Intramural Programs

2014-2015

Employment & Compensation

Thank you for your interest in SCASD Intramural programs.Through Athletic Department funding, we are able to offerafter-school, athletic activities for all interested sixth throughtwelfth grade students. These programs provideopportunities for students to experience sportsmanship,fellowship, team competition and the development of a life-long appreciation for recreational, physical activity.

STAFFING

Adults play an important role in the direction and supervision of intramuralprograms, and their positions can be defined toy three categories:

Activity Coordinator

This person will work under the direct supervision of the AssistantAthletics Director. This position will require 2-3 hours of time per week inaddition to any supervisory duties. These hours must be listed on a separatedate from the dates the activity is being offered. The duties associated withthis position include:

•Complete IM Program Proposal

• Establish a weekly schedule for supervisors/coaches•Coordinate facility use through the completion of a facility

request form•Recruit supervisors/coaches; Provide SCASD hiring guidelines

to prospective coaches• Ensure that all hiring procedures have been completed before

supervisors/coaches begin working•Distribute District information and notifications as appropriate•Generate and distribute building-specific information for

intramural programs•Monitor activities and coaching staff; oversee disciplinary

. policies• Equipment management and inventory; place equipment

orders with Athletics Department• Ensure that all students meet IM standards for participation in

specific activities (sport-specific).•Communicate with the Athletics Office any problems or

concerns.• Responsible for cancelling an activity due to weather, illness

etc. (contact the building secretary)

• Process and maintain paperwork:• Payroll (we will not process pay sheets until attendance sheets arereceived)• Attendance (these forms should be sent to the athletics department

with payroll forms and should include students and adults inattendance for each day the activity is offered)

• Enrollment Data-See attached example form• Permission Forms• First Aid and Accident Reports

***Pay sheets must be handed in monthly. No exceptions!***

A coordinator may also serve as a supervisor when he/she is not performingcoordinator duties. This person must be employed by the SCASD and iscompensated for his/her duties.

SupervisorThis person assumes the direct supervision of ail participants in the program.He/she should have knowledge of emergency safety procedures and shouldstrive at all times to ensure a fair, sportsmanlike atmosphere. This personmust be employed by the SCASD and is compensated for his/her duties.

VolunteerThis person may assist a paid staff person with the direct supervision of allparticipants in the program. He/she should have knowledge of emergencysafety procedures and should strive at all times to ensure a fair,sportsmanlike atmosphere. This person must present background clearancereports and meet with the Director of Athletics prior to serving as avolunteer, and is not compensated for his/her duties.

Supervision RatioThe ratio between supervisors and students should be 1:15. We shouldmake an effort to have at least 15 students participating to continue the IMopportunity. If over a few days you notice a trend of less than 15 studentsattending, discuss the possibility of ending the intramural with the AssistantAD.

ELEMENTARY SHIRT ORDERS:

Checks should be made payable to SCASD-ATHLETICS

Beginning Juiy 1,2012, the State College Area School District willassess a $35.00 fee for checks returned by the bank.

Total number ofSport Months # of sessions //• of coaches //• of 4th graders //- of 5lh graders students1M Swimming Sept -1 district 25 24 49

IM Flag Football &Open Gym Get - Nov 10

IM Hoop Shool Dec 9 (one hour each)

IM Skiing Jan - Fab G

IM Volleyball Fab - Mar 11

IM Track Apr-May 9

3

2

district

2

4

23

5

9

29

3'i

18

16

11

25

35

41

21

20

54

69

INTRAMURAL PROGRAM PROPOSAL

Each coordinator of an intramural activity will now be required to submit to theathletics administrators for approval an IM Program Proposal prior to the start ofeach intramural season. The IM Proposal will detail the nature of the activity and allprojected costs associated with it Administrators will monitor accumulated costsand make adjustments when needed. The supervisor-to-student ratios of 1 to 15will be strictly enforced. No IM program may start before September 15. Thiswill allow ample time for students to sign-up for activities and the administration toapprove programs. No IM Program may start prior to receiving administrativeapproval.

The Intramural Program Proposal will include the following information:

Program Name:

Description of Program:

Building: " O

Coordinator:

Location (site where activity will be offered):

Dates Offered:_j

Population Served [grade level]:

Number of Participants Signed-up [attach sign-up sheet]:**Minimum of 15 students needed to start and maintain IM program**

Number of faculty/staff needed (faculty-to-student ratio 1 To 15]:

Projected Cost of Coordinator ($16.16/HR)_Projected Cost of Supervision ($13.92/HR):.

Projected Cost of Transportation (If needed, please contact transportation office forestimate):

Projected Total Cost of Program (Coordinating, supervision, transportation, suppliesetc):

COMPENSATIONThese forms should be sent directly to the high school

Athletics Office.

Only persons that have been officially hired by the SCASD may work or be paid forwork performed during intramural activities.

All time sheets must include the following information; if any information on thetime sheet is omitted, it will be returned to the intramural coordinator and willresult In a delay of compensation:

Dates/hours worked• Rate of pay• Activity• Attendance Sheets

!M Coordinator's Signature• Athletics Director signature

Employee's signatureEmployee's Number

• Budget code

ALL TIME SHEETS SHOULD BE COLLECTED BY THE ACTIVITY COORDINATORAND SENT TOGETHER WITH THE ACTIVITY ATTENDANCE SHEETS TO THEATHLETICS OFFICE EACH MONTH.

