Pleasant Plains Community Unit School District No. 8

Every Student, Every Day, A Winner.

Forms
The following Pleasant Plains forms can be downloaded to your computer so that you can type the information directly onto the form. In order to access these forms, you must have Adobe Acrobat Reader installed on your computer. This program can be downloaded by clicking here.
You can type directly on the form, print out the completed form, and then save it to your computer if you wish. If you have questions or need assistance, please contact Maureen Talbert via email at mtalbert@ppcusd8.org.

Evaluation Forms

Pleasant Plains District Forms

District Forms

Teacher Recertification Forms

 
 

Evaluation Forms
Non-Tenure Evaluation Form
(Requires Microsoft Word)
Tenure Teacher Traditional Evaluation Form
(Requires Microsoft Word)
Tenure Teacher Professional Growth Plan Form (All Parts)
(Requires Microsoft Word)
Tenure Teacher Professional Growth Plan Draft Form (Completed by Teacher)
(Requires Microsoft Word)
Summative Evaluation Form (Used with Traditional Evaluation Method)
(Requires Microsoft Excel, do not enter a password)
Classroom Performance Check (Example Self-Assessment that can lead to Goal(s))
(Requires Microsoft Excel)
 

Pleasant Plains District Forms
Pleasant Plains High School ABCD Form
Pre-Approval for Professional Development Activity
Direct Deposit Authorization
PCard Expense Voucher (Excel)
PCard Expense Voucher (PDF)
Coaches Handbook
 

District Forms
Accident Report Form
 

Travel Forms
Field Trip IICA-Policy and Request Form
Travel Reimbursement Form (Excel)
 

Fundraising Forms
Student Fundraising Form
Support Organization Fund Raising Form
 

College Forms
Enrollment in College Course Approval
Payment for College Course
Professional Growth Continuing Education Credit/Payment for college Course
 

Food and Health Forms
HRA HEalth Reimbursement Form
Adult Health Examination Record
Student Health Examination Form
 

Miscellaneous
Building Use Form
Maintenance Request Form
Request for Leave
Mandated Reporter Status Form
Food Service Special Request Form
Superior Rating for Teachers
High School Teacher Special Education Report
Support Staff Vacation Leave Form
 

Teacher Recertification Forms

Pleasant Plains CUSD #8 Forms for Teachers
Pleasant Plains Workshop Participation
Pleasant Plains Committee Participation Form
 

Professional Development
Evaluation Form (ISBE Form 77-21A)
Evidence of Completion (ISBE Form 77-21B)
 

State Forms for Teachers

Recertification Plan Form (ISBE Form 77-03)
Claim for Credit for Activities in the Certificate (ISBE Form 77-04)
Change in Teaching Status Form (ISBE Form 77-08)
Evidence of Completion of National Board for Professional Teaching Standards (ISBE Form 77-05)
Application for Renewal of Certificate (ISBE Form 77-07)
Summary of Professional Development Activities (ISBE Form 77-07)
Point Values for Professional Development Activities (ISBE Certificate Renewal manual: Section D)
Evidence of Participation (ISBE Form 77-21)
 

Provider Forms
Notification of Professional Development Activities (ISBE Form 77-20)
Evaluation Form (ISBE Form 77-21)
 
If you are looking for other forms or information regarding the recertification Process, please visit the ISBE site at
http://www.isbe.net/recertification/crmanual.htm.
 
 

Unit Office

Maureen Talbert -Superintendent
Bill Dargert - Operations Director
-
315 W. Church St.
Pleasant Plains, IL 62677
(217) 626-1041

Farmingdale Elementary

Jamie Yates- Principal
Angie Heise- Assistant Principal
-
2473 N. Farmingdale Rd.
Pleasant Plains, IL 62677
(217) 626-1221

Pleasant Plains Middle School

Jill Lanier- Principal
Ben Theilen- Assistant Principal
-
2455 N. Farmingdale Rd.
Pleasant Plains, IL 62677
(217) 626-1061

Pleasant Plains High School

Mike Ward- Principal
D'Wayne Peterson- Assistant Principal
-
500 N. Cartwright St.
Pleasant Plains, IL 62677
(217) 626-1044