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Westerly Public Schools - Volunteer Application
Pursuant to Rhode Island General Laws § 16-2-18.4 and § 16-2-18.5 Westerly Public Schools requires that all volunteers undergo a state background check (BCI) prior to volunteering and then on an annual basis going forward.

To obtain a BCI, you will need to complete a Criminal Record Release Form and deliver the form to the Westerly Police Department located at 60 Airport Road, Westerly RI 02891. There is no appointment necessary to drop off the form and there is no cost associated for this service. Please allow up to 10 business days for processing.

In those situations in which no disqualifying information has been found, the bureau of criminal identification, state police or local police department shall inform the prospective volunteer and the District. Under Rhode Island General Law § 16-2-18.4, "disqualifying information" means those offenses listed in § 23-17-37, and those offenses listed in §§ 11-37-8.1 and 11-37-8.3.

Email address
First Name
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Middle Name
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Last Name
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Suffix
Other Name(s) Known By
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Street Address
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Street Address 2
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City
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State
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Zip
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Primary Phone
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Alternate Phone
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Are you 18 years of age or older?
Date of Birth
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Other states you have resided in in the past 5 years
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What types of activities are you interested in volunteering in?
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What certifications or skills, if any, do you have?
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Have you ever worked for Westerly Public Schools?
Have you ever volunteered for Westerly Public Schools?
Emergency Contact Information
Please list 2 people we can notify in the event of an emergency.
Full Name
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Relationship
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Street Address
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City
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State
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Zip
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Primary Phone
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Alternate Phone
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Full Name
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Relationship
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Street Address
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City
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State
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Zip
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Your answer
Primary Phone
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Alternate Phone
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I am a
Please check all that apply to you
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By checking this box and submitting this application I certify that the information I have entered on this application is complete and correct. I understand my failure to provide complete, accurate, and truthful information on the application will be grounds to deny my application or remove me as an approved volunteer of the District after volunteering has commenced.
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Today's Date
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A copy of your responses will be emailed to the address you provided.
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