Registration

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Organizations

Organizations represent official groups that you have affiliation with as a SERVPA user. Click the Add Organizations link below to see a complete list of organizations and select those you want to join.

    Account Information

    Creating an account is the first step in the SERVPA registration process. You will use your account username and password each time you log into SERVPA.

    The username must be at least six (6) characters long and cannot contain spaces. Acceptable characters include alphanumeric (A-Z, 0-9) and the symbols @, ., -, and _. Usernames are not case sensitive.






    Terms of Service and Privacy Policy

    Required field Terms of Service:


    Required field Information Pledge:


    Required field Certification:


    Required field Authorization:


    Name and Address

    Example: Dr., Col., Mr., Mrs., Ms.





    Example: Jr., Sr., MD., PhD, RN










    Identifying Information

    Contact Information

    Primary Email Address
    If you have an email account, it is important for you to provide this information. Without your email address, you may miss important messages and notifications. Please note that the system will not allow two accounts with the same email address. If you do not have an email address or your email address is already registered with the system, you can learn more about obtaining a free email address by clicking here.
    Add Email Address
    Contact Method 1

    x




    Add Another Contact Method

    Occupation Information

    Criminal Offense

    Required field Have you ever been arrested or convicted of any criminal offense?

    (Traffic or citation only offenses are not required to be reported.)

    If yes, please mail a copy of court-issued documents for each offense, which must include the following information, to the Volunteer Emergency Workforce Coordinator, PA Department of Health, Bureau of Public Health Preparedness, 130A Kline Plaza, Harrisburg, PA 17104.

    • Type of each offense
    • Date of each offense
    • County and state where each offense was committed
    • Current case status or final disposition for each offense

    This information must be postmarked within two weeks of completing your registration in SERVPA. The Department will review your submission and notify you if further information is required. If your SERVPA registration is disapproved as a result of your criminal history, the Department will notify you and your access to the SERVPA system will be terminated.

    Criminal activity is not an automatic rejection of an individual’s approval to volunteer. The Department will disapprove your SERVPA registration if you withhold required information or provide false information about your criminal history and your access to the SERVPA system will be terminated.

    Registration Feedback

    If Other, please specify in the comments.