CTMS Parent/Guardian Volunteer Agreement/Sign-up, 2018-2019
Please complete one form for each parent/guardian who is volunteering. Thank you!
First Name of Parent/Guardian *
Your answer
Last Name of Parent/Guardian *
Your answer
Address1 *
Your answer
Address2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
E-mail *
Your answer
Phone Number *
Your answer
Cell Phone
Your answer
Person to Contact in the Event of an Emergency *
(First and Last Name)
Your answer
Phone Number of Emergency Contact *
Your answer
I have read and agree to the contents of the Parent Volunteer Manual. *
Please type your first and last name to digitally indicate your agreement.
Your answer
Statement of Assurance for Volunteers
As a volunteer in the Clinton Township School District, I hereby acknowledge that I have read and understood Board Policy and Regulations #1200, Participation By The Public, and that I will abide by said policy. I understand that any information I receive about a student is confidential; I will not discuss any information with others. *
Please type your first and last name to digitally indicate your agreement.
Your answer
Reporting Potentially Missing or Abused Children
I have read and understand Policy and Regulations #8462, Missing, Abused and Neglected Children. I will report immediately and directly to DCP&P all incidents of alleged missing, abused and neglected children at 1-877-NJABUSE. I will also inform the school principal that the report has been made. *
Please type your first and last name to digitally indicate your agreement.
Your answer
Harassment, Intimidation and Bullying
I have read and understand Policy and Regulations #5512, Harassment, Intimidation and Bullying. I will report alleged violations of this policy to the Building Principal or designee on the same day that I witness or receive reliable information regarding a violation. *
Please type your first and last name to digitally indicate your agreement.
Your answer
Please list your child/children's name(s) at this school and teacher(s). *
Please list: Child's last name, Child's first name/Teacher with each child on a separate line
Your answer
Please select the grade level(s) of your child/children. *
Please check all that apply.
Required
Please indicate the CTMS volunteer opportunities in which you are interested. *
Yes
No
Library Assistance
Enrichment Assistance
Bulletin Boards/Displays
CTMS Drama Production:  Set Construction
CTMS Drama Production:  Making Props
CTMS Drama Production:  Photography
CTMS Drama Production:  Chaperones
CTMS Drama Production:  Hair/Make-Up
Hershey Chaperones
Special Interest/talent (list in Other)
Other comments (or special talents):
Your answer
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