Volunteer Form
We appreciate your interest in becoming a volunteer for the Homer Central School District, HCSD.  Volunteering offers a great opportunity to become involved with our students and programs, supporting our teachers and children.  

HCSD Volunteer Process:
  1. Complete the Volunteer Form (either this Google Form or the paper form)
  2. Once completed, the form will be reviewed and references will be contacted.
  3. Once reviewed, the district clerk will place the volunteer's name on the next Board of Education meeting for approval.
  4. After the volunteer is board-approved, their information will be entered into a Google Doc that is viewable by administrators and building secretaries.  
  5. The volunteer will be notified when their services are needed.
  6. The first-time volunteering, the building secretary will run the volunteer's driver’s license through the Raptor system.
This process can take 2-4 weeks to complete as Board of Education appointment is required.

Please note: HCSD employees are not required to follow the volunteer process. - Please okay any volunteer services with the appropriate building administrator.
Sign in to Google to save your progress. Learn more
Email *
Volunteer Information
Last Name *
First Name *
Address *
Phone Number *
Where are you interested in volunteering? (select all that apply) *Only choose Athletics if you have spoken with a Coach or someone in the Athletic Department. *
Required
If you selected Athletics, who did you speak with prior to completing this form? (Coach's name or person in the Athletic Department)
Experience and Background With School Aged Children
Experience - List your current specific title (secretary, sales clerk, stay at home parent, farmer, manufacturer, truck driver, regional manager, etc.) *
Volunteer experience *
Have you ever resigned from a position rather than face disciplinary action? *
Has disciplinary action ever been brought against you which resulted in your being discharged from employment? *
If yes to either of the above questions, please explain.
Have you ever been convicted of any crime (misdemeanor or felony)? *
Have you ever been found in a child protective services report? *
Do you have any legal charges pending against you? *
If yes to any of the last three questions, please explain.
References
List two references, not related to you, who have firsthand knowledge of your character, personality, scholarship and working ability.  (Co-worker, boss, friend, neighbor, etc.) (Not your spouse/partner, mother, father, etc.)
Reference 1 Name *
Reference 1 Relationship - How does this individual know you? (Not related to you) *
Reference 1 Phone Number *
Reference 1 Email
Reference 2 Name *
Reference 2 Relationship - How does this individual know you?  (Not related to you) *
Reference 2 Phone Number *
Reference 2 Email
Emergency Information
In case of emergency, please notify:
Emergency Contact *
Phone Number *
Children
If you have children in our school district, please fill out the information below.
Please list any children you have in our district, along with their respective grade level.
Responsibilities and Expectations
Before submitting, please be aware of the following responsibilities and expectations of a HCSD volunteer. 
  1. Treat all student information as confidential.
  2. Understand the classroom teacher/event supervisor is responsible for the content, instructional techniques, and discipline. 
  3. Avoid expressing differences of opinion or dissatisfaction in the presence of students.
  4. Address any matters of concern with the supervising staff member or the building principal.
  5. Adhere to the Homer Central School District Code of Conduct. 
  6. Refer disciplining issues to the supervising staff member. 
  7. When volunteering during school hours, sign in/out of the office and wear a name badge while in the building. 
  8. Be dependable and punctual.  Notify the cooperating supervisor in advance if you are not able to attend during the scheduled time.  
The Homer Central School District reserves the right to deny and/or revoke volunteer privileges. 
Authorization and Agreement
The information provided herein is accurate.  I authorize the Homer Central School District to request information and records.  I understand the responsibilities and expectations listed above.  
A checkbox denotes authorization and agreement. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of homercentral.org.

Does this form look suspicious? Report

Google Forms