District Volunteer Application

The Cedar Rapids Community School District (CRCSD) recognizes the need to maintain a District Volunteer Services Program to support classroom instruction and co-curricular activities. CRCSD appreciates the involvement of volunteers in supporting instructional programs and enriching the learning environment. The district shall make every reasonable effort to provide a safe learning environment for students working with volunteers. A Volunteer Application is required annually of all volunteers whose primary role is that of working directly with students or assisting staff on a regular basis; supervising/chaperoning students; or acting as an authority figure. Please complete this application if you are interested in serving as an education volunteer with CRCSD. All Volunteer Applications will be checked against the national sex offender database and are subject to a background check.

If you have questions, please contact the District volunteer office at volunteer@crschools.us or 319-558-2001 x78200.

Personal Information

Legal First Name

Address Line 1

Legal Middle Name

I don't have a middle name

Address Line 2 / Apt # / Building #

Legal Last Name

City

Maiden Name

State/Province/Region

Gender

Postal/Zip Code

Date Of Birth

Phone Number Phone number is required

Affiliation

Please note: An email will be sent to the email address entered to inform you of the status of your application. If you do not have access to email, please enter volunteer@cr.k12.ia.us and a district administrator will call you regarding the status.

Please select the schools at which you wish to volunteer

Please select the functions from the list below. (select all that apply)

Please select the organization(s) on behalf of which you are volunteering (if not applicable, select "None")

Please read the disclaimer below and provide your signature

As a volunteer for the Cedar Rapid Community School District, I understand that it is my responsibility to treat information about students, staff, and other situations of a professional nature as confidential. I understand I must hold any information about a student’s academic progress, behavior, or a school-related incident completely confidential. A breach of confidentiality may result in the termination of my involvement as a school volunteer.

Name

Signature

By signing your name you agree to all the above statements. Use the mouse or touch screen to sign.

Thank You

Thank you for applying to volunteer in the Cedar Rapids Community School District! Your application form has been received. You will receive further notification once reviewed.