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49
!["Sexual Misconduct/Abuse Disclosure Release (Under Act 168 of 2014)" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1999/19995/1999512/sexual-misconduct-abuse-disclosure-release-under-act-168-of-2014-pennsylvania.png ""Sexual Misconduct/Abuse Disclosure Release (Under Act 168 of 2014)" - Pennsylvania")
"Sexual Misconduct/Abuse Disclosure Release (Under Act 168 of 2014)" - Pennsylvania
Size: 98 KB
3 pages
This is a legal document that must be completed to disclose possible sexual misconduct or abuse history of an applicant under consideration for a position with a Pennsylvania school entity.
![Form PDE-430 "Pennsylvania Statewide Evaluation Form for Student Professional Knowledge and Practice" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1913/19133/1913302/form-pde-430-pennsylvania-statewide-evaluation-form-for-student-professional-knowledge-and-practice-pennsylvania.png "Form PDE-430 "Pennsylvania Statewide Evaluation Form for Student Professional Knowledge and Practice" - Pennsylvania")
![Form PDE430 Attachment A "Student Teacher Assessment" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19143/1914337/form-pde430-attachment-a-student-teacher-assessment-pennsylvania.png "Form PDE430 Attachment A "Student Teacher Assessment" - Pennsylvania")
![Form PDE-5529 "Application for Commission Executive Directors, Superintendents, and Assistants" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2104/21044/2104449/form-pde-5529-application-for-commission-executive-directors-superintendents-and-assistants-pennsylvania.png "Form PDE-5529 "Application for Commission Executive Directors, Superintendents, and Assistants" - Pennsylvania")
![Form PDE-5005 "Education Director Application" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915380/form-pde-5005-education-director-application-pennsylvania.png "Form PDE-5005 "Education Director Application" - Pennsylvania")
![Form PDE-4004 "Supplemental Application" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915383/form-pde-4004-supplemental-application-pennsylvania.png "Form PDE-4004 "Supplemental Application" - Pennsylvania")
![Form PDE-4565 "Application for Work Permit" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19148/1914891/form-pde-4565-application-work-permit-pennsylvania.png "Form PDE-4565 "Application for Work Permit" - Pennsylvania")
![Form H-201B "Affidavit Declaration of Intent to Become a Citizen of the United States" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19143/1914327/form-h-201b-affidavit-declaration-of-intent-to-become-a-citizen-of-the-united-states-pennsylvania.png "Form H-201B "Affidavit Declaration of Intent to Become a Citizen of the United States" - Pennsylvania")
![Form PDE-1638 "Private Academic School Application Checklist" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915387/form-pde-1638-private-academic-school-application-checklist-pennsylvania.png "Form PDE-1638 "Private Academic School Application Checklist" - Pennsylvania")
![Form PDE-1665 "Contract Bond" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915386/form-pde-1665-contract-bond-pennsylvania.png "Form PDE-1665 "Contract Bond" - Pennsylvania")
![Form PDE-2119 "Private Academic School Financial Statement" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915385/form-pde-2119-private-academic-school-financial-statement-pennsylvania.png "Form PDE-2119 "Private Academic School Financial Statement" - Pennsylvania")
![Instructions for Form PDE-1665 "Contract Bond" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19146/1914659/instructions-for-form-pde-1665-contract-bond-pennsylvania.png "Instructions for Form PDE-1665 "Contract Bond" - Pennsylvania")
![Form PDE338 A "Education Preparation Program Verification Form" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915375/form-pde338-a-education-preparation-program-verification-form-pennsylvania.png "Form PDE338 A "Education Preparation Program Verification Form" - Pennsylvania")
![Form PDE-5529A "Application for Commission Assistant Executive Director or Assistant Superintendent" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915377/form-pde-5529a-application-commission-assistant-executive-director-or-assistant-superintendent-pennsylvania.png "Form PDE-5529A "Application for Commission Assistant Executive Director or Assistant Superintendent" - Pennsylvania")
![Form PDE338 V "Verification of Experience Form" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19143/1914335/form-pde338-v-verification-of-experience-form-pennsylvania.png "Form PDE338 V "Verification of Experience Form" - Pennsylvania")
![Form PDE338 C "College/University Verification Form" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19143/1914330/form-pde338-c-college-university-verification-form-pennsylvania.png "Form PDE338 C "College/University Verification Form" - Pennsylvania")
![Form PDE338 U "Educator File Update Request Form" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19143/1914334/form-pde338-u-educator-file-update-request-form-pennsylvania.png "Form PDE338 U "Educator File Update Request Form" - Pennsylvania")
![Form PDE-2119A "Statement of Income and Expenses" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915378/form-pde-2119a-statement-income-and-expenses-pennsylvania.png "Form PDE-2119A "Statement of Income and Expenses" - Pennsylvania")
![Form PDE338 ES "Emergency Certification Agreement Career and Technical Education Supplement" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2068/20686/2068626/form-pde338-es-emergency-certification-agreement-career-and-technical-education-supplement-pennsylvania.png "Form PDE338 ES "Emergency Certification Agreement Career and Technical Education Supplement" - Pennsylvania")
