Forms, Applications and Sample Documents

Forms and Applications

The Division has provided a list of forms and applications for a school to upload and complete. Before submitting the application(s), please be sure that ALL sections are complete and signed. For questions regarding forms or to request forms not listed below please email ra-nppss@pa.gov.

Private Academic Teacher Certification
180-Day Instructions For Non Public and Private Schools
180-Day Exception Form PDE-3130 For Non Public and Private Schools (PDF)
Affidavit PDE-5000A (PDF)
Affirmation Form PDE-3561 (PDF)
Contract Bond Original PDE-1665 (PDF)
Contract Bond Sample (PDF)
Contract Bond Instructions (PDF)
Supplemental Application (PDF) - coming soon.
Special Education Exceptionality Questions (PDF)
Regular Education Questions (PDF)
Special Education Questions (PDF)
Tutoring/ETR Questions (PDF)

Sample Documents

Planned Course Outlines (PDF)
Early Childhood Schedule (PDF)
Early Childhood Progress Report (PDF)
Montessori Schedule (PDF)
Insurance Factsheet - Image Only PDF document (PDF)

​​​​​​Forms, Applications and Sample Documents

Forms and Applications​​

Sample Docum​ents

Forms, Applications and Sample Documents

Forms and Applications

Sample Documents