NEW HIRE DATA RECORD
Social Security #: ______________________________ DL #: ___________________________ Date of Birth: _____/_____/________
MM DD YYYY
________________________________ _______________________________ _________________________________ ________________________
LEGAL
Last Name
LEGAL
First Name
Middle Name/Initial
Maiden Name
*As it appears on your SS CardAddress: ______________________________________________________________
City: _______________________________________________
State: _________________________________ Zip: ________________________
Phone: (____)______________________________________
Ethnicity:
Are you Hispanic/Latino? Choose only one:
Gender:
_______Male _______Female
_______Hispanic/Latino
______Not Hispanic/Latino
Race:
What is your race? Choose one or more regardless of ethnicity. Indicate your primary race with a “1”.
Check all others that apply.
_______American Indian or Alaska Native
_______Asian
_______White
_______Black or African American
_______Native Hawaiian/Other Pacific Islander
Highest Education:
(circle one)
No HS diploma earned
High School/GED 30+ College hours
60+ College hours
Associate’s Degree
Bachelor’s Degree
Master’s Degree
Doctoral Degree
University/ies from which degree(s) were earned: (Bachelors, Masters, and Doctorate)
____________________________________________________________________________________________________________________________________
Creditable
Years of Education Experience: ________________
Years in HEB ISD: ______________
Privacy Issues/Public Information
From time to time, we receive requests for public information regarding District employees. According to Section 552.024 of the Texas Government Code, you may agree to or deny public access to this personal information about yourself. Please indicate your choices.
Yes No
_____ _____
I give permission for my home address and phone number to be released.
_____ _____
I give permission for my personal email address to be released.
_____ _____
I give permission for my personal cell phone number to be released.
_____ _____
I give permission for information about my family members to be released.
_______________________________________________________________
______________________________
Signature
Date
HURST-EULESS-BEDFORD INDEPENDENT SCHOOL DISTRICT
OFFICE OF HUMAN RESOURCES
AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
HURST-EULESS-BEDFORD ISD (PAYROLL OFFICE)
Employee’s Name: _________________________________________________ ____________________________
Last First Middle Initial I.D. #
Campus/Dept.:
__________________________________________________________ Ext #: ______________________For the purpose of direct deposit of payroll checks only, I hereby authorize Hurst-Euless-Bedford Independent School
District, hereinafter called SCHOOL DISTRICT, to initiate direct deposit (credit) entries and correction (debit) entries to
my checking or savings account designated above and the depository named above, hereinafter called DEPOSITORY, to
credit and/or debit the same to such account. This authority is to remain in effect until SCHOOL DISTRICT has received
written notification from me of its termination or new authorization (for bank change) at least ten working days prior to
the scheduled pay date.
I understand that to initiate this agreement, this correctly completed form and a
voided personal check for checking
account or a personalized deposit slip for savings account
must be returned to the Payroll Office at least ten working
days before a pay date.
I UNDERSTAND THAT ONCE THIS FORM IS PROCESSED, ON THE FIRST PAYDATE
FOLLOWING, I WILL RECEIVE MY CHECK AT MY PAY LOCATION, AND ON THE NEXT PAYDATE, MY
CHECK WILL BE AUTOMATICALLY DEPOSITED TO THE ACCOUNT SPECIFIED ABOVE.
ACCOUNT #1
ACCOUNT #2
Depository (Financial Institution):
Depository (Financial Institution):
Branch:
Branch:
City/State/Zip:
City/State/Zip:
Checking
Savings
Full Amount
Partial Amt $ ________
Checking
Savings
Full Amount
Partial Amt $ ________
Transit Routing #:
Transit Routing #:
Account #:
Account #:
*Transit Routing # is the 9 digits prior to the account number on the bottom of your check.
Please attach a voided check for each account or deposit slip for savings.
