Forms
Click any of the form titles below to download a PDF.
- Athletic Forms
- Community Forms
- Health Forms
- Technology Forms
- Student/Parent Forms
- 2021-2022 PSSA/Keystone Testing Information for Parents and Guardians
- Free Reduced Lunch Forms
- COVID-19 Forms
Athletic Forms
| Athletics Participation Forms and Links | Find information of registering to participate in District Athletics. |
Community Forms
| Program Volunteer Affidavit | Must be filled out and include the documentation mentioned in order to help as a volunteer for the Northern Lebanon School District. |
| Right to Know Request Form | This form needs to be completed in order to request any school information to be released under the Right to Know Law. |
| Request to Address School Board Form | Complete this form in advance of a school board meeting to be allowed time to speak at the meeting. |
Health Forms
| Student Accident Insurance (English) | Details voluntary student accident insurance available from A-G Administrators. |
| Student Accident Insurance (Spanish) | |
| Student Physical Exam Form (English) | Pennsylvania Department of Health physical form for school students. |
| Student Physical Exam Form (Spanish) | |
| Student Dental Exam Form | Form to completed in order to provide record of a student's dental exam. |
| Student Medication Form (English) | Request form for student to receive medication during the school day. Request form for student to receive medication during the school day. |
| Student Medication Form (Spanish) |
Technology Forms
| Parent-Student Agreement | This form is to be completed by parents and students at the beginning of each school year when devices are issued. |
| This is the handbook for all students describing the rules and procedures while using district devices and working on the network. | |
| This form should be completed by parents and submitted within the first few weeks of the school year. | |
Student/Parent Forms
| Free and Reduced Lunch Application (English) Free and Reduced Lunch Application (Spanish) |
Complete and submit this form in order to apply for free or reduced lunch status for a student. |
| CTC Application | Form to be completed for a student to apply to attend or continue to attend the Lebanon County Career and Technology Center. |
| Address Change Request (English) | Complete this form if a student is changing their home address. |
| Address Change Request (Spanish) | |
| Secondary Excused Trip Form |
Form for excused pre-planned educational trip or medical absence - High School/Middle School students. |
| Elementary Excused Trip Form (English) |
Form for excused pre-planned educational trip or medical absence - Elementary students |
| Elementary Excused Trip Form (Spanish) | |
| Elementary Daily Excuse Absences |
Use for Daily Absences for elementary students - submit to main office. |
| Graduate Transcript Request | For a graduated former student to request a transcript. |
| Graduation Project Log | Used to log graduation project hours. |
| Homecoming/Prom Guest Form | Must be completed prior to purchasing a ticket if you are bringing a guest from another school. |
| Student Transcript Request (English) | For current students requesting a transcript. |
| Student Transcript Request (Spanish) | |
| Parent Release of Info Form (English) | Complete this form to allow the school to release educational information of your student. |
| Parent Release of Info Form Spanish) | |
| Application for Work Permit | Complete this form to request a work permit for your student.. |
| Parking Permit Application | Form for high school students to complete to apply for a parking permit. |
| Request for Attendance Exception Due to Child Care (English) | Complete this form to apply for an attendance exception due to child care. |
| Request for Attendance Exception Due to Child Care (Spanish) | |
| Student Assistance Team Referral | Students should fill out this form in order to refer another student to the Student Assistance Team. |
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Current/New policies and procedures for elementary schools. |
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Current/New policies and procedures for the secondary schools. |
2021-2022 PSSA/Keystone Testing Information for Parents and Guardians
2022 Keystone Opt-Out Information-(Information added to website shortly)
This is a building level testing schedule.
Answers to frequently asked questions regarding PSSA testing.
PDE rules regarding calculator use during testing.
PDE do's and don'ts for students taking PSSA.
PDE rules regarding use of cell phones, smartphones and other electronic devices during testing.