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CSD Volunteer Application
This form is for individuals interested in volunteering to work with students and staff of the Cedarburg School District.
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Email Address: *
Last Name: *
First Name (official name of record, no nicknames): *
Middle Name (full name, not just initial): *
Previous Name(s) if applicable: *
Date of Birth *
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DD
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Street Address of Current Residence: *
City and State of Current Residence: *
Current Zip Code: *
Have you lived in another state within the past 5 years? (If yes, you will receive an email from SterlingNOW, a self-service background screener.) *
Best phone number at which you can be reached: *
2nd best phone number at which you can be reached: *
Social Security Number (Optional & will not be shared.  Leaving blank may preclude selection for certain activities such as overnight field trips.)
Preferred school(s) or building at which you would like to volunteer: *
Required
Preferred activities for which you would like to volunteer: *
Specific date(s) or date range you are available to volunteer: *
Are you the subject of any pending criminal charges? *
Have you been convicted of a crime other than a minor traffic offense? *
Have you resigned, been suspended or discharged due to inappropriate conduct relating to the health, welfare or education of a child? *
If you answered Yes to any of the above, or have other pertinent information, provide a detailed explanation.  A pending criminal charge or past criminal conviction will not automatically prevent you from volunteering.  Any relevant court documents should be given to the building principal.  Failure to provide an adequate explanation of any positive responses will likely limit your ability to volunteer.
All information contained in this application is true and correct to the best of my knowledge and belief.  I understand that misrepresentations or omissions of any kind may result in denial of my volunteer application.  I authorize the Cedarburg School District to investigate my responses on this application, perform a criminal background check and contact any individuals familiar with me or my employment background, or my volunteer experiences for the purpose of verifying information I have provided and/or for the purpose of obtaining any information about my qualifications to volunteer.  As part of this application and the associated verification process, by entering my name into this form, I fully release and hold harmless the Cedarburg School District and any person or organization that legally obtains or provides information pertaining to me and my qualifications for volunteer assignments.      Enter your first and last name to verify your commitment to the accuracy of your responses and to authorize/release the District to proceed in your processing your application. *
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