Clinton Public Schools‎ > ‎Forms‎ > ‎

Staff Forms

If you have any questions about forms, please contact Sandra Murphy at Central Office at
(860) 664-6500 or by email at
Newer forms are designed to be completed using Microsoft Word.  
If the form name is followed by "(Fillable)" it can be completed electronically using Word.

Showing 44 items
Form NameForm NumberLast Updated
Form NameForm NumberLast Updated
2018 Teacher of the Year Application Form  4/2/18 
Acceptable Use Policy for Internet and Account Application PS-001B 07/2014 
Acknowledgement of Option to Withdraw 17 yr old from School PS-030  
Annual Notification of Parental Rights PS-040 10/2015 
Applicant Interview Sheet CO-002  
Behavioral Health Re-Entry to School Referral (Health Office) H-036 03/2015 
CEC Capital Request Form CEC Capital Request Form  
Classified Employee of the Year Nomination form  2/28/2018 
Contacts-Meeting Notes PS-031 07/2012 
Field Trip Request Form  CO-004  
Harassment Policy PS-012A 11/2014 
Harrassment Incident Report (Fillable) PS-013 11/2014 
Internet and Technology Policies and Regulations Policy & Regulation 6141.321, 4118.5, 4218.5 07/2014 
Internet Use - Template of Letter to Student-Parents PS-001A 07/2014 
Migrant Student Program - Family Interview Form (Fillable) PS-038 01/2015 
Morgan School New Registrants PS-025 12/2017 
Notice Regarding Electronic Monitoring PS-001D 07/2014 
Observers Planning Guide (Fillable) PS-037 01/2015 
Pierson-Eliot Withdrawal Transfer Form PS-007A 07/2014 
Pierson SRBI Intervention PS-023B  
Pre-K Readiness to Learn Educational Experiences PS-029  
PSAT Referral Form PS-023B  
Reimbursement Voucher   
Report Form for Complaints of Unlawful Harassment (Fillable) PS-012 02/2015 
Request for Professional Leave Form (Fillable) PS-035  
Retention Meeting Notes (Fillable) PS-008B 11/2014 
Retention Protocol & Blank Listing (Fillable) PS-008A 11/2014 
Safe School Investigation Summary Report (fillable) PS-027B 03/2017 
Safe Schools Climate Plan  08/2014 
Safe Schools: Notice of Parent Conference PS-027D  
Safe Schools: Staff-Parent Report of Suspected Bullying Behaviors PS-027A-3  
Safe Schools: Student Report of Suspected Bullying Behaviors PS-027A-1  
Safe Schools: Student Support-Intervention Plan PS-027C  
Safe Schools: Verified Acts Reporting Sheet PS-027E   
Safe Schools: Witness Report of Suspected Bullying Behaviors PS-027A-2  
Serious Incident Follow-Up (Fillable) PS-015 12/2015 
Serious Incident Report (Fillable) PS-014 12/2015 
Software Acquisition/Installation (Fillable) PS-026 11/2014 
Special Education Student Confidential Records Checklist SE-034 09/2015 
Student Information from Preschool, Childcare Center, or Family Childcare Program PS-021 11/2014 
Teacher of the Year Nomination Form  2/28/2018 
W-9 Form  11/11/2016 
Withdrawal Form (Joel, Pierson,Eliot) PS-007A 12/2017 
Withdrawal Form (Morgan) - fillable PS-007B 12/2016 
Showing 44 items