Rowe School - Volunteer Registration
Please complete a separate form for EACH student in your family. Registration is valid for the 2019-2020 school year.
* Required
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Child's Name
Your answer
Child's Grade
Choose
K
1
Child's Teacher
Choose
Berry
Boutin
Bradford
Caron
Cross
Elder
Finnen
Good
Lemay
Lee
McFarland
Melevsky
Uraneck
Do you have any special skills, experiences or interests you could share with teachers, students or staff?
Your answer
Authorization for Criminal Record Check Request
In accordance with Yarmouth School Policy, in order to ensure the safety of Yarmouth students, we need to include the following questions:
Have you ever been charged with or investigated for sexual abuse or harassment of another person?
*
Yes
No
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?
*
Yes
No
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.
Your answer
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.
*
I authorize Yarmouth Schools to conduct a criminal history and sex offender registry check.
Date of Birth
*
MM
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DD
/
YYYY
Philosophy Agreement Statement
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.
*
Yes, I have read, understand, and will comply with the terms of this agreement.
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