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Board & Staff
21st Century Programs
About Mālama and Lokahi
Teleteach / ‘Imiloa
Waikalua Loko I’a
Board & Staff
21st Century Programs
About Mālama and Lokahi
Teleteach / ‘Imiloa
Waikalua Loko I’a
The Pacific American Foundation, Oahu
21st Century CLC Mālama & Lokahi Programs
Waikalua Loko I’a
WIRED – HOME
Date of Birth
TB Testing Acknowledgement
The State of Hawaii Department of Health, requires persons who work, live, or volunteer in a child care facility, including but not limited to operators, caregivers, providers, household members,volunteers, and staff members such as child care and maintenance workers to have a TB clearance obtained within 12 months prior to job start date.
I consent to sharing my TB medical information with the Pacific American Foundation.
New Hires: Screening Process TB Document G from the State of Hawaii Department of Health may be obtained from your health care provider. In most cases, a test is not necessary and this form can be uploaded here to meet your TB requirement. If you are required to test for TB, then please submit proof of Negative Test taken within the 12 months prior to your hire date to meet the requirement. Contact your provider for more information.
New hires, please upload your documentation here.
Max. file size: 2 MB.
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Confidentiality of Personal Identifiable Information
I understand that to fulfill the duties and responsibilities of my job, I may need to access personally identifiable information (PII) of students that is sensitive and/or confidential in nature. Such information may include, but is not limited to:
-Social Security number, home and mailing address, home phone number, date of birth/age, ethnicity, etc.
-Admission and academic records
-Job applicant information (names, transcripts, etc.)
-Employment and payroll records
-Usernames, passwords, "secret questions and answers" or other ID/password combinations for applications that contain or use personally identifiable information
-Credit card, debit card or credit-related information
-Bank account information
-Driver's license number
I understand that confidentiality of PII is protected by Chapter 92F (Uniform Information Practices Act) of the Hawai'i State Revised Statutes, the Federal Privacy Act of 1974, Federal Family Educational Rights and Privacy Act (FERPA), and other applicable state and federal laws and Pacific American Foundation (PAF) rules, regulations, policies, and/or procedures.
I understand and I grant PAF permission to photograph and videotape or otherwise record and use images of myself, voice, and/or likeness, bibliographical identification, and/or work for educational purposes and for publicizing and promoting the Program and its activities. The use of unmanned aerial systems (UAS) may be used to record imagery.
I understand the confidential nature of private information regarding our students, faculty, staff, and other members of the PAF community and understand that it is my responsibility to respect and protect the confidentiality of this information. This includes the use of social media or any other form of electronic communication.
I understand that accessing or seeking to gain access to PII, except in the course of fulfilling my job responsibilities, is prohibited. I further understand that disclosing, using and/or altering any such information without proper authorization is also prohibited. If I have any questions regarding access, use, or disclosure of such information, I understand that it is my responsibility to consult with my supervisor prior to taking any action.
I understand that it is my responsibility to keep my own username and password confidential and that I am not to allow others to use my active sessions other than to resolve specific problems. I also understand that using another person's username and password is prohibited, unless given explicit permission to do so to resolve a reported problem. It is my responsibility to keep my username/password combination(s) for all electronic applications confidential and sharing or transferring it to any other person is not allowed.
I understand that it is my responsibility to notify my supervisor if my user name and password, PII data, or personal computer access have been compromised.
I understand that electronic transactions on PAF’s information systems may be automatically logged and that the logs of my actions may be routinely reviewed as part of the PAF information security assurance program.
I have read and understand my responsibilities under “Mālama 21st Acknowledgement of Student Information and General Confidentiality Expectations."
I understand that failure to abide by this notice may result in disciplinary action in accordance with PAF policies and procedures, State and federal laws, and applicable collective bargaining agreement up to and including dismissal. In addition, persons with access to confidential PII information may be subject to criminal penalties for the unauthorized access, use, and/or release of such information.
Code of Conduct
Code of Conduct Agreement
All Pacific American Foundation (PAF) employees shall conduct themselves in an ethical manner and comply with federal and state laws, rules, regulations and PAF policies, procedures, regulations and policies. PAF policy requires that all personnel strictly adhere to the Hawaii State Code of Ethics and the Code of Ethics for public employees of the State as prescribed in Chapter 84 of the HRS.
This Code of Conduct shall apply to all individuals employed by PAF, including temporary and part-time hires. It also applies to PAF contractors and volunteers, in connection with their duties and responsibilities to PAF
Employees, contractors and volunteers shall maintain high standards of honesty, integrity and impartiality. Professionalism must be maintained at all times and inappropriate commentary avoided.
The educational and developmental interest of students shall be a priority for employees, contractors and volunteers. Employees, contractors and volunteers should conduct themselves in a manner that promotes and supports the development of good character by teaching, enforcing, advocating and modeling ethical principles and values.
Employees, contractors, and volunteers shall not use, or attempt to use, their official position for personal gain, preferential treatment, or confidential information for personal advantage.
