Dental Screening Volunteer Sign up Form
Bridle Ridge Elementary
January 17th, 2025
Bridle Ridge Morning Session - 8:30 AM -11:30 AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Bridle Ridge Afternoon Session - 12:45 PM - 3:00 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Creekmor Elementary
January 24th, 2025
Creekmor Morning Session - 8:45 AM - 11:15 AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Eagle Glen Elementary
January 31st, 2025
Eagle Glen Morning Session - 8:45 AM - 11:15 AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Peculiar Elementary
February 7th, 2025
Peculiar Morning Session - 9:45 AM - 11:15 AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Meadowmere Elementary
February 12th, 2025
Meadowmere Morning Session - 9:45 AM - 12:00 PM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Shull Early Childhood
February 21st, 2025
Shull ECC Morning Session - 9:30 AM - 11:30 AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Shull ECC Afternoon Session - 1:00 PM - 3:30 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Stonegate Elementary
February 28th, 2025
Stonegate Afternoon Session - 1:30 PM - 3:30 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Timber Creek Elementary
March 7th, 2025
Timber Creek Morning Session - 8:30 AM - 12:00 PM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Timber Creek Afternoon Session - 1:00 PM - 3:30 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Raymore Elementary
March 7th, 2025
Raymore Afternoon Session - 1:30 PM - 3:30 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Drexel Elementary & High School
March 14th, 2025
Drexel Elem. Morning Session - 8:30 AM - 11:30 AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Drexel HS Afternoon Session - 12:30 PM - 3:00 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Strasburg Elementary
March 21st, 2025
Strasburg Elementary Afternoon Session - 12:30 PM - 3:00 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Midway Elementary & High School
March 28th, 2025
Midway Elem. Morning Session - 8:30 AM - 11:35 AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Midway HS Afternoon Session - 12:45 PM - 3:00 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Scott Educational Center
April 4th, 2025
Scott EC Morning Session - 9:00AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Scott EC Afternoon Session - 12:45 PM - 3:00 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Pleasant Hill Intermediate
April 11th, 2025
Pleasant Hill Intermediate- Morning Session - 9:00 AM - 11:15 AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Pleasant Hill Intermediate- Afternoon Session - 12:45 PM - 3:20 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Martin City Elementary
April 18th, 2025
Martin City Elementary Morning Session - 8:30 AM - 12:00 PM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Martin City Elementary Afternoon Session - 12:30 PM - 2:20 PM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Harrisonville Headstart
May 5th, 2025
Harrisonville Headstart - 8:30 AM - 10:00 AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Hello! We have completed our Screenings for the School Year! Please sign up if you are interested in donating your time in the Fall of 2025.
Full Name
First Name
Last Name
Please enter dental credentials, if applicable.
E-mail
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Are you over 18?
Yes
No
If the position I choose happens to be filled by another volunteer, I am still willing to attend and volunteer in other capacities.
Yes
No
MEDIA RELEASE: I hereby consent that any photographs/video/audio taken of me by Cass County Health Foundation may be used by them or assignees for the purpose of illustration, teaching, web content, or publicity in any form. NOTE: If you do not want to be photographed, please also remind the Cass County Dental Clinic employee who is present at each dental screening event.
*
Yes
No
By answering "Yes" below, I certify that I have completed this form accurately and on my own behalf.
Yes
No
Submit Form
Should be Empty: