Forms

Clearance Forms:

If you are registered for a class that has a practicum component in which you work in a local school as a tutor, observer, or student teacher, you need to obtain the following 3 clearances before you start your work in local schools.

1. Act 151 PA Child Abuse History Clearance Form

2. Act 34 PA Criminal History Record Check

3. FBI Criminal History (Fingerprint)

The closest fingerprint scanning location to Bucknell University is The UPS Store, 185 Ajk Boulevard, Lewisburg, PA (located across from Super Wal-Mart). The hours are Monday through Friday, 8:30 A.M. to 6 P.M. and Saturday, 9:30 A.M. to 2 P.M. Telephone number is 570-523-2611.

INSTRUCTIONS and FORMS for all 3 clearances

You will not receive a field placement until your clearances are on file in the department office.

Student Teaching Application:

Application

Pennsylvania Certification:

Effective July 1, 2010 the Pennsylvania Department of Education will charge a fee of $100 to process certification applications.

Application for PA Certification This application should be completed at the end of your coursework at Bucknell. Please read all instructions carefully before completing the forms and use the checklist provided.