Volunteer Application

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Volunteer Application

Any person wishing to volunteer in a capacity with students must complete the Volunteer Clearance Process prior to being assigned to a volunteer position within a building. The information disclosed on these forms will be used only in making the initial decision of whether you are eligible to volunteer and will not be used or disseminated for any other purpose. This process includes the following documents:

Disclosure Statement. Form required to comply with current RCWs.
Immunization and Infectious Disease Record. This information is gathered for the protection of students, staff and community members in the event of an outbreak of disease. Marking Personal or Religious exemption may exclude a volunteer from work during the duration of the outbreak.
Washington State Patrol Request for Criminal History Information. Information on this form is used to obtain a background report pursuant to current RCWs and serves as notice to the applicant that the background report will be requested. Background reports received from WSP are maintained as confidential records in the District Office. Decisions in regard to an applicant’s status as a volunteer are made following receipt of the background report.
Guidelines for Volunteers and Chaperones. This signed document provides basic information on procedures for the Volunteer and Chaperone.

All of the information I have provided in this application is true, correct, and complete. As a volunteer for the Ridgefield School District, I understand that the services I am providing are voluntary in nature, and I do not expect to receive any compensation or benefits from the School District. I understand that volunteering depends on the truth and accuracy of the information provided on my application, the disclosure statement and results of the background check. I understand the Ridgefield School District has the right to determine who is accepted as a volunteer.

Ridgefield School District No.122 complies with all state and federal rules and regulations and provides equal opportunity in programs and employment and does not unlawfully discriminate on the basis of race, color, national origin/language, marital status, HIV/Hepatitis C status, sex, sexual orientation-including gender expression or identity, creed, religion, age, veteran or military status, disability, or the use of a trained dog guide or service animal by a person with a disability, and provides equal access to the Boy Scouts of America and other designated youth groups.

Ridgefield School District will also take steps to assure that national origin persons who lack English language skills can participate in all education programs, services and activities. For information regarding translation services, bilingual education or inquiries regarding compliance procedures, contact Luke LeCount, Title IX, 510 Pioneer St., Ridgefield, WA 98642, (360) 619-1378, or by email at luke.lecount@ridgefieldsd.org.

Date *

YYYY

Volunteer Clearance Process

Legal Name *

First, Middle and Last Name

Mailing Address *

Please provide the address at which you receive mail.

Primary Phone *

Please provide your primary phone number.

Email Address *

Please provide your personal email address.

Date of Birth *

Please provide your birthday and year.

Gender *

Level of Volunteer *

Please check all boxes that apply.

Visitor | Supervised (ex. class observations, guest speaker, court appointed advocate, etc.)

Volunteer Level 1 | Supervised (ex. classroom volunteer, daytime field trips, etc.)

Volunteer Level 2 | Supervised & Unsupervised (ex. athletic coaches, overnight trips, transporting students, etc.)

Athletic Coach (High School or Middle School)

CISPUS Volunteer

Required

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