Volunteer Form

"*" indicates required fields

Personal Information

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Martial Status*

Background Information

Has anyone ever brought or threatened to bring a civil or criminal claim against you alleging physical or sexual abuse / harassment?*
Have you ever been charged, arrested, or convicted of a felony or misdemeanor?*
Have you ever had your employment terminated or has your employer ever reprimanded you for reasons relating to allegations of physical or sexual abuse / harassment by you?*
Have you ever been reprimanded as a student for harassment of another individual or other inappropriate behavior with another individual?*
Is there anything in your past that might come up as a questionable issue?*

*You must provide a background check as required by Pennsylvania State law.*

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Volunteer Background