Save a tree! Use the form below to start your volunteer experience. Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastIf you do not have a middle name, please put NONE in the appropriate space.Street Address *City - State - Zip Code *Primary Contact Number *Email *Weekday Availability *Morning (9AM-12PM)Afternoon (12-5PM)Evening (5-10PM)During which hours are you available during The Week (Monday, Tuesday, Wednesday, & Thursday)?Weekend Availability *Morning (9AM-12PM)Afternoon (12-5PM)Evening (5-10PM)During which hours are you available on The Weekend (Friday, Saturday, & Sunday)?Do you have any of the following clearances? *PA Child Abuse History Clearance (DHS)PA State Police (PSP) Criminal Record CheckFBI Criminal Background Check (includes fingerprinting)NoneCheck any that apply. Don't worry if you don't - we can help you with this! You can learn more about this at http://KeepKidsSafe.PA.govSpecial Skills or Qualifications *Summarize special skills and qualifications you may have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.Previous Volunteer ExperienceSummarize any previous volunteer experience.Person to Notify in Case of Emergency *Please choose one person that can be contacted in case of ER. Provide name, primary & work number(s), and e-mail. Agreement *I AgreeBy checking this box, you affirm the information provided in this form is truthful. You understand any misrepresentation may result in your immediate dismissal. MessageSubmit
