District Forms
- Absence Forms
- Community Forms
- Medical Forms
- Student Enrollment Registration Forms
- Sports Forms
- Transportation Forms
- Educational Trip Request Form
- Homeschool Forms
- Volunteer Forms & Information
- Student Voluntary Insurance
Absence Forms
Community Forms
Medical Forms
Administration of RX and Non-RX Medications and Waiver (English)
Administration of RX and Non-RX Medications and Waiver (Spanish)
Physician's Documentation of Student Absence
School Dental Form
School Physical Form
Sunscreen - Parent/Guardian Form
Sunscreen - Parent/Guardian Form (Spanish)
Sunscreen - Student Form
Sunscreen - Student Form (Spanish)
Student Enrollment Registration Forms
Student Enrollment Profile (English)
Student Enrollment Profile (Spanish)
Request to Transfer Educational & Disciplinary Records (English)
Request to Transfer Educational & Disciplinary Records (Spanish)
Parent Registration Statement (English)
Parent Registration Statement (Spanish)
School Use of Student Photos, Names and Works (English)
School Use of Student Photos, Names and Works (Spanish)
Home Language Survey (English)
Home Language Survey (Spanish)
Phlote Educational History (English)
Phlote Educational History (Spanish)
COPPA Letter (English)
COPPA Letter (Spanish)
UASD Annual Technology Protection Plan 2023-2024 (English)
UASD Annual Technology Protection Plan 2023-2024 (Spanish)
Student Health Profile (English)
Student Health Profile (Spanish)
Nurse Letter (English)
Nurse Letter (Spanish)
Administration of RX and Non-RX Medications and Waiver (English)
Administration of RX and Non-RX Medications and Waiver (Spanish)
PA Department of Health School Physical Form (English)
Fluoride Topical Treatment Consent Form - Grades K-6th only (English)
Fluoride Topical Treatment Consent Form - Grades K-6th only (Spanish)
Free/Reduced Lunch Application 2023-2024 - English
Free/Reduced Lunch Instructions 2023-2024 - English
Free/Reduced Lunch Application 2023-2024 - Spanish
Free/Reduced Lunch Instructions 2023-2024 - Spanish
Pennsylvania Migrant Education Program Referral Form (English)
Pennsylvania Migrant Education Program Referral Form (Spanish)
Adams County Tax Services Department - Census Information (English)
Adams County Tax Services Department - Census Information (Spanish)
York Adams Tax Bureau - Census Information (English)
York Adams Tax Bureau - Census Information (Spanish)
Non-Resident Agreement
Permission to Release Student Information
Sports Forms
Transportation Forms
Educational Trip Request Form
Homeschool Forms
Volunteer Forms & Information
Welcome Upper Adams Volunteers!
Volunteers play a vital role in supporting the staff, students, and programs of the Upper Adams School District. We are very thankful that you have expressed an interest in volunteering in our district.
The following documents must be on file with the school you will volunteer for prior to your first day of service:
- Completed Pennsylvania Child Abuse History Clearance
- Either an Upper Adams School District FBI Clearance Exemption Form or FBI Fingerprinting Clearance
- Report of Criminal History from the Pennsylvania State Police
- Arrest/Conviction Report and Certification Form
- Confidentiality Agreement Form
- Tuberculosis Test Form
Click on the Volunteer Instructions and Forms link here or on the left side of this page to complete all requirements to begin volunteering. Return all paperwork and clearances to the building administrative assistant where you wish to volunteer. After you have turned in your paperwork to the school where you wish to volunteer, your information will be submitted to the School Board for approval. You MUST have board approval before you are able to begin volunteering.
Again, thank you for your interest in serving as a volunteer with the Upper Adams School District. Clearance requirements further support the Upper Adams School District's commitment to providing a safe, secure learning environment for students.
For questions, please read our Volunteer Policy 916.1 here, or contact the office at the school you wish to be a volunteer in.
Student Voluntary Insurance
The Pennsylvania Department of Education has specific requirements that must be followed before volunteers are allowed to be in the presence of students in public school districts. To assist you in completing all requirements for volunteering, please follow the steps below and return all information to the building administrative assistant where you will be volunteering. Clearances completed within the last five years, may be accepted (unless the individual has a record). Hover over and click on the underlined form titles below to access and print all forms and instructions for completing criminal background clearances.
- Arrest Conviction Report and Certification - Complete the Arrest Conviction Report and Certification form and return it to the administrative assistant at the building you will be volunteering in.
- Photo ID - A photo ID with your current name and address must be presented to the building administrative assistant.
- Confidentiality Agreement - Read, and be aware of the contents of the Confidentiality Agreement.
- TB (Tuberculosis) Testing - A TB test is required within 3 months of volunteering. The form must be completed by a health care provider.
- Volunteer Verification Form - If you have lived in Pennsylvania within the last 10 years, you must complete this form for exemption from providing an FBI Federal Criminal History Clearance (fingerprinting).
- Criminal Background Clearance Instructions - All volunteers of public school districts are required to provide the required clearances to the school where they will volunteer in. Follow all instructions provided for each clearance and note specific instructions for "volunteers". Remember, if you have lived in Pennsylvania for the last ten years, you do not need to complete the FBI Federal Criminal History Clearance, however, the Child Abuse and State Police clearances are still required. (If you remain a volunteer for the district for subsequent, consecutive years, you will be required to update your clearances every five years.)
Examples of Volunteer Services That Require Clearances
Volunteer Athletic Coaches
Chaperones for Field Trips
Book Fair Volunteers
Yearbook parent helpers (elementary)
RIF parent helpers
Clerical Helpers/Classroom Helpers
Tutors or One-on-One Help (meeting with students not in a public location)
After-school Tutors (College Students)
Fundraiser Assistance
Picture Day Volunteer
Miscellaneous School Events during the school day-individuals helping with an event/program with students
Dance Chaperones
Foreign Trip Adult Attendees/Chaperones
Band Booster Chaperones
Senior Class Trip Chaperones
Environmental Education Camp Volunteers
Athletic Booster Club Programs/Activities if the volunteer is left alone with students
Examples of An Individual Considered To Be A Visitor
Color Day - parents attending to watch students
Cultural Arts Day/Career Day Presenters as long as they are not left alone with students
Parents eating lunch with their children
Concession stand workers as long as they are not left alone with students
Guest readers and guest speakers
The above volunteer and visitor examples are not an exhaustive list.