Alma Public Schools

1) Name:

Name of Volunteer. Full Legal Name

2) Address:

Address of Volunteer. Full Address including Street / City / State / Zip and apartment number (if necessary)

3) Phone Number:

Phone Number of Volunteer.

4) Date of Birth:

Birthday of Volunteer.

6) Gender

Male

Female

7) Email:

Email of Volunteer.

8) Names of children attending the District, if any:

Names of any / all children that attend school in Alma

9) Have you previously volunteered for the District?

Yes

No

10) Have you previously been denied the opportunity to volunteer for the District?

No

Yes

11) Are you a registered sex offender?

No

Yes

12) Have you been convicted of a felony?

No

Yes

13) If you answered "yes" to question 10, please describe the offense(s), date(s), and location(s): (optional)

14) Are you the subject of a current criminal or child protective services investigation or do you have pending criminal charges against you?

No

Yes

15) If you answered "yes" to question 12, please describe the investigation or charges: (optional)

16) Title/Description of Volunteer Position

Please describe the position you are Volunteering for

17) Start Date: (optional)

18) End Date: (optional)

Agreement:

Volunteer agrees to indemnify, defend, and hold harmless the District, its officers,

employees, agents, board members, students, and guests from all claims, damages, and

liabilities, including attorneys’ fees, in any manner arising out of Volunteer’s volunteer

services. Volunteer is responsible for all injuries or damages to persons or property caused

by Volunteer.

If the District approves this request, Volunteer certifies that when serving in the volunteer

position he or she will: (i) perform as a volunteer and not as a District employee; (ii) comply

with all federal, state, and local laws, rules, and regulations; (iii) comply with any additional

requirements or conditions that may be imposed by the Superintendent; and (iv) not use or

be under the influence of illegal drugs or alcohol.

Volunteer acknowledges that volunteering for the District is a privilege, not a right. The

District’s Superintendent or designee may reject a person’s request or terminate a

Volunteer’s assignment at any time for any reason that is not unlawful. Volunteer may also

be required to complete a background check at any time and hereby consents to such a

background check.

Volunteer confirms that, to the best of his or her knowledge, the information provided within

this form is true, complete, and accurate.

19) Valid ID:

Volunteer must provide a valid form of photo identification (e.g., driver’s license, passport, or state issued identification card).

Max 10 files | 200 MB limit

20) Volunteer Signature: Signature

I understand that my typed signature is the legal equivalent of my handwritten signature on this document.

21) date

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