Volunteer Application Form
By answering and entering your name and other information below, you affirm that the information is true and complete to your knowledge. By providing direct services to children, you authorize the Evansville Vanderburgh School Corporation to conduct a criminal record check, which will be contingent upon your placement and or continuation with all programs.

The Evansville Vanderburgh School Corporation does not discriminate on the basis of sex, color, religion, national origin, age or disability in any of its educational or employment programs or activities.

If you have questions about this form, please contact Kathy Osburn at the EVSC's Center for Family, School, and Community Partnerships at 812-435-8378.

First Name *
Your answer
Middle Name
Your answer
Maiden Name
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone *
Your answer
Cell Phone
Your answer
Email
Your answer
Date of Birth mm/dd/yyyy *
Your answer
Ethnicity *
Gender *
Please list the names of the school or schools at which you want to volunteer
Your answer
Are you volunteering as a *
Please check areas of interest: *
Required
If you wish to volunteer at an event or field trip, please list the date of the event/field trip
MM
/
DD
/
YYYY
Name of organization through which you are volunteering
Your answer
Have you ever been convicted, pled guilty or pled no contest to a criminal offense, other than a minor traffic violation *
Have you ever been arrested for a drug or sexual related offense or act of violence *
Have you ever been convicted of a felony or charged with an offense involving drugs or alcohol *
Have you ever been convicted of a felony or charged with an offense involving child abuse, sexual aberrations or moral turpitude *
By selecting yes, I give approval for the EVSC to conduct a criminal record check *
Date *
MM
/
DD
/
YYYY
Submit
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This form was created inside of Evansville Vanderburgh School Corporation.