Retirement Citation

My office accepts citation requests at all times, but please allow three to four weeks prior to an event for a request to be processed. If a citation is needed in two weeks or less, please give my office a call to ensure appropriate arrangements are made. While we do try our best, we cannot guarantee a citation will be available by a certain date. For any questions, please contact my office at 717-749-7384.

Please forward any other appropriate information to jpeters@pahousegop.com.

General Information

Full Name of Person to be Cited *

Street Address *

City *

State *

Zip Code (5-digit) *

Phone Number (with Area Code) *

Presentation

Would like Rep. Schemel to present this citation *

In Person
In Private

Preferred Date *

Preferred Time *

Preferred Location *

Notes

Retirement Information

Place of Employment *

Date of Hire *

Date of Retirement *

Professional or Community Achievements *

Contact Information

Name of Applicant *

Applicant's Phone Number *

Email Address *

Leaving this box checked verifies that you would like to receive legislative email updates.

Street Address *

City *

State *

Zip Code (5-digit) *

Additonal Notes