Staff Required Paperwork And Training

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Pennsylvania Dutch Council

Boy Scouts of America

2015
Employee Documents & Training Required to Receive a Paycheck
To:
2015 Camp Staff Members
From: Mike Manner, PA Dutch Council Program Director
Ed Rasmuson, PA Dutch Council Scout Executive
Cindy Venerick, PA Dutch Council Accounting Specialist
Important:
Please read this document fully. All required paperwork and training must be completed and
returned to your Camp Director, unless specifically discussed with your Camp Director, by May
1 or your first paycheck will be delayed. A paycheck will not be issued as long as any of these
items remain incomplete. Do not wait to start your required paperwork or training.
All Required Forms will be posted at http://www.padutchbsa.org/campstaff as they become
available.
1. Camp Staff Application (ALL)
If you have not already done so, complete and submit a Camp Staff Application.
2. Staff Employment Agreement and Statement of Understanding (ALL)
If you have not already done so, return your signed Staff Employment Agreement and
Statement of Understanding to your Camp Director immediately upon deciding to accept
summer employment with the PA Dutch Council. Do Not wait to send with your other
required paperwork. Your position will not be held indefinitely.
3. W-4 Withholding Certificate (ALL Paid Employees)
In order for the PA Dutch Council to meet state and federal regulations, a 2015 W-4 Form
must be completed.
4. I-9 Immigration Form (ALL Paid Employees)
In order for the PA Dutch Council to meet state and federal regulations, an I-9 Form must be
completed. The federal government requires that you prove you are a US citizen or have a
valid green card. Copies of required identification must be submitted with the completed
form. Refer to the back of the I-9 form for acceptable forms of identification. You will only
need to submit one form of ID if choosing from List A. Two forms, one from List B and one
from List C are required if unable to provide ID from List A. All forms of ID must be current
and must not expire prior to the end of the camp season.

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5. Worker’s Compensation 90 Day Notice Form (ALL)
In order for the PA Dutch Council to meet state and federal regulations, a Worker’s
Compensation 90 Day Notice Form must be completed. As a seasonal employee of the PA
Dutch Council, you will be covered by the Council’s Worker’s Compensation policy. This
form verifies that you have been notified of your rights and duties related to being covered
by this policy and where you can obtain information on participating physicians. There is a
different form and physician list for Bashore and Mack. Make sure you select the correct
Camp. Return the completed form to your Camp Director and keep the physician list.
6. Direct Deposit Authorization Form (ALL Paid Employees)
The PA Dutch Council no longer issues any paper checks. This helps eliminate camp
disruption around the distribution of physical checks, the possibility of lost checks, and the
need for staff to leave camp to get checks cashed. A new Direct Deposit Authorization Form
must be submitted each year to ensure we have the correct bank information. If depositing
into a checking account, a copy of a voided check is sufficient. If depositing into a savings
account, please see your financial institution for the correct numbers to use (the numbers
on the deposit slip are not correct). If you supply us with wrong information and the bank
rejects your direct deposit request, it will cost you a fee of $15.00. If you choose not to
participate, or do not turn in a Direct Deposit Authorization Form, you will automatically be
enrolled in our reloadable pay card program. If you had a reloadable pay card previously,
that same card will be reactivated and must be used. There are fees associated with
withdrawing funds from a pay card.
7. Certificate of Residence Form (ALL Paid Employees)
This form helps to gather the information on the school district in which you reside so that
the correct amount of Earned Income Tax can be withheld from your pay since numerous
school districts have started collecting more than just 1% in local taxes. There is a different
form for Bashore and Mack. Make sure you select the correct Camp.
8. Local Services Tax Form and Exemption Form (ALL Paid Employees-BASHORE ONLY)
Union Township where Bashore is located collects a Local Services Tax. If you are already
paying a Local Services Tax somewhere else or you are exempt you do not have to pay this
fee again. If LST tax has been paid through another employer, you must attach proof
(paystub clearly stating the amount that is being withheld) to your LST Form so withholding
does not happen again. If you are exempt from LST tax, you must also complete an LST
Exemption Form, attach any necessary verification, and sign the bottom so withholding
does not occur.

