Volunteer Application

Welcome to Operation Our Town. Filling out this volunteer application is the first step in helping to combat crime and drugs in Blair County with your assistance.

Positions require PA State Police Criminal Record Check (SP-164 paper form or Act 34 online) and PA Child Abuse History Clearance (CY-113 paper form or Act 151 online).

Do you currently have Act 34 clearance?: *

Yes

Do you currently have Act 151 clearance?: *

Yes

Name: *

Address: *

City: *

State: *

Zip: *

Email:

Cell Phone #:

Home Phone #:

Work Phone #:

(Optional) How have drugs touched your life?:

Victim of Crime

Former Drug User

Drug User in Family

Other ways drugs have touched your life:

Comments:

Please indicate volunteer opportunities that you would prefer.

You can help take back our neighborhoods by volunteering or financially supporting the work of Operation Our Town.

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693-3020