Bensalem Township School District Volunteer Application

Hello,

We appreciate your interest in volunteering for the Bensalem Township School District. There will be several clearances that will need to be completed in order to volunteer. These documents will need to be submitted with your application, you will not be able to submit an application without these documents. You will receive a notice regarding your clearances from Raptor on whether you were approved or denied, or if a document is insufficient.

Using the links provided below, please request your Child Abuse Clearance, PA Criminal Background Check, and your FBI Clearance. If you have lived in Pennsylvania for 10 or more years, you may complete the Bensalem Volunteer Affidavit Form listed on our website, www.bensalemsd.org, under the Volunteer tab in place of completing your FBI Clearance, and attach it with your other documents.

PA Child Abuse Clearance: https://www.compass.state.pa.us/cwis/public/home

PA Background Clearance: https://epatch.pa.gov/

FBI Clearance: https://uenroll.identogo.com
must use service code: 1KG6XN

It is very important that the information you enter on the application matches your government issued identification card including your full legal name. It is important that you provide a valid email address so you can be notified as to the status of your application and for future communication. All information collected on the application will remain confidential and not be shared outside the volunteer program.

If you have any questions about the application, please reach out to Victoria Roller (vbarber@bensalemsd.org) 215-750-2800 ext. 4000.

Thank you,

Bensalem Township School District

Personal Information

Legal First Name

Address Line 1

Legal Middle Name

I don't have a middle name

Address Line 2 / Apt # / Building #

Legal Last Name

City

Maiden Name

State/Province/Region

Gender

Postal/Zip Code

Date Of Birth

Phone Number Phone number is required

Affiliation

Preferred Language (for future communications)

Please note: An email will be sent to the email address entered to inform you of the status of your application. If you do not have access to email, please enter and a district administrator will call you regarding the status.

Please select the schools at which you wish to volunteer

Please select the functions from the list below. (select all that apply)

Documents

The following documents are required by the state to authorize clearance within this school district.

***If you have been a resident of Pennsylvania for 10 years or more, you do not need to complete an FBI Clearance. In place of that clearance, please complete the Bensalem Volunteer Affidavit on our district website, www.bensalemsd.org under the volunteers page and submit with your application.***

Please select the organization(s) on behalf of which you are volunteering (if not applicable, select "None")

Please read the disclaimer below and provide your signature

By providing your signature, you are agreeing to abide by the rules and regulations of the District Volunteer Program. One or more of the volunteer activities you have selected may require you to provide your United States social security number so we can perform a criminal background check. Your social security number will only be used for this purpose and we do not retain this information.

Name

Signature

By signing your name you agree to all the above statements. Use the mouse or touch screen to sign.

Thank You

Your volunteer application has been successfully submitted and will be reviewed per the district’s volunteer policy. In the near future, you will be notified as to your volunteer status. If you have any questions, please request to speak with a volunteer representative.