CVCO Volunteer Application
Criminal History Clearance and Child Abuse History Clearance
Each volunteer will be required to submit a Criminal History Clearance from the Pennsylvania State Police and a Child Abuse History Clearance from the Department of Human Services. You are responsible for any fees associated with these clearances. To obtain these clearances, please follow the below guidelines:

1. Criminal History Clearance from the Pennsylvania State Police:
a. https://epatch.state.pa.us
2. Child Abuse History Clearance from the Department of Human Services
a. https://www.compass.state.pa.us/cwis/public/home
3. If you have lived outside of the Commonwealth of Pennsylvania in the last ten years fingerprint based federal criminal history (FBI) submitted through the Pennsylvania State Police or its authorized agent is required.
4. All clearances are due prior to the first day of your scheduled assignment.
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Name *
Date of Birth *
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Home address *
Phone Number *
Email Address *
Are you a CVCO member? *
Have you volunteered for CVCO in the past?  *
What are you interested in volunteering for? Please select all that apply. 
Indicate the days/times you are available to volunteer: *
Have you ever been convicted of a felony?  *
Are you a registered sex offender?  *
I hereby certify that all answers and statements made on this application are complete and true to the best of my knowledge. I have carefully read and understand this application and, by checking the box below, consent to the release of consumer or investigative consumer reports (fingerprints) to the CVCO in conjunction with my application for volunteering. 

I am not a pedophile or child molester and have not been convicted of either. I understand that any misleading, misrepresentation and/or omission of information will cause this application to be rejected and will be grounds for discharge. I further understand that final volunteerism is based on completion of all volunteer screening requirements and procedures, including interview(s), reference checks, verifications, clearances, and fingerprinting. 

If I am engaged as a CVCO Volunteer, I agree to observe all rules, regulations, policies and procedures as they relate to the Conyngham Valley Civic Organization employees at all times. I also understand that, although I may be volunteering for a particular position and shift, it may be necessary to accept different assignments, schedules, or hours. 

I hereby certify that all of the facts set forth in my application are true and complete. I understand that if I am engaged as a CVCO Volunteer, false information in this form or failure to disclose material facts will be considered grounds for discharge. I further understand that my services are at-will and may be terminated at any time by either party. 
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