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Welcome

Owen J Roberts School District Volunteer Application

We appreciate your interest in volunteering for the District Volunteer Program. Our district offers a variety of activities you may choose from when volunteering your time. Simply complete and submit a volunteer application for approval.

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. If you are unable to provide an email address, you use the district’s email address. 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 request to speak with a volunteer representative.

Thank you,

Owen J. Roberts School District 

Personal Information

Personal Information


I don't have a middle name
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Phone number is required
Please note: An email will be sent to the email address entered to inform you of the status of your application.
School Preferences

Please select the schools at which you wish to volunteer

Functions

Please select what form of volunteering you are interested in or if you are an Outside Agency Staff member (select all that apply)

 

School Volunteer: One who voluntarily offers and provides a service to the school district without receiving compensation

Chaperone: Responsible for the safety, health, and education of students while they are participating in a school-sponsored event or trip

Outside Agency Staff: a professional who works with a school or directly with a child to provide specialist support

 

Documents

Documents/Clearance Forms

The following documents are required by the state to authorize clearance within this school district. Please make sure to that all documents have completely uploaded before continuing with application. 

  • Act 34 Pennsylvania Criminal History Check

    • As required by Act 34 – Dated no more than one year prior to the application date.  The application is found online through PATCH at https://epatch.pa.gov/home 

  • Act 151 PA Department of Human Services Child Abuse History

  • Act 114 Federal Criminal History Report

    • Dated no more than one year prior to the application date.  This requires fingerprinting to be done.  Please see registration and directions at IdentoGo - https://uenroll.identogo.com. Use Service Code 1KG6ZJ which will take you directly to the section- Identogo Department of Human Services (DHS) Pennsylvania website.

    • Please Note – this is not required for a volunteer who completes a written statement that he or she has been a Pennsylvania resident during the entirety of the previous 10 year period. The written statement can be found here: https://www.ojrsd.com/cms/lib/PA01916155/Centricity/Domain/95/Exemption%20from%20FBI%20Clearance%20-%20Volunteer%20Form.pdf

  • PDE – 6004 - Act 24 Arrest/Conviction Report and Certification Form

    • Dated as of application date.  The PDE -6004 form can be found here: https://www.education.pa.gov/documents/teachers-administrators/background%20Checks/arrest%20or%20conviction%20form.pdf

Organizations

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

Disclaimer

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, the information below, and Policy 916. Policy 916 can be found on our district website under the School Board heading.


Volunteer Self-Reporting Commitment - By providing your signature, the applicant has never been arrested or convicted of certain offenses, including offenses that would prohibit employment under 23 Pa.C.S.A. § 6344(c) and certain other offenses, has never been named as a perpetrator in a founded or indicated report of child abuse, and if in the future the applicant is arrested or convicted for any such offense or is named as a perpetrator, the individual will provide written notice to the District within 72 hours of such event, which notice will be on the PDE-6004 Form if related to an arrest or conviction.

Volunteer Acknowledgement of Policy No. 916/Volunteers and Policy No. 806/Child Abuse – By providing your signature, the applicant has read, understands, and agrees to comply with the district policies. Without regard to whether an individual meets the definition of Volunteer or Co-op or Similar Program Supervisor, in accordance with School Code § 1418(b) and 28 Pa. Code § 23.44, any individual who provides direct services to students on behalf of the District that involves direct contact with students 10 or more hours per week is also required to:

Receive a tuberculin skin test and provide documentation of the same in accordance with Pennsylvania Department of Health regulations and send the test results to the school secretary.

Receive an updated tuberculin skin test and provide documentation of the same within 5 years from the date of the most recent tuberculin skin test and send the test results to the school secretary.

 


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

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.