Skip to content
Ellsworth School Department
Engaging and Challenging All Students
Explore
Explore
Our District
Show submenu for Our District
Our District
Mission Statement
Return To School Framework
Show submenu for Return To School Framework
Winter Athletics & Co-Curricular Guidelines
Board of Directors
Ellsworth COVID Count
Agendas & Minutes
Show submenu for Agendas & Minutes
Agendas
Minutes
Live and Recorded Meetings
ESD Youtube Page
District Policies
Show submenu for District Policies
District Policies Descriptions
Section A: Foundations and Basic Commitments
Section B: School Board Governance and Operations
Section C: General School Administration
Section D: Fiscal Management
Section E: Support Management
Section G: Personnel
Section I: Instruction
Section J: Students
Section K: School, Community, and Home Relations
Employment
Show submenu for Employment
Employment Opportunities
Applications
Curriculum & Instruction
Show submenu for Curriculum & Instruction
Curriculum & Instruction
ESSA Every Student Succeeds Act
ESSEF Complete Application
Instructional Standards By Grades And Course
ESSA District Report Cards
Instructional Standards by Grade and Course
Assessed Standards
Educational Glossary
Curriculum Staff
Assessments
Student Supports
Show submenu for Student Supports
ESD Lunch Box
McKinney-Vento Programs
Title IA
Title Grant Resources
English Language Learners
Report Bullying
Parents
Show submenu for Parents
Parents
Return to School COVID-19 Information
Talking with Children About COVID19
Coronavirus Resources
ESSA Dashboard - School Demographics and Assessment Information
2021-2022 District Calendar
2022-2023 District Calendar
NWEA Parent Toolkit
Volunteer Information
Departments
Show submenu for Departments
Departments
Business Office
Show submenu for Business Office
Open Enrollment
Maine Statement Retirement Forms and Information
Payflex Forms and Information
Insurance Forms and Information
Leave Forms
MISC. Payroll Forms
Business Staff
Collective Bargaining Agreements
Nutrition
Show submenu for Nutrition
Free and Reduced School Meals
Online Payment
Nutrition Staff
Wellness
Links to Resources
Committee Members
Technology
Show submenu for Technology
COVID-19 Technology Information for Parents
Device Care
Chromebook
IPAD
Teacher Resources
Budget
Show submenu for Budget
Budget
Budget Fiscal Year 2021
More
Show submenu for
Explore
Show submenu for Explore
Live Feed
Directory
News
Events
Dining
Documents
Our District
Show submenu for Our District
Mission Statement
Return To School Framework
Show submenu for Return To School Framework
Winter Athletics & Co-Curricular Guidelines
Board of Directors
Ellsworth COVID Count
Agendas & Minutes
Show submenu for Agendas & Minutes
Agendas
Minutes
Live and Recorded Meetings
ESD Youtube Page
District Policies
Show submenu for District Policies
District Policies Descriptions
Section A: Foundations and Basic Commitments
Section B: School Board Governance and Operations
Section C: General School Administration
Section D: Fiscal Management
Section E: Support Management
Section G: Personnel
Section I: Instruction
Section J: Students
Section K: School, Community, and Home Relations
Employment
Show submenu for Employment
Employment Opportunities
Applications
Curriculum & Instruction
Show submenu for Curriculum & Instruction
ESSA Every Student Succeeds Act
ESSEF Complete Application
Instructional Standards By Grades And Course
ESSA District Report Cards
Instructional Standards by Grade and Course
Assessed Standards
Educational Glossary
Curriculum Staff
Assessments
Student Supports
Show submenu for Student Supports
ESD Lunch Box
McKinney-Vento Programs
Title IA
Title Grant Resources
English Language Learners
Report Bullying
Parents
Show submenu for Parents
Return to School COVID-19 Information
Talking with Children About COVID19
Coronavirus Resources
ESSA Dashboard - School Demographics and Assessment Information
2021-2022 District Calendar
2022-2023 District Calendar
NWEA Parent Toolkit
Volunteer Information
Departments
Show submenu for Departments
Business Office
Show submenu for Business Office
Open Enrollment
Maine Statement Retirement Forms and Information
Payflex Forms and Information
Insurance Forms and Information
Leave Forms
MISC. Payroll Forms
Business Staff
Collective Bargaining Agreements
Nutrition
Show submenu for Nutrition
Free and Reduced School Meals
Online Payment
Nutrition Staff
Wellness
Links to Resources
Committee Members
Technology
Show submenu for Technology
COVID-19 Technology Information for Parents
Device Care
Chromebook
IPAD
Teacher Resources
Budget
Show submenu for Budget
Budget Fiscal Year 2021
Schools
Search
Ellsworth School Department
Documents
Documents
Open Enrollment 2019
Name
Type
Size
Name:
Anthem Enrollment-Change Form
Type:
pdf
Size:
76.5 KB
Name:
Declaration of DP
Type:
doc
Size:
70.5 KB
Name:
Healthcare FSA Examples of Eligible Expenses
Type:
pdf
Size:
475 KB
Name:
2022 FEDERAL W4 FORM
Type:
pdf
Size:
442 KB
Name:
MAINE W4 REVISED 12-2021
Type:
pdf
Size:
1.29 MB
Name:
2022-2023 ESD Single Subscriber Anthem Rates
Type:
pdf
Size:
19.6 KB
Name:
2022-2023 ESD Teacher Anthem Rates
Type:
pdf
Size:
20.5 KB
Name:
Anthem Member Assistance Program Brochure
Type:
pdf
Size:
437 KB
Name:
Anthem Summary of Benefits Choice Plus 07-01-2022
Type:
pdf
Size:
731 KB
Name:
Anthem Summary of Benefits Standard 07-01-2022
Type:
pdf
Size:
730 KB
Name:
Anthem Summary of Benefits Standard 500 07-01-2022
Type:
pdf
Size:
730 KB
Name:
Anthem Summary of Benefits Standard 1000 07-01-2022
Type:
pdf
Size:
730 KB
Name:
Card Use Verification - Tips for Submitting a Receipt Flyer - HealthEquity
Type:
pdf
Size:
505 KB
Name:
Dependent Care - FSA Standard Flyer (November 2021) - HealthEquity
Type:
pdf
Size:
292 KB
Name:
ESD FLEX PLAN FORM 2022-2023
Type:
pdf
Size:
72.2 KB
Name:
2022-2023 Dental Insurance Rates
Type:
doc
Size:
59.5 KB
Name:
Dental Enrollment Form 21-22
Type:
pdf
Size:
70.6 KB
Name:
MSMA Dental COB Form
Type:
pdf
Size:
152 KB
Name:
Anthem Booklet 07-01-2022
Type:
pdf
Size:
3.16 MB
Name:
Dental Booklet
Type:
pdf
Size:
150 KB