801 Form

Accident / Incident Reporting

• Accident/Incident Form (District Employee)
  • Employee Reporting Procedures
• Accident/Incident Form (Substitute Teacher)
  • Substitute Injury Reporting Procedures
• Employee Incident Reporting Poster

Dock Leave Request Form

Emergency Contact Information

Employee Assistance Program Brochure (EAP – Canopy)

Fitness for Duty / Return to Work Form
 

Long Term Disability (The Standard)

• LTD Brochure
• Licensed Only
• Classified, Admin, & Confidential
• Physician Statement
• LTD Paper Application

Medical Certification Form
 

OEBB Member Forms (Generally completed electronically through Frontline Central)

•  Mid-Year Benefits Change: Fillable Mid-year Change form to modify benefit elections due to a qualifying life event such as: marriage, divorce, adoption, guardianship, gained or lost coverage, birth, death. 
• SPER Mid-Year Benefits Change: Fillable form for  Self-Pay Early Retiree (SPER) participants Mid-year Changes. To modify benefit elections due to a qualifying life event such as: marriage, divorce, adoption, guardianship, gained or lost coverage, birth, death.
• SPER Enrollment Form: Fillable form for new and newly eligible early retiree enrollment.
• Affidavit of Domestic Partnership: Form to declare a Domestic Partnership so they can be added to an employee’s benefits.
• Termination of Domestic Partnership
• Appeal Form: Fillable form to appeal an OEBB decision regarding employee benefits. (Not for medical claim appeals.)
• Beneficiary Designation Form
• Open Enrollment Correction Form
• FY 25/26 Open Enrollment Only Form
• Tobacco Usage Status Change

Paid Leave Oregon (American Fidelity)

• Paid Family Medical Leave Insurance (PFMLI) Brochure
• Checklist
• Paper Application (Apply online for faster processing)

Transfer Request

Workplace Accommodations Notice

Frontline Central Forms: Tutorial "Forms I can Start" 

•   Statutory Leave Request Form(s):
  • Serious Health Condition (Self)
  • Serious Health Condition (Family Member)
  • Pregnancy / Birth of Child / Bonding
• To properly designate your leave, you may submit a Statutory Leave Request for the following potentially qualifying leave types, even if you have enough accrued leave to remain in a paid status. Once submitted, you will be provided with relevant leave information.
  • FMLA (Family Medical Leave Act)
  • OFLA (Oregon Family Leave Act)
  • PLO (Paid Leave Oregon)
  • OFMLA (Oregon Family Military Leave Act)
    • Contact HR for OFMLA form

Licensed Collective Bargaining Agreement, 2024-2027

Salary Schedules

• 2024-2027 Salary Schedules
• 2023-2024 Curriculum Salary Schedule

Licensed Memos of Understanding (MOU's)

• MOU Personal Days (2024-2027)

Licensed Evaluations

• Professional Growth & Evaluation Handbook for Educators
• Student Support Specialist Rubric

Licensed Educators:

Where can I find information about Oregon teacher and administrator licensure?
Oregon Teacher and Standards Commission (TSPC) is the licensing agency for Oregon Educators. Oregon Revised Statutes Volume 9 Chapter 342 Licensing and Registration of Teachers and Administrators
 

Where can I find my licensure information?
Oregon Teacher and Standards Commission. Click on the "Educator Look Up" link, enter your information (name, birth date, etc.). Click "Lookup". You should see information about your licensure. Under the Endorsements, you will see "Correspondence". To see a copy of your advice letter, click on "License Approval".
 

Where can I find information about expectations for Oregon educator competency and ethics?
Oregon Administrative Rules Chapter 584 Division 20 Standards for Competent and Ethical Performance of Oregon Educators
 

Licensed Substitute Teachers
Please contact Douglas Education Service District for Licensed Substitute information: Douglas Education Service District Website Link

Classified Collective Bargaining Agreement, 2024-2026

2024-2026 Classified Salary Schedule

Classified Evaluations

• Probationary Evaluation Form
• Classified Evaluation Form

Classified Memos of Understanding (MOU's)

• None to Report

Classified Bargaining Committee Meeting

• TBD

Employment with EduStaff

Email jfriedman@edustaff.org to apply through EduStaff for substitute positions. 

2024-2025 Athletics Salary Schedule

If you are interested in working for First Student as a bus driver, please visit their Careers site and fill out an application. For questions about an existing application, you may call their recruiting hotline at 513-419-3222.

Application process and requirements

Thank you for offering your time and expertise to our schools! Before volunteering for a school function on-site or on a field trip, you must first be cleared to volunteer. For your volunteer experience to be successful, begin your application process at least two weeks before the date you intend to volunteer, and follow the steps below:

Step 1: Complete the Raptor Volunteer Application.

• Contact the Office Manager of the school you’d like to volunteer for to complete in person.

Step 2: Read through the Volunteer Handbook and the Reporting Abuse Brochure.

Step 3: Complete the mandatory SafeSchools Training. 

Who is a volunteer?

Volunteers are usually parents, guardians, or community members authorized to work with students, assist with school tasks, or chaperone field trips. Temporary visitors (e.g., lunch guests or speakers) aren’t considered volunteers but must follow all safety and security protocols.

Safety Protocols

• Volunteers must abide by the same safety protocols followed by our staff members 
• Volunteers are subject to a background check. 
• Volunteers are approved for a limited duration and must reapply thereafter.

For questions about volunteering, contact your child’s school.

Student Loan Forgiveness Resources:

• Horace Mann Financial Firm
  • Federal Loan Forgiveness and Deferment Program information Resource
    • Horace Mann   1-800-999-1030
    • Student Loan Solutions
• US Department of Education:  Student Loans, Forgiveness
• TEACH Grant (Teacher Education Assistance for College and Higher Education)
• For Special Education: The Joseph P. Kennedy, Jr. Foundation JPKF Website Link
• Federal Student Aid
• Public Service Loan Forgiveness (PSLF): PSLF Website Link

All employer verifications are signed by the Director of Human Resources. Loan forgiveness applications that require employer verification should be sent to the HR Department. Please do not email documents that contain sensitive information, such as your social security number.

Questions? Contact one of the HR Specialists below:

Licensed Staff
Jacob Fricke jfricke@roseburg.k12.or.us

Classified, Admin, & Confidential Staff
Megan Hansen mmhansen@roseburg.k12.or.us