Common use of Step Six Clause in Contracts

Step Six. Arbitration^ The Association and Grievant demand arbitration to resolve this dispute. Association President’s Signature: Date Received by Treasurer: ^ If satisfactory disposition is not rendered by the Board and Grievant elects to proceed directly to arbitration, or the matter is not resolved through mediation, Grievant shall, within ten (10) working days of receipt of the Board’s disposition or the date of the unsuccessful mediation (whichever is applicable), forward to the Board Treasurer and the American Arbitration Association (AAA) a demand for arbitration. Likewise, if the Superintendent declines to mediate the grievance as set forth in Step Five, Association President promptly forward to the Board Treasurer and the AAA a demand for arbitration. (Copies of this Grievance Form shall be given/sent to the Association President, Xxxxxxxx and the Appropriate Administrator.) **************************************************************************** Attach additional pages if necessary to complete any Section. APPENDIX B NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 TEACHER'S CONTRACT: YEAR LIMITED AN AGREEMENT entered into between , hereinafter referred to as "teacher" of Wayne County, Ohio, and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne County, Ohio: the said teacher xxxxxx agrees to teach in the Public Schools of said District for the school year(s). Said teacher further agrees to abide by and maintain the rules and regulations for the government of the schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said Teacher, the sum of Dollars ($ ), annual salary. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contact is effective Teacher and is based on days. Northwestern Board of Education Training President Experience Total Explanation of Experience Treasurer Teaching Service Credit KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX C NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 TEACHER'S CONTRACT: CONTINUING AN AGREEMENT entered into between , hereinafter referred to as "teacher" of Wayne County, Ohio, and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne County, Ohio: the said teacher xxxxxx agrees to teach in the Public Schools of said District from the date of this Contract until he/she resigns, elects to retire, is retired pursuant to ORC 3307.37, or until said Contract is terminated or suspended as provided by law. Said teacher further agrees to abide by and maintain the rules and regulations for the government of the schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said Teacher, the sum of Dollars ($ ), annual salary. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contact is effective Teacher and is based on days. Northwestern Board of Education Training President Experience Total Explanation of Experience Treasurer Teaching Service Credit KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX D NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 LIMITED CONTRACT FOR SUPPLEMENTAL DUTIES AN AGREEMENT entered into between and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne County, Ohio. The said xxxxxx agrees to perform supplementary services described below for the school year , and will conduct such service under guidelines established by the Northwestern Local Board of Education. Services to be performed and salary received is as follows: . It is clearly understood that the % deduction for the State Teachers Retirement System or the School Employees Retirement System is a part of this Contract. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . Teacher Northwestern Board of Education President Treasurer KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX E NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 SALARY NOTIFICATION: CERTIFICATED/LICENSED STAFF To Date In accordance with ORC 3319.12, you are hereby notified that your salary for the school year will be ($ ) beginning and ending . Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . Basis of Compensation Northwestern Board of Education Degree Status President Regular Service Credit Treasurer Military Service Credit _ Total Years: APPENDIX F NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 ONE-YEAR LIMITED TUTOR CONTRACT AN AGREEMENT entered into between , hereinafter referred to as tutor, and the BOARD OF EDUCATION of the Northwestern Local School District of West Salem, in Wayne County, Ohio; the said tutor xxxxxx agrees to tutor in the Public Schools of said District on an as-needed basis for the school year. It is anticipated that the tutor will be employed (#.##) hours per day, (#) days per week, (###) worked may vary, depending upon the needs of the District. Said tutor further agrees to abide by and maintain the rules and regulations for the government of the Schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said Xxxxx, the sum of Dollars, ($ ##.