Skip to Main Content
District Home
Sign In
Search
polandcsd

  • Home
  • Our District
      "
    • Administration
    • Capital Projects
    • Emergency Days
    • Employee Forms
    • Lead Testing
    • OLWEUS
    • Required Notifications & Plans
    • School / Facility Use Form
    • Technical Services
    • Title I Parent Resources
    • Board of Education
    • Business Office / Facilities
    • COVID-19 Staff Resources
    • District Plans & Notices
    • District Profile
    • SafeSchools Training
    • Secure Share
    • Substitute Log-In
    • Superintendent's Office
  • Offices
      "
    • 2022/2023 Student Handbook
    • Staff Directory
    • Assistant Principal
    • Cafeteria-Food Service Office
    • Employee Forms
    • Guidance Office 6-12
    • Guidance Office PK-5
    • Nurse's Office
    • Principal's Office
    • Request Transportation
    • Special Education Office
    • Technology Office-MITS
    • Transportation Office
  • Teacher Webpages
      "
    • Allen, J. M. (7-8 Social Studies)
    • Allen, J. (5th Grade)
    • Basel, T. (10-12 Social Studies)
    • Bourgeois, S. (Academic Support)
    • Bowen, D. (7-8 Science)
    • Brinck, B. (Grade 3)
    • Brown, J. (7-12 Technology)
    • Brown, P. (Band & Gen. Music)
    • Cavallaro, B. (6-8 Special Education)
    • Clough, J. (Library Media Specialist)
    • Craig, R.
    • Daniels, E. (English 7-8)
    • DeIorio, Maria (Grade 3)
    • Durr, Mary Ellen (9-12 Special Education)
    • Dusart, Emily (6-12 Art )
    • Dutcher, Julie (Kindergarten)
    • Faggiano, Alison (K-5 Art)
    • Ford, Kevin (10-12 Science)
    • Gagnon, Michael (9-10 English)
    • Garrett, Michelle (Grade 2)
    • Gibbons, Hilary (Spanish/World Language)
    • Gorinshek, Cheryl (Grade 3)
    • Graulich, Tracy (Grade 4)
    • Guidance Counselor (PK-5)
    • Guidance Counselor/Director (Grades 6-12)
    • Haver, Greg (PE & AD)
    • Hess, Kathleen (Grade 1)
    • Hitt, Rachel (Grade 2)
    • Hodge, Jonathan (PE)
    • Judd, Heather (Grade 2)
    • Kraeger, Margaret L. (Chorus & Gen. Music)
    • Kress, Christina (Grade 1)
    • Kurdziolek, Scott (11-12 Math)
    • Lepper, Elizabeth (Grade 4)
    • Library 6-12
    • Library K-5
    • Linneen, Patricia (Grade 1)
    • Manley, Todd (Grade 5)
    • Meeker, Erin (7-8 Math)
    • Meyer, Jessica (9-12 Science)
    • Nurse
    • Oczkowski, Karen (9-12 Social Studies)
    • Potempa, Jason (PE)
    • Przelski, Roxanne (6-12 Health)
    • Rabbia, Laura (K-4 Special Education)
    • Roark, Carrie (Kindergarten)
    • Schmid, Laurie (PK Teacher)
    • Schneider, Kimberlee (Social Worker)
    • Seymour, Lori (Grade 4)
    • Shelhamer, Kimberly (Grade 6)
    • Smith, Barry (10-12 Science)
    • Smithson, Melissa (Speech/Language Path.)
    • Theilmann, Tracy (English 11-12)
    • Tullar, Linda (Math 9-10)
    • Waters, Mark (4-5 Special Education)
    • Weakley, Judy (ASL/World Language)
    • Wolkowicz, Stephanie (PE)
    • Zuchowski, Theresa (Grade 6)
    • AD / Athletic Director's Office
    • Bennett, Stacey
    • Communications
    • Finn, Pam
    • Glover, Tierra
    • Harlander, Mark (Technology 7-12 Teacher)
    • Hartman, Jessica
    • Herkel, Jennifer
    • Hitt, Sandy
    • Kall, Mark
    • Kerr, Arlene
    • Leahy, Sally
    • Library
    • Livingston, Karen
    • Mazzaferro, Josh
    • Nurse's Office
    • Principal Cuthbertson
    • Psychologist Office
    • Rauch, Jocelyn
    • Sample Teacher
    • School Social Worker
    • Special Education PK-12
    • Test Section
    • Weeden, Christopher, Jr. (7-8 Science)
    • Zyma, Helen
  • SSO Portal
      "
    • Computer/Tech Needs
    • COVID Screening
    • Cleaning/Maintenance Needs
    • Gmail
    • OHM BOCES BUZZ
    • Rubicon Atlas
    • School Bookings
    • Staff Spotlight
    • STAR Testing
    • Student Restriction
    • TAA Log-in
    • ClassLink
  • Students/Parents
      "
    • Academic Reporting
    • Clubs and Organizations
    • Code of Conduct
    • FamilyID - Athletics
    • Handbook
    • mySchoolBucks
    • Olweus Questionnaire
    • Parent Today
    • Pre-K Registration
    • School Bookings
    • Title I Resources
    • Absence Note & Bus Note
    • Connect Ed
    • COVID Resources
    • Dignity for All Students
    • Enrollment
    • FamilyID
    • Google Classroom
    • Handbook 2022-2023
    • Homework Board
    • Parents' Rights for Data
    • Pearson Login
  • Community
      "
    • Community Education
    • Data Privacy and Security Resources
    • PCS Weather Station
    • Photo Galleries
    • Star Exemption
    • Tornado Times, Student News
    • Booster Groups
    • Fitness Center
    • Newsletters
    • Poland District Public Library
    • Poland Vol. Fire Department
    • Regional Partners
    • Reopening Information
    • School Report Card
    • Sex Offender Registry
    • Wellness & Safety Resources
    • Village of Poland
    • Working Papers
  • Athletics
      "
    • AD Contact Info
    • AD Schedule Grids
    • Athletes of the Month
    • Family ID: Registration Tool
    • Resources: Parent/Student
    • Resources: Team Coach
    • Schedule Galaxy App
  • Clubs & Organizations
      "
    • Poland Class of 2018 (Currently Hidden)
    • Poland Class of 2019 (Currently Hidden from View)
    • French Club
    • Science Fair
    • Ski Club (Currently Hidden)
    • Clubs and Organizations
    • 7-12 Student Council
    • Poland Class of 2020 (Currently Hidden)
    • Poland Class of 2022
    • Envirothon
    • Spanish Club
    • National Honor Society
    • S.A.D.D. (Currently Hidden)
    • Skate Club
    • Forms for Advisor Use
  • PK-12 School
      "
  • Dean of Students
      "
  • Departments
      "
    • Technology Department
    • Counseling
    • Guidance
    • Library
    • Special Education
  • Calendar

