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GA 
Personnel Goals/Priority Objectives (9/10/2019)
Personnel Goals/Priority Objectives
GBA 
Equal Employment Opportunity/Title IX/Immigration Act and Section 504 of the Rehabilitation Act (9/10/2019)
Equal Employment Opportunity/Title IX/Immigration Act and Section 504 of the Rehabilitation Act
GBA-R 
Converse County School District No. 1 Hiring Procedures (8/14/2018)
Converse County School District No. 1 Hiring Procedures
GBAA 
Sexual Harassment (8/13/2019)
Sexual Harassment
GBAA-E-1 
Witness Disclosure Form (8/13/2019)
Witness Disclosure Form
GBAA-E-2 
Sexual Harassment Complaint Form (8/13/2019)
Sexual Harassment Complaint Form
GBAA-R 
Administrative Procedures for Sexual Harassment Investigation (8/13/2019)
Administrative Procedures for Sexual Harassment Investigation
GBB 
Staff Involvement in Decision Making (7/9/2019)
Staff Involvement in Decision Making
GBD 
Communications With Staff (9/10/2019)
Communications With Staff
GBEA 
Staff Ethics/Conflict of Interest (9/14/2021)
Staff Ethics/Conflict of Interest
GBEA-R 
National Education Association - Code of Ethics (9/8/2015)
National Education Association - Code of Ethics
GBEB 
Staff Conduct (9/8/2015)
Staff Conduct
GBEB-R 
Converse County School District No.1 Internet Use Regulation (9/8/2015)
Converse County School District No.1 Internet Use Regulation
GBEBC 
Gifts To and Solicitations by Staff (9/10/2019)
Gifts To and Solicitations by Staff
GBEC 
Drug Free Workplace (11/12/2019)
Drug Free Workplace
GBEC-E 
Controlled Substances and Alcohol Testing for School Bus Drivers Procedure (11/12/2019)
Controlled Substances and Alcohol Testing for School Bus Drivers
Procedure
GBEC-R 
Notification To Employees of Drug Fee Workplace (11/12/2019)
NOTIFICATION TO EMPLOYEES OF DRUG FREE WORKPLACE
GBG 
Staff Welfare/Protection (5/14/2019)
Staff Welfare/Protection
GBGA 
Staff Health (10/8/2013)
Staff Health
GBGA-E 
Exposure Incident Packet (8/14/2018)
Exposure Incident Packet
GBGA-R 
Emergency Medical Services Bloodborne Pathogens Exposure Control Plan (2/8/2011)
Emergency Medical Services Bloodborne Pathogens Exposure Control Plan
GBGB 
Nutrition and Wellness (2/11/2020)
Nutrition and Wellness
GBI 
Staff Participation in Political Activities (9/11/2012)
Staff Participation in Political Activities
GBJ 
Personnel Records and Files (7/10/2018)
Personnel Records and Files
GBK 
Staff Grievances (4/9/2019)
Staff Grievances
GBK-E 
Converse County School District No. 1 Official Grievances Resolution Report (4/9/2019)
Converse County School District No. 1 Official Grievances Resolution Report
GBK-R 
Staff Grievances Regulation (4/9/2019)
Staff Grievances Regulation
GCA 
Professional Staff Positions (5/14/2019)
Professional Staff Positions
GCB 
Professional Staff Contracts and Compensation (4/10/2018)
Professional Staff Contracts and Compensation
GCBA 
Instructional Staff Contracts/Compensation/Salary Schedules (9/12/2017)
Instructional Staff Contracts/Compensation/Salary Schedules
GCBA-R 
Instructional Staff Contracts/Compensation/Salary Schedules Regulation (6/9/2015)
Instructional Staff Contracts/Compensation/Salary Schedules Regulation
GCBC 
Staff Supplementary Pay (2/12/2019)
Staff Supplementary Pay
GCBD 
Professional Staff Fringe Benefits (4/11/2017)
Professional Staff Fringe Benefits
GCBD-R 
Fringe Benefits Regulations (4/10/2018)
Fringe Benefits Regulations
GCC 
Staff Leaves and Absences (5/14/2019)
Staff Leaves and Absences
GCC-E 
Authorization to Release/Request Information (6/9/2015)
Authorization to Release/Request Information
GCC-E 
Sick Leave Donation Form to Fellow Staff (6/9/2015)
Sick Leave Donation Form to Fellow Staff
GCC-E 
Sick/Maternity Leave Bank (8/8/2017)
Sick/Maternity Leave Bank
GCC-E 
Sick/Maternity Leave Bank Request Form (6/9/2015)
Sick/Maternity Leave Bank Request Form
GCC-R 
Staff Leaves and Absences Guidelines (7/13/2021)
Staff Leaves and Absences Guidelines
GCCAB 
Staff Family and Medical Leave (10/10/2017)
Staff Family and Medical Leave
GCCAB-E 
Family and Medical Leave Employer Response to Employee Request for Family and Medical Leave (8/8/2017)
Family and Medical Leave Employer Response to Employee Request for Family and Medical Leave
GCCAD 
Military Leave (9/14/2021)
Military Leave
GCCAE 
Professional and Special Leave (10/10/2017)
Professional and Special Leave
GCCAE-R 
Staff Conferences/Training/Workshops Regulation (10/10/2017)
Staff Conferences/Training/Workshops Regulation
GCF 
Hiring of Instructional and Administrative Staff (2/12/2019)
Hiring of Instructional and Administrative Staff
GCG 
Part-Time and Substitute Professional Staff Employment (5/14/2019)
Part-Time and Substitude Professional Staff Employment
GCGC 
Job Sharing (5/14/2019)
Job Sharing
GCGC-E 
Converse County School District No. 1 Job Share Agreement (6/11/2019)
Converse County School District No. 1 Job Share Agreement
GCI 
Staff Development Program (12/10/2019)
Staff Development Program
GCI-RB 
Converse County School District No. 1 Professional Development Opportunity Approval Process (2/11/2020)
Converse County School District No. 1 Professional Development Opportunity Approval Process
GCK 
Certified Staff Assignments and Transfers (7/9/2019)
Certified Staff Assignments and Transfer
GCK-E 
Converse County School District No. 1 Request for Transfer (4/9/2019)
Reviewed: 4/9/2019

