School Volunteer Application

School Volunteer Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Last 4 digits of Social Security Number:*
Date of Birth:*

MonthDayYear
Date
Place of Birth:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact Person:*

First NameLast Name
Emergency Contact Telephone Number:*
Please enter a valid phone number.
School Volunteering in:*

DBSWRSOQSHMMSHHSHACTCAthletics
Activity/Program:*
Times you are available to volunteer:*

one hour or more each weekabout an hour or two each monthoccasionally, for special projects
The best days and times for you to volunteer are:*
Talents and interests that you would like to share include:
Listed below are some examples of areas where volunteers are needed in the Hartford Schools. Individual teachers or schools may have other opportunities not listed here.

·         reading with individual students or small groups of students.

·         helping with special art/music projects.

·         tutoring students in special topics.

·         coaching students in research and writing skills.

·         chaperoning field trips or dances.

·         presenting about a hobby, travel, career, or other special topic.

·         assisting in the office with mailings, typing, copying, etc.

·        general assistance in the school.
Policy Guidelines for Volunteers

Confidentiality

Information about students, a student’s family and school staff is confidential. Volunteers have a duty to protect the privacy of others by not repeating stories, gossip or other personal information to their friends, neighbors or family members. Absolutely no personal information - including name, age, personal characteristics, disability, school performance or conduct - regarding any student may be shared with anyone outside of the school. If the volunteer has a concern about a student or particular situation, the volunteer should discuss these issues in private with the classroom teacher or appropriate school staff.

Discipline and Supervision

School employees have the responsibility to maintain order and protect people in the school setting. Employees work within a framework of clear rules and punishments and cannot use physical means to control a situation except in extreme cases. Volunteers must get help from school staff whenever there is a need to discipline student(s).

Student Safety and Security

The safety and well-being of our children is a priority. A Vermont fingerprint supported criminal records check is required of any volunteer who will spend any time with a student/s without the direct supervision of a school employee.

All volunteers will have their name and date of birth run through the Vermont Online Sex Abuse Registry and will have a Department of Child and Families Background Check completed. Depending on the results of any of the record checks, a volunteer applicant may be rejected and not allowed to volunteer in any Hartford School or program.
I have read and understand the confidentiality and discipline policy included in this application. The facts set forth in this application are true and complete. I understand that misleading statements and/or false information will disqualify me from volunteering for the Hartford School District. I understand that the school district’s administration will use its discretion in determining who will be approved to serve as a volunteer, that all volunteers serve at the will of the Hartford School District and that the District may terminate my ability to volunteer at any time.
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