KCI Volunteer Form
The Keystone Classroom Initiative is a storytelling and visitation program for pre-K through fourth grade classrooms, children's hospitals, and youth camps across the Commonwealth. Along with an age-appropriate historical reenactor, storyteller, mascot, or local celebrity, America250PA will visit children across PA to educate them about our shared Pennsylvania story, as well as distribute our originally-designed America250PA Coloring Book and related materials. All volunteers are required to check-in NO LESS than 30 minutes prior to the visit time listed below. If you are interested in volunteering for this initiative, please fill out the following form! *You will receive a briefing 24 hours prior to the event.
Name
*
First Name
Last Name
Organization/Affiliation
*
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County of Residence
*
Are you a mascot?
*
Yes
No
If you are a mascot, please specify your mascot name and organization:
Please indicate which school visit you would like to volunteer for (select all that apply). All volunteers are required to check in NO LESS than 30 minutes prior to the visit time listed.
*
Middleburg Elementary School (Midd-West School District - Snyder County) - September 9, 2025 - 8:30am start
Penn Hills Elementary School (Penn Hills School District -Allegheny County) - September 18. 2025 - 9:30am start
Pleasant Valley Elementary School (Pleasant Valley School District - Monroe County) - September 19, 2025 - 9:30am start
Hydetown Elementary School (Titusville Area School District - Crawford County) - November 3, 2025 - 8:30am start
Main Street Elementary School (Titusville Area School District - Crawford County) - November 3, 2025 - 12:30pm start
Pleasantville Elementary School (Titusville Area School District - Venango County) - November 3, 2025 - 2:00pm
All volunteers will be assigned as guest readers unless noted below. If you are not comfortable reading, America250PA will assign you to other tasks, such as loading/unloading materials, distributing backpacks, etc.
*
I am comfortable reading
I am NOT comfortable reading
Please list any special accommodations you require
Please select your t-shirt size
*
Please Select
Medium
Large
X-Large
2XL
Size options: M – 2XL; Size availability not guaranteed
Clearance Information
If you have up-to-date clearances (listed below), please upload them here. Preferred but not required. https://epatch.state.pa.us/Home.jsp AND https://www.dhs.pa.gov/KeepKidsSafe/Clearances/Pages/PA-Child-Abuse-History-Clearance.aspx
Please upload your TWO clearances below:
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