District Volunteer Application

Due to concerns for the safety of our students, we have increased our security measures. In an effort to ensure that individuals who work with our students are indeed suitable for such contact, we ask that you complete this form.

These Adult Behavioral Expectations give volunteers the opportunity to reaffirm their commitment and dedication to the well-being of young people. When all volunteers sign a copy of this document, individuals are making a collective statement that youth are being treated with respect, dignity, and attention to individual needs.

In my role as a volunteer, I:

- Accept my responsibility to represent Warsaw Community Schools (WCS) with dignity and pride by being a positive role model for youth.

- Conduct myself in a courteous, respectful manner, exhibit good sportsmanship, and demonstrate reasonable conflict management skills.

- Respect, adhere, and enforce the rules, policies, and guidelines established by WCS including all laws related to child abuse and substance abuse.

- Under no circumstances allow or consume alcohol or illegal drugs at school events or activities. I understand that use of, or being under the influence of, alcohol or illegal drugs while in the presence of students and at a school program or activity may result in my termination.

- Recognize that verbal or physical abuse, failure to comply with equal opportunities, and anti-discrimination laws or committing criminal acts may be grounds for termination as a faculty member, staff member, or volunteer.

- Respect confidentiality in regard to sensitive issues concerning the students and/or the school.

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 HR2@warsawschools.org 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

I authorize the school district to check my employment history, including without limitation, reference checks, and see the release of investigating information, including a "limited criminal history" possessed by any private or public employer or any local, state, or federal agency. I authorize these private or public employees or local, state, or federal agencies to provide the school district any information that they may release concerning the matter described herein, and I will cooperate to the extent necessary to obtain the release of this information.

I expressly waive in connection with any request for, or provision of such information, any claims or causes of action, including without limitation, defamation, infliction of emotional distress, invasion of privacy, or interference with contractual relations that I might otherwise have against the school district, its officials, employees, trustees, or agents, or against any provider of such information.

By signing below, I acknowledge that I have read and agree to abide by the behavioral expectations in this document. A signed copy of this document will be kept by the school and/or administration office.

I have read this authorization and release of all claims, and I expressly agree to the terms set out herein.

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. In the near future, you will be notified as to your volunteer status. If you have any questions, please request to speak with a volunteer representative.