EmailMeForm
Background Check Submission
Washington Crossing Council portal for submitting background check documentation. If you need assistance with your submission please email annamarie.pepper@scouting.org
or call 215-348-7205
Name
*
First
Middle
Last
Suffix
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Primary Phone
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Cell Phone
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Email
*
Scouting Details
BSA Membership ID # ( if you know it )
What volunteer type are you? (Select based upon primary role in Scouting)
*
Please select
Council Volunteer
District Volunteer
Executive Board Member
MeritBadge Counselor
Unit Volunteer
Unit Volunteers Please select your unit type
*
Please select
Pack
Troop
Crew
Ship
Post
Your Unit #
*
What District are you from?
*
Please select
Hunterdon Arrowhead
Mercer Area
Tamanend (formerly Pennsbury & Playwicki)
Tohickon (formerly Tohpendel & Lenape)
UPLOADS REQUIRED
If you do not have all required information you can save and log back in when you have complete items
State Police Clearance Date
*
MM
/
DD
/
YYYY
State Police Clearance Upload
*
Child Abuse Clearance Date
*
MM
/
DD
/
YYYY
Child Abuse Clearance Upload
*
Do you qualify for an exemption of the FBI Clearance?
*
Yes
No
The only volunteers that qualify for exemption from the FBI Fingerprint Clearance are those that have resided in PA for the last 10 years. These volunteers must submit an affidavit affirming this statement.
FBI Clearance only for PA Residents without the 10 year PA qualification affidavit
*
Qualified PA Residents upload your affidavit
*
Acknowledgement
*
I understand that it is my responsibility to provide copies of the uploaded documents to my unit leadership or chartered organization.
Verification By:
FOR COUNCIL USE ONLY