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Boy Scouts of America

9. Working Permit (ALL STAFF UNDER AGE 18)
All staff members 17 years of age or younger, including high school graduates, are required
to have a Pennsylvania work permit. As the PA Dutch Council business office has a
Pennsylvania address, you are considered employed in the Commonwealth of Pennsylvania.
Regardless of the state in which you reside, you are required to obtain PA state documents.
These documents can be obtained at a Pennsylvania school, typically at the guidance
counselor’s or principal’s office. Make sure this is done prior to the end of the school year.
Staff members 17 years of age or younger will not be able to begin their employment until
this document has been received.
10. Emergency Contact and Permission to Transport Minor Form (ALL)
All staff members must provide at least two emergency contacts in the event that
something happens while at camp. In order for staff members under the age of 18 to be
transported to and from camp for various reasons, including nights out, the Permission to
Transport Minor portion of the page must be completed and signed by a parent or
guardian.
11. BSA Camp Staff Registration (ALL)
All staff members are required to be registered with the Boy Scouts of America as a Camp
Staff Member. This is in addition to any other current BSA registrations (unit, district,
council) that you may have. If you do have another BSA registration there will be no
additional registration fees. To register as a BSA Camp Staff Member, each staff member
must complete a new BSA Membership Application. As of March 1, 2015, staff members
under 18 years old must use the BSA Youth Membership Application. Anyone 18 years of
age or older must use the BSA Adult Volunteer Application and meet all adult BSA
membership requirements even if they will be participating as a youth member until age 21.
On the application, adults should use position code 49 – Camp Staff Member. Youth
(anyone under 18) should write position code 49M – Camp Staff Member – Youth
12. National BSA Registered Camp Staff Code of Conduct (ALL)
A signed copy of this form must be on file for all registered camp staff members per BSA
national policy.
13. Physical (ALL)
All employees must have a valid Annual BSA Health and Medical Records Parts A, B, & C on
file. A copy of both sides of your family’s medical insurance card must be attached. The
form must be signed and dated after August 10, 2014.
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14. Camp Staff Uniforms (ALL)
See the posted PA Dutch Council Camp Staff Uniform Policy. All staff members are required
to follow this policy and have enough BSA Field and Activity uniforms to do so. To assist
staff members in obtaining enough uniforms, the PA Dutch Council Scout Shop offers a 20%
discount on basic uniform parts. To receive the discount a signed Employment Agreement
must be on file. Staff members may receive this discount in person at the PA Dutch Council
Scout Shop with a copy of the Discount Letter. Staff members may also order uniform parts
using the provided BSA Uniform Order Form. Orders and payment must be received by May
15 for delivery at Staff Week. All Staff members will be provided with two camp staff polo
shirts. Aquatics staff members will be provided matching swim trunks. Extra polos, swim
trunks (aquatic staff only), or other Camp Staff specific apparel may be ordered using the
provided order forms.
Required Training
The following online trainings must be completed prior to arriving at camp. Staff members will
not be able to begin employment if these trainings are incomplete.
Each of these trainings are valid for two years. Please provide a copy of your previous training
completion certificates if they are still valid.
15. Seasonal Camp Staff Unlawful Harassment Prevention Training (ALL)
a. Go to the following link: http://el.lawroom.com/bsaregistration.aspx
b. Using the drop down boxes, enter or select the required information.
c. When the required fields have been completed you will be directed to the required
training course.
d. Complete the training course and print the certificate of completion.
e. Provide a copy of the certificate of completion with your employment paperwork.
For questions about this training contact your Camp Director. For problems with access to,
or functionality of the course contact LawRoom 1-800-652-9546 or admin@lawroom.com.
16. Youth Protection Training (ALL)
All staff members, regardless of age, must complete Youth Protection Training. Provide a
copy of the certificate of completion with your employment paperwork. To take Youth
Protection Training online go to http://www.myscouting.org.
17. Hazardous Weather Training (ALL)

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All staff members, regardless of age, must complete Hazardous Weather Training. Provide a
copy of the certificate of completion with your employment paperwork. To take Hazardous
Weather Training online go to http://www.myscouting.org.
PA Child Protection Clearances and Training
With the implementation of PA Act 153 of 2014, all Camp Staff members (including CITS) and
camp volunteers must now complete a series of child protection clearances prior to beginning
any work in which they are “responsible for the welfare of a child or having direct contact with
children.” For the purpose of this law, CITs are considered employees because they are
provided Room and Board and are under the control of the Camp Director while at Camp.
Beginning in 2015, all staff members and volunteers must complete the clearances listed below.
Clearances are valid for 36 months. Employees who have obtained these clearances for other
organizations must complete and submit new clearances and submit an original report of each
clearance to your Camp Director when completed. Clearances will be kept in locked storage at
the Council Service Center.
Staff members will be responsible for paying for clearances initially. Keep your receipts. Upon
receipt of all three clearances and submission of receipts, staff members will be reimbursed for
their expense.
18. Pennsylvania State Police Criminal History Check – Cost $10 (ALL)
a. Go to https://epatch.state.pa.us/Home.jsp
b. Select “Submit a New Record Check” about half way down the page to begin the
process.
c. On the Personal Information screen, select “Employment Screening” under
Reason For Request.
d. Once your request has finished processing, do one of the following:
i. If No Record, print the Record Check Request Results page clearly
showing your Control # and “No Record.”
ii. If Record, submit the report that will be mailed to you.
e. If you have questions about the Pennsylvania State Police Request for Criminal
Record Checks form (SP4 164), please call: (717) 783-9973 or toll free 1-888-7837972.
19. PA Department of Human Services Child Abuse History Clearance – Cost $10 (ALL)
a. Go to https://www.compass.state.pa.us/cwis/public/home
b. Select “Create a New Account” to begin the process.
c. Once on the application, select “Employment with a significant likelihood of
regular contact with children” as the Application Purpose.
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Boy Scouts of America

