In addition, the PA Sexual Misconduct/Abuse Disclosure Release Form ( Act 168) must be completed at the time of application for every employer you have worked for since the age of 16 in which you have had direct contact with children. Jason Reifsnyder, Assistant to the Superintendent for Personnel and Student Services, Derry Township School District, P.O. In addition to this application, applicants for support staff positions should send a letter of interest, resume, Acts 34 and 151 clearances, FBI Federal Criminal History, Current Act 24 Arrest/Conviction Report And Certification Form, and three (3) letters of recommendation to Mr.
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