Budget Code: HS-29-3250-39-87-3200-11 (131)MNMS-29-3250-31-61-320Q-11 (131)PFMS-29-3250-31-62-3200-11 (131)

Supervisor

This rate is for the time spent directly supervising the students during the activity.

2013-2014 2014-2015

Yearl $11.52 $11.63Year 2 $12.08 .$12.20YearS $12.60 $12.73Year 4 and after $13.78 $13.92Coordinator $16.04 $16.16

CoordinatorThis rate is for coordinating duties only and cannot be performed on the samedate as the activity is taking place. The maximum amount allowed at this rate is 3hours per week.

STATE COLLEGE -Area'Scbool 'District

SCASDAPPLICATION FOR

EMPLOYMENT

ADMINISTRATIVE OFFICES i131 WEST NFTTANY AVENUE • STATE COLLEGE, PENNSYLVANIA •• IcEQl-^SSSTELEPHONE: 314-231-1011 • FAX: 81-^-231-^130 • B14-23M047

DATE_

?RINTNAMELAST

HONT ADDHESS CPreseat)_

(Panaanenij);

FIRST IvCDDLE SOCIAL SECORTIY NO.

POSITIONS APPLIED FOR:

Have you cv=r woried for the. Stait CoEcs

For"WliotrL, (Name of Supervisor).

EDUCATION •Graduated

Nsms sad Location of School Yes or No Course

ISgh School

Advanced Training•

-

Circle Highest. Elemeaiary School Secoadaiy School Advanced TrainingGrade Completed 1 2 3 4 5 6 7 S 9 1 0 1 I 1 2 1 2 3 4

SPECIAL SKILLS

MACHINES OPERATED (OFFICE, PPJ>fTING, ELECTRONIC} ^—^

TYPING SPEED CAPPP-OX) ^_^______^___ SHOFIHAND SPEED (APPROX-X

FOREIGN LANGUAGES FLUENTLY SPOKEN. _READ WPJTE

We are the future!

COMMONWEALTH OF PENNSYLVANIAPENNSYLVANIA DEPARTMENTOFHEALTH

SCHOOLPHRSOHNEL HEALTH RECORDDate Examined,

4, Patient InformationPs^erJ' Name Lasl FJ-H Ml .

F.csxJzrcs

Msang Address

TeiephcT-a Numt

Home'fWants! Ssius{^-

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D Widowed DNever Married DDivorced Dseoarated "MaSeaJCace Pnv^csnsNajT.a Address "feiec'TCwj " "

E/n er £-&^cy CcoJad — Nanva fieiaiicn£.Liip Add

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II. lmrn.unizstTon History

Vaccine ^ _ . (Enter Month.J)ay and Yesr Each Immunization Was GivTetsnus-DiptheriEMeaslesRubella (German Measles)InfluenzaOthe

til. CornrnunTcable pisease

Tuberculosis— SelfTuberculosis — FamilyOther(spedfy)

IV. SIsnlficantMedica! Condrdons

Allergies .......... .ArthriffsAsthma .-Carc'acChern'tcs! Dependency

DrugsAJcohd

Diabetes MeliitLrsGasromtesnnal DisorderHearing Disorder. _ ___Hypertension

Orthopedic ConditionRespiratory illnessSeizure Disorder ___ ,Skin Disorder-Vision DisorderOther (specify)

Yesaaa

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IM PROGRAM PROPOSAL

Program Name: ___ v_ Building:.

Coordinator:

Description of Program:

Location (site where activity will be offered}:.

Dates Offered:

Population Served (grade level}:

Number of Participants Signed-up (attach sign-up sheet]:. _**Minimum of 15 students needed to start and maintain IM program**

Number of faculty/staff needed (faculty-to-student ratio 1 To 15}:__

Projected Cost of Coordinator ($16.04/HR}_Projected Cost of Supervision ($13.78/HR}:_

Projected Cost of Transportation (If needed, please contact transportation office forestimate}:

Projected Total Cost of Program (Coordinating, supervision, transportation, suppliesetc}:

Presented to Athletics Department (date}:__ . .

OFFICE USE ONLY:

Athletic Director's Recommendation (accept/reject}

Proposed Action (circle one}: Revise, Reduce, Eliminate

White Copy-athletics office Yellow Copy-coordinator

State College Area School District Athletics OfficeExtra Pay for Extra Duty Assignment

INTRAMURAL - New Hire

A SCASD APPLICATION FOR EMPLOYMENT

Name: _ \-<l^^~

Mailing Address: ,- rJ"X A^

MUST BE FILED PRIOR TO Ai>Hc' INTERVIEW

School Year:

L ( V ' / \l Address: sA/ N )

Phone: (Work) N/"Q / (Home)

Sport/Activity: f

(Cell)

School Building:

Prosr am/Bui! ding Coordinator:

Program/Building Coordinator Signature/ Date Applicant Signature / Date

Applicant MUST present this form and compliance formsto ths Athletics Office

High School-North, Room 870, 653 Westerly Parkway, State College, PA 16801

LJ Compliance with Senate Bill 200 (Safety in Youth Sports) Yearly Renewal Required

LJ Compliance with House Bill 1610 (Sudden Cardiac Arrest Prevention Act) Yearly RenewaI_RequIred

Athletics Director/Assistant Athletics Director Signature Date

Applicant MUST complete and submit the following documentsto ths Human Resources Office

131 West Niltany Avenue, Room 100, State College, PA State College, PA 16801

LJ Application

LJ 1-9 (Employment Eligibility)

LJ Act 34 Clearance (PA State Police Criminal Record)

H3 Act 151 Clearance (PA Child Abuse History)

LJ FBI Clearance (Federal Criminal History)

D Health Physical

Director of Humaa Resources Signature Date

The Applicant MAY NOT START WORK prior to approval ofemployment and position by the SCASD Board of School Directors.