I. Standards of Ethical Conduct
a. The employee, contractor, or volunteer shall practice the professional standards of federal, state, and local governing bodies. Any act in deliberate disregard or abandonment of generally recognized professional standards, in the course of any of the following professional practices, shall be prohibited:
-Service as a positive role model for students, parents, and the community;
-Assessment, treatment, instruction, or supervision of students;
-Employment or evaluation of personnel; and
-Management of funds or property.
The employee, contractor, or volunteer shall maintain honesty in all professional dealings. The employee, contractor, or volunteer shall not engage in conduct involving any form of dishonesty, falsification, deception, misrepresentation or cheating
c. Representation of Information in the Course of Professional Practice
The employee, contractor, or volunteer shall not deliberately falsify, misrepresent, or omit material information concerning any of the following:
-Statement of professional qualifications;
-Application or recommendation for employment, promotion, or licensure;
-Representation of completion of education, training, certification or professional development credits;
-Completion of any official PAF forms and/or records;
-Evaluation of students;
-Evaluation of employees;
-Financial or program compliance reports submitted to state, federal, or other governmental agencies;
-Any information provided during the course of an internal investigation or an official inquiry by which an employee, contractor, or volunteer is the subject of the investigation, where that employee, contractor, or volunteer shall be given adequate notice of the allegations and (for employees) may be represented by his/her union or other representative
d. Ethics & Conflicts of Interest
i, An employee, contractor, or volunteer is a representative of the PAF and its partner schools at all times and shall refrain from making unprofessional comments about the PAF and its partner schools
ii. The employee, contractor, or volunteer shall not solicit any current students or parents of students to purchase equipment, supplies, or services in a private remunerative capacity
iii. A teacher shall not tutor for remuneration students currently assigned to his or her class(es)
iv. No employee, contractor, or volunteer may accept gifts from any person or group desiring to do or doing business with PAF if it can be reasonably inferred that the gift is intended to influence the individual in the performance of his/her official duties, or is intended as a reward for any official action on the part of the employee, contractor or volunteer
v. The above section 5.d.iv.4 shall not apply to or restrict the acceptance of gifts or tokens of minimal value offered and accepted openly from students, parents, or other persons in recognition or appreciation of service, as long as it cannot be reasonably inferred that the gift is intended to influence the individual in the performance of the individual’s PAF-related duties, or as a reward for any official action
vi. An employee, contractor, or volunteer must disclose to his or her immediate supervisor or contracting officer, as applicable, any situation in which there may be a conflict of interest, or a potential conflict of interest
vii. PAF’s hiring and personnel decisions will be fair and objective. Due to the potential for perceived or actual conflicts, employees and volunteers are restricted from hiring and supervising immediate family members. “Immediate family member” is defined as one of the following: parent, child, grandparent, grandchild, brother, sister, husband, wife, partner, and cohabitating couples. The hiring supervisor is responsible for ensuring compliance. No exception to this Code of Conduct will be made without the written consent of the Executive Director or the Executive Director’s designee prior to any personnel action in question.
e. Appropriate Interaction with Students
i. PAF is committed to providing a caring environment conducive to the physical, mental, social, and emotional well being of students while they are participating in school activities. Therefore, employees, contractors, and volunteers who interact with students will maintain appropriate teacher/student and adult/child relationships.
ii. The employee, contractor, or volunteer shall not commit any abusive act or sexual exploitation with, to, or in the presence of a student, whether or not that student is or has been under the care or supervision of that employee, contractor, or volunteer, as defined below:
iii. Any use of inappropriate language that is considered profane, vulgar or demeaning;
iv. Any sexual act;
v. Any solicitation of a sexual act, whether written, visual, verbal, or physical;
vi. Any act of child abuse, as defined by law;
vii. Any act of sexual harassment, or any other type of discrimination, as defined by law;
viii. Any intentional solicitation, encouragement, or consummation of a romantic or physical relationship with a student, or any sexual contact with a student. The term “romantic relationship” shall include dating a student.
ix. No PAF employee, contractor, or volunteer is authorized to conduct a strip search of a student.
x. No physical punishment of any kind may be inflicted upon any student. An employee, contractor, or volunteer may only use force when the force is reasonable to restrain a student from hurting himself/herself or any other person or property.
xi. An employee, contractor, or volunteer is strictly prohibited from discriminating against, including harassing, any student based on his/her race, color, national origin, sex, disability, and/or age.
xii. PAF also prohibits any employee, contractor, or volunteer from harassing or bullying a student for any reason, including, but not limited to gender identity and expression, socio-economic status, physical appearance and characteristic, and sexual orientation.
f. Confidential Information - The employee, contractor, or volunteer shall maintain the confidentiality of all information considered confidential, including but not limited to student information, student records, personnel information, and employee information, unless disclosure is required pursuant to the Freedom of Information Act, Family Education and Privacy Rights Act, state or federal law, or is necessary for the personal safety of the student or others.
