2019-20 Volunteer Form
Volunteers are an important part of helping Zion Lutheran School operate all of its various programs. If your volunteering will bring you into direct contact with our students, you must have this form on file with the school. We value all of our volunteers and are thankful for their service to our school. In our day and age we must be vigilant regarding the safety and well-being of our students as well as for the safety and well-being of our volunteers and their reputations.
Email address *
Name of Volunteer [First, Middle, Last] *
Your answer
I am connected to the following Zion student[s]: *
We are not always sure which grandmas and grandpas, etc. go with which students if the last names are different.
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Your answer
Date of Birth *
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Street Address of Volunteer *
Your answer
City, State and Zip Code of Volunteer *
Your answer
Volunteer's Phone Number *
Your answer
Volunteer's driver's license number
Your answer
Please list any other schools or organizations, if any, where you have volunteered or currently volunteer to work with children: *
Provide contact information for each school/organization
Your answer
I agree to work under the supervision and direction of the Principal, the Athletic Director and staff of Zion Lutheran School. *
Required
If driving students, I have a valid driver’s license and car insurance. My vehicle is in good working order and has seat belts for all occupants. Students must be belted in when traveling for school-related activities. *
Required
For my protection, I will have another adult with me if I am to be alone with students either in the school building or in my vehicle. *
Required
I understand that the school staff will review volunteer participation at Zion Lutheran School. I also understand that a simple background check will be completed before volunteering duties begin. *
Required
I have not been charged, convicted, or accused of any type of abuse of children. [neglect, physical, sexual, other] *
Required
I have not been accused or convicted of any crimes against children. *
Required
Checking the box constitutes your signature on this form. *
Required
Please enter today's date. *
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