Code: GCK-E

CONVERSE COUNTY SCHOOL DISTRICT #1
Douglas, Wyoming

REQUEST FOR TRANSFER

Return completed form to:Superintendent’s Office, Central Administration

All In-District Transfers must provide an updated resume and a description of recent training or classes related to this position.

Name_______________________________________ Date ___________________________

Number of Years Experience__________ Location on Salary Schedule_____________

Present Position______________________________________________________________

Requested Position____________________________________________________________

Previous Positions in District__________________________________________________

______________________________________________________________________________

Reasons for Requesting Transfer_______________________________________________

______________________________________________________________________________

______________________________________________________________________________

Specialty Areas_______________________________________________________________

______________________________________________________________________________

________________________________________

Employee's Signature



__________________________________________

Supervisor’s Signature
Acknowledging Notification of Transfer Request



__________________________________________

Superintendent of Schools
Acknowledging Notification of Transfer Request
GCLC 
Length of Instructional Staff School Year (6/11/2019)
Length of Instructional Staff School Year
GCOA 
Evaluation of Instructional Staff (8/14/2018)
Evaluation of Instructional Staff
GCOA-R 
Certified Staff Evaluation Procedures (8/14/2018)
Certified Staff Evaluation Procedures
GCQ 
Professional Staff Termination of Employment (6/11/2019)
Professional Staff Termination of Employment
GCQ-R 
Converse County School District No. 1 Waiver of Confidentiality (4/9/2019)
Converse County School District No. 1 Waiver of Confidentiality
GCQA 
Reduction in Certified Staff Work Force (3/9/2021)
Reduction in Certified Staff Work Force
GCQF 
Discipline, Suspension, and Dismissal of Professional Staff (7/9/2019)
Discipline, Suspension, and Dismissal of Professional Staff
GCQF-R 
Rules of Practice Governing Contests Before the Board of Trustees Concerning Suspension, Termination, and Dismissal of Professional Staff Members (4/11/2017)
Rules of Practice Governing Contests Before the Board of Trustees Concerning Suspension, Termination, and Dismissal of Professional Staff Members
GCR 
Non-School Employment of Professional Staff (7/11/2017)
Non-School Employment of Professional Staff
GD 
Support/Classified Staff (7/11/2017)
Support/Classified Staff
GDA 
Support Staff Positions (7/11/2017)
Support Staff Positions
GDBA 
Support Staff Salary Schedules (9/12/2017)
Support Staff Salary Schedules
GDBA-R 
Support Staff Salary Schedules Regulations (9/12/2017)
Support Staff Salary Schedules Regulations
GDBC 
Support Staff Supplementary Pay/Overtime (8/9/2016)
Support Staff Supplementary Pay/Overtime
GDBD 
Support Staff Fringe Benefits (11/12/2002)
Support Staff Fringe Benefits
GDE 
Support Staff Recruiting (4/10/2018)
Support Staff Recruiting
GDEA 
Advertising Positions (1/14/2020)
Advertising Positions
GDF 
Support Staff Hiring (7/9/2019)
Support Staff Hiring
GDF-R 
Employee Background Information (2/12/2019)
Employee Background Information
GDJ 
Support Staff Assignments and Transfers (7/9/2019)
Support Staff Assignments and Transfers
GDJ-R 
Converse County School District No. 1 Classification and Reclassification Procedure (7/9/2019)
Converse County School District No. 1 Classification and Reclassification Procedure
GDK 
Support Staff Time Schedules and Calendars (10/12/2021)
Support Staff Time Schedules and Calendars
GDKB 
Support Staff Calendars/Staff Work Year (6/12/2018)
Support Staff Calendars/Staff Work Year
GDKB-R 
Support Staff Calendars/Staff Work Year (6/9/2015)
Support Staff Calendars/Staff Work Year
GDO 
Evaluation of Classified Support Staff (8/14/2018)
Evaluation of Classified Support Staff
GDO-R 
Discipline, Suspension, and Dismissal of Classified Staff (1/8/2019)
Discipline, Suspension, and Dismissal of Classified Staff
GDQA 
Reduction in Classified Staff Work Force (3/9/2021)
Reduction in Classified Staff Work Force
GDQB 
Resignation of Support Staff (3/5/2019)
Resignation of Support Staff