HEMPFIELD TOWNSHIP PARKS & RECREATION VOLUNTEER INFORMATION FORM & ACT 153 CLEARANCES

Thank you for your interest in volunteering with Hempfield Township Parks & Recreation. We strive to create a safe environment for our staff, volunteers, and participants. All adult volunteers, no matter what capacity they will serve, are required to follow and submit all clearances in accordance with Pennsylvania Act 153. Those volunteers under the age of 18 are not required to obtain their clearances.

It is the highest priority of Hempfield Township to ensure the safety and well-being of all citizens.  In order to provide a safe and secure atmosphere for our community, all employees, contractors, and volunteers will be screened.  All information received from the background check applications and reports will be used for the purpose of determining applicant’s eligibility as a volunteer.  Thank you for your support and cooperation in this very important matter. 

Please complete the following information every time you volunteer.

Please note:  Some of the following information will only be used if the department needs to complete a Pennsylvania State Police Background Check for you.   All information will be kept confidential.

General Information
Sex *
Have you ever been convicted of a felony or misdemeanor?

A criminal conviction will not necessarily prevent eligibility as a volunteer. Factors such as the nature and age of the offense, seriousness and nature of the violation will be considered. *
Have you lived in the state of Pennsylvania consecutively for the past 10 years? *


Type of Volunteer
Please select what area you are applying to volunteer *
Basketball - Age Group - select all age groups that apply *
Soccer- Age Group - select all age groups that apply *
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