Unified School District Volunteer Program Form PDF Details

Are you looking for an effective way to give back to your local community and make a difference in the lives of others? Volunteering with a Unified School District Volunteer Program may be right up your alley! Here, we will discuss the details and importance of such programs, as well as walk you through how to register if you choose to volunteer. Keep reading if this sounds like something that interests you!

QuestionAnswer
Form NameUnified School District Volunteer Program Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namessan diego school district volunteer, volunteer high school hospital san diego, volunteer sdusd, san diego city schools volunteer forms

Form Preview Example

SCHOOL YEAR:

________________

SAN DIEGO UNIFIED SCHOOL DISTRICT

Community Relations Department

SCHOOL VOLUNTEER APPLICATION

DATE _____________

DISTRICT SPONSOR _____________________

SCHOOL __________________

FULL NAME _______________________________________________________________________________

 

(FIRST)

(MIDDLE)

 

(LAST)

 

ADDRESS ____________________________________________________ DATE OF BIRTH ______________

 

(STREET)

(CITY)

(ZIP)

 

MO/DAY/YR

 

 

 

Gov Issued ID Type ___________________

HOME PHONE

_______________E-MAIL __________________ID # _______________________________

NOTIFY IN CASE OF EMERGENCY ___________________________________________________________

 

 

(NAME)

 

(PHONE)

CURRENT EMPLOYMENT ___________________________________________________________________

 

 

(EMPLOYER’S NAME)

(ADDRESS)

(PHONE)

VOLUNTEER EXPERIENCE __________________________________________________________________

PERSONAL

______________________________________________________________________________

REFERENCE

(NAME)

(ADDRESS)

 

(PHONE)

Please check whether you are a new or returning SDUSD volunteer.

____ New

____ Returning

Are you also a volunteer at another SDUSD school?

 

____ YES

____ NO

If yes, please indicate the school(s): ______________________________________________________

Do you have any criminal charges pending against you?

____ YES

____ NO

Have you ever been convicted* of a felony or misdemeanor?

____ YES

____ NO

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

 

 

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 _________________________________________

 

Volunteer Walk-on Coach

Processed by HR _____________________________________

Type of volunteer (check if appropriate):

 

 

____

Parent

____

OASIS Volunteer

____

Volunteer Walk-on Coach

____

Community

____

Rolling Reader/EAR

____

Other ________________________

____

Partner

____

College Student

 

 

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 sign-in station.

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, e-mail addresses or any other home directory information with students for any purpose unless it is required as part of my role as a volunteer. I will exchange home directory information only with parental and administrative approval.

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.