go to the nearest care facility. After you receive emergency care, you may need ongoing care.
You will need to select a treating doctor from the Alliance provider list. This list is available online at
www.pswca.org. If you do not have internet access call (800) 482-7276 or contact your Workers’ Comp
Coordinator for a list. The doctor you choose will oversee the care you receive for your work related
injury. Except for emergency care you must obtain all health care and specialist referrals through your
treating doctor.
Emergency care does not need to be approved in advance. “Medical emergency” is defined in Texas
laws. It is a medical condition that comes up suddenly with acute symptoms that are severe enough that a
reasonable person would believe that you need immediate care or you would be harmed. That harm
would include your health or bodily functions being in danger or a loss of function of any body organ or
part.
2
EMPLOYEE NOTICE OF ALLIANCE REQUIREMENTS – PAGE 3
Non-emergency care…
Report your injury to your supervisor or Workers’ Comp Coordinator as soon as you can. Select a treating
doctor from the Alliance provider list. This list is available online at www.pswca.org. If you do not have
internet access, call 800- 482-7276 or contact your Workers’ Comp Coordinator for a list.
Treatments Requiring Advance Approval
Certain treatments or services prescribed by your doctor need to be approved in advance. Your doctor is
required to request approval from the TASB Risk Management Fund before the specific treatment or
service is provided. For example, you may need to stay more days in the hospital than what was first
approved. If so, the added treatment must be approved in advance.
The following non-emergency healthcare treatment requests must be approved in advance:
Inpatient hospital admissions
Outpatient Surgical or ambulatory surgical services
Spinal Surgery
All non-exempted work hardening
All non-exempted work conditioning
Physical or occupational therapy except for the first six (6) visits if those six
visits were done within the first 2 weeks immediately following date of injury
or date of surgery
Any investigational or experimental service
All psychological testing and psychotherapy
Repeat diagnostic studies greater than $350.
All durable medical equipment (DME) in excess of $500
Chronic pain management and interdisciplinary pain rehabilitation
Drugs not included in the TDI Division of Workers’ Compensation Formulary
All narcotic medications dispensed greater than 60 days
Any treatment or service that exceeds the Official Disability Guidelines.
The number your doctor must call to request one of these treatments is 800-482-7276, ext. 6654. If
a treatment or service request is denied, we will tell you in writing. This written notice will have information
about your right to request a reconsideration or appeal of the denied treatment. It will also tell you about
your right to request review by an Independent Review Organization through the Texas Department of
Insurance.
3
AVISO DEL EMPLEADO DE LOS REQUISITOS DE LA ALIANZA
Información de contacto importante
Para localizar a un proveedor, visite www.pswca.org o llame al (866) 997-7322.
Para contactar a un ajustador en el Fondo de Control de Riesgos de TASB, visite www.tasbrmf.org o llame
al (800) 482-7276.
Información, Instrucciones, Derechos y Obligaciones
Si se lesionó en el trabajo, avise a su supervisor o Coordinador de Compensación de Trabajadores
inmediatamente. La información en este aviso le ayudará a recibir tratamiento médico para su lesión. Su
empleador también le asistirá con cualquier pregunta que tenga para recibir tratamiento. También puede
contactar a su ajustador en el Fondo de Control de Riesgos de TASB (el Fondo) para cualquier pregunta
que tenga sobre el tratamiento de una lesión relacionada con el trabajo. El Fondo es su proveedor de
cobertura de compensación al trabajador y está trabajando con su compañía para asegurarse de que reciba
cuidados médicos a tiempo. La meta es que regrese a trabajar sin riesgos tan pronto como sea posible.
ƒ
¿Cómo elijo a un doctor?
Si se lastimó en el trabajo y vive en el área de servicio de la Alianza, se requiere que elija a un doctor
de la lista de proveedores. Esto se requiere para que reciba cobertura de los costos de cuidados
médicos para su lesión relacionada con el trabajo. Puede encontrar una lista de proveedores en la
página de Internet de la Alianza en www.pswca.org y la liga a este sitio también se encuentra en la
página de Internet del Fondo en www.tasbrmf.org. La lista identifica a los proveedores que están
aceptando pacientes nuevos.
Le avisaremos por escrito si su doctor deja la Alianza. Tendrá el derecho de elegir a otro doctor de la
lista de doctores de la Alianza. Si usted tuviera una enfermedad seria y la interrupción del tratamiento
pusiera su vida en riesgo y su doctor dejara la Alianza, su doctor podría pedir continuar el tratamiento
por 90 días más.
ƒ
¿Qué pasa si vivo fuera del área de servicio?
Si usted cree que vive fuera del área de servicio, puede llamar a su ajustador y pedirle que revise el
área de servicio.
ƒ
¿Cómo cambio de doctor?
