Hbg PAL Volunteer / Mentor Registration Form
First Name *
Last Name *
Street Address *
City *
State *
Zip-Code *
E-mail *
Phone *
All Volunteers must have clearances completed, do you have clearances already? *
For how to obtain volunteer clearances for free please contact our office 717-233-3104
Required
What areas are you interested in volunteering for with PAL? *
Please indicate all areas of interest
Required
In order for our organization to complete background checks on all volunteers we are asking to provide your Social Security number as an (optional) to help aid in clearance checks.
Please note, this field does not require you to provide this information, registration to volunteer can be sent with this field blank.
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