##) per hour. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contract is effective: (beginning date Tutor Signature through ending date) Date Signed NORTHWESTERN BOARD OF EDUCATION President Signature Treasurer Signature SIGN BOTH COPIES: RETURN ONE COPY TO THE OFFICE OFF THE TREASURER APPENDIX G Intent/Expression of Interest Form - Certified Northwestern Local Schools has an ongoing desire to align employee interests to potential position openings. Therefore, we are sending this annual notice as a method to solicit employee feedback as far as individual interests for the ensuing school year as well as future interests. Please complete this form an e-mail it to the Executive Secretary to the Superintendent by March 1. Employee Name: Current Assignment: Current Supplemental Contract(s): Building Preference (please check one): o Elementary School o Middle School o High School o District Grade Level Preference: Subject Placement (if applicable): Preferred Assignment(s): Supplemental Contract Interest(s): Please share any other interests you may have: Completion of this form is voluntary APPENDIX H NORTHWESTERN LOCAL SCHOOL DISTRICT LEAVE FORM Name Date(s) of Leave S.S.# Number of Days Substitute’s Name Please check one of the following: SICK LEAVE (Check reason for using sick Leave) 9 □ PROFESSIONAL LEAVE Is a Substitute Necessary? 1 □ Illness, Injury or Death of Immediate Family (name & relationship) MEETING NAME: MEETING LOCATION: If medical attention was obtained while on leave, the name How do you anticipate incorporating the agenda of this meeting into your area of professional responsibility? FUND FUNC OBJ SCC SUBJ OPU IL JOB JOB FUND FUNC OBJ SCC SUBJ OPU IL ESTIMATED COSTS Registration Fee $ Pd P.O. Transportation Costs (IRS Rate) $ ($75 max per day) Lodging $ ($75 max per day) Meals $ ($30 max per day) Total Estimated Expenses: $ (Not to exceed $400) EMPLOYEE REIMBURSEMENT COST Registration Fee $ Pd P.O. Transportation Costs (IRS Rate) $ ($75 max per day) Lodging $ ($75 max per day) 2nd Employee $ ($75 max per day) Meals $ ($30 max per day) TOTAL ACTUAL REIMBURSEMENT EXPENSE: $ (Not to exceed $400) and address of the attending physician must be listed here. An employee out for more than ten (10) consecutive work days due to personal issues/serious health condition must provide a return to work statement from his/her health care provider.

Step Six. Arbitration^ The Association and Grievant demand arbitration to resolve this dispute. Association President’s Signature: Date Received by Treasurer: ^ If satisfactory disposition is not rendered by the Board and Grievant elects to proceed directly to arbitration, or the matter is not resolved through mediation, Grievant shall, within ten (10) working days of receipt of the Board’s disposition or the date of the unsuccessful mediation (whichever is applicable), forward to the Board Treasurer and the American Arbitration Association (AAA) a demand for arbitration. Likewise, if the Superintendent declines to mediate the grievance as set forth in Step Five, Association President promptly forward to the Board Treasurer and the AAA a demand for arbitration. (Copies of this Grievance Form shall be given/sent to the Association President, Xxxxxxxx Grievant and the Appropriate Administrator.) **************************************************************************** Attach additional pages if necessary to complete any Section. APPENDIX B NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 TEACHER'S CONTRACT: YEAR LIMITED AN AGREEMENT entered into between , hereinafter referred to as "teacher" of Wayne Xxxxx County, Ohio, and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne Xxxxx County, Ohio: the said teacher xxxxxx hereby agrees to teach in the Public Schools of said District for the school year(s). Said teacher further agrees to abide by and maintain the rules and regulations for the government of the schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said Teacher, the sum of Dollars ($ ), annual salary. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contact is effective Teacher and is based on days. Northwestern Board of Education Training President Experience Total Explanation of Experience Treasurer Teaching Service Credit KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX C NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 TEACHER'S CONTRACT: CONTINUING AN AGREEMENT entered into between , hereinafter referred to as "teacher" of Wayne Xxxxx County, Ohio, and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne Xxxxx County, Ohio: the said teacher xxxxxx hereby agrees to teach in the Public Schools of said District from the date of this Contract until he/she resigns, elects to retire, is retired pursuant to ORC 3307.37, or until said Contract is terminated or suspended as provided by law. Said teacher further agrees to abide by and maintain the rules and regulations for the government of the schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said Teacher, the sum of Dollars ($ ), annual salary. