GAGE ELEMENTARY SCHOOL VOLUNTEER APPLICATION
This form will need to be completed each school year.
SCHOOL YEAR:
*
FULL NAME
*
First Name
Last Name
ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DATE OF BIRTH
*
-
Month
-
Day
Year
Date
HOME PHONE
*
Format: (000) 000-0000.
E-MAIL
*
example@example.com
Please list the name(s) of your child(ren):
*
ID # (Government issued ID)
*
NOTIFY IN CASE OF EMERGENCY
*
First Name
Last Name
NOTIFY IN CASE OF EMERGENCY (PHONE)
*
Format: (000) 000-0000.
CURRENT EMPLOYMENT
CURRENT EMPLOYMENT (PHONE)
Format: (000) 000-0000.
VOLUNTEER EXPERIENCE
PERSONAL REFERENCE
First Name
Last Name
PERSONAL REFERENCE (PHONE)
Format: (000) 000-0000.
Are you 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
If "yes," please explain:
*Conviction includes a finding of guilty by a court in a trial with or without a jury or a plea or or verdict of guilty.
Revised March 2026
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Tuberculosis Clearance: Please select an option below. If you need the nurse to clear you, please visit on Wednesdays.
*
Please Select
I believe Gage has one on file
I will visit the school nurse
I will upload test results below
Upload copy of TB test (good for 4 yrs)
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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
*
-
Month
-
Day
Year
Date
Revised March 2026
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