RVS Parent/Guardian Volunteer Agreement/Sign-up, 2019-2020
Please complete one form for each parent/guardian who is volunteering.  Thank you!
Sign in to Google to save your progress. Learn more
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 RVS volunteer opportunities in which you are interested. *
Yes
No
Copying
Gardening/Weeding
Enrichment Assistance - compilation of Wordmaster items
Library
Create Bulletin Boards
Courtyard Beautification
Pizza Night
Diversity Night
Book Fair
Special Interest, Talent, Accomplishments: List in Other
Other comments (or special talents):
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Clinton Township School District. Report Abuse
Google Forms