L.I.O.N.S. Pride | "Interest Form"
Email address *
How did you hear about L.I.O.N.S. Pride Program? *
Required
CONTACT INFORMATION
Name (First Name Last Name) *
Your answer
Date Of Birth *
MM
/
DD
/
YYYY
Street Address (Ex: 123 Main St) *
Your answer
City, ST Zip Code *
Your answer
Home Phone (Ex: (254)555-5555) *
Your answer
Work Phone (Ex: (254)555-0000) *
Your answer
STUDENT INFORMATION
If you have a student that attends Alta Vista Elementary, then complete THIS section.
If NOT, then PROCEED to the NEXT section.
Do you have a student who attends this campus? *
Name of student(s):
Your answer
Grade:
Your answer
Teacher:
Your answer
Relationship to student(s):
If you chose "other", then please explain:
Your answer
AVAILABILITY
During which hours are you available for volunteer assignments? *
Required
INTERESTS
Other than L.I.O.N.S. Pride, tell us in which areas you are interested in volunteering (check ALL that apply): *
Required
PERSON TO NOTIFY IN CASE OF EMERGENCY
Name: *
Your answer
Street Address: *
Your answer
City ST Zip Code: *
Your answer
Home Phone (Ex: (254)555-5555): *
Your answer
Work Phone (Ex: (254)555-0000): *
Your answer
AGREEMENT AND SIGNATURE
****Please NOTE, due to the nature of this program and all the studetns that will be impacted, it is imperative that we protect the students, teachers and staff that attend Alta Vista Elementary. This means that each prospective volunteer will undergo and must clear a background check. If you choose not to give consent to a background check, then you will not be considered for the opportunity.****
Do you consent to a background check? *
Is there anything that may prevent you from clearing a background check that you would like to disclose at this time? (i.e. felony charges, sexual misconduct, any violations involving children, etc.) *
If "YES", then please explain: *
Your answer
If you are ready to MOVE forward with joining the L.I.O.N.S. Pride, then please proceed to completing the VOLUNTEER BACKGROUND CHECK with Waco ISD.
THANK YOU FOR SHOWING INTEREST IN MAKING OUR SCHOOLS BETTER!!
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