sample checklist - Baltimore City Public School System

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END OF YEAR
SUMMER CHECKOUT SHEET
JUNE 2013
This packet gives a list of items to be completed by each teacher before the end of the
school year. You must submit the sheet to the appropriate grade level or department
chair before departing for the summer. This must be completed by the last duty day for
teachers - June 17, 2013.
Team leaders should arrange for teachers to have adequate textbooks and other materials
for classroom instruction through June 12, 2013
A.
Summer Address (June-August 2013)
Name ___________________________________
Phone # ___________
Address _________________________________________
_________________________________________
B.
Provide address where school administration can reach you if you cannot be
reached at summer address listed above.
________________________________________________
________________________________________________
I certify that all bills for which I am responsible, or I am authorized to obligate the
school, have been submitted to the office and none will be presented after June 12, 2013.
I have completed all the items listed that pertain to me.
___________________________________________________________
Teacher’s signature
I verify that all items have been completed that pertains to the above team member.
___________________________________________________________
Team Leader’s signature
Teacher: ____________________________________________
Lab Materials
Instructional Materials & Technology
Grades & Class Lists
DATE
DUE
1
6/3/2013
2
ITEM
Room: ____________
COMPLETED CHECKER
BY
FINAL Failure List (No names to be added)
ALL
Assistant
Principal
6/12/2013
Outstanding obligations report form with names of
students who have resolved obligations crossed out
ALL
Secretary/ copy
to Dept. Chair
3
6/12/2013
Turn in paper print-out and electronic copy of PTG
gradebook labeled with your name and the school year
ALL
Assistant
Principal
4
6/12/2013
Final collection of teacher signed 4th quarter homeroom
report if applicable
Homeroom
Teachers
Assistant
Principal
5
6/12/2013
Review and turn in class lists if applicable
ALL
Assistant
Principal
6
6/17/2013
Textbooks (with answer booklets if applicable) counted
and returned to designated storage area
ALL
Team Leaders,
Dept. Chairs
7
6/17/2013
Curriculum guides returned to designated storage area
ALL
Team Leaders,
Dept. Chairs
8
6/17/2013
Maps, globes, equipment, etc. accounted for and placed in
designated storage area
ALL
9
6/17/2013
Desktop computer properly secured and covered for the
summer
ALL
Team Leaders,
Dept. Chairs,
Music, PE
Technology
Coordinator
10
6/17/2013
ALL
Technology
Coordinator
11
6/17/2013
ALL
Technology
Coordinator
12
6/17/2013
Laptop computer turned in to Technology Coordinator /
Inventory Manager (schools can sign out laptops to
teachers working in the summer, but the laptop must be
checked in first)
If you have a white board in your room, please see
technology coordinator for proper summer storage
assignment
If you have a digital camera, projector or other a/v
equipment, please return designed storage area
ALL
Technology
Coordinator
13
6/17/201
3
All library books have been returned to the library
ALL
Librarian
14
6/17/2013
All videos have been returned to the library
ALL
Librarian
15
6/17/2013
Storage / prep rooms in order
ALL
Team Leaders,
Dept. Chairs
16
6/17/2013
ALL Lab Equipment
Lab Teachers
Science Team
17
6/17/2013
Safety Goggle Cabinet Key
Lab Teachers
Science Team
18
6/17/2013
Science Dept. Cabinet Keys
Lab Teachers
Science Team
CHECKER’S
INITIALS
Activity Accounts
Repairs /
Cleaning
Closeout Documents
Pay
19
6/3/2013
Inventory Sheets
Account
Sponsors
Secretary
20
6/3/2013
Money Envelopes
Account
Sponsors
Secretary
21
6/12/2013
All bills paid, monies turned in, or arrangements made for
those anticipated to arrive after June 12th
Account
Sponsors
Secretary
23
6/17/2013
Room repair sheet returned
ALL
Assistant
Principal
24
6/17/2013
End of school year cleaning procedures for teachers
completed
ALL
Team Leaders,
Dept. Chairs
25
6/17/2013
Closing Checkout Sheet with summer address
ALL
Secretary
26
6/17/2013
Keys returned in envelope
ALL
Assistant
Principal
27
6/17/2013
Completed Checklist to Principal
ALL
Principal
22
6/17/2013
Paycheck/stubs retrieved
ALL
Payroll
Teacher Signature: ____________________________________________ Date: _______
End of School Year Cleaning for Teachers
We are approaching the end of the school year. There are some things we must have teachers do
in their classrooms, so our custodial staff can effectively clean the rooms.
1. All supplies such as books, papers, manuals, posters, charts, etc., must be removed and
stored away off all tables and desks. This will include pens, pencils and teaching aids.
These items must be stored in the proper storage areas. Desktops, countertops, and
ledges must be clear of all items.
2. Personal items should not remain in the classrooms. All personal items must be removed
from coat closets, lockers, and from desk drawers. Storage closets have to be emptied of
all personal items. If you have a personal fan or other personal equipment, please remove
it from your classroom.
3. Remove all food items from desk drawers and closets in the classroom. If you have a
refrigerator in your classroom, please remove all food items and unplug it from the wall
receptacle. If the refrigerator is yours, please take it with you. If you leave the
refrigerator, you must clean it out yourself. Microwaves must be cleaned out or removed
from the classroom.
4. Chalk boards must have all work erased.
5. Bulletin Boards must have all items removed from it.
6. Items hanging from ceilings and fixtures must be removed.
7. Charts, pictures, posters, and other items taped on the classroom walls have to be pulled
down and stored away or discarded.
8. Remove all trash from your classroom.
Due Date: June 12, 2013
Outstanding Student Obligations
1.
2.
3.
4.
5.
6.
Student
Teacher notifies student of obligation.
Teacher develops a system to retrieve obligation from student, i.e. notice home,
phone call, etc. (Department Chairs will assist with this).
When student pays obligation or returns book, etc., teacher notates this to the
designated administrator.
Collected money is to be turned in to the secretary by 12:00 noon each day.
Form with unpaid obligations is given to the Department Chair by June 11, 2013.
Department Chair should continue to attempt to collect.
All forms should be turned in to secretary on June 12, 2013.
HR
Title
Number
Date
Amount
Returned Collected
Room Repair Checklist
Due Date: June 17, 2013
Teacher: ________________________________________
Room No.: ________
Please identify items in your present classroom that are in need of repair or replacement. This
information will help us in making summer repair schedules.
Item
Doors
Windows
Window Blinds
Book Shelves
Storage Cabinets
File Cabinets
Teacher’s Desk
Work Table
Student Desks
Student Chairs
Electrical
Plumbing
Flags
Maps
Screens
Pencil Sharpeners
Bulletin Boards
Chalk Boards
Other
Other
Other
Other
Other
Other
Repair
Replace
Specific Comments on Problem
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