FIRST YPP Local State Requirements - Pennsylvania

This form allows users to upload proof of compliance with the youth protection requirements of Pennsylvania Act 153.

AGE VERIFICATION: I affirm that I am 18 years of age or older and intend to volunteer for a FIRST Program in the US state of Pennsylvania.

Please affirm this statement by checking the box.

The FIRST Privacy Policy may be viewed here: https://www.firstinspires.org/about/privacy-policy

Please affirm this statement by checking the box.

DATA COLLECTION, USE, SHARING, AND RETENTION: I agree to share my personal data with FIRST for the purpose of verifying compliance with PA Act 153. By submitting data with this form, I consent to this collection, and the sharing of this data with local FIRST Program Delivery Organizations. I understand that FIRST will retain my data for as long as needed to fulfill the purposes described here and/or required by law. I understand the following data will be collected: 1) name 2) email address 3) phone number 4) proof of PA Act 153/15 clearances.

Please affirm this statement by checking the box.

First Name

Please enter your legal first name.

Last Name

Please enter your legal last name.

Email Address

Please enter the email address associated with your FIRST account.

Phone Number

Please enter your phone number.

Phone

Are you a Pennsylvania resident?

If you have resided in Pennsylvania more than 10 years, you do not need to submit a FBI fingerprint background check. However, you have to complete the "Attestation".

File Upload

Please upload your clearance documents here. You may upload up to ten (10) files and up to 30 MB per file. Examples of clearance documentation for PA can be found here (inlcude link to document with examples)

PA Clearances are valid for five years. The volunteer must renew clearances accordingly and submit them to FIRST YPP.

Drop your files here

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