Kirkwood School District Volunteer Application
Any person, who wishes to become a Screened Volunteer in Kirkwood School District, must complete the following application AND register with the Family Care Safety Registry AND complete a fingerprint background check. Once all required materials have been received and reviewed, a member from the Kirkwood School District Human Resources department will contact you.

Please note that we typically receive fingerprint results 36-72 hours AFTER your fingerprints have been taken.
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Last Name
First Name *
Affiliation with the Kirkwood School District *
Social Security Number *
Date of Birth (month, day, year) *
Street Address *
City *
State *
Zip Code *
Phone Number *
Email Address *
I am requesting to: *
Required
If you are requesting to observe, please provide the name of institution, a contact name, and a contact number. *
I am requesting to volunteer and/or observe at: *
Required
Have you ever been convicted, plead guilty to, or received a suspended imposition of sentence for a felony? *
If you selected "yes" for the previous question, please explain the type of felony, date, and county of conviction?
Other than a traffic violation, have you been convicted, plead guilty to, or received a suspended imposition of sentence for a misdemeanor? *
If you selected "yes" please explain the type of misdemeanor, the date, and county of conviction.
Do you have any criminal charges pending against you? *
Have you ever been convicted of a sex or drug related offense or crime of violence? *
Are you required to register as a sex offender under Missouri Chapter 584 RSMO? *
Emergency Contact Contact #1 *
Please include name and phone number.
Emergency Contact Contact #2
Please include name and phone number.
Driver's License Number *
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