Si está insatisfecho con su doctor, puede elegir un doctor diferente de la lista de doctores en el área de
servicio donde usted vive. El Fondo le da la opción de elegir un doctor diferente. Antes de que cambie
de doctores una segunda vez, debe obtener el permiso de su ajustador.
ƒ
¿Cómo se maneja la referencia de doctores?
Las referencias de los servicios médicos que usted y su doctor soliciten estarán disponibles en el tiempo
requerido en base a su condición médica. Las referencias serán hechas en menos de 21 días después
de su petición. Su doctor debe referirlo a otro proveedor de la Alianza a menos de que sea
médicamente necesario hacer la referencia afuera de la Alianza. No tiene que obtener una referencia si
necesita de cuidados de emergencia.
ƒ
¿Quién paga por los cuidados médicos?
Los proveedores de la Alianza han acordado pedir el pago al Fondo para sus cuidados médicos. No
deben pedirle pagos a usted. Si obtiene cuidados médicos de un doctor que no está en la Alianza sin
tener aprobación previa de un ajustador, tal vez tenga que pagar los costos de su cuidado. Puede
recibir tratamiento de los proveedores médicos que no pertenezcan a la Alianza sólo si sucede una de
las siguientes situaciones:
o
o
o
Emergencias: Debe de acudir al hospital o instalaciones de emergencia más cercanas.
Si no vive dentro del área de servicio de la Alianza
Si su doctor lo manda a un proveedor o instalación fuera de la Alianza. Esta instalación o
especialista debe ser aprobado por un ajustador.
AVISO DEL EMPLEADO DE LOS REQUISITOS DE LA ALIANZA - PÁGINA 2
Cómo Poner una Queja
Tiene el derecho de poner una queja con la Alianza. Debe hacerlo si no está satisfecho con algún aspecto
de las operaciones del programa de contrato directo. Esto incluye una queja sobre el programa y/o su doctor
de la Alianza. También puede ser una queja general sobre la Alianza. Puede poner su queja con el
Coordinador de Quejas de la Alianza por teléfono, por medio de la página de Internet de la Alianza en
www.pswca.org, por escrito por correo o por fax. Las quejas se deben mandar a:
PSWCA (The Alliance)
Attention: Grievance Coordinator
P.O. Box 763
Austin, TX 78767-0763
866-997-7322
Debe mandar la queja al coordinador de quejas del programa en menos de 90 días después de la fecha
en que haya ocurrido el incidente. Las leyes de Texas no permiten que la Alianza tome represalias en
contra de usted si pone una queja en contra del programa. La Alianza tampoco puede tomar represalias si
usted apela la decisión del programa. La ley no permite que la Alianza tome represalias en contra de su
doctor si el o ella pone una queja en contra del programa o apela de su parte la decisión del programa.
¿Qué se puede hacer cuando uno se lastima en el trabajo?
Si se lastima mientras esté en el trabajo, avise a su supervisor o Coordinador de Compensación de
Trabajadores tan pronto como le sea posible. Su empleador puede tener una lista de doctores de la Alianza
en su área de servicio. También puede encontrar una lista completa de doctores de la Alianza en
www.pswca.org. O también, nos puede contactar directamente a la siguiente dirección y/o llamar al número
de teléfono gratis:
TASB Risk Management Fund
P.O. Box 2010
Austin, TX 78768
(800) 482-7276
En caso de una emergencia...
Si se lastima en el trabajo y es una emergencia con amenaza de muerte, puede ir a un hospital de
emergencias más cercano. Si se lesiona en el trabajo después de horas de oficina o mientras esté
trabajando afuera de su área de servicio, debe acudir a las instalaciones más cercanas. Después de que
haya recibido cuidados de emergencia, puede necesitar continuos cuidados. Necesita elegir a un doctor
para su tratamiento de la lista de proveedores de la Alianza. Esta lista está disponible en línea en
www.pswca.org. Si no tiene Internet, llame al (800) 482-7276 ó llame a su supervisor o Coordinador de
Compensación de Trabajadores y pida la lista. El doctor que elija se asegurará de que reciba cuidados para
su lesión relacionada con el trabajo. Excepto por los cuidados de emergencia, usted debe obtener
referencias para los cuidados médicos y especialistas por medio del doctor que lo atienda.
Los cuidados de emergencia no necesitan ser aprobados con anticipación. Una "Emergencia Médica"
como es definida por las leyes de Texas. Es una condición médica que sucede repentinamente con
síntomas serios que son severos como para que una persona razonable crea que usted necesite cuidados
inmediatos o su no, podría sufrir un daño. Ese daño pudiera incluir peligros en contra de su salud o
funciones de su cuerpo o pérdida de funciones de cualquier órgano o parte del cuerpo.