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contact is effective Teacher and is based on days. Northwestern Board of Education Training President Experience Total Explanation of Experience Treasurer Teaching Service Credit KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX D NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 LIMITED CONTRACT FOR SUPPLEMENTAL DUTIES AN AGREEMENT entered into between and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne Xxxxx County, Ohio. The said xxxxxx hereby agrees to perform supplementary services described below for the school year , and will conduct such service under guidelines established by the Northwestern Local Board of Education. Services to be performed and salary received is as follows: . It is clearly understood that the % deduction for the State Teachers Retirement System or the School Employees Retirement System is a part of this Contract. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . Teacher Northwestern Board of Education President Treasurer KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX E NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 SALARY NOTIFICATION: CERTIFICATED/LICENSED STAFF To Date In accordance with ORC 3319.12, you are hereby notified that your salary for the school year will be ($ ) beginning and ending . Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . Basis of Compensation Northwestern Board of Education Degree Status President Regular Service Credit Treasurer Military Service Credit _ Total Years: APPENDIX F NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 ONE-YEAR LIMITED TUTOR CONTRACT AN AGREEMENT entered into between , hereinafter referred to as tutor, and the BOARD OF EDUCATION of the Northwestern Local School District of West Salem, in Wayne Xxxxx County, Ohio; the said tutor xxxxxx hereby agrees to tutor in the Public Schools of said District on an as-needed basis for the school year. It is anticipated that the tutor will be employed (#.##) hours per day, (#) days per week, (###) worked may vary, depending upon the needs of the District. Said tutor further agrees to abide by and maintain the rules and regulations for the government of the Schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said XxxxxTutor, the sum of Dollars, ($ ##.##) per hour. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contract is effective: (beginning date Tutor Signature through ending date) Date Signed NORTHWESTERN BOARD OF EDUCATION President Signature Treasurer Signature SIGN BOTH COPIES: RETURN ONE COPY TO THE OFFICE OFF THE TREASURER APPENDIX G Intent/Expression of Interest Form - Certified Northwestern Local Schools has an ongoing desire to align employee interests to potential position openings. Therefore, we are sending this annual notice as a method to solicit employee feedback as far as individual interests for the ensuing school year as well as future interests. Please complete this form an e-mail it to the Executive Secretary to the Superintendent by March 1. Employee Name: Current Assignment: Current Supplemental Contract(s): Building Preference (please check one): o Elementary School o Middle School o High School o District Grade Level Preference: Subject Placement (if applicable): Preferred Assignment(s): Supplemental Contract Interest(s): Please share any other interests you may have: Completion of this form is voluntary APPENDIX H NORTHWESTERN LOCAL SCHOOL DISTRICT LEAVE FORM Name Date(s) of Leave S.S.# Number of Days Substitute’s Name Please check one of the following: SICK LEAVE (Check reason for using sick Leave) 9 □  PROFESSIONAL LEAVE Is a Substitute Necessary? 1 □  Illness, Injury or Death of Immediate Family (name & relationship) MEETING NAME: MEETING LOCATION: If medical attention was obtained while on leave, the name How do you anticipate incorporating the agenda of this meeting into your area of professional responsibility? FUND FUNC OBJ SCC SUBJ OPU IL JOB JOB FUND FUNC OBJ SCC SUBJ OPU IL ESTIMATED COSTS Registration Fee $ Pd P.O. Transportation Costs (IRS Rate) $ ($75 max per day) Lodging $ ($75 max per day) Meals $ ($30 max per day) Total Estimated Expenses: $ (Not to exceed $400) EMPLOYEE REIMBURSEMENT COST Registration Fee $ Pd P.O. Transportation Costs (IRS Rate) $ ($75 max per day) Lodging $ ($75 max per day) 2nd Employee $ ($75 max per day) Meals $ ($30 max per day) TOTAL ACTUAL REIMBURSEMENT EXPENSE: $ (Not to exceed $400) and address of the attending physician must be listed here. An employee out for more than ten (10) consecutive work days due to personal issues/serious health condition must provide a return to work statement from his/her health care provider.