g. Non-Discrimination and Anti-Harassment - PAF is committed to maintaining a workplace free from discrimination and harassment. Therefore, employees, contractors, and volunteers shall not discriminate against or harass a person because of his/her race, sex, including gender identity or expression, sexual orientation, age, religion, color, ancestry, national origin, disability, marital status, arrest and court record (except as permitted by law, including determining whether a person is suitable for working in close proximity to children, as permitted by HRS section 302A-601.5), domestic or sexual violence victim status if the employer has received notice or has knowledge of such status, income assignment for child support, national guard absence, breastfeeding, citizenship status, veteran’s status, or any other basis protected by federal or state law.
h. Anti-Bullying – PAF will not tolerate bullying behavior. Bullying is defined as inappropriate behavior, either direct or indirect, whether verbal, physical, psychological or otherwise, conducted by one or more persons against another or others, which is repeated over time. It is noted that isolated or one-time incidents of
intentional inappropriate behavior may not fall within the definition of bullying; however, it may still be considered inappropriate and subject to corrective action.
i. Mandatory Reporting – The employee, contractor, or volunteer shall make all required reports and any other federal or state laws or PAF policies or procedures which require mandatory reporting of child abuse or neglect.
j. Drug and Alcohol Free Workplace – The unlawful manufacture, distribution, possession, sale or use of any illegal drug, any inappropriately used prescription drug, or any alcohol by employees, contractors, and volunteers of PAF is strictly prohibited on school premises, in PAF offices, and/or as part of any PAF-sponsored activity, whether or not the activity is performed on campus. Reporting for duty, remaining on duty or performing services to PAF while under the influence of, or impaired by any illegal substance, inappropriately used prescription drug, or alcohol is also prohibited.
k, Safe Workplace & Safe Learning Environment – All employees, contractors, and volunteers are responsible for maintaining a safe and harmonious work environment. Workplace violence will not be tolerated under any circumstances. Workplace violence includes but is not limited to acts involving physical attack, property damage, as well as verbal statements that a reasonable person would perceive as expressing or suggesting intent to cause physical or mental harm to another person. PAF is also committed to maintaining a safe and healthy learning environment for students. Intimidation, bullying, harassment and discrimination of students under any program, service, or activity of PAF are prohibited.
l. Appropriate Use of PAF Funds and Property – The employee, contractor, or volunteer shall not misuse any funds or property of government, school, school-related, or the organization, or the funds or property of any employee, volunteer or contractor.
m. Authorized Professional Practice – The employee, contractor, or volunteer shall not perform any act for PAF as an employee, contractor, or volunteer in a position for which licensure is required during any period in which the employee’s, contractor’s, or volunteer’s license has been suspended or revoked.
n. Non-Retaliation – The employee, contractor, or volunteer shall not threaten, harass, punish or discriminate against any individual who in good faith reports, discloses, divulges, or otherwise brings to the attention of PAF management any practices or actions believed to be inappropriate under this Code, or in violation of any PAF policies or procedures, or state or federal laws.
o. Appropriate Use of Electronic Communication, Technology, and Internet – All employees, contractors, and volunteers shall limit access to PAF’s Internet connections and use of PAF-issued technology such as cellular phones, wireless devices, computers, and software to business transactions and business communications necessary to conduct their duties as a PAF employee, contractor, or volunteer. PAF networks and Internet connections shall be used in accordance with the PAF Internet Access Policy (See “Malama 21st - Staff Guidance for New School Year”, Handbook pgs. 70-71.)
All electronic communications related to PAF and partner schools’ staff, student, and program concerns are kept within the PAF chain of command and school administration.
II. Responsibility to Comply – It is each employee’s, contractor’s, and volunteer’s responsibility to ensure compliance with all provisions of this Code and seek guidance where necessary from their supervisor, manager, Office of Human Resources or contracting officer. To “do the right thing” and ensure the highest standards of integrity is each employee’s, contractor’s, and volunteer’s personal responsibility. When in doubt, employees, contractors, and volunteers should look to the Guiding Principles stated at the beginning of this Code. Any failure to comply with this Code may result in disciplinary action, including the possibility of termination or other cessation of services and, if warranted, legal proceedings or criminal sanctions.
III. Reporting Violations Employees, contractors, and volunteers shall report any practices or actions believed to be inappropriate under this Code, or any illegal practices, to their supervisor, manager, or contracting officer. PAF prohibits retaliation against any individual for such reports made in good faith. Attempts to use PAF’s processes to libel, slander, or otherwise harm another individual through false accusations, malicious rumors, or otherwise irresponsible actions are prohibited.
IV. Investigations of Suspected Violations – PAF will review complaints. If warranted, an investigation will be conducted. Each employee, contractor, and volunteer is expected to cooperate in the investigation of suspected violations.
To make a confidential report, please contact:
PAF (phone) (808) 664-3027 or email Herb Lee, President/CEO, at firstname.lastname@example.org
MANDATORY ACKNOWLEDGEMENT OF UNDERSTANDING AGREEMENT
I have read the above Pacific American Foundation (PAF) Code of Conduct in its entirety. I understand that it is my responsibility to abide by this Code and failure to comply may result in disciplinary action in accordance with PAF policies and procedures, State and federal laws up to and including dismissal.
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