STEM Prep Volunteer Application
By submitting this form, you certify under penalty of perjury that the following statements are true and complete, and you authorize STEM Prep Schools, Inc., to complete a background check as a condition of school volunteer service, as provided by California Education Code 45125.5.
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Email *
First Name: *
Last Name: *
Maiden Name/Other Names Used: *
Residence Address: *
Cell Phone: *
Work Phone: *
Emergency Contact Name and Phone: *
Date of Birth: *
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Length of residence in county? *
Previous Address (if less than 5 years): *
Physical Limitations: if yes, please explain. *
Relationship to any student(s) or staff member at school? If yes, please explain: *
Languages spoken: *
Required
Please respond to the following: I am interested in volunteering because *
Do you have any felony convictions? If yes, please explain: *
Have you ever been convicted of any sex offense for which you must register with any Law Enforcement Agency pursuant to Penal Code 290? *
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