AVISO DEL EMPLEADO DE LOS REQUISITOS DE LA ALIANZA - PÁGINA 3
Cuidados no de emergencia...
Reporte su lesión a su supervisor o Coordinador de Compensación de Trabajadores tan pronto como
pueda. Seleccione a un doctor que lo atienda de la lista de proveedores de la Alianza. Esta lista está
disponible en línea en www.pswca.org. Si no tiene acceso al Internet, llame al 800- 482-7276 ó llame a su
compañía y pídale una lista.
Tratamientos Que Requieren Aprobación Previa
Ciertos tratamientos o servicios prescritos por un doctor necesitan ser aprobados con anticipación. Se
requiere que su doctor pida aprobación del Fondo de Control de Riesgos de TASB antes de proporcionar un
tratamiento o servicio específico. Por ejemplo, puede necesitar quedarse más días en un hospital que los
días aprobados al principio. Si así es, los tratamientos adicionales deben ser aprobados con anticipación.
Los siguientes tratamientos médicos que no son de emergencia deben ser aprobados con anticipación:
Admisión del paciente en el hospital
Servicios quirúrgicos o de ambulancia
Cirugía de la Columna
Toda la terapia de fortalecimiento laboral no exenta
Toda la terapia de acondicionamiento laboral no exenta
Terapia física u ocupacional excepto las primeras seis (6) visitas si las seis visitas fueron
hechas en un periodo de 2 semanas inmediatamente después de la fecha de la lesión o la
cirugía.
Cualquier servicio de investigación o experimental
Todas las pruebas psicológicas y psicoterapia
Estudios repetidos de diagnósticos que sobrepasen $350
Todo el equipo médico (DME) que sobrepase $500
Manejo del dolor crónico y la rehabilitación del dolor interdisciplinario
Medicamentos no incluidos en el Formulario de la División de Compensación al Trabajador
(TDI)
Todos los medicamentos narcóticos proporcionados para más de 60 días
Cualquier tratamiento o servicio que exceda las Pautas Oficiales de Discapacidad
Su doctor debe llamar al 800-482-7276, ext. 6654 para pedir uno de estos tratamientos. Si se le niega
el tratamiento o servicio, le avisaremos por escrito. Este aviso por escrito tendrá información sobre su
derecho de pedir que se le vuelva a considerar o apelar por el tratamiento negado. También se le explicará
su derecho de pedir una revisión por una Organización de Revisión Independiente por medio del
Departamento de Seguros de Texas.
Acknowledgement of Receipt of Benefits Information
I understand that I have 30 days from my first day of employment to elect my benefits, including all medical,
dental, vision, life, disability, cancer, and legal plan options. I understand that if I do not enroll within 30 days, I will
be required to wait until the next annual enrollment period, unless a qualified event occurs
(http://www.mybenefitshub.com/kleinisd ).
I have been told that even if I do not want any benefits, I must go through the enrollment in order to officially
decline the medical coverage (ACA Federal requirement) and also to designate a beneficiary for the Basic life policy
that the District provides.
I understand that I have the responsibility to educate myself on the available KISD Benefits. I have been told that I
can attend a Benefits Meeting* (www.kleinisd.net/benefits) to obtain benefits enrollment information prior to
signing up for benefits.
I also will review all Benefit Information available to me under the “Klein ISD Benefits” link on the New Hire Packet
Page. I understand that all of the benefits materials is available to me on-line, accessible from the Benefits
Department website (www.kleinisd.net/benefits). This website is accessible from any computer at
www.kleinisd.net.
____________________________________________________________
Printed Name
____________________________________________________________
Employee ID
____________________________________________________________
Hire Date
____________________________________________________________
Campus/Department
_________________________________________________
Signature
_____________________
Date
*The Informational Benefit Meeting schedule - www.kleinisd.net/benefits
No Registration required – just be there!
KLEIN ISD HUMAN RESOURCE SERVICES
EMPLOYEE DISTRIBUTION LIST
The Human Resource Department has a specialist to help you with your
employee personnel file after you have completed your new hire packet.
Each specialist has a part of the alphabet (determined by your last name) to
help you throughout your employment with Klein ISD.
HUMAN RESOURCE PERSONNEL
 Employees with Employee Last Name A-F
Call Jamie Turner - (832) 249-4217
Email: [email protected]
 Employees with Employee Last Name G-O
Call Sharon Gaylord- (832) 249-4221
Email: [email protected]
 Employees with Employee Last Name P-Z
Call Barbara Keller-(832) 249-4220
Email: [email protected]
 Administrators
Call Terri Smith- (832) 249-4215
Email: [email protected]
 Substitutes
Call Bonnie Bereck - (832) 249-4219
Email: [email protected]
 Insurance/Benefits: Employee Last Name A-M
Call Julie Huff-(832) 249-4673
Email: [email protected]
 Insurance/Benefits: Employee Last Name N-Z
Call Fran Bearden-(832) 249-4674
Email: [email protected]
 Insurance/Benefits Coordinator
Call Claudia “Kaye” Parker-(832) 249-4691
Email: [email protected]
The Human Resource Department has a Notary Public for your convenience.
