NEW Staff Information
Welcome and Congratulations to you as a new staff member in La Conner Schools!
URGENT Paperwork (please complete and return to HR within a week of hire)
For all new hires:
Fingerprinting: OSPI requires all employees to be fingerprinted for a full background check (click to schedule an appointment for fingerprinting). We utilize the fingerprinting service located at the NWESD in Anacortes. The cost is $85. Employees can not begin working until fingerprints are completed.
I-9: Employment Eligibility Form. Click here for the form. Please bring 2 forms of identification to the office when turning in this paperwork. Acceptable forms of identification can be found on page 3 of this document.
Complete Section 1
Check the box with your appropriate resident status.
Remember to sign and date.
Leave the form blank below the signature.
Leave the second page blank.
Immunizations:
In the event of an outbreak of a vaccine-preventable disease in a school, the local health office has the authority to exclude all susceptible persons, including school staff. The authority has been exercised in several school districts where a confirmed case of a vaccine preventable disease has occurred. "Susceptible" means any staff member born after January 1, 1957. It is strongly recommended that all susceptible staff members (including guest employees) provide evidence of vaccination or immunity to measles, rubella and mumps. A diphtheria-tetanus booster is also recommended for adults every 10 years. If you need to be immunized or have concerns, please contact your personal physician, clinic or local health department.
You can choose to take a personal or religious exemption by checking the appropriate box and sign and date under the exemption section. A staff member may claim and exemption from the immunization document, but may be excluded from their work site for the duration of an outbreak of a disease.
Instructions for completing the form, click here for the form.:
Complete the top portion of the form with name and date of birth.
If your birthdate is before January 1, 1957, you only need to complete this portion and sign and date.
Enter the dates of your MMR Immunization(s) in each box. The year of the immunization is sufficient.
Sign and date the form at the bottom.
Washington State Sexual Misconduct Disclosure Release
Complete one form for each school district you have worked for in a paid position. This includes school districts or private schools in Washington State, another state or another country.
Instructions for completing the form, click here for the form;
In the first blank area enter the name and address of your previous district.
If you have never worked in a school district, place an 'x' in the box in the upper right corner.
In the second blank area enter your personal information as completely as possible.
Sign and date the form.
Form W-4
The W4 Form determines the amount of your Federal withholding taxes.
Instructions for the form are located at the top of the form. Click here for the form.
Payroll Direct Deposit
Direct deposit is required for all new employees.
Instructions for completing the form, click here for the form.
Complete the information for Primary with the bank information for your net pay to be deposited to.
Optional - use the Secondary section if you would like part of your pay to go to another account, for example; a certain amount to a savings account.
Sign the form
The original document must be turned in to Laurie Crothers either via interoffice envelope or in person along with a voided check or direct deposit authorization form from your bank.
If you have experience working in another school district, please complete the appropriate form — either the Classified or Certificated Verification of Professional Experience Form — along with the Transfer of Records Authorization Form.
Submit all completed forms to Laurie Crothers in the District Office.
Additional Paperwork will be provided upon hire for you to fill out in the HR office.