Dental Screening Volunteer Sign up Form
2025-2026 School Year
Archie Elementary
Wednesday, September 10th, 2025
Archie Elementary Morning Session - 9:00 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!
Archie Elementary Afternoon Session - 12:00 PM - 2:30 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Conn West Elementary
Friday, September 12th, 2025
Conn West Morning Session - 9:00 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!
Conn West Afternoon Session - 12:00 PM - 2:30 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
East Lynne Elementary
Wednesday, September 17th, 2025
East Lynne Morning Session - 9:00 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!
Belvidere Elementary
Friday, September 19th, 2025
Belvidere Morning Session - 9:30 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!
Belvidere Afternoon Session - 12:30 PM - 2:30 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
Wednesday, September 24th, 2025
Martin City Morning Session - 9:00 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 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!
Harrisonville Middle School
Friday, September 26th, 2025
Harrisonville Middle School Morning Session - 9:00 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!
Gladden Elementary
Friday, September 26th, 2025
Gladden Elementary Afternoon Session - 12:00PM - 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 Elementary
Wednesday, October 1st, 2025
Pleasant Hill Elementary Morning Session - 9:00 AM - 11:00 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 Elementary Afternoon Session - 11:30 AM - 1:30 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Belton High School (9th & 11th)
Friday, October 3rd, 2025
Belton High School Morning Session - 9:00 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!
Belton High School Afternoon Session - 12:30 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!
Wilckens STEAM Academy
Friday, October 10th, 2025
Wilckens STEAM Morning Session - 9:00 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!
Wilckens STEAM Afternoon Session - 12:30 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!
Belton Middle School
Friday, October 10th, 2025
Belton Middle School 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!
Belton Middle School Afternoon Session - 12:15 PM - 2:30 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Harrisonville Elementary
Wednesday, October 15th, 2025
Harrisonville Elementary Morning Session - 9:00 AM - 12:30 PM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Harrisonville Elementary Afternoon Session - 1:00 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!
Meadowmere Elementary
Friday, October 17th, 2025
Meadowmere Morning Session - 9:00 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!
Meadowmere Afternoon Session - 12:30 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!
Strasburg Elementary
Friday, October 24th, 2025
Strasburg 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!
Scott Educational Center
Friday, October 24th, 2025
Scott EDU Session - 1:30 PM - 2:30 PM
Please Select
PM Screener
McEowen Elementary
Wednesday, October 29th, 2025
McEowen Morning Session - 9:00 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!
McEowen Afternoon Session - 12:00 PM - 2:00 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Mill Creek Upper Elementary
Wednesday, November 5th, 2025
Mill Creek Morning Session - 9:00 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!
Mill Creek Afternoon Session - 12:30 PM - 2:30 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 & HS
Friday, November 7th, 2025
Midway Morning Session - 9:00 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!
Midway Afternoon Session - 12:30 PM - 2:30 PM
Please Select
PM Screener
PM Varnisher
PM Recorder
PM Student Flow Volunteer
PM Oral Health Educator
Put me where you need me!
Belton High School (10th & 12th)
Friday, November 12th, 2025
Belton High School Morning Session - 9:00 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!
Belton High School 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!
Grace Early Childhood
Wednesday, November 12th, 2025
Grace ECC Morning Session - 9:00 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!
Grace ECC 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!
Pleasant Hill Intermediate
Friday, November 14th, 2025
Pleasant Hill Intermediate Morning Session - 9:00 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!
Pleasant Hill Intermediate 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!
Drexel Elementary & HS
Wednesday, November 19, 2025
Drexel Morning Session - 9:30 AM - 12:30 PM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Butcher Greene Elementary
Friday, November 21st, 2025
Butcher Greene Morning Session - 9:30 AM - 12:30 PM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
Cambridge Elementary
Friday December 5th, 2025
Cambridge 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!
Cambridge 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!
Kentucky Trail Elementary
Friday, December 12th, 2025
Kentucky Trail Morning Session - 9:00 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!
Kentucky Trail Afternoon Session - 12:30 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!
Creekmor Elementary
Friday, January 16th, 2026
Creekmor Morning Session - 9:00 AM - 11:00 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 Primary
Friday, January 23rd, 2026
Pleasant Hill Primary Morning Session - 9:00 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!
Stonegate Elementary
Friday, February 6th, 2026
Stonegate Afternoon Session - 1:00 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!
Shull Early Learning Center
Friday, February 20th, 2026
Shull ECC Morning Session - 9:00 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 - 12:00 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!
Timber Creek Elementary
Friday, February 27th, 2026
Timber Creek Morning Session - 10:00 AM - 12:00 AM
Please Select
AM Screener
AM Varnisher
AM Recorder
AM Student Flow Volunteer
AM Oral Health Educator
Put me where you need me!
I am interested in volunteering at one or more of the following schools that is not yet scheduled.
Bridle Ridge Elementary
Eagle Glen Elementary
Peculiar Elementary
Raymore Elementary
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
I am interested in helping prep for Dental Screenings by coming to the clinic for the following:
Filling out paperwork
Packing materials
Assembling dental supply bags
Volunteering day of only
Submit Form
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