Dear Prospective Member:


We are pleased you are interested in becoming a member of the Penndel-Middletown Emergency Squad (PMES). We are seeking committed individuals who wish to contribute their time and talent to the community as an active member of our organization. Before you complete the attached application, we urge you to read this letter completely so that you have an understanding of the application process and the level of commitment required.

PMES has been a proud part of Middletown Township and surrounding communities since 1959.

To be considered an ACTIVE RIDING MEMBER of PMES, members must be 18 years of age and participate at least 6 hrs of ride time per week. Active members are also encouraged to attend training classes held at the main station. Monthly business meetings are also held at the station and you are encouraged to attend the meetings during your 13 weeks of probation. Active riding members are ones where his/her primary interest is riding the ambulance and providing EMS care and are certified as an Emergency Medical Technician ( EMT-B or EMT-P ) by the Department of Health of PA. A career in EMS is not a pre-requisite for active riding members. PMES encourages active members to become an EMT within a year or two of becoming a member of PMES.

All new members will go through an In-Station Orientation class. Following that, members are required to watch and take a test on the following subjects: HIPPA, Blood Bourne pathogens. A third subject that will also be covered: Sexual harassment. All are mandatory prior to riding or being allowed into the building as a probationary member.

As you can see, becoming a volunteer at PMES does take time and dedication. We believe it is important that you know the level of commitment that is necessary to become a fully active member so that you can make appropriate decisions about whether you have the time and can make the commitment to become a member of PMES. While it may seem like a great deal of time, we try to schedule training activities on evenings and weekends.

Your fully completed application, Pennsylvania Child Abuse Clearance History, Pennsylvania State Police Criminal Record Check and FBI Criminal Background check certificates should be dropped off or mailed in a sealed envelope to:
Penndel-Middletown Emergency Squad
616 E. Lincoln Hwy
Langhorne, PA 19047
Attn: Chairperson of Membership Committee

A volunteer from the Membership Committee will contact you to set up a personal interview. Please read the attached application as to the items you need to furnish at your scheduled interview.

You will be contacted within 5 to 10 working days of the membership committee’s receipt of the following to schedule an interview:

We look forward to receiving your application.  Should you have additional questions or if you have not been contacted by someone from the Membership Committee within 10 days from when your application was submitted, please contact the membership committee using the following contact information:


Membership Committe
gramella@pmems.org

Sincerely,
The Membership Committee

The information below is related to Background Checks/Clearances for:
Pennsylvania Child Abuse History Clearances (CY113)
Pennsylvania Criminal Record Checks (SP4-164)
Federal Bureau of Investigations (FBI) Criminal Background Checks

ELECTRONIC SUBMISSION - Online Child Abuse History Clearance

Creating an account and submitting your clearance application online will give you immediate access to your results or the status of your results if your results cannot be processed immediately.

Organizations who want to set up business accounts must first register for a Business Partner User account using the “Organization Account Access” link on the Child Welfare Portal. Organization accounts will allow businesses and organizations to purchase child abuse history clearance payment codes and distribute those codes to applicants. When an applicant uses a code given to them by an organization, the organization will have access to the applicant’s child abuse history clearance results once those results are processed.

PAPER SUBMISSION

Paper submissions of the Pennsylvania Child Abuse History Clearance application will still be accepted for anyone who may not have access to the internet. Submit paper applications to:

ChildLine and Abuse Registry
Pennsylvania Department of Human Services
PO Box 8170
Harrisburg, PA 17105-8170

  1. The instructions for how to complete the Pennsylvania Child Abuse History Clearance application are now included on the last page of the application and can be printed for easy reference when completing the application. Failure to comply with the instructions that are attached to the application will cause considerable delay in processing the results.
  2. Applicants can now type their information directly onto the application or the information can be hand written onto the application.
  3. If the information is typed directly onto the application, the information will NOT be able to be saved on a computer unless the computer has a licensed version of the acrobat adobe software. Therefore, please be sure to print the completed application before closing the document so that the information typed on the application is not lost.
  4. If you have trouble accessing the application you may need to download the latest version of Adobe Reader, which is available free on the internet.

NOTE: ALL information that has been entered directly onto the application will be lost if you close the application prior to printing it (if your computer does not have a licensed version of the Acrobat Adobe software).

Once the application is received in the ChildLine and Abuse Registry’s Verification Unit, the results of the Pennsylvania Child Abuse History Clearance will be mailed to the applicant’s address that was noted on the application within 14 days from the date that the application is received in the ChildLine Verification Unit.