White — Payroll Office Yellow -Athletics Office P ink — Applicant Gold - Human Resources Office

T

,

STATE COLLEGE AREA SCHOOL DISTRICT

APPLICATION FOR PERMISSION TO USE SCHOOL FACILITIES

Today's date;

Group/Organization;Requesting group/organisation will receive an approved copy of their request by mail.

Building/Facility requested: • Number of persons attending

purpose/Event. (meeting, camp,, concert, practice, etc.)

Organization Category: Circle OneClass A "State College Area School DistrictClass C Non-Profit, Community and Civic/Svc

Class B Municipal and Government OraanizationsClass D Private Interest Groups

Date

Date

DateDate

DateDate

D^tre

Date

Date

DataDate

Date

Room/Area

Room /Area

Room /Area

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Room/ Area

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fam/pm)

fam/pml

fam/pml

fam/pm)

(If additional dates needed, please attach separate sheet)

Spea'al equipment requested:

I have received and understand the State College Ares School District Board of Education Policy relating touse of school facilities and accept responsibility for meeting the requirements and applicable fees statedherein. A Liability Insurance Binder is required for ail Class B, C, and p categories. The undersigned, inconsideration of the grant of permission to use certain premises of the State College Area School District,does hereby agree to indemnify and hold forever harmless the said State College Area School District, itssuccessors and assigns, against loss from any and all claims, demands, suits, actions in [aw or in equitythat may hereafter at any time be made or brought against the said State College Area School Districtarising out of or on account of any accident or Injury to person or property sustained by any such personin consequence of the use of the premises of the ssid School District pursuant to the grant of permissionby said School District to use such premises. After authorized representatives have signed the application,a contract exists. The Building Principal and/or Director, Physical Plant reserves the right to reschedulelocations of groups as deemed necessary or to cancel contract due to school related activities.

Automatic External Defibrillators are available at various locations for use by trained persons. For moreinformation contact the custodian or the Physical Plant Orrice at 231-1026.

Responsible Individual, Signature(Print)

Street:,

Phone.

_City_

rax

E-Mail Addrsss

Director, Physical Plant.(Oats)

STATE COLLEGE AREA SCHOOL DISTRICT

INTKAMURAL 1MB REPORT FOR THE PAYROLL PERIOD ENDING

Em.-o.No. " EMPLOYEE NAME

** NOTE: KECOKD TOTAL HOURS WORKED PER DAY - NOT TIME IN AND TTME OtJT

BEGINNING MONDAY TUESDAY WEDNESDAY THURSDAY FFJDAY

FORM

SAltBDAY SUNDAY '

TOTAL FOR THE PERIOD

^BEKLYTOTAL

HOUSLYRATE

Activity (Basketball, Skiing stc.)_ Building:

Description of Duty for the above activity^Bldg.'CoordioatorSignature

EmployesSignature

Athletic DirectorSisnature

(DATE)

(DATS) (DATE)

INSTRUCTIONS . _ .

Return to latamiiraJ/Athletic Office, Senior High. School, 653 Westerly Parkway, State College., on or before the14a_Qf each raontn. Please note* There mil be eerly cutoff dates for November and December.Use a separate time sheet for each rsie of pay (coordinating., supervising, event staff, etc.).For payroll purposes, the £V/eek beginning" date should be Monday's date.Time sheets Trill not be processed without employee numbers and all appropriate sigaatures.Before an employee can be paid, all appropriate paperwork must be filed in the personnel office.You must provide the correct budget codes for all pay an employee receives.

1.

2.3,4.

5.6.

JOBCLASS

PAYCODE

HOURSOR DAYS

PAY- RATE

OFFICE USE OKLY

FUND

2 S

FUNCTION

3 2 5 0

INST BLDG SUBJECT 3DHD

1 1

COPIES TO: Payroll Office -"WMte IM Office -Yellow Employee — Pink

LM001 Revised 5/21/10

School

Instructor(s)^

State College Area School DistrictIntramural DepartmentStudent Sign-In Sheet

Date

Activity^

1

2

3

4

5

6

7

8 •

9

10

IT

12

13

14

'15

16

'17

13

19

20

21

22

23

24

25

26

27

2S

29

30

31

32

33

34

35

36

37

33

39

40

41

42

43

44

45

46

47

43

Please send these sign-in sheets each v/eek by in te r -of f ice mai l to: D i r e c t o r of In t ramura ls^ S ta fe College Area HighSchool - Nor th . White copy must be submitted to be paid for the inst ruct ional period.

State Coltege Area School District

Intramural/Extracurricular Activity incident Report

Student's Name. Grade

Injured Area of Body.

Date of Accident.

