"Level 2" Volunteer Authorization Request Form
This form must be submitted by the Volunteer Coordinator, School Principal, or the Program Contact person only. Please use this form to request a Live Scan fingerprint background check, which is required for any volunteer who will work unsupervised with children. Please complete the VOLUNTEER'S information below to authorize the volunteer to be fingerprinted.

IMPORTANT: If the Volunteer will be SUPERVISED by certificated staff at all times, or will NOT be working with children, you do NOT need to complete this form. The volunteer only needs to complete the "Level 1" Megan's Law volunteer process at your school site or program's office.
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Email *
Volunteer First Name *
Volunteer Middle Name
Volunteer Last Name *
Volunteer Phone Number *
Volunteer Email Address *
PUSD School/Program *
Reports To: *
Volunteer Assignment Title: *
Does Volunteer Require PUSD Network Access? *
Description of Duties and Responsibilities: *
A copy of your responses will be emailed to the address you provided.
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