Substitute Renewal Form

Substitute Renewal Form 2019-2020 School Year

Substitute Renewal Form

Thank you for your dedication and hard work with Cumberland Valley School District as a Substitute! To inform the District of your status during the 2020-2021 school year, please complete and submit the information below. 

Note: If you do not submit this form by Jul 31, 2020, your substitute status will be made inactive and you will be required to submit new application materials (including new clearances) if you wish to substitute again in the future.




I wish to accept substitute assignments during the 2020-2021 school year.

I’m no longer available to substitute. Please remove my name from your list.


If Professional Substitute, please complete the following information:

I am a Professional substitute with an active/valid PA Teaching Certificate.  My area of certification is: 

I am a professional substitute with an inactive PA Teaching Certificate and understand I can only teach 90 days due to my inactive certificate. Total number of days currently taught under my inactive certificate:

Substitutes who are retired and receiving a PSERS benefit, please note that PSERS is highly scrutinizing substitute work that is more than 5 days in the same assignment, as they consider that to be a long-term assignment. Any assignment that is longer than that time frame must be pre-approved by PSERS so that your pension is not negatively impacted. As a retiree substitute, you are called last minute to work in emergency situations in assignments that are not pre-scheduled.

Questions regarding this form may be directed to the Human Resources Department at 717-506-3332.

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