BISD Volunteer Application
THANK YOU for your interest in volunteering in the Bainbridge Island School District (BISD)!

The Volunteer Application process provides BISD with required and helpful information about you, your interests and skills, and it ensures the safety of our students, staff and you as a volunteer. It is in compliance with Washington State Law (RCW 43.43.830). All volunteers must complete the application and screening procedure BEFORE volunteering in our schools in any capacity.

There are five parts to the Volunteer Application Procedure:

Required training:
1. BISD Volunteer Program Orientation and Training PowerPoint (PPT)
2. Volunteer Training Review

Required forms:
3. Volunteer Application
4. Volunteer Agreement
5. Volunteer Disclosure and Consent

Additionally, you must submit a copy of your driver license or photo ID (with birthdate) to:
BISD Community Relations
8489 Madison Avenue NE
or
to the office manager at any school
or
via scan and email to: volunteer@bisd303.org

After viewing the "BISD Volunteer Program Orientation and Training PowerPoint" (found under the volunteer secion on our website, or copy and paste this address into your web browser: https://www.bisd303.org/cms/lib/WA01001636/Centricity/Domain/120/Volunteer%20Orientation%20-%20Revised%20082017.pdf), complete the Training Review and the Volunteer Application sections below. You will need to complete these in one sitting, which will take approximately 20 minutes.

