Palmyra Area School District

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Palmyra Area School District
1125 Park Drive
Palmyra, PA 17078

Instructions for Completing Paperwork for Day-to-Day Substitute Teaching.
For Substitute Nurses, please call District Office 717-838-3144

     Standard Pennsylvania Teaching Application [Form]

      Clearances must be no older than one year from date of application
           Federal FBI Criminal History, Act 114 Instructions
           Mandated Reporting Guidelines for Physical Abuse, Neglect and Sexual Abuse
                  [Information and Signature Page]
      Act 168 Directions/Release Forms [Form]

Pennsylvania Teaching Certificate
     We will need a copy of front and back of teaching certificate

TB Test Results (Must be within the year)
     Need to see original form from physician or school nurse

Physical (within the past year) [Form]

Arrest/Conviction Report, Act 24 [Form]

Certificate of Residence [Form]

I-9 [Form]
     Complete section 1 of the form.

District Office must see Driver's License and Social Security Card
     District Office Staff will make copies and return originals to you.

W-4 [Form]
     Complete sections 1,2,3 and 5. Please sign and date the form.

Direct Deposit [Form]
     Please complete the form.