First Name *

Last Name *

Phone Number *

Email Address *

Child's Name

Child's Grade

Child's Teacher

Do you have any special skills, experiences or interests you could share with teachers, students or staff?

Have you ever been charged with or investigated for sexual abuse or harassment of another person? *

Have you ever been convicted of a crime other than a minor traffic offense or entered a plea of guilty or "no contest" (nolo contendere), or has any court every deferred further proceedings without entering a finding of guilty and placed you on probation for any crime other than a minor traffic offense? *

If you answered yes to either of the previous questions, please explain in detail. NOTE: Criminal charges, investigations, arrests or conviction of a crime are not necessarily bars to volunteer service.

I understand a Volunteer at Yarmouth Schools is subject to a satisfactory criminal history and sex offender registry check. I understand also that the Maine State Police need to know the date of my birth in order to perform the criminal record check. Therefore, I am providing my date of birth for this purpose and no other. *

Date of Birth *

Yarmouth School Volunteers further enhance the educational opportunities and experiences of the children within the school system. Volunteers need to be aware of the need for confidentiality in regard to any school/child - related information and recognize that activities will be directed at all times by the classroom teacher and/or volunteer coordinator in accordance with all established educational policies and objectives. This program is an integral part of the Yarmouth School Community requiring dependability and cooperation on the part of the volunteer. *