Forms

Coursework Approval Forms

Coursework Approval Form - Certified Staff

Complete the linked form in PowerSchool Records.  You can find the Coursework Approval Form - Certified Staff under the Available Forms tab on the left hand side.  Please note that approval requests need to be submitted at least two weeks prior to the course start date.

*Once the form has been submitted, you are able to confirm submission by selecting Files, Coursework Approval/Tuition Reimbursements.  You will receive the form back once approved.

 

Coursework Approval Form - Support Staff

Complete the linked form in PowerSchool Records.  You can find the Coursework Approval Form - Support Staff under the Available Forms tab on the left hand side.  Please note that approval requests need to be submitted at least two weeks prior to the course start date.

*Once the form has been submitted, you are able to confirm submission by selecting Files, Coursework Approval/Tuition Reimbursements.  You will receive the form back once approved.

 

List of Approved programs in accordance by Pennsylvania Department of Education.

This is not a comprehensive list of all the programs that may be approved.  To see some of the programs that are not approved for reimbursement see below.

Any questions, please email Lashanta Givens at [email protected]

 

Universities and Institutions Not Approved for Reimbursement

The Superintendent or his/her designee may deny such requests for institutions comparable with, or related to, those institutions on the list.

 

Tuition Reimbursement Forms

Tuition Reimbursement Form - All Staff

Complete the linked form in PowerSchool Records. You can find the Tuition Reimbursement Form under the Available Forms tab on the left hand side. You will need to submit a copy of your grade report and a copy of your receipt for the paid tuition with the reimbursement form. Any questions, please email Lashanta Givens at [email protected]

*Once the form has been submitted, you are able to confirm submission by selecting Files, Coursework Approval/Tuition Reimbursements. You will receive the form back once approved.

 

Column Movement/Salary Credit

Column Movement/Salary Credit Application

Complete the linked form in PowerSchool Records. You can find the Column Movement/Salary Credit Application under the Available Forms tab on the left hand side. You will need to have all official transcripts necessary for movement sent electronically to Robin Peters at [email protected].

*Once the form has been submitted, you are able to confirm submission by selecting Files, Coursework Approval/Tuition Reimbursements. You will receive the form back once approved.

Any questions, please email Robin Peters at [email protected].

 

Change of Name & Address Forms

Please send an email [email protected] to receive the forms needed to make a change to your name and/or address. These forms will be sent through Powerschool Records. Please have your updated social security card ready to upload for any name changes.

 

Leave Forms

Leave of Absence Request Form - All Staff

To request a medical, child rearing, FMLA, or personal leave, please complete the linked form in PowerSchool Records. You can find the Leave of Absence Request Form under the Available Forms tab on the left hand side.

*Once the form has been submitted, you are able to confirm submission by selecting Files, Leave of Absence. You will receive the form back once approved.

 

Professional Development Sabbatical Request Form - Certified Staff

Complete the linked form in PowerSchool Records. You can find the form Sabbatical - Professional Development under the Available Forms tab on the left hand side.

Any person employed in the public school system of Pennsylvania who has completed ten (10) years of satisfactory service as a professional employee shall be eligible for a sabbatical leave of absence.

The deadline for the Sabbatical Request Form is March 1st.

*Please note that if you would like any of the coursework to be reimbursed, you would also want to submit a coursework approval form prior to the course start date in order to be eligible for reimbursement.

*Once the form has been submitted, you are able to confirm submission by selecting Files, Leave of Absence. You will receive the form back once approved.

 

Restoration of Health Sabbatical

Any person employed in the public school system of Pennsylvania who has completed ten (10) years of satisfactory service as a professional employee shall be eligible for a sabbatical leave of absence.

*Once complete, the Restoration of Health Sabbatical Request form should be emailed to Lashanta Givens at [email protected]

 

Financial Forms

Click here to be directed to the Payroll Department Forms.

403b Universal Availability Notice

PenServ 403B Guide

The 403(b) program is designed to offer a broad range of quality mutual funds and annuities for Pennsbury Employees.