Loading...

Editing previous response:

Please fix the highlighted areas below before submitting.

Act 26 Affirmation (one per student)

ACT 26 Affirmation

2023/2024 school year

 

Parents,

Many of you are aware of the tremendous increase of violence in our public school over the past decade. Gun possessions and other violent acts in high schools have even occurred in our area. The State General Assembly has taken steps to try to track students who are causing some of the problems. They are requiring public and non-public schools to have the following signed statement in each student’s file as a part of the admission process.

I affirm that my child has not been suspended or expelled from any public or private school of this Commonwealth or any other state for an act or offense involving weapons (weapons include but are not limited to, any knife, cutting instrument, cutting tool, nunchaku, firearm, shotgun, rifle, and any other tool, instrument or implement capable of inflicting serious bodily injury), alcohol or drugs, or for the willful infliction of injury to another person, or for any act of violence committed on school property.

This affirmation shall be maintained as part of the student’s disciplinary record.

Any willful false statement made under this section shall be a misdemeanor of the third degree.

Signature (I hereby attest to the above being accurate and true to the best of my knowledge.)*
Signature Required

Sign this form

By pressing “Sign Form,” you are agreeing to signing this form electronically.
Signature *
Type to sign
Draw your signature

Date:
Confirmation Email