Lawrenceville Elementary School Volunteer Registration Form 2019-2020
Volunteers will perform services for GCPS, which may require the volunteer to have access to confidential information.

Confidential Information is any information regardless of format about an individual student and includes but is not limited to student numbers, social security numbers, transcripts, grades, conduct, health information, eligibility for special education programs, individualized educational programs, psychological and psycho education evaluations, absenteeism, and exam papers. Without written permission none of this information should be disclosed to persons outside the employ of Gwinnett County School District.

This form is to be completed by all LES Volunteers each time they volunteer.
Name (Nombre): *
Your answer
Date (Fecha): *
MM
/
DD
/
YYYY
Address (Dirección): *
Your answer
City (Ciudad): State (Estado): Zip Code(Código Postal) : *
Your answer
Phone Number (Número de teléfono): *
Your answer
E-mail (Correo electrónico): *
Your answer
Emergency Contact (Contacto en caso Emergencia): Name (Nombre)/Phone# (Número de teléfono) *
Your answer
Gender/Sexo: *
What language do you speak other than English (Que idoma habla ademas de Español)
Your answer
Days available to volunteer (Días disponibles para ser voluntario): *
Required
Time Available (Hora Disponible): *
Your answer
Area Volunteering (Area de Voluntario) *
Required
Do you have a student in LES (Tiene un estudiante en LES)
Student Name and Teacher (Nombre del estudiante y maestro(a)
Your answer
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