![Form PDE338 VB "Verification of Business Work Experience Form" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19143/1914336/form-pde338-vb-verification-of-business-work-experience-form-pennsylvania.png "Form PDE338 VB "Verification of Business Work Experience Form" - Pennsylvania")
![Form PDE338 R-4 "Request for Appeal: Act 48/Act 45" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2237/22377/2237727/form-pde338-r-4-request-for-appeal-act-48-act-45-pennsylvania.png "Form PDE338 R-4 "Request for Appeal: Act 48/Act 45" - Pennsylvania")
![Form PDE338 CAC "Request for Reconsideration of Certification Denial" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19143/1914331/form-pde338-cac-request-for-reconsideration-of-certification-denial-pennsylvania.png "Form PDE338 CAC "Request for Reconsideration of Certification Denial" - Pennsylvania")
![Form PDE338 PS-ESL "Program Specialist" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19143/1914333/form-pde338-ps-esl-program-specialist-pennsylvania.png "Form PDE338 PS-ESL "Program Specialist" - Pennsylvania")
!["Driver Education - Online Theory Program Application" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2284/22843/2284392/driver-education-online-theory-program-application-pennsylvania.png ""Driver Education - Online Theory Program Application" - Pennsylvania")
!["Request for Exception to 180 School Days Nonpublic and Private Schools" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915379/request-exception-to-180-school-days-nonpublic-and-private-schools-pennsylvania.png ""Request for Exception to 180 School Days Nonpublic and Private Schools" - Pennsylvania")
!["Affidavit/Certificate of Nonpublic, Nonlicensed Day School Operated by a Bona Fide Church or Other Religious Body in Pennsylvania" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915381/affidavit-certificate-nonpublic-nonlicensed-day-school-operated-by-a-bona-fide-church-or-other-religious-body-in-pennsylvania-pennsylvania.png ""Affidavit/Certificate of Nonpublic, Nonlicensed Day School Operated by a Bona Fide Church or Other Religious Body in Pennsylvania" - Pennsylvania")
!["Affirmation of Eligibility of Students Acts 89 - Auxiliary Services Acts 195/90/35 - Textbooks/Instructional Materials/Equipment" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915384/affirmation-of-eligibility-of-students-acts-89-auxiliary-services-acts-195-90-35-textbooks-instructional-materials-equipment-pennsylvania.png ""Affirmation of Eligibility of Students Acts 89 - Auxiliary Services Acts 195/90/35 - Textbooks/Instructional Materials/Equipment" - Pennsylvania")
!["Affidavit/Certificate of Nonpublic, Non-licensed Day School Operated by a Bona Fide Church or Other Religious Body in Pennsylvania" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2035/20354/2035427/affidavit-certificate-of-nonpublic-non-licensed-day-school-operated-by-a-bona-fide-church-or-other-religious-body-in-pennsylvania-pennsylvania.png ""Affidavit/Certificate of Nonpublic, Non-licensed Day School Operated by a Bona Fide Church or Other Religious Body in Pennsylvania" - Pennsylvania")
!["Temporary Teaching Permit Verification Form" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915373/temporary-teaching-permit-verification-form-pennsylvania.png ""Temporary Teaching Permit Verification Form" - Pennsylvania")
!["Application for Commonwealth Secondary School Diploma 30 College Credit Option" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915361/application-commonwealth-secondary-school-diploma-30-college-credit-option-pennsylvania.png ""Application for Commonwealth Secondary School Diploma 30 College Credit Option" - Pennsylvania")
!["Standard Right-To-Know Request Form" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19153/1915368/standard-right-to-know-request-form-pennsylvania.png ""Standard Right-To-Know Request Form" - Pennsylvania")
!["Lista De Preparacion De Pre-k/Kinder Para Cuidadores" - Pennsylvania (Spanish)](https://data.templateroller.com/pdf_docs_html/1931/19312/1931242/lista-de-preparacion-de-pre-k-kinder-para-cuidadores-pennsylvania-spanish.png ""Lista De Preparacion De Pre-k/Kinder Para Cuidadores" - Pennsylvania (Spanish)")
!["Pre-k/Kindergarten Preparation Inventory Caretakers" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1931/19312/1931241/pre-k-kindergarten-preparation-inventory-caretakers-pennsylvania.png ""Pre-k/Kindergarten Preparation Inventory Caretakers" - Pennsylvania"){kind=icon}
!["Documentation Worksheet for Determining Certificate Validity" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19143/1914328/documentation-worksheet-for-determining-certificate-validity-pennsylvania.png ""Documentation Worksheet for Determining Certificate Validity" - Pennsylvania")
!["Health Certificate for Private Academic Credentials" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1914/19143/1914329/health-certificate-for-private-academic-credentials-pennsylvania.png ""Health Certificate for Private Academic Credentials" - Pennsylvania")
!["Lista De Preparacion De Pre-k/Kinder Para Cuidadores" - Pennsylvania (Spanish)](https://data.templateroller.com/pdf_docs_html/2035/20354/2035432/lista-de-preparacion-de-pre-k-kinder-para-cuidadores-pennsylvania-spanish.png ""Lista De Preparacion De Pre-k/Kinder Para Cuidadores" - Pennsylvania (Spanish)")
!["Herramienta De Inventario De Preparacion Para Preescolar/Jardin De Infantes" - Pennsylvania (Spanish)](https://data.templateroller.com/pdf_docs_html/2011/20119/2011950/herramienta-de-inventario-de-preparacion-para-preescolar-jardin-de-infantes-pennsylvania-spanish.png ""Herramienta De Inventario De Preparacion Para Preescolar/Jardin De Infantes" - Pennsylvania (Spanish)")