INDEPENDENT SCHOOL DISTRICT NO. 535
ROCHESTER, MINNESOTA
CLAIM AND CONSENT VERIFICATION FORM
SENIOR HIGH SCHOOL COACHES
DATE:
February 9, 2016
NAME:
ADDRESS:
The conditions of employment for an extra duty assignment are subject to all terms and conditions of the Master Contract and subject to the
results/approval of a background check for Independent School District #535. The offer of this assignment is contingent upon budget approval.
It may be withdrawn at any time prior to commencement of services.
As a head coach/advisor for District 535 we are requiring that you possess a district e-mail account. As a head coach/advisor we will be
keeping this account open year round for you to use to communicate with your staff, students, and parent/guardians. The district
requires that any communication to your staff, students, and parent/guardians be conducted via your District 535 e-mail
account. Please refrain from using your personal e-mail account for any communications in regard to your position as a head
coach/advisor with District 535. Failure to follow duties pertaining to this claim and consent form may result in disciplinary actions.
Services and compensation may be terminated at any time by the District based on cause or discontinuation of the position. Further, this
contract shall be specifically limited to the designated MSHSL season for this sport, for the school year 2015-2016 and the consent form
between the parties shall conclude as of the dates stipulated.
STEP:
Check appropriate box and
enter prior years of service
for this position
A
☐
0-2 years
Enter yrs if
0-2
B
☐
Year(s) of Service
3-6 years
Enter yrs if
3-6
C
Enter yrs if
7 or more
7 or more years
Years of Service
☐
Years of Service
(The years of service may be awarded based on a position of like responsibility and duties.)
SCHOOL:
Choose site
TYPE: Choose gender
ACTIVITY: Choose activity
ASSIGNMENT: Choose position
Is this assignment being shared and with whom:
Percentage: Choose amount
PAYMENT PLAN:
__ __ EQUAL INSTALLMENTS DURING SEASON – MONTHS: Choose season
CLAIM TOTAL:
$
I declare under the penalties of law that this amount, claim, or demand is just and correct and that no part of it has been paid.
Coaches Signature: ________________________________________
Date _________________
Activities Director: ________________________________________
Date _________________
Extracurricular Pay Schedule 2014-2015
Head Coach/Advisor Salaries
Course
Code
Type
FTE
New
Value
$112
New
Contract
51.0
5,712.00
New Head
Step 0-2
New Head
Step 3-6
New Head
Step 7 Plus
$ 5,712.00
$ 6,012.00
$ 6,612.00
Assistant Coach Salaries
New Assist
Step 0-2
New Assist
Step 3-6
New Assist
Step 7 Plus
116
Basketball -‐ Head
6.0
116
(Assistant Varsity/Head B)
12.0
$ 3,827.04
$ 4,127.04
$ 4,727.04
116
(Assist B /Head 9th)
6.0
$ 3,255.84
$ 3,555.84
$ 4,155.84
116
118
(Interest Assistant 9th)
Football -‐ Head
0.0
3.0
$ 2,684.64
$ 2,984.64
$ 3,584.64
118
(Assistant Varsity/Head B )
12.0
$ 3,827.04
$ 4,127.04
$ 4,727.04
118
(Head 9th/Assistant B)
6.0
$ 3,255.84
$ 3,555.84
$ 4,155.84
118
(Assistant 9th)
3.0
$ 2,684.64
$ 2,984.64