Employee’s Signature Date
Hurst-Euless-Bedford ISD
Office of Human Resources Duplicate Form 310-10
(White copy retained in Employee File/Yellow copy given to employee) Revised 10/4/12
Network Access Agreement
I understand that by signing this agreement, HEB ISD will create a unique user id
and password that will be used for:
accessing the district’s Microsoft network
internet
Exchange email system
logging calls to the Help Desk
accessing the School Center software where I will maintain my
department/campus/classroom web pages
I also understand that this unique user id and password is for my use and that it is
my responsibility to protect its use; I understand that it is not to be shared with
other individuals in or outside the district.
I understand it is my responsibility to read and become familiar with Local Board
Policy CQ, Technology Resources - District’s Electronic Communications System. I
agree to abide by the provisions explained in this policy and in the district’s
Employee Handbook. I understand that violation of these provisions may result in
suspension or revocation of my system access. I understand that should I commit or
cause to commit any violations, my access privileges may be revoked without notice,
and district action and/or appropriate legal action may be taken up to and including
termination of my employment.
I understand that this agreement becomes effective on my first day of duty with HEB
ISD and remains in effect for the length of my employment in the district.
Employee Name (Print):
_______________________
Date: _______________________
Employee Signature:
______________________________________________________________________
You can access the Technology Resources policy by doing the following:
•
Go to www.hebisd.edu
•
Hover your browser over Inside HEB ISD (top tab), scroll down to Board Policy and
click on it
•
Enter CQ in box titled “Enter Policy Code” and click on “Find Policy” OR enter Technology
Resources in box titled “Enter Word or Phrase” and click on “Search”
HURST-EULESS-BEDFORD I.S.D.
PROFESSIONAL EMPLOYEE EXPECTATIONS
____________________________
___________________
Employee’s Signature
Date of Commitment
____________________________
___________________
HR Coordinator’s Signature
Date of Commitment
HEB ISD is a high performing school district driven by a common
purpose.
•
I will advance the District’s mission, vision, goals, and core values.
•
I will commit to providing excellent customer service to all
stakeholders.
HEB ISD is a diverse community of learners requiring a commitment to
high expectations for all students.
•
I will focus on student learning to narrow the achievement gap.
HEB ISD is a Continuous Improvement District where decisions are made
based on data.
•
I am responsible for implementing a data-driven system of
improvement.
HEB ISD is a school district that seeks high-quality, results-driven
employees.
•
I am accountable for individual and team performance.
HEB ISD is a learning community where student success is linked to
professional development.
•
I will complete the District Professional Development framework,
aligned to my position, within five years of my initial employment.
•
I understand that I will be required to attend Professional
Development classes outside of my designated work hours.
HEB ISD is a minority/majority school district that celebrates diverse
student groups. The District is preparing students for the highly
competitive global economy of today and tomorrow.
•
I will embrace the District’s ethnic, economic and cultural diversity
and I will work to maximize each student’s potential.
HEB ISD is a school district whose focus is on the “Whole Child.”
•
I will participate in and support activities outside the school day that
encourage student and family involvement.
Office of Human Resources
Please i
nitial each box
HEB ISD Professional Coach Expectations
Please initial each item indicating your commitment to the expectations below:
Section I: The HEB Athletic Department expects our coaches to be dedicated to the coaching profession and desire to grow professionally.
• I will advance the HEB Athletic Department mission and uphold its philosophy.
• I will focus on my professional development by pursuing opportunities for growth outside my assigned coaching responsibilities.
Section II: The HEB Athletic Department expects our coaches to contribute to the success of the overall athletic program.
• I am accountable for all levels of our program’s achievement.
Section III: The HEB Athletic Department expects our coaches to build and maintain professional relationships with teachers, coaches, administrators, parents, and all other stakeholders.
• I will establish open communication with all stakeholders and strive to keep those communications professional and consistent.
Section IV: The HEB Athletic Department expects our coaches to devote the necessary hours toward the improvement of his/her program(s) and be willing to make personal sacrifice.