d. After completing and submitting your clearance application, it will take 4 to 6
weeks for your report to be mailed to you. Once you receive it, turn it in to your
camp director.
e. For questions related to the Pennsylvania Child Abuse History Clearance, please
contact the ChildLine Verification Unit at 717-783-6211 or toll free at 1-877-3715422.
20. Fingerprint-Based FBI Criminal Background Check – Cost $27.50 (See Below)
a. Required for all paid employees, CITs, and volunteers helping more than one
week. Required for any volunteer who has lived outside of PA in the last 10
years.
i. Volunteers working one week or less are not required to obtain the FBI
Clearance if they have been a continuous resident of PA for the past 10
years. Volunteers in this situation must swear or affirm in writing that
they are not disqualified from service based upon a conviction of an
offense under § 6344.
1. To do this, complete a Disclosure Statement for Volunteers form
and turn it in.
b. PA Residents: This is a multi-step process involving first registering and paying
online then going to an authorized fingerprint location.
ii. Go to https://www.pa.cogentid.com/index_dpwNew.htm.
iii. Click “Registration Procedures” under the Registration heading.
iv. Follow the directions on the Registration Procedures page.
v. When you get to the online registration form, choose Credit Card under
payment type. Leave the Agency ID and Agency Address fields empty.
c. Non-PA Residents: Fingerprint cards are the only option for out-of-state
applicants. Here are the steps to take to complete the process:
i.
Find someone (local police jurisdiction or State Police) who is able to take
ink-based fingerprints and place them on FBI fingerprint cards. If you
need fingerprint cards, you can download them from the FBI’s website at
http://www.fbi.gov/about-us/cjis/identity-history-summary-checks/fd258-1.
i. Under Employer and Address enter – PA Dutch Council, BSA 630
Janet Ave. Suite B114, Lancaster, PA 17601
ii. Under Reason Fingerprinted enter Child Care
ii.
Register on-line by going to
https://www.pa.cogentid.com/index_dpwNew.htm. Select “Register
Online.” Go through the online registration process. Print out the last
screen where it says you have completed registration. The fee can be
paid online with a credit card or you can submit a money order (if using a
money order make it payable to 3M Cogent).
iii.
Mail in the completed cards, a copy of the registration receipt and a
money order (if applicable) to PA DPW Card Receiver, 3M Cogent, 5025
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Bradenton Ave., Suite A Dublin, Ohio 43017 (address for 3M Cogent will
be provided once you finish registering online).
iv. Important Note - The FBI needs two separate sets of ink print cards
submitted before they will do a name search. So, if there are any issues
with having difficulty obtaining clear prints (medical condition that
doesn’t allow you to fully open your hands, worn fingerprints, etc.) you
might be required to submit a second set of fingerprints. This isn’t
always necessary, but if the first set isn’t clear and the FBI rejects them
this will add a significant delay if you did not get two sets completed
initially. Please be sure to get two done, send them both and the second
set will be held to see if the FBI rejects the first set.
v.
Important Note – When you register on-line, you are going to enter your
address. This address is used to not only assist in the search of a criminal
record but is also used to mail the results letter. Be sure to enter an
address where you can receive your results letter.
d. Once finished it should take 2 to 3 weeks for you to receive your report back
from the FBI. Once you receive it, turn it in.
If you have questions about any of this paperwork or required pre-camp training, contact your
Camp Director or Mike at the PA Dutch Council Service Center 717-553-4205.

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Pennsylvania Dutch Council

Boy Scouts of America

Staff Paperwork and Training Checklist
Complete

What

Who

Staff Application
Staff Employment Agreement & Statement of Understanding
W-4 Withholding Certificate
I-9 Immigration Form
Worker’s Compensation 90 Day Notice Form
Direct Deposit Authorization Form
Certificate of Residence Form

All
All
All Paid
All Paid
All Paid
All Paid
All Paid
All PaidBashore Only
Staff Under 18
All
All
All
All
All
All
All
All
All
All
See # 19
Above

Local Services Tax Form and Exemption Form
Working Permit
Emergency Contact & Permission to Transport Form
BSA Camp Staff Registration
National BSA Camp Staff Code of Conduct
Physical
Camp Staff Uniforms
Unlawful Harassment Prevention Training
Youth Protection Training
Hazardous Weather Training
PA State Police Criminal History Check
Child Abuse History Clearance
FBI Criminal History Check

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Author                          : Mike Manner
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