Volunteer Application Form

Volunteer Application Form
Full Name*

First Name Last Name
Birth Date*

Month Day Year
Social Security number*

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
E-mail
Do you have children or are you related to any children registered at this school?

Yes No
Name of Student & Relationship to student
Name of Student & Relationship to student
Name of Student & Relationship to student
Name of Student & Relationship to student
Emergency Contact Information for Volunteer
Emergency Contact's Full Name

First Name Last Name

Emergency Contact's Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Emergency Contact's Phone Number

Area Code Phone Number
Do you as a volunteer, have any allergies, physical limitations, disabilities, medical or health concerns that we should be aware of? Please specify.
As a volunteer, I fully understand and agree to the following:
• School volunteer service is permitted at the discretion of the Principal.

• I will preserve the confidentiality of any personal information which I may see or hear in respect to students, parents, staff or administration. I will hold all such information in the strictest of confidence and I shall not use, copy or disclose such information to any other individual in whole or in part, in any manner or form, unless I have obtained the permission of the Principal.

• Any information collected, used, generated, and stored by the school including student, instructional, financial, or administrative information is strictly confidential and is to be used only in the performance of volunteer duties.

• I may not disclose, communicate, publish, take, alter, copy, interfere with, or destroy any information unless I am specifically authorized to do so by the teacher or the Principal.

• Teaching and administration staff are responsible for student learning and discipline.

• School administration, teaching and support staff have specific roles to play and it is important that the staff of a school operate as a team. A volunteer can assist greatly in enhancing student learning by working positively and cooperatively with the school team.
A valid and satisfactory Criminal Record Check including a Vulnerable Sector Inquiry is required before volunteer approval is confirmed. Please attach the original copy with your application from.
By signing this volunteer application from, I agree to the conditions outlined. I certify that the information given in this form is true and correct and I agree that falsification or omission of information may result in my removal as a volunteer.
If under the age of 18 a parent or legal guardian must sign.
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I hereby certify that I am the parent/legal guardian of "the volunteer", a minor, and that s/he has my permission to serve as a volunteer. As the parent/legal guardian, I understand and have full knowledge of the nature and extent of the risks involved with his/her participation as a school volunteer.
eSignature*
Current Date

Month Day Year
at Hour Minutes
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Emergency Contact Information for Volunteer

As a volunteer, I fully understand and agree to the following:

If under the age of 18 a parent or legal guardian must sign.