Mohr Volunteer Form 2016-2017
If you are interested in volunteering at Mohr during the 2016-2017 school year, please complete the online volunteer form. If you have already submitted a hard copy of the Volunteer Clearance form to the Office in May--it is not necessary to complete the online form below. Thank you for volunteering!
Student Name *
Your answer
Parent First Name *
Your answer
Parent Middle Name *
Your answer
Parent Last Name *
Your answer
Address - Street Number and Street Name *
Your answer
Address - City and Zip Code *
Your answer
Date of Birth (of Applicant) *
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Gender *
Required
California Driver's License or California I.D. *
Your answer
Phone Number (please include area code first) *
Your answer
Other Schools (please list) *
Your answer
Signature *
By typing my name I agree to the following: I authorize the Pleasanton Unified School District to submit this information to the Pleasanton Police Department to complete the volunteer screening process. I also understand that in the course of my volunteer association with Pleasanton Unified School District, I share the responsibility of maintaining student, employee and District confidentiality as to any information, whether written, verbal, or by actions observed, which may be available to me. I further understand that in the course and scope of my volunteer status, I am not to discuss academic, social or other confidential information regarding students or school employees with anyone, including the parents of any student. Any breach of confidentiality will be carefully reviewed by Pleasanton Unified School District and, if substantiated, may result in the termination of my volunteer involvement with the school district.
Your answer
Today's Date *
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