EmailMe Form - Westmoreland Fayette Council

Name *
First Middle Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone *
### - ### - ####
Email *
District Name *
Unit Type *
Pack
Troop
Council
Crew
Post
District or Council
Unit Number *
Council or District member enter 0512
BSA Membership Number
If you have your BSA Membership Number please enter it here
Upload PA Police Criminal Record Check
Upload PA Child Abuse History Clearance
Upload PA Volunteer Affidavit
This form is to be used by anyone that has lived in Pennsylvania for the last 10 years. All others must do FBI Fingerprint Check.
Upload FBI Criminal Background Check
Upload Youth Protection Training Certificate
Enter Youth Protection Training Date
MM / DD / YYYY
Upload Additional Disclosure and Background Check Authorization
*
Acknowledgement
I understand that it is my responsibility to provide copies to my unit leadership or chartered organization.