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Hazleton Area School District

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2025 W4

w4 2025.pdf 188.02 KB (Last Modified on January 8, 2025)

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Acceptable Use Policy

AUP 8 18 2022 .pdf 948.04 KB (Last Modified on October 6, 2022)

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Act 168 - Commonwealth of Pennsylvania's Sexual Misconduct-Abuse Disclosure Release

Act 168.pdf 100.74 KB (Last Modified on February 17, 2023)

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Act 29 Employment Status

Act29.pdf 76.43 KB (Last Modified on September 30, 2016)

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Applicant Disclosure Affidavit

Applicant Disclosure Affidavit.pdf 152.79 KB (Last Modified on September 30, 2016)

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CLEARANCES - BACKGROUND INFORMATION ( CHILD ABUSE, PA CRIMINIAL, FBI)

Background Clearance Information 2 17 2023.pdf 168.72 KB (Last Modified on February 17, 2023)

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Direct Deposit Authorization Form

direct_deposit_auth_2020.pdf 145.22 KB (Last Modified on December 9, 2021)

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Employment Authorization Form

i-9.pdf 477.5 KB (Last Modified on November 7, 2023)

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Local Services Tax - Exemption Certificate

LST Exemption Cert..pdf 19.29 KB (Last Modified on April 30, 2024)

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Memorandum - Drug Test

Drug Test Memo 9 23 2021.docx 40.67 KB (Last Modified on December 9, 2021)

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PDE-6004 Arrest or Conviction Form

arrest or conviction form PDE-6004.pdf 125.87 KB (Last Modified on September 30, 2016)

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Personnel Data Sheet

Personnel Data Sheet.pdf 28.83 KB (Last Modified on September 30, 2016)

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RESIDENCY CERTIFICATION FORM Local Earned Income Tax Withholding

Residency-Certification-Form-DCED-CLGS-32-6-8-11.pdf 185.62 KB (Last Modified on September 30, 2016)

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SCHOOL PERSONNEL HEALTH RECORD H511.340 (8/2011)

School Personnel Health Record.pdf 112.08 KB (Last Modified on March 1, 2022)

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UPDATED 4/30/2024 NV

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