Volunteer and become part of the team

Individuals are required to pass three clearances to be eligible to volunteer.

Keep Kids Safe PA.GOV has information about and links to all three required clearances.

http://keepkidssafe.pa.gov/resources/clearances/index.htm

Required Clearances Include

Pennsylvania Child Abuse History Clearance
Pennsylvania State Police Criminal Record Check for Volunteers
FBI Fingerprint Background Check (waived for volunteers who have not lived outside of Pennsylvania within last ten (10) years and affirm, in writing, that they have not been convicted of disqualifying crimes listed in 23 Pa.C.S. § 6344).

Individual Links

Child Abuse Clearance: https://www.compass.state.pa.us/cwis/public/home
State Police Criminal Record Check: https://epatch.state.pa.us/Home.jsp
FBI Fingerprint Background Check: https://www.identogo.com/

Volunteer Application

Complete the form below or click here for a printable PDF version.

Step 1 of 3

Hidden
Application Date
MM slash DD slash YYYY
Name*
First Last
Home Address
Street Address City State ZIP Code
Email*
Volunteer Position Sought
Work Phone*
Home Phone

EDUCATION
Highest Level of Education*
EMPLOYMENT
Current Employer

if applicable: Position/Title
Dates of Employment
MM slash DD slash YYYY

starting
ending
MM slash DD slash YYYY

ending
Company/Employer
Company/Employer Address
Street Address City State / Province / Region ZIP / Postal Code

SKILLS & EXPERIENCE
Special training, skills, hobbies
Groups, clubs, organizational memberships
Have you had any other experiences working with youth?
Why do you want to volunteer?
Have you ever been convicted of a crime? [If yes, please explain the nature of the crime and the date of the conviction.] Conviction of a crime is not an automatic disqualification for volunteer work.
REFERENCES
Please list three people who know you well and can attest to your character, skills, and dependability. Include your current or last employer.
Name or Organization*
Relationship to you*
Length of relationship*
Phone number*
Name or Organization*
Relationship to you*
Length of relationship*
Phone number*
Name or Organization*
Relationship to you*
Length of relationship*
Phone number*
Please read the following carefully before submitting this application:
I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with Clarity Prep, Inc. that is true, correct and complete to the best of my knowledge. I certify that I have answered and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by Clarity Prep, Inc. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position or my termination as a volunteer.

I understand that there are three state mandated clearances that must be obtained by all volunteers working with youth in Pennsylvania. I certify that I will obtain and submit to Clarity Prep, Inc. all required clearances before I may begin work as a volunteer.*
Consent*
Yes
I understand and certify that I have/will comply with the terms.