Act 168 Sexual Misconduct/Abuse Disclosure Release

Act 168 Release Form
Act 168 FAQ

All new employees must complete the Act 168 form in order to begin employment with Northeastern Music Programs. One form must be completed for your current employer (regardless of whether the employer was a school entity and/or where the applicant had direct contact with children). Additional forms must be completed for all former employers of the applicant that were school entities and all former employers where the applicant was employed in a position where he or she had direct contact with children. Prospective employees must complete Section 1 of the form and then return to the Northeastern Music Program office.

An employee may not begin employment until all verification forms are completed.