Instructions(For(Completing(Clearance(Forms (Page 2 of 3) in pdf

a. You c an p urchase m oney o rders a t U S p ost o ffices, m ost b anks, a nd m any g rocery s tore

customer s ervice d esks, c onvenience s tores, a nd c heck-‐cashing b usinesses. ( I g ot m ine f rom a

Sunoco g as s tation.)

b. Be p repared t o p ay a nywhere f rom 5 0 c ents t o a $ 4.00 f ee f or t he m oney o rder a t m ost p laces

(you c an e asily f ind p laces c harging u nder $ 1.00 u nless i t's o nline). H owever, y our b ank m ight

wave a ny f ees.

Act 3 3 C hild A buse C learance ( for a ll s taff a nd v olunteers 1 8 a nd o lder)

1. Fill o ut S ection 1 o f t he “ Pennsylvania C hild A buse H istory C learance”. Y ou m ust p rint c learly a nd l egibly.

You m ust i nclude:

a. Name a nd A ddress ( The a ddress

d. Date o f B irth

you p ut d own w ill b e w here

e. Sex/Gender

results a re s ent)

Daytime P hone n umber

b. Social S ecurity N umber

g. County y ou l ive i n

c. Age

2. List a ny “ Previous n ame” i ncluding m aiden n ames

3. Check t he b ox l abeled “ Volunteers” u nder “ purpose o f c learance” ( middle o f p age)

4. List a ll p revious a ddresses s ince 1 975 -‐ y es, A LL! A ttach a s eparate s heet i f n ecessary.

5. List a ll h ousehold m embers s ince 1 975 -‐ y es, A LL! A ttach a s eparate s heet i f n ecessary ( can b e o n

same s heet a s a bove).

6. Send t he c ompleted a pplication a long w ith a $ 10.00 m oney o rder ( do n ot s end c ash o r a p ersonal

check) m ade p ayable t o t he D epartment o f P ublic W elfare t o:

7. Childline a nd A buse R egistry

Department o f P ublic W elfare

P.O. B ox 8 170

Harrisburg, P A 1 7105-‐8170

IMPORTANT I NFORMATION

1. You w ill r eceive y our c learance v ia m ail a t t he a ddress y ou l isted u nder " Applicant

Identification." T his p rocess w ill t ake a pproximately 1 4 b usiness d ays.

2. We s uggest m aking s everal c opies o f y our c learance a s y ou m ay b e r equired t o h ave t hem

for v arious c ircumstances i n t he f utures. B e s ure t o s ubmit a c opy t o L iterary A rts B oom.

3. How t o O btain a M oney O rder:

Money o rders c an b e p urchased w ith c ash, d ebit c ards o r t ravelers c hecks. S ome p laces

accept c redit c ards, a s w ell, b ut s ome m ay n ot t ake d ebit c ards o r t ravelers c hecks. C ash i s

accepted e verywhere.

a. You c an p urchase m oney o rders a t U S p ost o ffices, m ost b anks, a nd m any g rocery

store c ustomer s ervice d esks, c onvenience s tores, a nd c heck-‐cashing b usinesses. ( I

got m ine f rom a S unoco g as s tation.)

b. Be p repared t o p ay a nywhere f rom 5 0 c ents t o a $ 4.00 f ee f or t he m oney o rder a t

most p laces ( you c an e asily f ind p laces c harging u nder $ 1.00 u nless i t's o nline).

However, y our b ank m ight w ave a ny f ees.

Clearances

Instructions(For(Completing(Clearance(Forms Page 2

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