Time

Complete details of accident (what, when, how)

initial Care/FirstAid

Parental Notification (who, what time)

Student's Home Address

Student's Home Phone Number.

Event at which accident occurred.

School at which accident occurred

Signature of Event Supervisor.

EMPLOYMENT

It is important that all Intramural Program staff are officially employed by theSCASD. Often, student interns or parents wish to become intramural supervisorsor volunteers. With the approval of the building coordinator, Director of Athleticsand following the District protocol for hiring, they may do so.

NO COORDINATOR OR SUPERVISOR MAY SERVE IN ANY CAPACITYWITHOUT HAVING COMPLETED THE FOLLOWING:

1. File an Application for Employment with the SCASD Departmentof Personnel. At the time of filing, the applicant may pick up blankclearance and health physical forms.

2. Contact the Bu i ld ing Coordinator associated with the intramuralactivity that he/she wishes to participate.

3. Meet with the Coordinator and obtain an Intramural-New Hire form4. Contact the Athletics Department to schedule a meeting with the

Director of Athletics; meet with the Director.5. Apply for mandatory clearances following guidelines established

by the SCASD Department of Human Resources (Form 1-9, Employmentand Tax Information Form, W-4, Workers Compensation Form).

6. Obtain a physical examination; the physician must complete theDistrict Health Record form.

7. Submit the completed Intramural-New Hire form, originalbackground clearance reports, proof of residence and completedDistrict Health Record form to the Department of Human Resources.

8. Comply with Senate Bill 200(Safety in Youth Sports) and House Bill1610(Sudden Cardiac Arrest Prevention Act). Yearly Renewal Required.

Samples of ail aforementioned forms are included at the end of this document.

Once the Department of Human Resources has notified the Department ofAthletics that a nominee has filed all appropriate paperwork, and is deemed''employable" by the SCASD, the nominee may begin to work as anintramural supervisor or coordinator.

THERE WILL BE ABSOLUTELY NO EXCEPTIONS MADE TO THEPROTOCOL STATED ABOVE

CLEARANCES

Pennsylvania law, 24PS 1-111, specifies that ALL EMPLOYEES of public andprivate schools including those of independent contractors, but excludingemployees who do not have direct contact with students, hired as of January 1.1986 must undergo background checks. In order to avoid delays in processing thebackground checks, job applicants must carefully follow the procedures listedbelow. Administrators may employ applicants on a provisional basis for a singleperiod not to exceed thirty (30) days or, for out-of-state applicants, a period ofninety (90) days provided all conditions listed in the Law are met. All employees ofschools, whether residents or non residents, must also complete the PennsylvaniaChild Abuse History Clearance and the FBI Federal Criminal History Clearance.

Our District requires the following clearances:

1. Pennsylvania State Police Criminal Record Check - ACT 342. Pennsylvania Child Abuse History Clearance - ACT 1513. FBI Background Check-ACT 1144. Concussion Certification-yearly (www.nfhs.org)5. Cardiac Arrest Certification-yearly (www.cardiacwise.org)

FILING PROCEDURE FOR PA STATE POLICE REQUEST FOR CRIMINAL

RECORD CHECK (Act 34):

1. In order to file by mail, applicant must secure Form SP4-164 from the schooldistricts, PA State Police Barracks or from the PA State Police web site athttp://www.psp.state.pa.us/

2. Applicant completes Part I only. Include your name, address, and telephonenumber as the requester. Do not use the name or address of the Department ofEducation as the requester. Under the REQUESTER IDENTIFICATION section,check the box for Individual/Noncriminal Justice Agency. Under the REASON FORREQUEST section, check EMPLOYMENT. Enclose a certified check or money orderfor $10.00 payable to the Commonwealth of Pennsylvania. NO CASH ORPERSONAL CHECKS WILL BE ACCEPTED. Send the REQUEST FOR CRIMINALRECORD CHECK with payment to the following address: Pennsylvania StateCentral Repository-164, 1800 Elmerton Avenue, Harrisburg, PA 17110-9758.Forms will be processed by State Police as they arrive. The State Police will returnthe Criminal Record Check to the applicant by mail within approximately fourweeks. To check on the status of the Criminal Record Check, call (717)-783-9144.Applicant presents background check information to prospective employer. TheORIGINAL should be RETAINED BY THE APPLICANT and may be used for allemployment verification for the one year period after issuance. The school entityshall make and keep a copy of the original.

3. This application may also be filed on the internet at the Pennsylvania Access tothe Criminal History (PATCH) website: https.v/epatch.state, pa. us/Home, isp.Applicants using the web site are required to use a major credit card. Payment of510.00 may be made with Visa, Discover, Master Card or American Express. Allcustomers must have a valid email address in order to receive vital informationfrom the PATCH administrators. Please note down the Control Number and theRequest Date; this information will be required in order to inquire on the status of arecord check. Once a criminal history check has been requested, one of thefollowing possible responses will be immediately received:

• Pending indicates that a response did not come back quickenough. If this is the response received, please check the status ata later time.

• No Record indicates that there is no criminal history informationcontained in the files of the Pennsylvania State Police CentralRepository. The "Certification Form" for No Record should beprinted and used as the Original.

• Request Under Review indicates that the user must periodicallycheck back to determine the final status which would be either NoRecord or Record (mailed to the requester).

