Administration Forms are listed below.  To view other forms click on the appropriate link below.

This directory is a collection of all forms currently used by Kids Central, Inc. to document services to children and families as well as management and operation of the Head Start and Early Head Start programs.

Forms are being revised and added daily. If you fail to find the form for which you are searching, please check back at a later date

All forms are in Adobe Reader (PDF) format and are read-only documents that can only be revised by the document creator.

Adobe Reader is a free software application and can be downloaded from the link below..

Serving the Head Start Community Since 1965

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Administration Forms

Note: Several Administration forms relate to personnel, payroll, and Human Resource information. In most instances use of these forms will be initiated by the immediate supervisor. Always consult with your supervisor or the Human Resources Officer before utilizing personnel forms.

Darrell Edwards
Executive Director
800-286-8106, x118
e:dedwards@kidscentralinc.com
A-100 Sign-In Sheet Form used to document attendance at meetings
A-101 Telephone Log Form used to document calls made and received at agency sites
A-102 Staff Agreement Form used to document agreement between KCI and staff regarding hours and pay
A-103 Request for Vacation Leave Form used to request vacation leave
A-104 Volunteer Timesheet Form used to document hourly volunteer activity for in-kind
A-105  Group Activity Timesheet Form used to document volunteer in-kind for group activities
A-106 Statement of In-kind Contribution Form used to document in-kind donations
A-107 Purchase Requisition Form used to request goods or services for program operation
A-108 Travel Advance Request Form used to request for travel expenses
A-109 Expense Reimbursement Form used to request reimbursement for out-of-pocket expenses
A-111 Hourly Wage Timesheet Form used to document hours worked for hourly wage employees
A-112 Salary Exempt Timesheet Form used to document work time for salary exempt employees
A-113 Payroll Deduction Authorization Form used to authorize KCI staff to withdraw funds from payroll for specified reasons
A-114 Reimbursement for Local Travel Form used to document local travel and submit requisition for reimbursement
A-115 Benefits Pay Agreement Form used to document agreement between employee and KCI to repay benefits paid by the agency during authorized leave
A-116 Report of Tuberculosis Screening Form used to document results of tuberculosis screening as required by Virginia Licensing Standards
A-117 Sworn Statement of Affirmation Form used to document disclosure of information required for pre-employment by Virginia Licensing Standards
A-118 Staff Grievance Form Form used to document grievances relating to personnel matters
A-119 Personnel Action Form Form used to document resignation or termination of employment
A-120 Progressive Counseling Form Form used to address personnel matters intended to improve employee performance
A-121 Request for FMLA Leave Response Form used to notify staff of status of request for FMLA leave
A-122 Return to Work Certification Form used to obtain certification from medical provider that an employee may return to work
A-123 Staff Orientation Period Form(s) used to document 30-60-90 day evaluations during staff orientation
A-124 Classroom Checklist

Classroom Facilities, Grounds, and Bus Checklist
A-125 Disciplinary Action Form Form used to document employee actions requiring disciplinary action
A-126 Employee Termination Checklist Form used to verify that property belonging to KCI is returned in the event of employee termination
A-127 Exit Interview Form used to conduct exit interview with employees leaving employment at KCI
A-128 Employee Accident Form Form used to report accidents on the job