Watch D.O.G.S. Registration Form
Summit Christian Academy - Click "Submit" at the bottom of this form to submit it to the administrator.
Last Name *
Your answer
First Name *
(Full Name Please)
Your answer
Middle Initial *
Your answer
Name you go by if different than first name as listed above
Your answer
Date of Birth *
MM/DD/YYYY (Used to complete background check)
Your answer
Email Address *
(Only used to communicate WATCH D.O.G.S. Updates)
Your answer
Address *
Street address or P.O. Box
Your answer
City *
Your answer
State *
Two letter abbreviation
Your answer
Zip *
Your answer
Phone Number
Your answer
Place of Employment
Your answer
Would your employer consider being a funding partner for the school or the WATCH D.O.G.S. program?
If yes, whom should the Watchdog coordinator contact?
Name and contact number
Your answer
T-Shirt Size *
T-Shirts are required and are $15.00 a piece. Payment should be made to the elementary office once shirt is delivered.
If you have questions, please contact Andy Coats at, or call (816) 944-9660.
In order to serve as a Watchdog at Summit Christian Academy, a simple background check will be completed after you complete this form. You will receive email notification when your application is approved and you may then start volunteering. Thank you for your interest in the Watch D.O.G.S. program at SCA!

Volunteer Policy

PURPOSE: To ensure for the safety and well-being of the students, staff, and visitors by properly vetting all applicants for the Watch D.O.G.S. program at Summit Christian Academy.

POLICY: A primary purpose of the Watch D.O.G.S. program is to increase the number of positive male role models within the school environment. Only father figures who pass a standard background check as described in this policy may serve as a Watch D.O.G. at Summit Christian Academy.

A. Application Process

1. Applicants for the Watch D.O.G.S. program may apply using a paper registration form or by using an on-line form if
available. The application process is a one-time process and the registration will carry from year to year.

2. Once the registration form is received by the Watch D.O.G.S. coordinator, a background check of the applicant will
be conducted.

3. The results of the background check will be forwarded to school administration, who ultimately will make the
decision to approve or disprove the application.

B. Background Check

1. A background check will be conducted on all applicants for the Watch D.O.G.S. program. The background check will
consist of a computer check of the following:
a. Missouri sex offender registry
b. National sex offender registry
c. Missouri court records (
d. Basic Google check - The basic Google check will consist of entering the applicants name in a “Google

C. Reasons for Denial

1. An applicant for the Watch D.O.G.S. program will be denied if any of the following relating to the applicant is
uncovered during the background check or by other means.
a. Any felony criminal conviction
b. Any pending criminal charge
c. Any sex related charge with or without a conviction
d. Any other information uncovered that indicates the applicant may not be a positive role model for the students.

2. An applicant may also be denied for any other reason as the school administration deems appropriate. This
decision will be made with the safety and well-being of the students in mind.

D. Records to be kept

Records relating to the background checks will be maintained at the school by the school administration.

E. Right to appeal

An applicant does not have the right to appeal a decision made by the school administration regarding the applicants
into the program.

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