Pennsylvania Conference of Seventh-day Adventists

Revealing Jesus, Making Disciples
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Background Check Forms 
Formularios para antecedentes penales                

Please complete the three forms and then send them to:
Por favor complete los formularios y envíelos a:
     Background Checks
     PA Conference of Seventh-day Adventists
     720 Museum Rd
     Reading, PA  19611

Or fax to:
O enviar por fax a:

     610.374.9331 Attn: Diane Reese

Please do not send any documents by email if they contain a social security number.
Por favor no enviar ningún documento por correo electrónico que contenga el número de su seguro social

By providing the requested information we are able to complete the following 5 clearances:
PA Child Abuse History Certification
PA Criminial Record Check
Determine who needs to be FBI Fingerprinted
Or FBI Waiver if Fingerprinting is not required
PA Megan's Law Sex Offender Registry Search
Department of Justice National Sex Offender Registry Search

If you have completed these clearances through your employer within the last 5 years, you may provide copies of those clearances.  Clearances are good for 5 years from the date of the oldest clearance.

Disclosure and Authorization Form for Volunteers
Please be sure to answer all of the questions.  Indicate N/A if not applicable to you
FBI Waiver Form - Only if criteria is met
You may sign this form if you have lived in PA for more than 10 continuous years and have not been convicted of any of the listed offenses
Child Abuse History Certification
This form asks for information from 1975 to the Present.  Please provide all requested information. 
All previous names. 
All previous places of residence.  City and State or City and Country
Anyone you have lived with or anyone who has lived with you.  Full name, relationship to you, gender and present age.

If you have any questions, please call me at 610-374-8331 ext 248.

Thank you for doing your part to keep our children safe.