District Volunteer Application

Thank you for your interest in volunteering with the Midlothian Independent School District. Completion of this form is not necessary for attending class parties, field days as a spectator, awards, lunches, or assemblies during the instructional day on campus. Please complete the volunteer application and submit all information requested if you plan to chaperone. All personal data submitted by applicants is confidential. Including a personal email address in your application will ensure you are informed once your application is approved. As part of standard school safety practices, all volunteers and visitors to MISD must provide a photo ID each time they visit any District facility. For assistance with your volunteer application, please visit the campus where you wish to volunteer. You must complete this form every year to be eligible each school year.

Sincerely,

MISD – Student Services & Security Department

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

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 volunteer_archive@misd.gs 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 by the state to authorize clearance within this school district.

State Issued Driver License; or

Passport; or

State Issued Photo ID

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 acknowledge that a Computerized Criminal History (CCH) check will be performed by accessing the Texas Department of Public Safety Secure Website and will be based on name and DOB identifiers I supply as required by state law to volunteer in Texas schools . (This is not a consent form, but serves as information for the applicant.) Authority for this agency to access an individual’s criminal history data may be found in Texas Government Code 411; Subchapter F.

Name-based information is not an exact search and only fingerprint record searches represent true identification to criminal history record information (CHRI), therefore the organization conducting the criminal history check is not allowed to discuss with me any CHRI obtained using the name and DOB method.

The agency may request that I also have a fingerprint search performed to clear any misidentification based on the result of the name and DOB search. In order to complete the fingerprint process I must make an appointment with the Fingerprint Applicant Services of Texas (FAST) as instructed online at www.txdps.state.tx.us /Crime Records/ Review of Personal Criminal History or by calling the DPS Program Vendor at 1-888-467-2080, submit a full and complete set of fingerprints, request a copy be sent to the agency listed below, and pay a fee of $25.00 to the fingerprinting services company.

Once this process is completed the information on my fingerprint criminal history record may be discussed with me.

DPS Computerized Criminal History (CCH) Verification I have read and understand the above statement:

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 submitting your application.Your application is under review, and you will receive an email notifying you if approved. In the event, you do not receive an email within 14 business days, please contact deborah_essary@misd.gs.

Sincerely,