For problems or questions regarding PATCH call: PSP Help Desk 1-877-777-3375

FILING PROCEDURE FOR PENNSYLVANIA CHILD ABUSE HISTORYCLEARANCE (Act 151):

1 Applicant must secure Form CY 113 from the school districts or by downloadingfrom the website at;

http://www.dpw.state.pa.us/General/FQrmsPub/OQ3671Q38.htm

2. Type or print clearly and neatly in ink Section I only. Ail information must becompleted in full. All-previous names, addresses, and household members since1975 must be provided to the best of your knowledge and belief. Application mustbe signed. Check the school block for Purpose for Clearance. Do not check morethan one block. Enclose a $10.00 money order; no cash or personal checksaccepted. Mail the application to Child line and Abuse Registry, Department ofPublic Welfare, P.O. Box 8170, Harrisburg, PA 17105-8170.

3 Clearance results will be mailed to you at the current address noted on yourform within 14 days from the date that the clearance is received in the DPW office.For problems or questions call 1-717-733-6211.

FILING PROCEDURE FOR FBI CLEARANCE/FINGERPRINT CARD:

Pennsylvania Department of Education (PDE) FBI Federal Criminal History Recordsfor Prospective Employees

Act 114 of 2006, Section 111 of the Public School Code was amended effectiveApril 1, 2007. AN student teachers (participating in classroom teaching,internships, clinical or field experience) and prospective employees (including butnot limited to administrators, teachers, substitutes, janitors, cafeteria workers, officeemployees) of public and private schools, Intermediate Units and area vocational-technical schools, including independent contractors and their employees and busdrivers, who have direct contact with children, must provide to their employer acopy of their Federal Criminal History Record that cannot be more than one (1)year old. This only applies to employees hired on or after April 1, 2007.Employees hired prior to April 1, 2007, are only required to provide the FederalCriminal History record if they have lived outside of the state for at least two yearsimmediately preceding their application for employment.

Implementation Timeline

PDE contracted with Cogent Systems to manage this program for theCommonwealth. The management process includes establishing a website,manning a heip desk, and establishing fixed site locations for the taking of andtransmitting of applicants' fingerprints. These services will be operational onFriday, March 30, 2007.

The Process

The fingerprint-based background check is a multiple-step process:

1. The applicant must register prior to going to the fingerprint site. Walk inservice without prior registration will not be provided at any fingerprintinglocation. Registration is completed online or over the phone. Registration isavailable online 24 hours/day, seven days per week atwww.pa.coqentid.com.Telephonic registration is available at 1-888-439-2486 Monday throughFriday, Sam to 6pm EST.During the registration process, all demographicdata for the applicant is collected (name, address,SSN, etc.) so there is nodata entry required at the fingerprint collection site.

2. The applicant will pay a fee of $40.00 for the fingerprint service and tosecure the Criminal History Record. Applicants may make their paymentonline at www.pa.cogentid.com using a credit card or debit card. Moneyorders or cashiers checks payable to Cogent Systems will be accepted on sitefor those applicants who do not have the means to pay electronically. Nocash transactions or personal checks are allowed.

Cogent Systems will also establish a billing procedure for these services froman appropriate requesting agency that is willing to pay the applicant's fee.Billing may only occur after the requesting agency has completed the CogentSystems' Agency Pay Agreement. To establish a billing account visit thewebsite www.pa.cogentid.comand dov/nioad an application. The billingaccount must be established prior to sending applicants to the fingerprint site.

3. The applicant proceeds to the fingerprint site of their choice forfingerprinting. The location of the fingerprint sites and days and hours ofoperation for each site will be posted on Cogent Systems' website atwww.pa.cQqentid.com. The location of fingerprint sites may change overtime so applicants are encouraged to confirm the site location nearest to theirlocation.

4. At the fingerprint site the Applicant Livescan Operators (ALO) manage thefingerprint collection process.

5. The fingerprint transaction begins when the ALO reviews the applicant'squalified State or Federal photo ID before processing the applicant'stransaction. A list of approved ID types may be found on the Cogent Systems'website at www.pa.coqentid.com. Applicants wil not be processed if theycannot produce an acceptable photo ID.

6. After the identity of the applicant has been established, ali ten fingers arescanned to complete the process. The entire fingerprint capture processshould take no more than three to five minutes.

7. The applicant's scanned fingerprints will be electronically transmitted to thePennsylvania State Police, who in turn submits the fingerprints anddemographic information to the FBI as required by federal statute.

8. PDE will receive the Federal Criminal History Record from the FBI. PDE'sSchool Sep/ices Unit will return the Federal Criminal History Record to theapplicant. The Record will be printed on standard 8.5" X 11" paper with theCommonwealth Seal imbedded on the paper. This document constitutes anofficial Record. If an applicant presents their Federal Criminal History Recordand the Commonwealth Seal is not embedded on the paper, it should beconsidered as invalid and not an official Record. If the applicant doesnotreceive the Criminal History Record from PDE within eight weeks afterbeing

—1

Fingerprinted, they should caii (/17) 783-3750 or email PDE atdwolfqanq@state.pa.us.

