Pde 6004 arrest conviction form

    • [DOC File]Procedures for requesting criminal record clearances

      https://info.5y1.org/pde-6004-arrest-conviction-form_1_621716.html

      ACT 24 – 6004 Arrest/Conviction Form (you will sign this and submit to the Education department. You will not need a copy of this) All clearances are required for admission to the College’s teacher education program (regardless of your state of residence) and for accepting a position in a Pennsylvania school.

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    • [DOC File]I

      https://info.5y1.org/pde-6004-arrest-conviction-form_1_0ef2c1.html

      PDE 6004: Arrest/Conviction Report and Certification Form. and instructions. Attachment A. Contractor Prior Experience Submittal. Company Name and Address Contact Information Project Name Project Start and End Dates Brief Description of the Project 1 2 3 ATTACHMENT D. COST QUOTATION FORM for ITQ # Proposed Hourly Billing Rate

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    • [DOC File]www.holyfamily.edu

      https://info.5y1.org/pde-6004-arrest-conviction-form_1_fd5139.html

      The student is also required to use this form to report subsequent arrests or convictions of Section 111(e) crimes within seventy-two (72) hours of the occurrence of such arrest or conviction. A copy of the PDE-6004 form can be retrieved from the link below. A listing of applicable Section 111(e) crimes is included on the form.

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    • [DOCX File]ARREST/CONVICTION REPORT AND CERTIFICATION FORM

      https://info.5y1.org/pde-6004-arrest-conviction-form_1_b860ed.html

      PDE-6004 03/01/2016. PDE-6004 03/01/2016. 1 of 3. ARREST/CONVICTION REPORT AND CERTIFICATION FORM (under Act 24 of 2011 and Act 82 of 2012) Section 1.Personal Information. Full Legal Name: Other names by which you have been identified: Date of Birth: // Section 2.Arrest or Conviction. Author: Lord, Patrick Created Date:

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    • [DOC File]SOUTHERN TIOGA SCHOOL DISTRICT

      https://info.5y1.org/pde-6004-arrest-conviction-form_1_6ad513.html

      New Reporting Requirement of FUTURE Arrest or Conviction of Section 111(e) Offenses: Act 24 requires any school employee or contractor arrested or convicted of a Section 111(e) offense to report to the school administrator within 72 hours using form PDE-6004 and submitting it to the designated school administrator, currently Penny Crowell ...

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    • [DOC File]Application Part II

      https://info.5y1.org/pde-6004-arrest-conviction-form_1_54f954.html

      If not submitted in your initial communication, include with this application, copies of PDE form 6004 (arrest Conviction Report), current (within 1 yr.) Act 34 (State Police), Act 114 (FBI fingerprints) and Act 151 (Department of Human Services) clearances.

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    • [DOCX File]www.blairtherapies.com

      https://info.5y1.org/pde-6004-arrest-conviction-form_1_fa7dc4.html

      School employees will be required to report to the School Administrator within seventy-two (72) hours any arrest or conviction of an offense listed in Section 111(e) that occurs after September 28, 2011.CLICK HERE to obtain the PDE 6004 form for arrests and convictions.

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    • [DOC File]Riverside School District / Homepage

      https://info.5y1.org/pde-6004-arrest-conviction-form_1_e179c9.html

      Arrest/Conviction Report and Certification Form, PDE Form 6004, Act 24 (original form) Pennsylvania State Police Clearance, Act 34 (copy of receipt containing the control number) FBI Fingerprint, Act 114 (copy of receipt containing the registration number) Child Abuse History Clearance, Act 151 (original form)

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    • [DOC File]ATHLETIC HANDBOOK

      https://info.5y1.org/pde-6004-arrest-conviction-form_1_5092b1.html

      Any after-school detention or other form of discipline may also result in disciplinary action from the head coach of an athlete. ... Bloomsburg Area School District New Employee Agreement, PDE-6004 Arrest/Conviction Form, Confidentiality Agreement, Worker’s Compensation Form, and Sexual Misconduct/Abuse Release (if hired after 31 December ...

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    • [DOC File]Home Education & Private Tutoring Guide

      https://info.5y1.org/pde-6004-arrest-conviction-form_1_8d78ba.html

      Volunteers still must provide their organization’s designee with written notice, utilizing the Arrest/Conviction Report and Certification form (PDE-6004), for any arrest or conviction for an offense enumerated under 24 PS 1-111(e) provided for in clause 24 PS 1-111 (j)(1) not later than seventy-two (72) hours after an arrest or conviction.

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