Forms Resource Center

This is an ongoing effort to make as many WCPSS forms as possible available for download. Look for the number of forms listed here to grow over time.

Forms in Acrobat format require Adobe Acrobat Reader 4.0 or higher for viewing and printing. You can download Acrobat Reader for free from Adobe. Forms in MS Word format require a program capable of reading MS Word 97 or later documents.

Employment Forms

Form	Format	Size	Description
NC Online Job Application Form for Teachers, Principals and Other Certified Positions	External Link	External Link	Teachers, principals, assistant principals and applicants for other certified positions must apply through the State of North Carolina's online system. The link leads the state Website.
WCPSS Supplemental Application Forms for Teachers, Principals and other Certified Positions Updated, Aug. 10, 2011	Acrobat	143 KB	Teachers, principals, assistant principals and applicants for other certified positions need to download and fill in these forms in addition to applying through the State of North Carolina's online system.
Job Application Form for Non-Certified Positions Updated, Aug. 10, 2011	Acrobat	377 KB	This form must be filled out by anyone applying for a non-certified position with WCPSS (Non-Certified Administrators, Support Staff, Technology, and Substitute Teachers). Includes directions and answers to frequently asked questions.

Universal Pre-Kindergarten Application

Form	Format	Size	Description
Wake County Pre-Kindergarten Application / Aplicación de Pre Kinder del Condado de Wake Updated, Jan. 13, 2012	Acrobat	425 KB	Single application packet that covers all WCPSS pre-kindergarten programs. English and Español.
Title 1 Pre-K Brochure 2012-2013 Updated, Jan. 23, 2012	Acrobat	2.4 MB	Title 1 pre-kindergarten programs overview for the 2012-2013 school year.
Title 1 Pre-K Brochure for 2012-2013 en Español Updated, Jan. 23, 2012	Acrobat	2.4 MB	Title 1 pre-kindergarten programs overview for the 2012-2013 school year en Español.

Student Assignment Forms

Go here for Student Assignment forms.

Medical Forms

Form	Format	Size	Description
Kindergarten Health Assessment Report	Acrobat	500 KB	Must be completed by a doctor and turned in to the school by the first day of day of class.
Parent Request and Physician's Order Form for Medication	Acrobat	25 KB	Authorize your child's school to administer their medicine.
Parent Request and Physician's Order Form for Medication - En Español Updated, May 25, 2011	Acrobat	106 KB	Yo requiero que a mi hijo(a) se le administre el medicamento como indicado por el orden del doctor en la parte abajo de esta forma. Yo entiendo que el personal no médico puede conducir la administración. Si una inyección de emergencia es ordenada, Yo doy permiso para que la Enfermera de Salud Pública basada en la Escuela para dar instrucciones a personal designado en la técnica de administración. Yo entiendo que es mi responsabilidad transportar la medicación a la escuela almenos que arreglos especiales ya hayan sido hechos por el principal.

Trips

Form	Format	Size	Description
Parental Consent and Emergency Information for School Trips	Acrobat	30 KB	Authorize your child's participation in a school trip and provide emergency contact information.
Autorización De Los Padres E Información De Emergencia Para Excursiones Escolares	Acrobat	43 KB	Este formulario de autorización se debe firmar tras entender y aceptar la información que contiene. Si no recibimos este formulario completo antes de la excursión, el estudiante no podrá participar y deberá permanecer en la escuela efectuando una actividad supervisada.

Transfer/Registration Forms

2012-13 Omnibus Registration Packets

Form	Format	Size	Description
2011-12 School Transfer Request Form (in English)	Acrobat	115 KB	Mail-in school transfer request form for the 2011-12 school year.
Petición De Traslado a Otra Escuela (Año Escolar 2011-12)(En Español)	Acrobat	78 KB	Mail-in school transfer request form for the 2011-12 school year.
School Enrollment Checklist	Acrobat	60 KB	Provides a handy checklist of all documentation required for student registration and enrollment in WCPSS.
Discipline Status Enrollment Form	Acrobat	156 KB	All students transferring into the Wake County Public School System must provide a completed version of this form to register for school. Please note that a notarized signature of a parent or legal guardian is required.
Formulario del nivel disciplinario para inscripción Discipline Status Enrollment Form in Spanish	Acrobat	156 KB	All students transferring into the Wake County Public School System must provide a completed version of this form to register for school. Please note that a notarized signature of a parent or legal guardian is required.
Affidavit of Residence Form	Acrobat	40 KB	Used when parent and student live with a friend/relative. Note: Statement must be notarized prior to submission to the Growth and Planning Department.
Verificación de Dirección (Affidavit of Residence Form - En Español)	Acrobat	36 KB	Nota: Esté documento debe de estar notarizado, antés de entregarlo al Departamento de Crecimiento Estudiantil
Selection of School by Joint Custody Parents Form	Acrobat	36 KB	This form is used by divorced/separated parents to agreeably establish a fixed school-assignment address for the student. Note: Statement must be notarized prior to submission to the Growth and Planning Department.
Dual Enrollment Form	Acrobat	32 KB	Dual Enrollment gives middle and high school students the opportunity to take approved courses at accredited institutions including Institutions of Higher Education (IHE), community colleges, NCVPS, UNCGi, Learn & Earn Online and Non-WCPSS secondary schools while completing high school graduation requirements. Courses taken must provide opportunities not currently available to the student at the middle school or high school. This includes courses of an advanced and/or expanded nature.
Ninth Grade: High School Registration Work Plan	Acrobat	16 KB	Helps your rising ninth-grader prepare for the course selection process.
Ninth Grade: Parent Request For Change Of Placement	Acrobat	8 KB	Use to request a course placement different than that recommended by your child's middle school.
Ninth Grade: 4-Year Graduation Plan Worksheet	Acrobat	12 KB	Use to plot a course to graduating high school in four years.