9. The applicant will then provide the Federal Criminal History Record to theirprospective employer.

** The Act allows that Administrators may employ any applicants on aprovisional basis for a single period not to exceed ninety (90) days, exceptduring a lawful strike proceeding under the provisions of the act of July 23,1970, known as the "Public Employee Relations Act", provided that all ofthe following conditions are met:

• The applicant has applied for the information requiredunder subsection (b) and, where applicable, undersubsection (c) or (c.1) and the applicant provides a copyof the appropriate completed request forms to theAdministrator

• The Administrator has no knowledge of informationpertaining to the applicant which would disqualify themfrom employment pursuant to subsection (e)

• The applicant swears or affirms in writing thai they arenot disqualified from employment pursuant to subsection(e)If the information obtained pursuant to subsection (b), (c),or (c1) reveals that the applicant is disqualified fromemployment pursuant to subsection (e), the applicant shallbe suspended and subject to termination proceedings asprovided for by lav/.

• The Administrator requires that the applicant not bepermitted to work alone with children and that theapplicant work in the vicinity of a permanent employee.

Fingerprint Corrections and Resubrnissions

In circumstances where a classifiable fingerprint record was not or cannot beobtained and immediately upon indication, Cogent Systems will take correctiveaction to re-submit, or re-print the applicant at no cost to the applicant. Thiscorrective action will be completed at the earliest possible time, and whenapplicable, that is convenient for the applicant. Cogent Systems will contact theapplicant directly should this occur. NOTE: Reprinting can be applied to eachapplicant one time only. If fingerprinting must take place a third time the applicantmust pay the full fee.

Samples of all aforementioned forms and filing procedures are included at the endof this document.

Safety in youth Sports Act, Senate Bill No, 200:Establishes standards for managing concussions and traumatic brain injuries tostudent-athletes. Athletic activity is defined as interscholastic athletics, an athleticcontest or competition, other than interscholastic athletics, that is sponsored by orassociated with a school entity [intramuralsj, including cheerleading, club-sponsored sports activities and sports activities sponsored by school-affiliatedorganizations.

Requirements:A coach shall complete the concussion management certification-training courseoffered by Centers for Disease Control and Prevention, the National Federation ofState High School Associations (www.nfhslearn.com) or another provider approvedby the Department of Health. A coach, intramural activity coordinator,supervisor or volunteer shall not coach an athletic activity until the coachcompletes the training course and provides proof to the SCASD athleticdepartment.

Penalties:First violation: suspension from coaching any athletic activity for the remainder ofthe season.

Second violation: suspension from coaching any athletic activity for the remainder ofthe season and for the next season.

Third violation: permanent suspension from coaching any athletic activity.

Sudden Cardiac Arrest Law for Youth Athletes, House Bill 1610:

Like the concussion law, the newly approved measure requires that any student-athlete who exhibits symptoms of sudden cardiac arrest during an athletic activitybe removed from play immediately. Furthermore, a student-athlete must be heldout of all athletic activities if he or she exhibits any signs of cardiac arrest before orafter an event.

Under the new law, coaches must complete an annual training course about suddencardiac arrest, and cannot coach an athletic activity until they complete the training.The exact requirements will be posted on the State Department of Health's websitewithin the next few weeks.. A coach, intramural activity coordinator, supervisoror volunteer shall not coach an athletic activity until the coach completes thetraining course and provides proof to the SCASD athletic department.

These are state mandated laws and anyone involved in any school-sponsoredactivity MUST COMPLY.

HOUSE AMENDEDPRIOR P R I N T E R ' S NQS . 333. 441. 1332. PRINTER ,S N0. 1637

THE GENERAL ASSEMBLY OF PENNSYLVANIA

SENATE BILL200 Session of

No. ^-UU 2011

INTRODUCED BY BROWNE, COSTA, PILEGGI, DINNIMAN, FONTANA,BREWSTER, SOLOBAY, ERICKSON, RAFFERTY, ALLOwAY, TARTAGLIOWE,PIPPY, BOSCOLA, YAW, YUDICKAK, WILLIAMS, GREENLEAF, FERLO,LEACH, WARD, 3RUBAKER, EARLL, FARNESE, WASHINGTON AND BLAKE,FEBRUARY 1, 2011

AS AMENDED ON SECOND COM3IDERATION, HOUSE OF REPRESENTATIVES,OCTOBER 3, 2011

AN ACT

Establishing standards for managing concussions and traumaticbrain injuries to student athletes; assigning duties to theDepartment of Health and the Department of Education; andimposing penalties.

The General Assembly of the Commonwealth of Pennsylvania

hereby enacts as follows:

Section 1. Short title.

This act shall be known and may be cited as the Safety in

Youth Sports Act.

Section 2. Definitions.

The following words and phrases when used in this act shall

have the meanings given to them in this section unless the

context clearly indicates otherwise:

"Appropriate medical professional." All of the following:

(1) A licensed physician who is trained in the

evaluation and management of concussions OR A LICENSED OR

CERTIFIED HEALTH CARE PROFESSIONAL TRAINED IN THE EVALUATION

AND MANAGEMENT OE CONCUSSIONS AND DESIGNATED BY SUCH LICENSED

PHYSICIAN.

(2} (2} A licensed psychologist neuropsychologically

trained in the evaluation and management of concussions or

who has postdoctoral training in neuropsychology and specific

training in the evaluation and management of concussions.

"Athletic activity." All of the following:

(1) Interscholastic athletics.

(2) An athletic contest or competition/ other than

interscholastic athletics/ that is sponsored by or associated

with a school entity, including cheerleading, club-sponsored

sports activities and sports activities sponsored by school-

affiliated organizations.