BISD VOLUNTEER PROGRAM ORIENTATION AND TRAINING POWERPOINT - Section 1
Viewing the "BISD Volunteer Program Orientation and Training" PowerPoint is the first part of the volunteer application process. Please do not complete the following forms until you have viewed the Volunteer Program Orientation and Training PowerPoint.
On what date did you view the "BISD Volunteer Program Orientation and Training" PowerPoint? *
MM
/
DD
/
YYYY
VOLUNTEER TRAINING REVIEW - Section 2
In order to ensure that volunteers clearly understand the related policies and procedures of the Bainbridge Island School District (BISD), anyone wishing to volunteer in the schools must participate in a volunteer training. After viewing the "BISD Volunteer Program Orientation and Training," place your initials by each of the following items to signify consent and understanding. Your response will be sent to the district's Community Relations, and when all elements of the Volunteer Application procedure complete, your name will be added to a comprehensive list of approved volunteers. An approved volunteer may serve in any and all schools in the district. Approval lasts for two years. After two years, this process must be completed again. Thank you for your interest and for your support of our students and staff.
LAST name as it appears on your driver license: *
Your answer
FIRST name as it appears on your driver license: *
Your answer
Middle initial *
Enter "None" if you do not have a middle initial.
Your answer
Other names *
Please list other names you have gone by --- if this doesn't apply, please enter "None"
Your answer
DISTRICT RIGHTS: I understand that volunteering is a privilege, not a right, and that the District may, in its sole discretion, decide to discontinue any volunteer's participation at any time and for any reason or no reason with or without notice or warning. Volunteer Handbook, page 7, last paragraph and page 8 last bullet point. *
Place your initials as they match the name on your driver license in the text box following each item. This indicates that you will abide by the statements.
Your answer
VOLUNTEER / STUDENT BOUNDARIES: I understand that volunteers will not intrude on a student's physical or emotional boundaries. A boundary invasion is an act or omission that violates professional boundaries and has the potential to abuse the staff or volunteer/student relationship. *
Policy & Procedure 5253: Maintaining Professional Staff/Student Boundaries Note: Volunteer is always synonymous with Staff. Place your initials as they match the name on your driver license in the text box. This indicates that you will abide by the statements.
Your answer
DISCRIMINATION, HARASSMENT, INTIMIDATION AND BULLYING: The District is committed to a safe and civil educational environment for all students, employees, parents/legal guardians, volunteers and patrons that is free from harassment, intimidation, bullying and cyber-bullying. Harassment, intimidation and bullying are defined as any intentional verbal or physical act or any written message or image, including those that are electronically transmitted, that have the purpose or effect of materially or substantially interfering with an individual's educational or work performance, or creating an intimidating, hostile, or offensive educational or work environment. Prohibition Against Sexual Harassment is defined as unwelcome sexual advances, or requests for sexual favors, or sexually-motivated physical contact, or other verbal or physical conduct or communication of a sexual nature. If I observe, overhear, or otherwise witness harassment, intimidation or bullying of any kind, I am required to take prompt and appropriate action to stop the harassment and report it to the school administrator. *
Policies & Procedures 3700 and 5013: Prohibition Against Sexual Harassment; and 3706 and 5015: Prohibition Against Harassment, Intimidation and Bullying. Place your initials as they match the name on your driver license in the text box. This indicates that you will abide by the statements.
Your answer
I will comply with and follow all directions of school administrators and staff. *
Place your initials as they match the name on your driver license in the text box. This indicates that you will abide by the statements.
Your answer
I will respect the confidentiality of students and staff members. *
Place your initials as they match the name on your driver license in the text box. This indicates that you will abide by the statements.
Your answer
I will respect culture, religion and lifestyle diversity, and conform to federal and state laws prohibiting discrimination on the basis of race, color, national origin (including language), sex, sexual orientation (including gender expression or identity), creed, religion, age, veteran or military status, disability, or the use of a trained dog guide/service animal. *
Volunteer Handbook, page 1, and Policy & Procedure 3211: Equal Educational Opportunity: Prohibition Against Discrimination. Place your initials as they match the name on your driver license in the text box. This indicates that you will abide by the statements.
Your answer
I understand that my conduct in and around district facilities includes: no smoking or tobacco, no weapons, no drugs or alcohol, and no use of school equipment for personal purposes. *
Volunteer Handbook, page 8. Place your initials as they match the name on your driver license in the text box. This indicates that you will abide by the statements.
Your answer
VOLUNTEER APPLICATION - Section 3
This provides us with additional contact information, and your skills, references, interests, and other required information.
Daytime phone number *
Example: 206-842-4117
Your answer
Evening phone number *
Example: 206-842-3371
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
Email address *
Your answer
BISD Employee?
If you're a BISD employee, please indicate where you work in the district.
Your answer
Education, Employment and Volunteer Experience
This helps staff to appropriately use and apply your skills and experience.
Name of last school attended *
Your answer
Location of last school attended *
Your answer
Courses of Study / Degree(s)
Your answer
Number of years completed or graduation date
Attended for ___ years, or mm/yyyy of graduation.
Your answer
Current occupation, if applicable
Your answer
Current employer
Your answer
Employer's phone number
Example: 206-842-4714
Your answer
Previous employment history
(within the last 5 years)
Your answer
Volunteer experience
(within the last 5 years)
Your answer
Previous work with children/youth
Your answer
References
Thank you for sharing at least one reference whom we may contact if necessary.
1. Name of reference #1 *
Example: First name, then last name - Pam Keyes.
Your answer
Street address of reference #1 *
Example: 8489 Madison Avenue N.E.
Your answer
City, state, and zip code of reference #1 *
Example: Bainbridge Island, WA 98110
Your answer
Telephone for reference #1 *
Example: 206-780-1398
Your answer
Email for reference #1 *
Your answer
Relationship of reference #1 to you *
Your answer
Name of reference #2
Example: First name, then last name - Pam Keyes
Your answer
Street address of reference #2
Example: 8489 Madison Avenue N.E.
Your answer
City, state and zip code of reference #2
Example: Bainbridge Island, WA 98110
Your answer
Telephone for reference #2
Example: 206-780-1398
Your answer
Email for reference #2
Your answer
Relationship of reference #2 to you
Your answer
Background / Driving Information
Do you have any physical or mental conditions of which we should be aware for your safety or that would limit your ability to do specific volunteer activities? *
If yes, please explain (limitations, activity restrictions, etc.).
*A physical or mental condition does not disqualify a volunteer. This data is used to determine how to accommodate special needs.
Your answer
Do you have a valid Washington State driver license? If the answer is no, please contact the Volunteer Coordinator at volunteer@bisd303.org for assistance. *
If yes, license #:
Your answer
My initials in the following box certify that all statements made on this applicaton are true, complete and correct to the best of my knowledge and belief. I understand these statements are subject to verification. My initials also indicate that I have read the BISD Volunteer Handbook, that I will complete the following Volunteer Agreement and the Disclosure and Consent forms, and that I have completed the online training and review. My initials also authorize Bainbridge Island School District to complete a Washington State Patrol Request for Criminal History, or comparable background check with out-of-state agencies, as well as other reference checks as needed. NOTE: A conviction on a background check may not disqualify a volunteer applicant. I understand that volunteering is a privilege, not a right, and that the District may, in its sole discretion, decide to discontinue any volunteer's participation at any time and for any reason or no reason, with or without notice or warning.
Your answer
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