Revised 04/24/15
C-34
KLEIN INDEPENDENT SCHOOL DISTRICT
7200 Spring-Cypress Road, Klein, Texas 77379
DRUG PREVENTION PROGRAM CERTIFICATION
The Klein Independent School District, in accordance with the requirements in
the Drug-Free Schools and Communities Act (P.L. 101-226) and as a condition
of the receipt of any federal funds and/or federal financial assistance, has
developed the following statement regarding conduct that must be made to all
staff members and provided to the Texas Education Agency for their official
records:
 The unlawful possession, use or distribution of illicit drugs and alcohol on
school premises or as part of its activities is considered to be
reprehensible conduct.
 Violators will be subject to the provisions of Board of Trustees’ policy C-61
that appears in all staff handbooks and any infractions will be considered
on a case-by-case basis.
Compliance with the requirements and prohibitions of this legislation is a
mandatory condition of employment.
Information pertaining to Houston-area drug and alcohol counseling and
rehabilitation programs is published annually in the Klein School News. Copies
are available from the human resource department and the office of the
superintendent of schools for Klein ISD.
Adopted:
Cross references (s):
C-30.1
C-36
C-61
11-38
Code of Ethics and Standards of Conduct
Drug/Alcohol Testing and Screening
Dismissal and Suspension
Drug/Alcohol Testing Guidelines
July 9, 1990
Fraud Line 2012 Brochure Cover Print.pdf 1 9/18/2012 2:12:44 PM
Dear Klein ISD staff and teachers:
We must never lose sight of the fact that, in society
today, a school is much more than a place to learn. The
years a child spends in school have a profound impact
on the life, perspective and future of every person.
As we continue to uphold the Klein ISD standards, it is
important for employees to be role models for our
students. We do this by acting with integrity and
displaying strong values of honesty, respect,
consideration and fairness, even when doing so may be
unpopular.
If you ever feel that someone who works for or with
Klein ISD is acting in a fraudulent manner, and you
would like to bring the matter to our attention, you
have a couple of options:
1. Contact your supervisor/principal regarding:
• Theft
• Fraudulent accounting or financial reporting
• Misuse or abuse of district assets
2. Call the Fraud Line, 888-703-0083
The Klein ISD has a great reputation for honesty and
integrity, and that is due in part to individuals such as
yourself. We are not initiating this process because we
feel that fraud is occurring; however, we want to
maintain the high standards that have always
characterized our district.
The Fraud Line
Thank you for your continued support, and for
upholding the standard of excellence for the benefit of
all the students in the Klein ISD.
Sincerely,
Dr. Jim Cain
Superintendent
Klein ISD
888-703-0083
The Fraud Line
888-703-0083
https://www.submitreport.com/kleinisd.jsp
A Source of Knowledge…
A Source of Integrity
Fraud Line 2012 Brochure Back Print.pdf 1 9/19/2012 2:29:03 PM
Safe
Reliable
Convenient
Toll free
Anonymous
Available 24/7
The Fraud Line is a toll-free number that you can call if you are not comfortable
discussing your concerns face-to-face. It is available 24/7, allowing you to call
from the privacy of your own home. No call-tracing or recording devices are
ever used, and if you wish, you may remain completely anonymous.
The Fraud Line
888-703-0083
https://www.submitreport.com/kleinisd.jsp
How it works:
• When you call the Fraud Line, an operator, who does not work directly for the district,
asks you a series of questions to better understand the nature of your concern.
• At the end of your call, the operator will give you a unique report number, PIN and a
call-back date to follow-up on your report. Simply reference the identification
number when you call.
• The operator next prepares a report and then forwards it to the Klein ISD internal
audit department for review, and if necessary, investigation. If we need additional
information to resolve the issue, the operator will ask for it when you call back.
It is important to note that the Fraud Line is not intended to be a substitute for communication
between you and your supervisor. If you wish to discuss normal operating procedures or ways to
make your department more efficient, please bring them directly to your supervisor.
Employee Access Center
*This document is intended for employees of Klein ISD*
1. To update your Preferred First Name for display in Outlook, login to Employee Access Center (EAC) with your
Employee ID (User ID) and the last four (4) digits of your Social Security Number (Password) unless you have
previously logged in and changed your password to something else.
2. Click on Employee Information, then click on Update under the heading Preferred First Name (Displayed in
Outlook).
3. After you click update, enter your preferred first name in the blank rectangle. Now click Save.