As required by subsection (c.4) and (j)(2) of 24 P.S. §1-111, this form shall be completed and submitted by all current and prospective employees of said institutions to provide written reporting of any arrest or conviction for an

Additionally, Act 24 requires that all school employees complete and return to their school administrator a PDE Form 6004 (PDF) within 72 hours of any arrest or conviction of an offense listed in Section 111 (e).

Under Section 9a of the Educator Discipline Act (24 P.S. §§ 2070.1a–2070.18 (c)), chief school administrators or their designees are required to report to the Department any educator who has been arrested, indicted for, or convicted of any crime that is graded a misdemeanor or felony.

May 11, 2021 · UPDATED - Arrest or Conviction form under Act 24 and Act 82 AS OF 03012016.pdf, 120.83 KB; (Last Modified on May 11, 2021)

Act 24 requires all current school employees and volunteers to complete a Pennsylvania Department of Education (“PDE") form to report prior arrests or convictions for any offense listed in the newly expanded Section 111(e).

Arrest/Conviction Report and Certification Form Act 24/82 This form is required with submission of clearances every 5 years. Please complete by checking the appropriate box in each section, sign and return it with your clearances.

This standardized form has been developed by the Pennsylvania Department of Education, pursuant to 24 P.S. §1-111(j), to be used by current and prospective employees of public and private schools, intermediate units and area vocational-technical

Because of the expanded list of prohibited criminal offenses, Act 24 requires all current school employees to complete a Pennsylvania Department of Education (“PDE”) form to report prior arrests or convictions for any offense listed in newly expanded Section 111(e).

The law imposes an ongoing requirement for school employees to report any arrest or conviction for an offense listed on page two of this form to a school administrator within 72 hours. The reportable offenses are from Section 111 of the Public …

Act 24 of 2011 Frequently Asked Questions Who must submit the PDE 6004 form? All current employees of a public school, private school, intermediate unit, or vocational technical school. This includes substitutes, volunteers, senior tax volunteers, extracurricular staff, and PIAA game officials. What happens if I do not want to submit one?