$ 3,584.64
121
Hockey -‐ Head
6.0
121
(Assistant Varsity/Head B)
9.0
$ 3,827.04
$ 4,127.04
$ 4,727.04
125
125
Wrestling
(Assistant Varsity/Head B)
3.0
3.0
$ 3,376.80
$ 3,676.80
$ 4,276.80
125
120
(Interes Assist B /Head 9th)
$ 2,872.80
$ 3,172.80
$ 3,772.80
Gymnastics -‐ Head
0.0
3.0
120
(Assistant Varsity/Head B)
6.0
$ 3,376.80
$ 3,676.80
$ 4,276.80
122
Swimming -‐ Head
6.0
122
(Assistant Varsity/Head B)
12.0
$ 3,376.80
$ 3,676.80
$ 4,276.80
124
Track
6.0
39.4
4,412.80
$ 4,412.80
$ 4,712.80
$ 5,312.80
124
115
(Assistant Varsity/Head B)
Baseball/Softball
15.0
6.0
$ 2,956.58
$ 3,256.58
$ 3,856.58
39.4
4,412.80
$ 4,412.80
$ 4,712.80
$ 5,312.80
115
115
(Assistant Varsity/Head B)
(Assist B /Head 9th)
12.0
6.0
$ 2,956.58
$ 2,515.30
$ 3,256.58
$ 2,815.30
$ 3,856.58
$ 3,415.30
115
(Interest Assistant 9th)
6.0
$ 2,074.02
$ 2,374.02
$ 2,974.02
126
Volleyball
3.0
126
(Assistant Varsity/Head B)
6.0
$ 2,956.58
$ 3,256.58
$ 3,856.58
126
126
(Assist B /Head 9th)
(Interest Assistant 9th)
3.0
0.0
$ 2,515.30
$ 2,074.02
$ 2,815.30
$ 2,374.02
$ 3,415.30
$ 2,974.02
129
129
Soccer
(Assistant Varsity/Head B)
6.0
6.0
$ 2,956.58
$ 3,256.58
$ 3,856.58
129
129
870
(Assist B /Head 9th)
(Interest Assistant 9th)
Competition Dance
6.0
$ 2,515.30
$ 2,074.02
$ 2,815.30
$ 2,374.02
$ 3,415.30
$ 2,974.02
870
870
(Assistant Varsity/Head B)
3.0
$ 2,956.58
$ 2,515.30
$ 3,256.58
$ 2,815.30
$ 3,856.58
$ 3,415.30
Use code for
specific
sport
Use code for
specific
sport
Adapted Athletics
1.0
(Assistant Varsity/Head B)
1.0
$ 2,956.58
$ 3,256.58
$ 3,856.58
119
Golf
6.0
34.6
3,875.20
$ 3,875.20
$ 4,175.20
$ 4,775.20
119
133
133
(Assistant Varsity/Head B)
Alpine Ski
(Assistant Varsity/Head B)
$ 2,596.38
$ 2,896.38
$ 3,496.38
2.0
1.0
34.6
3,875.20
$ 3,875.20
$ 4,175.20
$ 4,775.20
$ 2,596.38
$ 2,896.38
$ 3,496.38
117
Cross Country
6.0
34.6
3,875.20
$ 3,875.20
$ 4,175.20
$ 4,775.20
117
123
123
(Assistant Varsity/Head B)
Tennis
(Assistant Varsity/Head B)
$ 2,596.38
$ 2,896.38
$ 3,496.38
6.0
6.0
34.6
3,875.20
$ 3,875.20
$ 4,175.20
$ 4,775.20
$ 2,596.38
$ 2,896.38
$ 3,496.38
123
131
131
(Interest Assist B/Head 9th)
$ 2,208.86
$ 2,508.86
$ 3,108.86
La Crosse
(Assistant Varsity/Head B)
6.0
6.0
34.6
$ 2,596.38
$ 2,896.38
$ 3,496.38
137
878
878
Game Manager (Yearly)
Forensics /Speech
(Assistant Varsity/Head B)
3.0
3.0
3.0
$ 1,545.82
$ 1,845.82
$ 2,445.82
878
134
(Interest Assist B/Head 9th)
$ 1,315.10
$ 1,615.10
$ 2,215.10
134
(Assistant Varsity/Head B)
$ 1,140.61
$ 1,440.61
$ 2,040.61
3.0
51.0
5,712.00
$ 5,712.00
$ 6,012.00
$ 6,612.00
51.0
5,712.00
$ 5,712.00
$ 6,012.00
$ 6,612.00
45.0
5,040.00
$ 5,040.00
$ 5,340.00
$ 5,940.00
45.0
5,040.00
$ 5,040.00
$ 5,340.00
$ 5,940.00
45.0
5,040.00
$ 5,040.00
$ 5,340.00
$ 5,940.00
39.4
39.4
39.4
4,412.80
4,412.80
4,412.80
$ 4,412.80
$ 4,412.80
$ 4,412.80
$ 4,712.80
$ 4,712.80
$ 4,712.80
$ 5,312.80
$ 5,312.80
$ 5,312.80
(Interest Assist B/Head 9th)
Robotics
3.0
39.4
20.6
15.2
4,412.80
$ 4,412.80
$ 4,712.80
$ 5,312.80
3,875.20
$ 3,875.20
$ 4,175.20
$ 4,775.20
2,307.20
$ 2,704.00
$ 2,307.20
$ 3,004.00
$ 2,607.20
$ 3,604.00
$ 3,207.20
1,702.40
$ 1,702.40
$ 2,002.40
$ 2,602.40