• I understand that the responsibility and honor of the coaching profession requires a commitment above and beyond my teaching duties.
Section V: The HEB Athletic Department expects our coaches to possess knowledge of his/her sport(s) and be detailed in his/her approach.
• I am responsible for implementing a data-driven system of evaluation and improvement.
Section VI: The HEB Athletic Department expects our coaches to inspire, motivate, and develop self-confidence in our athletes.
• I will focus on both the mental and physical aspects of my sport(s) with the intent of creating highly competitive athletes.
Section VII: The HEB Athletic Department expects our coaches to be fair, honest, and consistent with individual and team discipline.
• I will hold my athletes to a high level of athletic excellence and self-discipline.
Section VIII: The HEB Athletic Department expects our coaches to conduct themselves in an appropriate and professional manner, and maintain a professional personal appearance.
• I will exemplify professionalism in all my coaching responsibilities.
Signature of Coach
Date of Commitment
Pat May Center Quality Learning Department
1849B Central DriveBedford, Texas 76022817.399.2127 Fax 817.354.3587 [email protected]
Karen Miller
Coordinator for Quality Learning
April 21, 2015
Dear Professional:
Welcome to the Hurst-Euless-Bedford Independent School District, the best district in the Mid-Cities!
In H-E-B ISD we consider every new employee a star and we see it as both a privilege and responsibility
to help you shine brightly for your students. Our Core Message #2 states that
Quality teachers and
effective schools are essential to students' learning.
Consequently, we ask that all professionals new to
our district join us for additional days of learning - learning about your campus, your content area, and
your district.
Our professional learning will begin on Monday, August 3, 2015, at 8:00 a.m. and will conclude on
Wednesday, August 12, 2015. On your first day, you will report to the Buinger Career and Technical
Education Academy located behind the Administration Building, 1849 Central Drive, Building E,
Bedford, TX 76022, where we will welcome you with a continental breakfast and a day of learning how
H-E-B is Different by Design. A detailed schedule for New Hire Orientation trainings with specific
locations will be given to you on August 3. For your time with us, all general classroom teachers will
receive a stipend on your first paycheck. Coaches are on duty at this time and will not be eligible for the
additional stipend. Teachers in H-E-B are appraised using the Professional Development Appraisal
System (PDAS). This training is required by the state and must be taken by all teachers new to teaching,
new to Texas or any teacher not trained in the last 5 years. The PDAS training will be offered during the
New Hire Orientation week. Please contact Tammy Galloway, secretary for Quality Learning, at
[email protected]
or 817.399.2185 to register for New Hire Orientation.
Again, welcome to Hurst-Euless-Bedford ISD! I look forward to meeting you!
Karen Miller
Hurst-Euless-Bedford ISD • Athletics Department
1501 Central Drive Bedford, Texas 76022 • 817.399.2322 • Fax 817.354.3308
MIKE FIELDER
Director of Athletics
April 10, 2015
Dear Professional Coach:
Welcome to the Hurst-Euless-Bedford I.S.D. Athletic Department, the best athletic department in the
Metroplex!
The mission of the HEB ISD Athletic Department is to help young men and women, through
competitive athletics, develop an appreciation for academics, attitude, integrity, and accountability.
The
HEB ISD Athletic Department is a vital, contributing part of the total education system. It is an educational
arm instrumental in molding our students into productive citizens of society. Athletics is critical in
developing the whole child by inherently teaching life skills such as pride, team work, discipline,
commitment, perseverance, and goal setting. We believe the opportunity our coaches have to positively
influence our athletes is precious and unique, and we’re excited to have you join our team!
Our required annual general coaches’ meeting will be held on Thursday, July 30, 2015 at 10:00 a.m. at the
Buinger CTE Academy. Lunch will be provided at 12:30 p.m. and professional dress is required. Included
on the agenda for this meeting will be general information for the 2015-2016 school year, department
expectations, professional policies and procedures, and an overview of UIL rules and regulations.