(3) Noncompetitive cheerleading that is sponsored by or

associated with a school entity.

(4) Practices/ interschool practices and scrimmages for

all of the activities listed under paragraphs (1), (2) and

(3) .

"Interscholastic athletics," As defined in section 1602-A of

the act of March 10, 1949 (P.L.30, No.14), known as the Public

School Code of 1949.

"School entity." As defined in section 1602-A of the act of

March 10, 1949 (P.L.30, Mo.14), known as the Public School Code

of 1949.

Section 3. Concussions and traumatic brain injuries.

(a) Educational materials.—The Department of Health and the

Department of Education shall develop and post on their Internet

websites guidelines and other relevant materials to inform and

educate students participating in or desiring to participate in

an athletic activity/ their parents and their coaches, about the

nature and risk of concussion and traumatic brain injury,

including the risks associated with continuing to play or

practice after a concussion or traumatic brain injury. In

developing the guidelines and materials, the departments shall

utilize existing materials developed by the Centers for Disease

Control and Prevention. A student participating in or desiring

to participate in an athletic activity and the student's parent

or guardian shall each school year/ prior to participation by

the student in an athletic activity/ sign and return to the

student's school an acknowledgment of receipt and review of a

concussion and traumatic brain injury information sheet

developed under this subsection.

(b) Informational meeting.—A school entity may hold an

informational meeting prior to the start of each athletic season

for all ages of competitors regarding concussions and other head

injuries, the importance of proper concussion management and how

preseason baseline assessments can aid in the evaluation,

management and recovery process. In addition to students,

parents, coaches and other school officials, informational

meetings may include physicians, neuropsychologists, athletic

trainers and physical therapists.

(c) P.emoval from play.—A student who, as determined by a

game official, coach from the student's team, certified athletic

trainer, licensed physician, licensed physical therapist or

other official designated by the student's school entity,

exhibits signs or symptoms of a concussion or traumatic brain

injury while participating in an athletic activity shall be

removed by the coach from participation at that time.

(d) Return to play.—The coach shall not return a student to

participation until the student is evaluated and cleared for

return to participation in writing by an appropriate medical

professional. The governing body of a school entity may

designate a specific person or persons, who must be appropriate

medical professionals, to provide written clearance for return

to participation. In order to help determine whether a student

is ready to return to participation, an appropriate medical

professional may consult any other licensed or certified medical

professionals.

(e) Training course.--Once each school year, a coach shall

complete the concussion management certification training course

offered by the Centers for Disease Control and Prevention, the

National Federation of State High School Associations or another

provider approved by the Department of Health. A coach shall not

coach an athletic activity until the coach completes the

training course required under this subsection.

(f) Penalties.—The governing body of a school entity shall

establish the following minimum penalties for a coach found in

violation of the requirements under subsection (c) or (d), which

penalties shall take effect two years following the effective

date of this section:

(1) For a first violation, suspension from coaching any

athletic activity for the remainder of the season.

(2) For a second violation, suspension from coaching any

athletic activity for the remainder of the season and for the

next season.

(3) For a third violation, permanent suspension from

coaching any athletic activity.

(g) Other youth athletic activities.—The sponsors of youth

athletic activities not specifically addressed by this act are

encouraged to follow the guidance set forth in this act.

(h) Construction.--Nothing in this act shall be construed to

abridge or limit any rights provided under a collective

bargaining agreement or any rights provided under the act of

July 23, 1970 (P.L.563, No.195}, known as the Public Employe

Relations Act.

(i) Civil liability.—

(1) Except as provided under paragraph (2), nothing in

this act shall be construed to create, establish, expand,

reduce, contract or eliminate any civil liability on the part

of any school entity or school employee.

(2) Any coach acting in accordance with subsections (c)

and (d) shall be immune from any civil liability.

Section 4. Effective date.

This act shall take effect ir. SO diiyo- JULY 1, 2012, OR

IMMEDIATELY, WHICHEVER IS LATER.

SENATE AMENDED

PRIOR P R I N T E R ' S NOS . 2118, 2441 P R I N T E R ' S NO. 3442

THE GENERAL ASSEMBLY OF PENNSYLVANIA

HOUSE BILLNO. 1610 Session of

2011

INTRODUCED BY VEREB, QOTGLEY, MATZIE, CREIGHTON, BOBACK,BRADFORD, 3RIGGS, V. BROWN, BROWNLEE, DEASY, DONATUCCI,FARRY, FRANKEL, GEIST, GINGRICH, HARKINS, HENNESSEY, HESS,HORNAMAN, KAUFFMAN, KILLION, KOTIK, MANN, MICOZZIE, MURT,NEUMAN, M. O'BRIEN, O'NEILL, PASHINSKI, PYLE, QUINN, ROCK,SANTARSIERO, SCAVELLO, SCHRODER, STERN, SWANGER, TAYLOR,TOOHIL, WAGNER, YOUNG3LOOD, D. COSTA, READSKAW, RAPP, SOKNEYTOEPEL, SIMMONS, SACCONE, GILLEN, ADOLPH AND R. BROWN,JUNE 15, 2011

SENATOR PICCOLA, EDUCATION, IN SENATE, AS AMENDED, MAY 1, 2012

Establishing standards for preventing sudden cardiac arrest anddeath in student athletes; assigning duties to the Departmentof Health and the Department of Education; and imposingpenalties.

