2017-2018 UME Prep Parent Volunteer Background Check Form- Dallas & Duncanville
Thank you for your interest in volunteering at UME Prep. For all volunteers engaged in direct and extended contact with students in volunteer activities, both during and after school hours, with or without direct monitoring by district employees, UME Prep will need to conduct a background check for the safety of our children. (example: classroom assistance, test readers, making copies for teachers, any in- building or in-class volunteering, field trips, PAC leadership team, etc.). For instances where you want to eat lunch with your children or attend class parties, you can simply check in at the front desk through our check in system, and you will be set. UME's volunteer coordinator will process new entries on a monthly basis. Thank you so much!
Please proof it for accuracy.
City of Residence
Birthdate (Use this format: June 4, 1975)
For background check purposes, we must have month, date, and year. By providing this info, you are giving permission to run a background check. Thank you.
Name as Stated on Your Driver's License
Grade Levels of Students
Check all that apply
Are you interested in applying to become a Substitute Teacher, if needed?
If you click, yes, please go to the HR webpage and submit an application. Thank you.
Have you ever been convicted of or received deferred adjudication for a crime other than a minor traffic offense?
Which campus are you primarily applying for?
Code of Ethics for Volunteers
Please review the list below. No need to respond to this question.
• I realize that being a volunteer for UME Preparatory Academy can help a student to attain his/her maximum educational potential as well as help and encourage all aspects of student growth.
• I will be responsible for arriving on time and be regular and consistent in attendance.
• I will encourage positive attitudes through sincere praise.
• I will be sensitive to procedures and student needs.
• I will be flexible in working with new ideas and materials.
• I agree to keep student information confidential. I will have respect for the confidential nature of school records, assignments, and relationships between staff members and students.
• I will dress modestly and appropriately.
IN ORDER TO PROTECT THE STUDENTS OF UME PREPARATORY ACADEMY, WE ASK OUR VOLUNTEERS TO READ AND INITIAL THE FOLLOWING:
I, the undersigned, authorize UME Preparatory Academy to obtain copies of any information pertaining to any criminal history record maintained by any law enforcement agency and to use said information for the purpose of evaluating my application for volunteering. I have read and understand the Code of Ethics for Volunteers and affirm that all the information contained in this application is true and complete and that misrepresentation, falsification, or omission shall be cause for relinquishing my role as a volunteer at UME Preparatory Academy. (Please initial).
Submit Driver's License via
If you have not received communication that you have already been approved, you can either come to the front office and make a copy or you can take a picture of your driver's license with your cell phone and email it to
, and we will process it no later than Oct. 1 (or within two weeks if a new family). Please put your name in the subject line of the email when you send your picture. Please leave this field blank. If you have any questions, please contact Amanda Appel, Parent Volunteer Coordinator. Thank you.
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