Volunteer Background-Check - Documentation Upload Form:

[!!] PDFs and JPEGs Only!!

PLEASE NOTE: for your own protection, please redact your Social Security Number
from any public-display forms BEFORE you upload them !!

Volunteer first name:
Volunteer last name:
( !! required !! ) Choose from below to describe
the document being uploaded ...

PA State Police Criminal History Record (ePATCH)
PA Department of Public Welfare Child Abuse Clearance
FBI Criminal History with fingerprints
All of the above

Date of Bkgd. Check ( mm/dd/yyyy ):
User:
Pass:

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