The General Assembly of the Commonwealth of Pennsylvania

hereby enacts as follows:

Section 1. Short title.

This act shall be known and may be cited as the Sudden

Cardiac Arrest Prevention Act.

Section 2. Definitions.

The following words and phrases when used in this act shall

have the meanings given to them in this section unless the

context clearly indicates otherwise:

"Athletic activity." All of the following:

(1) Interscholastic athletics.

(2) An athletic contest or competition, other than

interscholastic athletics/ that is sponsored by or associated

with a school entity, including cheerleading, club-sponsored

sports activities and sports activities sponsored by school-

affiliated organizations.

(3) Noncompetitive cheerleading that is sponsored by or

associated with a school entity.

(4) Practices, interschool practices and scrimmages for

all of the activities listed under paragraphs (1), (2) and

(3) .

"Department." The Department of Health of the Commonwealth.

"Interscholastic athletics." As defined in section 16Q2-A of

the act of March 10, 1949 (P.L.30, No.14), known as the Public

School Code of 1949.

"School entity." As defined in section 16Q2-A of the act of

March 10, 1949 (P.L.30, No.14), known as the Public School Code

of 1949.

Section 3. Sudden cardiac arrest.

(a) Educational materials.—

(1) The department and the Department of Education shall

develop and post on their publicly accessible Internet

websites guidelines and other relevant materials to inform

and educate students participating in or desiring to

participate in an athletic activity, their parents and their

coaches about the nature and v/arning signs of sudden cardiac

arrest, including the risks associated with continuing to

play or practice after experiencing the 5c 11 cving ryr:Tptcrr.3-r

OME OR MORE SYMPTOMS OF SUDDEN CARDIAC ARREST, INCLUDING

fainting, difficulty breathing, chest pains, dizziness and

abnormal—racing heart rate.

(2} In developing the guidelines and materials, the

department and the Department of Education may utilize

existing materials developed by organizations- such as Parent

Heart Watch and Sudden Arrhythmia Death Syndromes.

(3) A student participating in or desiring to

participate in an athletic activity and the student's parent

or guardian shall, each school year and prior to

participation by the student in an athletic activity, sign

and return to the student's school an acknowledgment of

receipt and review of he- A sudden cardiac arrest symptoms

and warning -s^g^ SIGNS information sheet developed under this

subsection.

(b) informational meeting.—A school entity may hold an

informational meeting prior to the start of each athletic season

for all ages of competitors regarding the symptoms and warning

signs of sudden cardiac arrest. In addition to students,

parents, coaches and other school officials, informational

meetings may include physicians, pediatric cardiologists and

athletic trainers.

(c) Removal from play.--

(!) A student who, as determined by a game official,

coach from the student's team, certified athletic trainer,

licensed physician or other official designated by the

student's school entity, exhibits signs or symptoms of sudden

cardiac arrest while participating in an athletic activity

shall be removed by the coach from participation at that

time, SUBJECT TO PARAGRAPH (3) .

(2) If a student is known to have exhibited signs or

symptoms of sudden cardiac arrest at any time prior to or

following an athletic activity, the student shall be

prevented from participating in an athletic activity, SUBJECT

TO PARAGRAPH (3).

(3} A STUDENT REMOVED OR PREVENTED FROM PARTICIPATING IN

AN ATHLETIC ACTIVITY UNDER PARAGRAPH (1) OR (2) SHALL MOT

RETURN TO PARTICIPATION UNTIL THE STUDENT IS EVALUATED AND

CLEARED FOR RETURN TO PARTICIPATION IN WRITING BY A LICENSED

PHYSICIAN, CERTIFIED REGISTERED NURSE PRACTITIONER OR

CARDIOLOGIST.

(4) In order to help determine whether a student is

• ready to return to play/ the licensed physician or certified

registered nurse practitioner may consult any other licensed

or certified medical professionals.

£d) Training course.—

(1) Once each school year, a coach of an athletic

activity shall complete the sudden cardiac arrest training

course offered by a provider approved by the department.

(2) A coach of an athletic activity shall not coach the

athletic activity until the coach completes the training

course required under this subsection.

(e) Penalties.--The governing body of a school entity shall

establish the following minimum penalties for a coach found in

violation of the requirements under subsection (c), which

penalties shall take effect two years following the effective

date of this section:

(1) For a first violation, suspension from coaching any

athletic activity for the remainder of the season.

(2) For a second violation/ suspension from coaching any-

athletic activity for the remainder of the season and for the

next season.

(3) For a third violation/ permanent suspension from

coaching any athletic activity.

(f) Other youth athletic activities.—The sponsors of youth

athletic activities NOT ASSOCIATED WITH A SCHOOL ENTITY are

encouraged to follow the guidance stated in this act.

(g) Construction.—Nothing in this act shall be construed

to:

(1) abridge or limit any rights provided under a

collective bargaining agreement IN EFFECT ON THE EFFECTIVE

DATE OF' THIS SECTION or any rights provided under the act of

July 23, 1970 (P.L.563, No.195), known as the Public Employs

Relations Act; or

(2) create, establish, expand, reduce, contract or

eliminate any civil liability on the part of any school

entity or school employee.

Section 4. 'Effective date./

This act shall take effect in 60 davs.