Step Six. Arbitration^ The Association and Grievant demand arbitration to resolve this dispute. Association President’s Signature: Date Received by Treasurer: ^ If satisfactory disposition is not rendered by the Board and Grievant elects to proceed directly to arbitration, or the matter is not resolved through mediation, Grievant shall, within ten (10) working days of receipt of the Board’s disposition or the date of the unsuccessful mediation (whichever is applicable), forward to the Board Treasurer and the American Arbitration Association (AAA) a demand for arbitration. Likewise, if the Superintendent declines to mediate the grievance as set forth in Step Five, Association President promptly forward to the Board Treasurer and the AAA a demand for arbitration. (Copies of this Grievance Form shall be given/sent to the Association President, Xxxxxxxx Grievant and the Appropriate Administrator.) **************************************************************************** Attach additional pages if necessary to complete any Section. APPENDIX B NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 TEACHER'S CONTRACT: YEAR LIMITED AN AGREEMENT entered into between , hereinafter referred to as "teacher" of Wayne Xxxxx County, Ohio, and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne Xxxxx County, Ohio: the said teacher xxxxxx hereby agrees to teach in the Public Schools of said District for the school year(s). Said teacher further agrees to abide by and maintain the rules and regulations for the government of the schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said Teacher, the sum of Dollars ($ ), annual salary. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contact is effective Teacher and is based on days. Northwestern Board of Education Training President Experience Total Explanation of Experience Treasurer Teaching Service Credit KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX C NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 TEACHER'S CONTRACT: CONTINUING AN AGREEMENT entered into between , hereinafter referred to as "teacher" of Wayne Xxxxx County, Ohio, and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne Xxxxx County, Ohio: the said teacher xxxxxx hereby agrees to teach in the Public Schools of said District from the date of this Contract until he/she resigns, elects to retire, is retired pursuant to ORC 3307.37, or until said Contract is terminated or suspended as provided by law. Said teacher further agrees to abide by and maintain the rules and regulations for the government of the schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said Teacher, the sum of Dollars ($ ), annual salary. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contact is effective Teacher and is based on days. Northwestern Board of Education Training President Experience Total Explanation of Experience Treasurer Teaching Service Credit KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX D NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 LIMITED CONTRACT FOR SUPPLEMENTAL DUTIES AN AGREEMENT entered into between and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne Xxxxx County, Ohio. The said xxxxxx hereby agrees to perform supplementary services described below for the school year , and will conduct such service under guidelines established by the Northwestern Local Board of Education. Services to be performed and salary received is as follows: . It is clearly understood that the % deduction for the State Teachers Retirement System or the School Employees Retirement System is a part of this Contract. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . Teacher Northwestern Board of Education President Treasurer KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX E NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 SALARY NOTIFICATION: CERTIFICATED/LICENSED STAFF To Date In accordance with ORC 3319.12, you are hereby notified that your salary for the school year will be ($ ) beginning and ending . Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . Basis of Compensation Northwestern Board of Education Degree Status President Regular Service Credit Treasurer Military Service Credit _ Total Years: APPENDIX F NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 ONE-YEAR LIMITED TUTOR CONTRACT AN AGREEMENT entered into between , hereinafter referred to as tutor, and the BOARD OF EDUCATION of the Northwestern Local School District of West Salem, in Wayne Xxxxx County, Ohio; the said tutor xxxxxx hereby agrees to tutor in the Public Schools of said District on an as-needed basis for the school year. It is anticipated that the tutor will be employed (#.##) hours per day, (#) days per week, (###) worked may vary, depending upon the needs of the District. Said tutor further agrees to abide by and maintain the rules and regulations for the government of the Schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said XxxxxTutor, the sum of Dollars, ($ ##.