SPAN (Student/Parent Access Network)

Form	Format	Size	Description
Parent Access Form (Notary Public)	Acrobat	92 KB	Parents who want access to their high school children's records via the SPAN must complete either the Notary Public or the Photo ID version of this form.
Parent Access Form (Photo ID)	Acrobat	84 KB	Parents who want access to their high school children's records via the SPAN must complete either the Notary Public or the Photo ID version of this form.

Internet Access

Form

Format

Size

Description

Parental Request to Deny Internet Access

Updated, Aug. 29, 2011

Acrobat

152 KB

All students registered in the Wake County Public School System will automatically be given access to the Internet and e-mail.

Parents have the option of denying their child's access to the Internet and/or prohibiting them from obtaining an e-mail account. To exercise this option, the Parental Request to Deny Access form must be completed and returned to the child's school.

Formulario de Solicitud Paternal para Negar Acceso

Updated, Aug. 29, 2011

Acrobat

152 KB

Usted tiene la opción de negar el acceso individual de su hijo(a) al Internet y/ o prohibir que obtenga una Cuenta de Correo Electrónico del Sistema de las Escuelas Públicas del Condado de Wake. Para negar el acceso a uno o ambos servicios, favor de completar la siguiente forma, firme, ponga la fecha y devuélvala a la escuela de su hijo(a). Los padres o representante legal serán notificado cuando la escuela reciba el formulario firmado.

Athletics Forms

Form	Format	Size	Description
Concussion Return to Play Form Updated Aug 16, 2011	Acrobat	310 KB	This form is required to return to play after suffering a concussion.
High School Athletic Participation Form Updated, May 6, 2011	Acrobat	70 KB	This form is required for participation in High School Athletics
Middle School Eligibility Requirements and Athletic Participation Form Updated, May 24, 2011	Acrobat	66 KB	This form is required for participation in Middle School Athletics.
Appeal For Athletic Participation For Transferred/Reassigned Students	Acrobat	112 KB
Athletics Insurance Claim Form Updated July 25, 2011	Acrobat	209 KB

Community Use of Facilities Forms

All Community Use of Facilities forms are available from the forms section of the Community Services website.

Facilities Modification/Maintenance Forms

Form

Format

Size

Description

Facility Modification Packet

Acrobat

76 KB

All modifications on a school campus need a Facility Modification Form submitted to the Facility Planning Department for review and approval, before
proceeding with the work. Regardless of funding source, (e.g. PTA, a corporate sponsor, a grant, school budget, or funding through WCPSS Parent Volunteer Matching Grant Funds) a form must be submitted. Form includes a detailed explanation of when it is required.

Parent Volunteer/Matching Grants Form

Acrobat

84 KB

Parents and/or parent groups may apply to perform a specific maintenance project at any school. Applications which include requests for funding will be considered on a first-come, first-served basis. Funds requested of the school system must not exceed one dollar for each dollar in cash or in the value of donated goods and services provided by the school, or $10,000, whichever is less.

The following url has a full description of the program, as well as guidelines:http://www.wcpss.net/auxiliary-services/parent_volunteer_info.html .

Student Due Process Forms

Form

Format

Size

Description

Authorization for Release of Disciplinary Record

Updated Aug. 18, 2011

Acrobat

64 KB

Many schools/colleges/universities and businesses are requesting information from applicants regarding their prior suspension history. If the application requests your suspension history you must complete and submit this document. You must also: (1) inform the school/colleges/universities or businesses that requests for verification must be submitted to the Student Due Process, not your high school and (2) provide them with the Student Due Process fax number and address.

Driver's License Revocation

Form	Format	Size	Description
Driving Eligibility Exemplary Behavior Form	Acrobat	108 KB
Driving Eligibility Hardship Request Form - Inadequate Progress	Acrobat	160 KB
Driving Eligibility Hardship Request Form - Dropout	Acrobat	160 KB
Appeal Form - For Driving Eligibility Hardship Denial	Acrobat	136 KB	This form is for appealing the denial of hardship exemption.

Transportation Forms

Form	Format	Size	Description
Transportation Service Request Form	Acrobat	70 KB	Use this form to request a new school bus stop, change an existing school bus stop, or other change in an established school bus route.
Drivers' Awareness Record	Acrobat	8 KB	The Drivers' Awareness Record is available to be used to complete pertinent medical and/or physical information helpful to the driver. The information required can be completed by a classroom teacher or a parent and should be done only for those students with special medical or physical needs. The form will be readily accessible in the bus or contract vehicle should there be an emergency and will not be removed from the vehicle. Identified students who transfer to another bus or school should have their form sent to the receiving driver or school.

