Volunteer in Public Schools (VIPS) Registration Form
To register for the VIPS Program you must complete this online form and the BPS CORI form. Then you need to bring the completed CORI form and your identification to one of the following locations; any Barnstable Public School, the Barnstable Administration Building or the Family and Community Engagement Center. Acceptable forms of ID; passport, driver’s license, or state identification card. If you have any questions, please contact us at 508-790-6345 ext. 118.
Name: *
Your answer
Mailing Address: *
Your answer
Email Address: *
Your answer
Home/Cell Number: *
Your answer
May we send you email notices updating you of new opportunities to volunteer? *
Current Status: *
School your child attends (if applicable): *
Your answer
Please share with us any volunteer experience you may have had: *
Your answer
Please share with us languages you are fluent in: *
Your answer
Please indicate the type of volunteer work preferred: *
Required
Please indicate other or off-site opportunities you might be interested in providing to BPS community: (ex: stuffing envelopes, making folder packets, designing notices)
Your answer
Please describe areas of interest, skills or hobbies that you would like to share with the BPS community: *
Your answer
School you are interested in: *
Required
Please fill in preferred days of availability
Mornings
Afternoons
Evenings
Monday
Tuesday
Wednesday
Thursday
Friday
How many hours a day are you available: *
Your answer
REFERENCE INFORMATION
1. Reference Name and Phone Number: *
Your answer
2. Reference Name and Phone Number *
Your answer
EMERGENCY CONTACT INFORMATION
1. Emergency Contact Name and Phone Number: *
Your answer
2. Emergency Contact Name and Phone Number: *
Your answer
Do you have a medical/ physical condition we should be made aware of in case of an emergency? *
Signature of Applicant *
Your answer
Date: *
MM
/
DD
/
YYYY
To Complete the VIPS Application Process
To register for the VIPS Program you must complete this online form and the BPS CORI form. Then you need to bring the completed CORI form and your identification to one of the following locations; any Barnstable Public School, the Barnstable Administration Building or the Family and Community Engagement Center. Acceptable forms of ID; passport, driver’s license, or state identification card. If you have any questions, please contact us at 508-790-6345 ext. 118.
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