Following the meeting and lunch, we are offering the one-hour concussion class for those coaches who
need it. Individuals hired after July 30, 2015 will be required to attend the makeup training on Wednesday,
August 12, 2015 at 4:00 p.m.
New professional coaches must contact Mary Kearney, Athletics Secretary, at 817.399.2322 or email her
at
[email protected]
to register for the required general coaches’ meeting. Additionally, Ms.
Kearney will provide new professional coaches with details regarding:
Physical exam
CDL bus certification
CPR/AED certification
First Aid certification
Concussion training
UIL Rules Compliance Program (RCP)
Congratulations on becoming a part of this stellar organization!
Sincerely,
Mike Fielder
OFFICE OF HUMAN RESOURCES
Online Access to Board Policies
and Employee Handbook
Hurst-Euless-Bedford I.S.D. Board Policy and the Hurst-Euless-Bedford I.S.D.
Employee Handbook may be accessed from the District website at
www.hebisd.edu
.
To access
Board Policy:
Go to
www.hebisd.edu
Place browser over Inside HEB ISD [top tab], scroll down and click on
Board Policy
Enter key “word or phrase” or “policy code” and click on Search
Select applicable policy to download/print
To access
Employee Handbook:
Go to
www.hebisd.edu
Place browser over Careers [top tab], scroll down and click on
Human Resources
Click on HR Documents [left tab]
Click on “Employee Handbook [school year]”
Click on Download Now
View, save, or print Employee Handbook
Board Policy and the Employee Handbook are subject to periodic revision as
circumstances warrant.
Bedford Heights 1000 Cummings Dr. Bedford 76021 788-3150 Bell Manor 1300 Winchester Way Bedford 76022 354-3370 Bellaire 501 Bellaire Dr. Hurst 76053 285-3230 Donna Park 1125 Scott Dr. Hurst 76053 285-3285 Harrison Lane 1000 Harrison Ln. Hurst 76053 285-3270 Hurst Hills 525 Billie Ruth Ln. Hurst 76053 285-3295 Lakewood 1600 Donley Dr. Euless 76039 354-3375 Meadow Creek 3001 Harwood Rd. Bedford 76021 354-3500 Midway Park 409 N. Ector Dr. Euless 76039 354-3380 North Euless 1101 Denton Dr. Euless 76039 354-3505 Oakwood Terrace 700 Ranger Rd. Euless 76040 354-3386 River Trails 8850 Elbe Tr. Fort Worth 76118 285-3235 Shady Brook 2601 Shady Brook Dr. Bedford 76021 354-3513 Shady Oaks 1400 Cavender Hurst 76053 285-3240 South Euless 605 S. Main Euless 76040 354-3521 Spring Garden 2400 Cummings Dr. Bedford 76021 354-3395 Stonegate 900 Bedford Rd. E. Bedford 76022 285-3250 West Hurst 501 Precinct Line Rd. Hurst 76053 285-3290 Wilshire 420 Wilshire Blvd. Euless 76040 354-3529 East Loop 820 Mid-Cities Blvd. Trinity Blvd. Trinity Blvd. Trin ity River Industrial Blvd. (157) Highway 360 Bear Creek Pkw y. S. Main Martin Ector N. Main Donley Lakewood Central D r. Raider Ranger Simmons W ilshire Tarrant/Dallas County Line Scott D r. Norwood Norwood Bellaire Norwood Pipeline Rd. Airport Frwy (183, 121) Donna Winchester Way Highway 10 Bedford Euless Highway 121 N Forest Ridge Shady Brook Brown T rail Cavender Cummings Ash S. Pipeline Jones Harwood Midway Harwood Signet Harwood Highway 183 E
HIGH SCHOOLS
JUNIOR HIGHS
ELEMENTARY SCHOOLS
Bedford Junior High
325 Carolyn Dr. Bedford 76021 788-3101
Central Junior High
3191 W. Pipeline Rd. Euless 76040 354-3350
Euless Junior High
306 W. Airport Frwy. Euless 76039 354-3340
Harwood Junior High
3000 Martin Dr. Bedford 76021 354-3360
Hurst Junior High
500 Harmon Rd. Hurst 76053 285-3220
L.D. Bell High School
1601 Brown Tr. Hurst 76054 282-2551
Trinity High School
500 N. Industrial Blvd. Euless 76039 571-0271
KEYS Learning Center
1100 Raider Dr. Euless 76040 354-3580 Hurstview Highway 10 Trinity Blvd. Elbe Tr. Tyne Tr. Precinct Line Rd. Billie Ruth Thames Tr . Carolyn Dr. Redbud 27 26 25 1 10 11 12 13 14 15 16 17 18 19 2 2 3 3 4 5 6 7 8 9 20 21 22 23 24 1 4 5 6 7 8 9 10 11 13 14 15 16 17 18 12 19 20 21 22 23 24 25 26 27 29-33 Cummings Harrison Ln.
