9-Pre-Bid Form-2026 Chester County.pdf
PDF 311 KB Posted
- Attached to
- Solar Procurement and Installation for projects identified by the Sustainable Energy Partnership (“SEP”)
- Solicitation number
- 6599
- Issued by
- Montgomery County, Pennsylvania
About this file
This is a Pre-Bid Application Form for Professional Visitors or Community Volunteers at Chester County Prison, located at 501 South Wawaset Road, West Chester, Pennsylvania. The form is administered by the Program Coordinator at Chester County Prison and is dated June 1, 2025. The document serves as a screening mechanism for individuals or representatives from organizations seeking to volunteer or provide professional services at the correctional facility. Applicants must complete comprehensive background information including personal identification, affiliation details, and a detailed background section addressing prior incarceration history, work experience with inmates at other correctional facilities, personal connections to inmates or victims at Chester County Prison, and current probation or parole status. The form requires submission of a clear photocopy of a valid driver's license or current photo identification document.
The application emphasizes strict compliance requirements, including a certification that applicants have read and understand all guidelines for visitors in corrections and acknowledge that visitors are not permitted to perform professional services unless certified or licensed to do so. Applicants must agree to abide by all rules and regulations governing volunteer service and acknowledge that participation may be immediately terminated if behavior is deemed harmful to the Visitors Program or the institution. Approvals issued through this application process expire after two years. The form includes sections for official use only, including background checks through NCIC, JNET, WAMS, and JMS systems, with separate approvals required from both treatment and security personnel.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
01 June 2025 © Program Coordinator, Chester County Prison, 501 South Wawaset Road, WEST CHESTER, PA, 19382 Page 1 of 2
APPLICATION Form Professional Visitor or Community Volunteer
GENERAL INFORMATION
Last Name
First Name Middle Name(s)
Social Security number
Driver’s License number
Address
City State Zip
Cell Phone Home Phone
Date of Birth (mm dd yyyy) Gender
AFFILIATION
Organization
Address
City State Zip
Contact Person / Group Leader Phone
BACKGROUND
1. If you answer yes on any of the following questions, please provide the question number, when, where, reason, and duration in the space provided below this question.
Have you ever been incarcerated? No___ Yes___
Have you ever worked with inmates at other Correctional Facilities? No ___ Yes___
Have you ever had any friends or relatives incarcerated at Chester County Prison? No___ Yes___
2. Are you on probation or parole? No___ Yes___
If yes, please name the agency:
FOR OFFICIAL USE ONLY ID Update
Communication
Weekly Schedule
Individual Visits
Availability
Requester of the clearance
Please include a CLEAR photocopy of your current valid driver’s license or a copy of any current valid photo identification document with this application.
PLEASE WRITE CLEARLY AND COMPLETE ALL INFORMATION.
01 June 2025 © Program Coordinator, Chester County Prison, 501 South Wawaset Road, WEST CHESTER, PA, 19382 Page 2 of 2
3. Did you ever have any friends or relatives who are/were victims of an inmate incarcerated at Chester County Prison?
No___ Yes___ If yes, please provide:
When
Full Name of Individual
Full Name of Inmate
VOLUNTEER ONLY
1. What do you hope to achieve by volunteering your time and/or your professional services to the Chester County Prison?
Print Full Name
Signature Date: (mm dd yyyy)
FOR OFFICIAL USE ONLY Operator:
NCIC CLEAN JNET WAMS JMS
Treatment approved / disapproved
Security approved / disapproved
I understand that failure to complete any portion of this application and/ or the supplying of any false inaccurate information may result in denial of this application. I hereby agree to abide by all rules and regulations governing my service as a volunteer at the Chester County Prison. I have read and fully understand all sections of the GUIDELINES FOR ALL VISITORS IN CORRECTIONS. I also understand that visitors are not permitted to perform professional services unless certified or licensed to do so. The responsibility of visitors to conduct themselves as a positive role model has been explained. I agree with the Chester County Prison Policy of discontinuing and immediate termination of participation by any visitor whose direct or perceived behavior is determined to be harmful to the Visitors Program and or the Institution.
Approvals will EXPIRE after 2 years.
File details come from the government source that posted it. Updated .