Clovis Unified School District Volunteer Application

Clovis Unified encourages parents/guardians and other members of the community to share their time, knowledge and abilities with our students. Community volunteers in our schools enrich the educational program, contribute to school safety, and strengthen our schools’ relationships with the community.

In order to be a volunteer you must follow the guidelines in Board Policy 9212:

1. Complete this online volunteer application, which will include a Megan’s Law background check (Penal code 290). Applications are good for 4 years from the date of the TB assessment.

2. Have a current clear TB assessment within the last 4 years if you will have ongoing, frequent or prolonged contact with students (8 hours or more per school year). One-day volunteers may be exempt. (Ed. Code 49406(m)).

3. Have a current vaccination card that can be uploaded as part of the application.

4. Be fingerprinted when placed in a situation in which you would directly supervise students with-out a paid District employee present (i.e. off-campus activities such as Sierra Outdoor School, overnight events or any activity without direct supervision by a paid District employee).

Preschool Volunteers have additional requirements set forth by Community Care Licensing including: TB proof or Risk Assessment within one year regardless of number of hours volunteering, Proof of Immunizations including Measles and Pertussis, Proof of Influenza Immunization or Influenza Waiver Form.

No person has any right to provide, nor is the District obligated to accept volunteer services. A person also has no right to a particular volunteer assignment, event, location or classroom. Volunteers shall act in accordance with state and federal laws, District policies and regulations, including but not limited to Board Policy No. 9202 (School Visitors) and Board Policy No. 9210 (Civility Policy), and school rules.

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

Gender

Zip Code

Date Of Birth

Phone Number Phone number is required

Affiliation

Preferred Language (for future communications)

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 none@no.com 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)

Documents

The following documents are required in order to volunteer within Clovis Unified School District. For Preschool volunteers, please take your additional documents to the Child Development office and not the school site. Please note, if your document is double sided, upload the side with the signature and expiration date.

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

I agree to volunteer my services for the District without compensation or reimbursement. I understand that I may be required to provide my fingerprints for the purpose of obtaining a criminal record summary from the California State Department of Justice and the Federal Bureau of Investigation pursuant to Education Code section 49024. I understand that all involvement with students shall be under District staff supervision and is restricted to the school day, on the school grounds, or at a school-sponsored activity.
I agree to comply with federal and state laws, District board policies and administrative regulations, and school rules, including but not limited to, Board Policies No. 1250 (Visitors/Public Attendance at District Events) and 1250.1 (Civility Policy). While performing volunteer services for the District, I may have access to certain student information; I agree to keep such information confidential.
COVID-19 Vaccination Verification: I am fully vaccinated and am attaching a copy of my vaccination record card or other proof of vaccination that reflects the following information:

Type of Vaccine: __Pfizer-BioNTech __Moderna __Johnson and Johnson/Janssen

Vaccination Date: Dose 1 _____________________ Dose 2_____________________

Upon the District’s request, I will provide the original COVID-19 vaccination record card or other written proof to validate my vaccination status. I understand and consent to the District contacting the medical provider that administered the vaccine to verify my vaccination status. Information regarding the requirement for vaccine verification may be found at the following links: CDPH COVID-19 Vaccine Verification Public Health Order and CDPH COVID-19 Vaccine Record Guidelines and Standards.

I agree to indemnify and hold harmless the District and its governing board and members thereof, officers, employees, and agents for and against any demands, claims, causes of action, actions, costs, and liabilities arising out or resulting from my intentional or willful acts, including but not limited to, child abuse and molestation. I understand that the District will not indemnify or defend me for or against any such acts.

This authorization shall remain in effect while I am involved in the above described volunteer service for the District.

Name

Signature

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

Thank You

Your volunteer application has been successfully submitted and will be reviewed per the district’s volunteer policy. If you did not upload all required documentation, please provide to the school site selected during the application process as soon as possible. We will not be able to process your application until complete.

In the near future, you will be notified by email as to your volunteer status. If you have any questions, please speak with your school site.