WebConfidentiality Form. Medical Clearances. Act 126 (Mandated Reporting) The Pennsylvania Department of Education (PDE) requires Act 33/151 Child Abuse, Act 34 Criminal Record, Act 24, and Act 114 FBI clearances for students enrolled in teacher preparation programs. Prior to beginning a field experience where a teacher candidate may interact with ... WebIf you prefer to submit an application by mail, you can download the volunteer form (SP4-164A). Act 114 - FBI Fingerprint Criminal Background Check. Non-residents of Pennsylvania or those who have lived in Pennsylvania less than ten (10) years need to …
Clearances Millersville University
WebAct 151 - PA Child Abuse History Clearance : Employment Opportunities : About Us : Center For Humanistic Change Effective July 1, 1995, all Pennsylvania residents must submit with their employment application a copy of a report of "Pennsylvania Child Abuse History Clearance" from the Pennsylvania Department of Welfare. WebCopy of Act 151 -PA Child Abuse History Clearance (see below) page 5; ONLY IF REQUIRED Copy of your Act 114 - FBI VOLUNTEER BACKGROUND CHECK (see below) page 6; Volunteer Affidavit - Page 6; Arrest/Conviction Form (see statement #5 on application – PLEASE RETAIN FOR YOUR RECORDS) Clearances. Act 34 – PA Criminal Background flat rock nc movie theatre
Forms - Department of Human Services
WebPennsylvania Clearance Forms Online Clearance Request Pennsylvania Child Abuse History Clearance CY113: Child Abuse Clearance (English) CY113: Child Abuse Clearance (Spanish) CY 999: Consent/Release of Information Authorization Form Pennsylvania State Police Criminal Background Check SP4-164: Criminal History Request Form — Updated: … WebChild Abuse Clearance (Act 151) You must provide a copy of the Pennsylvania Child Abuse History Clearance from the Department of Human Services (formerly Dept. of Public Welfare). Check the appropriate box: "School Employment" block. ($13) Act 114 Fingerprinting Application The Service Code for PAID employees is 1KG6XN . WebThe repository was created and is maintained in accordance with Pennsylvania's Criminal History Information Act contained in Chapter 91 of Title 18, Crimes Code. This Act also directs the Pennsylvania State Police (PSP) to disseminate criminal history data to criminal justice agencies, non-criminal justice agencies and individuals on request. checksmart ontario ohio