Request edit access
2018-2019 Kewaskum School District Volunteer/Chaperone Background Application
THIS APPLICATION IS FOR ADULT VOLUNTEERS FOR THE KEWASKUM SCHOOL DISTRICT AND CHAPERONES FOR FIELD TRIPS. SEE OTHER APPLICATION FORMS ON OUR DISTRICT WEBSITE FOR STUDENTS AND STEP PROGRAM.
Kewaskum School District has an obligation to its children and community to provide a safe and secure environment for all to learn and achieve their potential. With this obligation, we need to gather the following information for all volunteer/chaperone applicants. Your replies on this application will not prohibit your consideration; however, any misrepresentation, falsification or omission of facts could result in your application to be denied for volunteering or chaperoning.
FULL LEGAL NAME
Please enter your full legal name including maiden, previous married names or alias. Answer NA if not applicable.
LAST NAME *
Your answer
FIRST NAME
Your answer
Middle Name *
Your answer
Maiden Name/Previous Married Name/s or Alias *
Your answer
Gender
Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Your answer
Current Phone Number *
Your answer
Current Address *
Your answer
All Previous Address's, City, State, Zip (less than 10 Years) *
Your answer
Have you ever lived in another STATE? Yes or No, if yes Please provide year and address, if no (NA) *
Your answer
Names of children/grandchildren and grades attending Kewaskum School District *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Kewaskum School District. Report Abuse - Terms of Service