PMG Parent/Guardian Volunteer Agreement/Sign-up, 2019-2020
Please complete one form for each parent/guardian who is volunteering.  Thank you!
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First Name of Parent/Guardian *
Last Name of Parent/Guardian *
Address1 *
Address2
City *
State *
Zip Code *
E-mail *
Phone Number *
Cell Phone
Person to Contact in the Event of an Emergency *
(First and Last Name)
Phone Number of Emergency Contact *
I have read and agree to the contents of the Parent Volunteer Manual. *
Please type your first and last name to digitally indicate your agreement.
Statement of Assurance for Volunteers
As a volunteer in the Clinton Township School District, I hereby acknowledge that I have read and understood Board Policy and Regulations #1200, Participation By The Public, and that I will abide by said policy.  I understand that any information I receive about a student is confidential;  I will not discuss any information with others. *
Please type your first and last name to digitally indicate your agreement.
Reporting Potentially Missing or Abused Children
I have read and understand Policy and Regulations #8462, Missing, Abused and Neglected Children.  I will report immediately and directly to DCP&P all incidents of alleged missing, abused and neglected children at 1-877-NJABUSE.  I will also inform the school principal that the report has been made. *
Please type your first and last name to digitally indicate your agreement.
Harassment, Intimidation and Bullying
I have read and understand Policy and Regulations #5512, Harassment, Intimidation and Bullying.  I will report alleged violations of this policy to the Building Principal or designee on the same day that I witness or receive reliable information regarding a violation. *
Please type your first and last name to digitally indicate your agreement.
Please list your child/children's name(s) at this school and teacher(s). *
Please list:  Child's last name, Child's first name/Teacher with each child on a separate line
Please select the grade level(s) of your child/children. *
Please check all that apply.
Required
Please indicate the PMG volunteer opportunities in which you are interested.
Working with your child's class:
Yes
No
Classroom Volunteer
Field Trip Chaperone
Clear selection
Please indicate the PMG volunteer opportunities in which you are interested.
Working with children (may or may not include your own child.)
Yes
No
Cafeteria Help
Literacy Volunteer
Art Room-Parent assistant for select art units
Clear selection
Please indicate the PMG volunteer opportunities in which you are interested.
Administrative/Classroom Help (not working with children):
Yes
No
Library
Copying
Laminating
School Beautification
Gardening/Weeding
Book Room Organization/Book Exchanges
Music Room:  Play an instrument and/or accompany at the Spring Concert
Music Room:  Create costumes/props for the Spring Concert
Music Room:  Weekly assistance with cutting/copying/laminating
Art Room:  Photographing/Uploading artwork to Artsonia
Art Room:  Helping prepare and organize art supplies for class use
Art Room: Pre-cutting materials for projects
Art Room: Making tracing templates for objects
Lost & Found Organization
Bulletin Boards
Special Interest/talent (list in Other)
Clear selection
Other comments (or special talents):
Submit
Clear form
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