Clearances


Thank you for your interest in serving as a volunteer with our Children and Youth Ministry program. We are blessed to have your support and appreciate your time. In an effort to assist you in the process of becoming a volunteer with our program, we have created a guide for obtaining the clearances required by the state of Pennsylvania for volunteering. As per the state, each volunteer is required to have clearance documentation on file with their organization. Obtaining the three clearances can take several weeks depending on agency processing times. All volunteers are required to have the three state mandated clearances on file. Please note the following about obtaining clearances:

  • All three clearances must be obtained and are valid for 5 years

  • If you already have clearances on file with your employer, you may submit copies of these clearances for volunteer purposes as long as they are not expired

We understand this process can be lengthy, but appreciate your willingness to serve. By maintaining accurate records of our volunteers, we can ensure the safety of the children in our care. Please provide all copies of the obtained clearances to Ashton Shultz. If you have any questions while obtaining clearances, please see Ashton Shultz. The descriptions and steps for submitting each clearance are available in PDF form. The links for each website to obtain clearances electronically are listed below.


  1. Pennsylvania State Police Criminal Record Check (SP4-164)
  2. Pennsylvania Child Abuse History Clearance Form (CY-113)
  3. Clearance Document #3: FBI Criminal Background Check (Department of Human Services)

    *Please see Ashton Shultz to sign a written statement indicating you have lived in the state of Pennsylvania for the last 10 years.