2019-20 WDMCS Volunteer Form
Thank you for your interest in volunteering on behalf of our students and schools. To make every reasonable effort to provide a safe learning environment for students working with volunteers at school or school-sponsored activities, the West Des Moines Community Schools requires all interested volunteers to complete this form.

Volunteers are expected to maintain the confidentiality of student and staff information. This expectation is crucial to the safety and well-being of every person in our school. If you have a concern or suggestion regarding a child, please discuss it with the assigned teacher.
Email address *
Email Address *
Your answer
First Name *
Your answer
Last Name *
Your answer
Company Name (if applicable)
Please include your company/organization name if volunteering through your place of business.
Your answer
Address *
Home address if volunteering as a parent or individual. Business address if volunteering through workplace.
Your answer
City *
Your answer
Zip Code *
Your answer
Primary Phone Number *
Your answer
Phone Type *
Emergency Contact Name *
(First and last name)
Your answer
Emergency Contact Phone *
Your answer
Volunteer Disclosure Statement
Any CHECKED answer requires a more in-depth interview with a district administrator and may also require the applicant to sign a waiver giving the district permission to conduct an Iowa criminal history record check.

The district reserves the right to conduct random background investigations of volunteers who have not checked any of these questions. If a volunteer is selected for a random background investigation, the volunteer will be required to sign a waiver giving the district permission to conduct the investigation.

*Under the first item listed below, the term “convicted” includes a guilty plea, a plea of nolo contendere or no contest, a deferred judgment or adjudication, and an adjudication of guilt or delinquency as a minor. Note: Convictions will not necessarily bar you from service as a volunteer. We will consider the number, nature, seriousness, and recency of the convictions in making our decision.
Check if you can answer YES to any of the following statements.
Do you also wish to volunteer to be a driver for school-sponsored events that DO NOT require overnight chaperoning? *
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