Volunteer Application

Please complete this application form if you are interested in becoming a UCP Central PA volunteer. Once you complete the form, click the submit button at the bottom.

Name and address

TITLE

Select or enter value

FIRST NAME*

LAST NAME*

STREET ADDRESS

ADDRESS 2

CITY

STATE

ZIP

PREFERRED PHONE

EMAIL*

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

DATE OF BIRTH (YEAR OPTIONAL)

GENDER

Select or enter value

EDUCATION

Select or enter value

Availability

Please indicate the days you are usually available to volunteer.

DAYS OF WEEK

Additional Information

List any skills, interests, or relevant experience

OTHER INFORMATION

We require clearances for all volunteers, including a PA criminal record check, Megan's Law check, DPW Child Abuse History clearance, and FBI fingerprinting. You will receive additional information/forms via email or mail based on your contact preferences.

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