Forrest E. Watson Educational Center
1100 Raider Dr. Euless 76040 354-3563
•
PTA Clothes Closet (portable) 399-2559 Discipline Alternative Education Program 354-3398G ene A. Buinger Career and Technical Education Academy
1849E Central Drive Bedford 76022 354-3542
Transition Center
1849F Central Drive Bedford 76022 354-3537
Administration Office
1849A Central Drive Bedford 76022 283-4461
Pennington Field
1501 Central Dr. Bedford 76022 354-3591
Pat May Center
1849B Central Drive Bedford 76022 283-4461
OTHER FACILITIES
29 30 32 33 31 27 S. PipelineLo
ca
tor
M
ap
Harmon 35 35Viridian4001 Cascade Sky Dr.Arlington 76005
341350 W. Euless Blvd Euless 76040Auxiliary Services Facility
34
Blue Lake
Cascade Sky
AUGUST 3 New Teachers Begin
S M T W T F S 3-7, 10-12 New Staff Professional Development S M T W T F S
1 2 3 4 13-14, 17-21 Professional Development 1 2
5 6 7 8 9 10 11 24 First Day of School 3 4 5 6 7 8 9
12 13 14 15 16 17 18 10 11 12 13 14 15 16
19 20 21 22 23 24 25 SEPTEMBER 7 Labor Day Holiday - NO SCHOOL 17 18 19 20 21 22 23
26 27 28 29 30 31 24 25 26 27 28 29 30
OCTOBER 2 End of 1st Six Weeks (28 Days) 31 7 Professional Development - NO SCHOOL
S M T W T F S Elementary Parent Conference Day
1 12 Columbus Day Holiday - NO SCHOOL S M T W T F S
2 N N N N N 8 TAKS Retest 1 2 3 4 5 6
9 N N N PD 15 7 8 9 10 11 12 13
16 PD 19 PD PD 22 NOVEMBER 13 Early Release for Exams 14 15 16 17 18 19 20
23 24 25 26 27 28 29 (E Noon) (JH 12:30 p.m.) (HS 12:45 p.m.) 21 22 23 24 25 26 27
30 31 End of 2nd Six Weeks (29 Days) 28 29
End of 1st Trimester (57 Days) 25-27 Thanksgiving Holiday - NO SCHOOL
S M T W T F S M T W T F S
1 2 3 4 5 DECEMBER STAAR EOC Test 1 2 3 4 5
6 7 8 9 10 11 12 21-31 Winter Break - NO SCHOOL 6 7 8 9 10 11 12
13 14 15 16 17 18 19 13 14 15 16 17 18 19
20 21 22 23 24 25 26 JANUARY 1 Winter Break - NO SCHOOL 20 21 22 23 24 25 26
27 28 29 30 15 Early Release for Exams 27 28 29 30 31
(E Noon) (JH 12:30 p.m.) (HS 12:45 p.m.) End of 3rd Six Weeks (32 Days)
S M T W T F S End of 1st Semester (89 Days) S M T W T F S
1 2 3 18 Professional Development - NO SCHOOL 1 2
4 5 6 7 8 9 10 3 4 5 6 7 8 9
11 12 13 14 15 16 17 FEBRUARY 26 Early Release for Exams 10 11 12 13 14 15 16
