The tremendous responsibility West Bend School District has to its school children and community necessitates gathering the above information from all potential volunteers of the West Bend School District. Your responses will not prohibit your consideration; however, any misrepresentations, omissions or falsifications may result in rejection of the application to serve as a volunteer. Applications must be submitted a minimum of 2 weeks prior to an event to allow processing time.

All information provided above is true and correct to the best of my knowledge. I understand that misrepresentations or omissions may be cause for rejection or may be cause for subsequent dismissal as a volunteer.

I voluntarily and knowingly authorize any government agency, its officers, employees and agents to release any and all information regarding my criminal history to the West Bend School District, its officer, employees and agents and understand the West Bend School District may re-check my background at any time.

I voluntarily and knowingly fully release and discharge, absolve, indemnify and hold harmless such agency, its officers and agents from any and all claims, liability, demands, causes of action, damages, or costs, including attorney’s fees, present or future, whether known of unknown, anticipated or unanticipated, arising from or incident to the disclosure or release.

As a volunteer working in the School District of West Bend, I understand that this is a volunteer position that entitles me to no pay or wages from the District for my services. I understand that the information on this form will be added to a school district database and that I may be contacted to volunteer in the areas specified.

I understand that upon approval this volunteer agreement is valid for three school years; however either the West Bend School District or I can end this agreement without notice at any time. I understand that I am eligible to reapply yearly if this application is denied or revoked.

As a volunteer, I have read and understand all materials provided to me, including the Volunteer Code of Conduct.