Wildlight Elementary School Volunteer Application 19-20
Information submitted on this form will be submitted to the Nassau County District Office for volunteer approval. This process includes a background check.
Please print and sign your name on the form provided by your child's teacher indicating that the information entered here is true and accurate. Return it to your child's teacher as soon as possible for your application to be submitted to the District Office. Online applications without signature forms will not be submitted for approval.
ONLY ENTER INFORMATION FOR THE PERSON WISHING TO BE APPROVED AS A VOLUNTEER. ALL SECTIONS MUST BE COMPLETED. EACH VOLUNTEER WILL NEED TO COMPLETE A SEPARATE FORM.
Child's Name, Grade, Current Teacher (Enter each child on a separate line)
Volunteer's Last Name
Volunteer's First Name
Date of Birth:
Under 21 years old
21-61 years old
62+ years old
Complete Physical Address (Street Address, City, State, Zip Code) (No PO Boxes accepted)
Cell Phone Number
Driver's License Number and State
I would like to be considered as a volunteer for: (please CHECK ALL items that apply)
ALL SCHOOL ACTIVITIES
Field trip chaperone opportunities only
Organize classroom parties (homeroom mother/father)
Jump Rope for the Heart
Have you ever been convicted of, pleaded guilty to, pleaded nolo contendere (no contest) or had adjudication withheld for a crime constituting a felony or any act involving moral turpitude?
Please print and sign your name on the additional form provided by your child's teacher indicating that the information entered is true and accurate and that you agree to adhere to the statements below. Return it to your child's teacher as soon as possible for your application to be submitted to the District Office.
Thank you for serving as a school volunteer. For the protection of our students, we are requesting a response from each school volunteer on the following items:
1. I agree to acquire, read, and follow the guidelines included in the Volunteer Handbook. 2. As a participant in the volunteer program, I agree to keep strictly confidential any information to which I have access concerning any and all students.
3. It is the policy of the School Board of Nassau County to offer students the opportunity to participate in age appropriate programs, services and activities without regard to race, age, religion, national origin, sex, handicap, or marital status.
4. Students, while they are in school participating in school related activities; are entitled to an environment free of discrimination and/or harassment by other students or adult employees or volunteers.
5. All employees and volunteers are expected to work with other employees to teach students and to supervise or to be supervised in their work by other employees without regard to race, age, religion, national origin, sex, handicap, or marital status.
If you are agreeable to an affirmative response to each of the above statements, please proceed to the next section.
Drug Free Workplace
No employee or volunteer of the School Board shall manufacture, distribute, dispense, possess or use on or in the workplace any alcoholic substance, any intoxicating or auditory, visual, or mental altering chemical or substance or narcotic drug, hallucinogenic drug, amphetamine, barbiturate, marijuana or any other controlled substance, as defined by Federal or State law or rule, or any counterfeit of such drugs or substances all being collectively referred to as drugs. A violation of this policy will lead to disciplinary sanctions up to and including referral for prosecution. By signing the form given to you by your child's teacher and submitting it to the school you hereby acknowledge that you have read, understood, and will uphold the policy on Drug Free Workplace.
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This form was created inside of Nassau County School District.