The Unified School District Volunteer Program form is a comprehensive document designed for individuals looking to volunteer within the school system, outlining a range of necessary information and requirements. It captures essential details starting from the basic personal information, including name, address, and date of birth, to more specific data like employment history, volunteer experience, and personal references. Critical to the application process are declarations regarding the applicant’s background, specifically concerning past criminal charges, convictions, or the requirement to register as a sex offender, ensuring a secure environment for students. Additionally, the form probes into the volunteer’s intentions, asking whether they are a new or returning volunteer, if they volunteer at other schools within the district, and their plans to drive during school field trips, highlighting the district’s thorough approach to safety and responsibility. A segment dedicated to background and health checks underscores the district’s commitment to maintaining a safe educational atmosphere, requiring tests like TB screening and various levels of background checks depending on the volunteer role. The Volunteer Code of Conduct attached to the form emphasizes the expected ethical behavior, ranging from maintaining confidentiality to ensuring the welfare and safety of the students. By signing the application, volunteers affirm their understanding and agreement to adhere to these guidelines, reinforcing the collaborative effort between volunteers and the school district to foster a productive and secure learning environment.
| Question | Answer |
|---|---|
| Form Name | Unified School District Volunteer Program Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | san diego school district volunteer, volunteer high school hospital san diego, volunteer sdusd, san diego city schools volunteer forms |
SCHOOL YEAR:
________________
SAN DIEGO UNIFIED SCHOOL DISTRICT
Community Relations Department
SCHOOL VOLUNTEER APPLICATION
DATE _____________ |
DISTRICT SPONSOR _____________________ |
SCHOOL __________________ |
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FULL NAME _______________________________________________________________________________ |
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(FIRST) |
(MIDDLE) |
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(LAST) |
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ADDRESS ____________________________________________________ DATE OF BIRTH ______________ |
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(STREET) |
(CITY) |
(ZIP) |
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MO/DAY/YR |
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Gov Issued ID Type ___________________ |
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HOME PHONE |
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NOTIFY IN CASE OF EMERGENCY ___________________________________________________________ |
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(NAME) |
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(PHONE) |
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CURRENT EMPLOYMENT ___________________________________________________________________ |
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(EMPLOYER’S NAME) |
(ADDRESS) |
(PHONE) |
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VOLUNTEER EXPERIENCE __________________________________________________________________ |
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PERSONAL |
______________________________________________________________________________ |
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REFERENCE |
(NAME) |
(ADDRESS) |
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(PHONE) |
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Please check whether you are a new or returning SDUSD volunteer. |
____ New |
____ Returning |
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Are you also a volunteer at another SDUSD school? |
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____ YES |
____ NO |
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If yes, please indicate the school(s): ______________________________________________________
Do you have any criminal charges pending against you? |
____ YES |
____ NO |
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Have you ever been convicted* of a felony or misdemeanor? |
____ YES |
____ NO |
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Have you ever been convicted* of a sex, drug or weapon related offense? |
____ YES |
____ |
NO |
Are you required to register as a sex offender under Penal Code 290.95? |
____ YES |
____ |
NO |
*Conviction includes a finding of guilty by a court in a trial with or without a jury or a plea or verdict of guilty.
If “YES,” please explain: _________________________________________________________________________
Parent Volunteers: Please check whether you plan to drive |
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for a field trip during the school year. |
____ YES |
____ NO |
Please list the name(s) of your child(ren): ___________________________________________________
For security reasons, a background check will be conducted by school site staff and/or SDUSD School Police Services. Volunteer assignments may be terminated if service is unsatisfactory or no longer needed by the school district. You may not volunteer if you are required to register as a sex offender under California law.
I give my permission to have my personal and professional references researched and hold the district and any individuals providing the district with information harmless. By signing my name below, I declare under penalty of perjury, that all the information on this application is true and correct. I also declare that I have read and agree to follow the “Volunteer Code of Conduct.”
Volunteer Signature:______________________________________________________________________________________________________________________ Date: ___________________________________________________________________
TO BE COMPLETED BY VOLUNTEER COORDINATOR:
TB test completed (Date): __________________________________________
Volunteer category (check appropriate box and indicate date cleared):
Category B |
Megan’s Law database check - cleared _____________________________ |
Category C |
SDUSD School Police background check - cleared ___________________ |
Category D |
Fingerprinting - cleared _________________________________________ |
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Volunteer |
Processed by HR _____________________________________ |
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Type of volunteer (check if appropriate): |
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____ |
Parent |
____ |
OASIS Volunteer |
____ |
Volunteer |
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Community |
____ |
Rolling Reader/EAR |
____ |
Other ________________________ |
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____ |
Partner |
____ |
College Student |
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Volunteer service ended (date): ____________
Reason for leaving:
____ Child no longer at school
____ Moved |
____ Illness |
____ Employment |
____ Requested to Leave |
____ Other ______________________________
VOLUNTEER APPLICATIONS SHOULD BE FILED AT THE SCHOOL SITE WITH TB AND BACKGROUND CLEARANCE DOCUMENTATION AND SAVED FOR 3 YEARS.
District Administrative Procedure #4595 |
Revised May 2011 |
Community Relations Department
VOLUNTEER CODE OF CONDUCT
(This document defines the district’s expectations for all school volunteers.)
As a volunteer, I agree to abide by the following code of volunteer conduct:
1.Immediately upon arrival, I will sign in at the main office or the designated
2.I will wear or show volunteer identification whenever required by the school to do so.
3.I will use only adult bathroom facilities.
4.I agree to never be alone with individual students who are not under the supervision of teachers or school authorities.
5.I will not contact students outside of school hours without permission from the students’ parents.
6.I agree not to exchange telephone numbers, home addresses,
7.I will maintain confidentiality outside of school and will share with teachers and/or school administrators any concerns that I may have related to student welfare and/or safety.
8.I agree to not transport students without the written permission of parents or guardians or without the expressed permission of the school or district and will abide by District Administrative Procedure # 4586 when transporting students.
9.I will not disclose, use, or disseminate student photographs or personal information about students, self, or others.
10.I agree to follow the district procedure for screening of volunteers.
11.I agree to notify the school principal if I am arrested for a misdemeanor or felony sex, drug or weapon related offense.
12.I agree only to do what is in the best personal and educational interest of every child with whom I come into contact.
I agree to follow the Volunteer Code of Conduct at all times or cease volunteering immediately.