Employee Forms

  • Home
  • Employee Assistance Program
  • Safety Drills
  • Poland CSD
  •  

    Frequently Used PCS Forms 

    The most frequently used forms are within the list below. Employees also have direct access to our Employee Assistance Program via an external website link. To see available assistance programs and offerings, the tab in the left margin will prompt a new page to open. 
     
    Contact number for BOCES Substitute Service: 315-867-2075  Monday - Friday
     
    Absence Form
     
    Accident Reporting Form
     
    Building Use Form
     
    Cancer Screening Leave Form
     
    Claim Form for Advisors, Mentors, Chaperoning, Coaching, etc.
     
    Conference Attendance Approval  (Paper form for those without Frontline access)
     
    Employee Blood Donation Leave
     
    Employee-Submitted Dental Claim Form
     
    Excellus Blue Cross/Blue Shield Website
     
    Excellus Blue Cross/Blue Shield Enrollment Change Form
     
    Express Scripts Website
     
    How Do I Read My PCS Paycheck? Guide
     
    In-Service Request Form  &  In-Service Reporting/Evaluation (2 files here)
     
    OMNI (403b) Website
     
    Preferred Group Flex Spending Website Log In
     
    Preferred Group Flexible Spending Reimbursement Form (Printable Version)  &  Fax Cover Sheet (2 files here)  
     
    Preferred Group Flexible Spending Voucher Fill-in Form Version 
     
    Purchase Requisition
     
    Reimbursement Guidelines for Travel and Meals
     
    Retirement Planning Awareness: Poland CSD 403b
      
     

74 Cold Brook Street
PO Box 8 • Poland, NY 13431

Phone: 315-826-7900 • Fax: 315-826-7516

  • Questions or Feedback? |
  • Blackboard Web Community Manager Privacy Policy (Updated) |
  • Terms of Use
Copyright © 2002-2023 Blackboard, Inc. All rights reserved.
Blackboard, Inc. All rights reserved.
CLOSE
CLOSE