LCM BAND VOLUNTEER REGISTRATION

VOLUNTEER BACKGROUND CHECK PERMISSION FORM
*Required for Band Chaperones*
LITTLE CYPRESS-MAURICEVILLE CISD

Please complete this form if you plan to volunteer in any capacity during the year; including field trip chaperone, class parties, weekly classroom volunteer, or any other volunteer position.
CONFIDENTIAL
In an effort to provide the safest possible environment for our students, the Little Cypress- Mauriceville Consolidated Independent School District obtains criminal history information on each prospective volunteer annually. The information requested below is necessary for this safeguard and will be held strictly confidential.
Volunteer's First Name:
Volunteer's Middle Name:
Volunteer's Last Name:
Date of Birth:

MonthDayYear
Gender:

MaleFemale
Ethnicity:

BlackWhiteHispanicAsianOther
Campus(es) where you will serve (MVE, LCE, LCI, LCJH, MMS, LCMHS):
I am a:

ParentGrandparentBusiness/Industry VolunteerCommunity MemberOther
I understand the information I am providing about age, sex and ethnicity will be used solely for the purpose of obtaining criminal history record information.
Volunteer Signature

Clear
Your Child(rens) Names & Campus(es)

Child's NameCampus
Child's NameCampus
Child's NameCampus
Child's NameCampus
If you have questions or need additional information, please contact your child's campus.

MVE - (409)745-3970 * LCE - (409)883-2838 * LCI - (409)886-4245

LCJH - (409)883-2317 * MMS - (409)745-1615 * LCMHS - (409)886-5821
LCM BAND VOLUNTEER OPPORTUNITIES
Volunteer Phone Number
Volunteer Email
Please select the items you would like to help with, you may select as many as you wish:
I would like to sign up to help with the following:

UniformsPizza FridayVIP ParkingTreat BoxesPrepare Meals for Band
I would like to sign up to chaperone/volunteer for the following:

Away Game Bus ChaperoneField Helper-Assist with PodiumsField Helper-Assist Handing Out Plumes & WaterField Helper-Assist with Color GuardField Helper- Assist with Pit Equipment and BarriersField Helper-Assist with PropsTrip Chaperones
Should be Empty:

Now create your own Jotform - It's free!Create your own Jotform

LCM BAND VOLUNTEER OPPORTUNITIES