##) per hour. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contract is effective: (beginning date Tutor Signature through ending date) Date Signed NORTHWESTERN BOARD OF EDUCATION President Signature Treasurer Signature SIGN BOTH COPIES: RETURN ONE COPY TO THE OFFICE OFF THE TREASURER APPENDIX G Intent/Expression of Interest Form - Certified Northwestern Local Schools has an ongoing desire to align employee interests to potential position openings. Therefore, we are sending this annual notice as a method to solicit employee feedback as far as individual interests for the ensuing school year as well as future interests. Please complete this form an eAPPENDIX G Non-mail it to the Executive Secretary to the Superintendent by March 1. Employee Name: Current Assignment: Current Supplemental Contract(s): Building Preference (please check one): o Elementary School o Middle School o High School o District Grade Level Preference: Subject Placement (if applicable): Preferred Assignment(s): Supplemental Contract Interest(s): Please share any other interests you may have: Completion of this form is voluntary OTES Evaluation Instruments APPENDIX H NORTHWESTERN LOCAL SCHOOL DISTRICT LEAVE FORM Name Date(s) of Leave S.S.# Number of Days Substitute’s Name Please check one of the following: SICK LEAVE (Check reason for using sick Leave) 9 □  PROFESSIONAL LEAVE Is a Substitute Necessary? 1 □  Illness, Injury or Death of Immediate Family (name & relationship) MEETING NAME: MEETING LOCATION: If medical attention was obtained while on leave, the name How do you anticipate incorporating the agenda of this meeting into your area of professional responsibility? FUND FUNC OBJ SCC SUBJ OPU IL JOB JOB FUND FUNC OBJ SCC SUBJ OPU IL ESTIMATED COSTS Registration Fee $ Pd P.O. Transportation Costs (IRS Rate) $ ($75 max per day) Lodging $ ($75 max per day) Meals $ ($30 max per day) Total Estimated Expenses: $ (Not to exceed $400) EMPLOYEE REIMBURSEMENT COST Registration Fee $ Pd P.O. Transportation Costs (IRS Rate) $ ($75 max per day) Lodging $ ($75 max per day) 2nd Employee $ ($75 max per day) Meals $ ($30 max per day) TOTAL ACTUAL REIMBURSEMENT EXPENSE: $ (Not to exceed $400) and address of the attending physician must be listed here. An employee out for more than ten (10) consecutive work days due to personal issues/serious health condition must provide a return to work statement from his/her health care provider.

Step Six. Arbitration^ The Association and Grievant demand arbitration to resolve this dispute. Association President’s Signature: Date Received by Treasurer: ^ If satisfactory disposition is not rendered by the Board and Grievant elects to proceed directly to arbitration, or the matter is not resolved through mediation, Grievant shall, within ten (10) working days of receipt of the Board’s disposition or the date of the unsuccessful mediation (whichever is applicable), forward to the Board Treasurer and the American Arbitration Association (AAA) a demand for arbitration. Likewise, if the Superintendent declines to mediate the grievance as set forth in Step Five, Association President promptly forward to the Board Treasurer and the AAA a demand for arbitration. (Copies of this Grievance Form shall be given/sent to the Association President, Xxxxxxxx Grievant and the Appropriate Administrator.) **************************************************************************** Attach additional pages if necessary to complete any Section. APPENDIX B NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 TEACHER'S CONTRACT: YEAR LIMITED AN AGREEMENT entered into between , hereinafter referred to as "teacher" of Wayne Xxxxx County, Ohio, and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne Xxxxx County, Ohio: the said teacher xxxxxx hereby agrees to teach in the Public Schools of said District for the school year(s). Said teacher further agrees to abide by and maintain the rules and regulations for the government of the schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said Teacher, the sum of Dollars ($ ), annual salary. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contact is effective Teacher and is based on days. Northwestern Board of Education Training President Experience Total Explanation of Experience Treasurer Teaching Service Credit KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX C NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 TEACHER'S CONTRACT: CONTINUING AN AGREEMENT entered into between , hereinafter referred to as "teacher" of Wayne Xxxxx County, Ohio, and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne Xxxxx County, Ohio: the said teacher xxxxxx hereby agrees to teach in the Public Schools of said District from the date of this Contract until he/she resigns, elects to retire, is retired pursuant to ORC 3307.37, or until said Contract is terminated or suspended as provided by law. Said teacher further agrees to abide by and maintain the rules and regulations for the government of the schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said Teacher, the sum of Dollars ($ ), annual salary. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contact is effective Teacher and is based on days. Northwestern Board of Education Training President Experience Total Explanation of Experience Treasurer Teaching Service Credit KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX D NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 LIMITED CONTRACT FOR SUPPLEMENTAL DUTIES AN AGREEMENT entered into between and the BOARD OF EDUCATION of the Northwestern Local School District in Wayne Xxxxx County, Ohio. The said xxxxxx hereby agrees to perform supplementary services described below for the school year , and will conduct such service under guidelines established by the Northwestern Local Board of Education. Services to be performed and salary received is as follows: . It is clearly understood that the % deduction for the State Teachers Retirement System or the School Employees Retirement System is a part of this Contract. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . Teacher Northwestern Board of Education President Treasurer KEEP ORIGINAL FOR YOUR RECORDS; RETURN COPY TO TREASURER APPENDIX E NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 SALARY NOTIFICATION: CERTIFICATED/LICENSED STAFF To Date In accordance with ORC 3319.12, you are hereby notified that your salary for the school year will be ($ ) beginning and ending . Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . Basis of Compensation Northwestern Board of Education Degree Status President Regular Service Credit Treasurer Military Service Credit _ Total Years: APPENDIX F NORTHWESTERN LOCAL SCHOOLS 0000 X. Xxxxxx Xxxx Xxxx Xxxxx, Xxxx 00000 ONE-YEAR LIMITED TUTOR CONTRACT AN AGREEMENT entered into between , hereinafter referred to as tutor, and the BOARD OF EDUCATION of the Northwestern Local School District of West Salem, in Wayne Xxxxx County, Ohio; the said tutor xxxxxx hereby agrees to tutor in the Public Schools of said District on an as-needed basis for the school year. It is anticipated that the tutor will be employed (#.##) hours per day, (#) days per week, (###) worked may vary, depending upon the needs of the District. Said tutor further agrees to abide by and maintain the rules and regulations for the government of the Schools of the said District. IN CONSIDERATION OF AND for such services, said Board of Education agrees to pay, at the Office of its Treasurer, to said XxxxxTutor, the sum of Dollars, ($ ##.##) per hour. Entered into at West Xxxxx, Xxxxx County, Ohio, this day of , 20 . This Contract is effective: (beginning date Tutor Signature through ending date) Date Signed NORTHWESTERN BOARD OF EDUCATION President Signature Treasurer Signature SIGN BOTH COPIES: RETURN ONE COPY TO THE OFFICE OFF THE TREASURER APPENDIX G Intent/Expression of Interest Form - Certified Northwestern Local Schools has an ongoing desire to align employee interests to potential position openings. Therefore, we are sending this annual notice as a method to solicit employee feedback as far as individual interests for the ensuing school year as well as future interests. Please complete this form an e-mail it to the Executive Secretary to the Superintendent by March 1. Employee Name: Current Assignment: Current Supplemental Contract(s): Building Preference (please check one): o Elementary School o Middle School o High School o District Grade Level Preference: Subject Placement (if applicable): Preferred Assignment(s): Supplemental Contract Interest(s): Please share any other interests you may have: Completion of this form is voluntary APPENDIX H NORTHWESTERN LOCAL SCHOOL DISTRICT LEAVE FORM Name Date(s) of Leave S.S.# Number of Days Substitute’s Name Please check one of the following: SICK LEAVE (Check reason for using sick Leave) 9 □ PROFESSIONAL LEAVE Is a Substitute Necessary? 1 □ Illness, Injury or Death of Immediate Family (name & relationship) MEETING NAME: MEETING LOCATION: If medical attention was obtained while on leave, the name How do you anticipate incorporating the agenda of this meeting into your area of professional responsibility? FUND FUNC OBJ SCC SUBJ OPU IL JOB JOB FUND FUNC OBJ SCC SUBJ OPU IL ESTIMATED COSTS Registration Fee $ Pd P.O. Transportation Costs (IRS Rate) $ ($75 max per day) Lodging $ ($75 max per day) Meals $ ($30 max per day) Total Estimated Expenses: $ (Not to exceed $400) EMPLOYEE REIMBURSEMENT COST Registration Fee $ Pd P.O. Transportation Costs (IRS Rate) $ ($75 max per day) Lodging $ ($75 max per day) 2nd Employee $ ($75 max per day) Meals $ ($30 max per day) TOTAL ACTUAL REIMBURSEMENT EXPENSE: $ (Not to exceed $400) and address of the attending physician must be listed here. An employee out for more than ten (10) consecutive work days due to personal issues/serious health condition must provide a return to work statement from his/her health care provider.