18 19 20 21 22 23 24 (E Noon) (JH 12:30 p.m.) (HS 12:45 p.m.) 17 18 19 20 21 22 23
25 26 27 28 29 30 31 End of 4th Six Weeks (29 Days) 24 25 26 27 28 29 30
End of 2nd Trimester (61 Days)
NOVEMBER 2015
S M T W T F S MARCH TAKS Retest S M T W T F S
1 2 3 4 5 6 7 14-18 Spring Break - NO SCHOOL 1 2 3 4 5 6 7
8 9 10 11 12 13 14 25 Holiday - NO SCHOOL 8 9 10 11 12 13 14
15 16 17 18 19 20 21 STAAR Grades 4,5,7,8 - EOC English 15 16 17 18 19 20 21
22 23 24 25 26 27 28 22 23 24 25 26 27 28
29 30 APRIL 15 End of 5th Six Weeks (29 Days) 29 30 PD
STAAR EOC English II STAAR Grades 3-8
S M T W T F S S M T W T F S
1 2 3 4 5 MAY STAAR EOC Test PD 2 3 4
6 7 8 9 10 11 12 STAAR Reading & Math Retest Grades 5 & 8 5 6 7 8 9 10 11
13 14 15 16 17 18 19 25 Last Day of School 12 13 14 15 16 17 18
20 21 22 23 24 25 26 Early Release for Exams 19 20 21 22 23 24 25
27 28 29 30 31 (E Noon) (JH 12:30 p.m.) (HS 12:45 p.m.) 26 27 28 29 30
End of 6th Six Weeks (28 Days) End of 2nd Semester (86 Days) End of 3rd Trimester (57 Days) 26 Inclement Weather Day 27 KEYS Graduation, 7:00 p.m.
L.D. Bell HS Auditorium Inclement Weather Day
28 L.D. Bell High School Graduation, 10:00 a.m. - FW Conv. Ctr. Trinity High School Graduation, 2:00 p.m. - FW Conv. Ctr. Teacher Work Day Dependent on Use of Inclement
Weather Days 30 Memorial Day Holiday 31 Professional Development
JUNE 1 Professional Development
HURST-EULESS-BEDFORD INDEPENDENT SCHOOL DISTRICT
2015-2016 SCHOOL CALENDAR
JULY 2015 AUGUST 2015 JANUARY 2016 FEBRUARY 2016 MARCH 2016 MAY 2016 SEPTEMBER 2015 JUNE 2016 APRIL 2016 DECEMBER 2015 OCTOBER 2015For Inclement Weather School Closings or Delayed Openings, News
Events and Important Updates Sign Up for Free BACKPACK E-NEWS www.hebisd.edu Follow Us on Twitter twitter.com/hebisd Like Us on Facebook facebook.com/hebisd
NEW STAFF PROFESSIONAL DEVELOPMENT PROFESSIONAL DEVELOPMENT/WORKDAY (NO SCHOOL FOR STUDENTS)
SCHOOL BEGINS/ENDS REPORTING PERIOD BEGINS/ENDS HOLIDAY N STUDENT DAYS...175 TEACHER DAYS...187 INCLEMENT WEATHER MAKEUP OR DAYS OFF
WORK DAY W P D N N N N N N N N PDPDNNN NNNNNN NNN PDPDNNN PDNNNNNN PDNNNNNN NNPDNNNN NNNNNN NNN PD NNN NNN W