Volunteer

Due to problems caused by the submission of incomplete or incorrectly filled out forms, the school volunteer forms are no longer available online. Please contact your school to apply to be a volunteer.

Employee Forms

Form	Format	Size	Description
Request for Leave Form	Acrobat	56 KB	Use this form to request leave of all types: annual, sick and so on.
Employee Excellence Nomination Form	Acrobat	49 KB	Use this form nominate a fellow employee for the monthly Employee Excellence award.
Employee File Reactivation Form	Acrobat	4 KB	Use this form to reactivate your employee file if you are returning to work for WCPSS.
Local Supplement Advancement Pre-Payment Agreement Updated, August 5, 2011.	Acrobat	78 KB	The Supplement Advance is available to all teachers new to the Wake County Public Schools. Read the form carefully before making application.
Employee Accommodation Request Form Updated April 27, 2011	Acrobat	49 KB	Use this form to request an accommodation resulting from a medical condition.
Employee Petition Form Updated July 19, 2011	Word	66 KB	Use this form to petition for removal of information from your personnel file.

Employee Grievance Form Updated April 27, 2011	Word	66 KB	Use this form to file a grievance in accordance with Board Policy 3900.
Family and Medical Leave Act (FMLA) Forms
Certification of Health Care Provider for Employee's Serious Health Condition	Acrobat	623 KB	Employee who is required to submit a timely, complete and sufficient medical certification to support a request for FMLA leave due to your own serious health condition.
Certification of Health Care Provider for Family Members Serious Health Condition	Acrobat	590 KB	Employee who is required to submit a timely, complete and sufficient medical certification to support a request for FMLA leave to care for a covered family member with a serious health condition.
Certification of Qualifying Exigency for Military Family Leave	Acrobat	78 KB	Employee who is required to submit a timely, complete and sufficient certification to support a request for FMLA leave due to a qualifying exigency.
Certification for Serious Injury or Illness of Covered Service member -- for Military Family Leave	Acrobat	214 KB	Employee who is required to submit a timely, complete and sufficient certification to support a request for FMLA leave due to a serious inury or illness of a covered servicemember.

Student Teaching Program Forms

Form	Format	Size	Description
Application (Triangle Alliance Form)	MS Word	74 KB	For students/university contacts.
Health Form	MS Word	49 KB	For students/university contacts.
WCPSS General Waiver and Release	MS Word	98 KB	For students/university contacts.
Consent for Release of Information	MS Word	29 KB	For students/university contacts.
Online Criminal Records Check Procedures Guide (with Release Form)	Acrobat	61 KB	For students/university contacts.
Criminal Activity Disclosure Form	MS Word	45 KB	For students/university contacts.
Form S	MS Word	49 KB	For cooperating teachers.
Cooperating Teacher Timeline Agreement	MS Word	41 KB	For cooperating teachers.
IHE Supervisory Evaluation	MS Word	37 KB	For cooperating teachers.
Renewal Credit Form (SRN available via e-schools)	MS Word	57 KB	For cooperating teachers.

Purchasing Forms

Form

Format

Size

Description

Vendor Application Form

Updated, July 27, 2011

Acrobat

68 KB

Use this form to be added to the WCPSS Internal Vendor List.

Excused Absence

Form	Format	Size	Description
Request For Excused Absence For Educational Reasons	Acrobat	12 KB	The Wake County Board of Education Policy 6000 requires advanced permission for excused absences for educational purposes. Fill out this form and submit it to the principal of your school. If the principal does not approve this request, you will be promptly notified.

Pest Management

Form	Format	Size	Description
Request for Notification before Non-Exempt Pesticide Application	Acrobat	88 KB	Use this form to receive advance notifications of when certain pesticides will be applied at the school sites your children attend, or at the WCPSS sites where you work.

Guest Speaker Forms

Form	Format	Size	Description
Request For Prior Approval For Guest Speaker	Acrobat	32 KB	The teacher requesting participation of a guest speaker must complete this form and the Agreement and Guidelines for Guest Speakers form and submit both to the principal at least five days prior to the visit by the guest speaker.

Authorization for the Release of Records (Transcripts)

Transcript ordering is handled online. Visit our Transcripts page for details and link to the online order form.

Forms Resource Center

Employment Forms

Universal Pre-Kindergarten Application

Student Assignment Forms

Medical Forms

Trips

Transfer/Registration Forms

SPAN (Student/Parent Access Network)

Internet Access

Athletics Forms

Community Use of Facilities Forms

Facilities Modification/Maintenance Forms

Student Due Process Forms

Driver's License Revocation

Transportation Forms

Volunteer

Employee Forms

Family and Medical Leave Act (FMLA) Forms

Student Teaching Program Forms

Purchasing Forms

Excused Absence

Pest Management

Guest Speaker Forms

Authorization for the Release of Records (Transcripts)