CY113 form - English Child Abuse Clearance

CY113 form - Spanish Child Abuse Clearance

An applicant can request that a Pennsylvania Child Abuse History Certification result be mailed to an organization by completing a Consent Release of Information Authorization Form. Both the applicant and organization must sign the form and the form must be attached to a paper Child Abuse History Certification application submitted via mail in order for the results to be released to the organization. Older versions of the Consent Release Form without a signature line for the organization will not be accepted and the certification result will be returned directly to the applicant, not the organization.

NOTE: Results cannot be sent to someone other than the applicant if applying for a Child Abuse History Certification electronically via the online link above. If an organization pays the application fee, they will have the ability to access an applicant’s results online if they set up a business account and provide the pre-paid code to the applicant.

CY 999 -Consent/Release of Information Authorization Form

For questions related to the Pennsylvania Child Abuse History Clearance, please contact the ChildLine Verification Unit at 717-783-6211 or toll free at 1-877-371-5422.

PENNSYLVANIA STATE POLICE CRIMINAL RECORD CHECK INSTRUCTIONS

There are two methods of requesting a Criminal Record.

  1. Online Request

    The Pennsylvania State Police have established a web-based computer application called “Pennsylvania Access To Criminal History,” (PATCH). 
  2. Submitting a Request Form

    Download the Criminal History Request Form - SP4-164 (Updated 12/2017)

    Download the Criminal History Request Form: Volunteer Only- SP4-164A (Updated 12/2017)

    Download the Individual Access and Review Request Form - SP4-170 (Updated 12/2017)

Applicants can also go to the Pennsylvania Access To Criminal History website and apply for their criminal record check online with the Pennsylvania State Police.

If you have questions about the Pennsylvania State Police Request for Criminal Record Checks form for employment (SP4 164) or to volunteer (SP4-164A), please call: (717) 783-9973 or toll free 1-888-783-7972.

 FEDERAL BUREAU OF INVESTIGATION (FBI) CRIMINAL BACKGROUND CHECK INSTRUCTIONS

The Pennsylvania Department of Human Services utilizes IDEMIA to process fingerprint-based FBI criminal background checks. The fingerprint based background check is a multiple step process. For questions about your FBI clearance, please contact the FBI Background Check Unit at 717-783-6211 or 1-877-371-5422.

The Pennsylvania Department of Education also utilizes IDEMIA to process fingerprint based FBI criminal background checks for prospective employees of public and private schools. Under Act 114 of 2006, ALL prospective school employees, school contractors and student teachers are to use the Pennsylvania Department of Education system. This includes but is not limited to: Teachers, School Administrators, Substitute Teachers, Teaching Assistants, PIAA Sports Officials, School Bus Drivers, and Student Teachers.

For more information regarding Act 114, and background check requirements for public schools, private schools and student teachers go to the Pennsylvania Department of Education website or email the Pennsylvania Department of Education.

*IMPORTANT INFORMATIONThe Commonwealth has transitioned to a new FBI Criminal Background Checks vendor, IDEMIA.

Appointments to be fingerprinted are not required, but pre‐registration is required. Once registered, you may walk‐in during a location’s posted hours of operation, but scheduling an appointment may lead to lesser/no wait times. In order to pre-register for a FBI background check and/or find a fingerprinting location, applicants should access the IDEMIA website. IDEMIA uses service codes when identifying the authorized purpose for why an applicant is being fingerprinted. This ensures applicants are processed for the correct purpose and agency.

Below are the service codes available for applicants applying under the DHS: 

Service Code
Applicant Type
1KG6ZJ DHS Volunteer
1KG71B Foster Parent
1KG72V Prospective Adoptive Parent
1KG738 Child Care Services/Program Employee or Contractor
1KG74S Family Child Care Home Provider
1KG756 Employee >=14 Years Contact w/ Children
1KG76Q Individual >=18 Years in Foster Home
1KG774 Individual >=18 Years in Prospective Adoptive Home
1KG78K Individual >=18 Years in Licensed Child Care Home
1KG8TG Individual >=18 Years in Family Living, Community, or Host Home

 

If you are an organization or agency accessing this site to inquire about remaining or becoming a Commonwealth affiliate fingerprinting site, or questions surrounding equipment, please note the following important information:

IDEMIA Payment Option - No Charge Authorization Code (NCAC)


NOTE: After being voted into membership you can apply for a reimbursement for the above fees. Please save your receipts. No reimbursement can be issued without receipts.