Ashford School Volunteer Application

We appreciate your interest in volunteering at Ashford School. Our district offers a variety of activities you may choose from when volunteering your time. Simply complete and submit a volunteer application and upon approval you will receive instructions on next steps.

It is very important that the information you enter on the application matches your government issued identification card including your full legal name. It is important that you provide a valid email address so you can be notified as to the status of your application and for future communication. If you are unable to provide an email address, you may use the district’s email address; however, you will be unable to receive email information about the status of your application. All information collected on the application will remain confidential and not be shared outside the volunteer program.

If you have any questions about the application, please request to speak with a volunteer representative.

Thank you,
Pam King

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 volunteers@ashfordct.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 and waiver of liability along with confidentiality statement below and provide your signature

By providing your signature, you are agreeing to abide by the rules and expectations for all Ashford School volunteers. You also agree to one or more of the volunteer activities you have selected may require you to provide your United States social security number so we can perform a criminal background check. Your social security number will only be used for this purpose and we do not retain this information.

Volunteer Confidentiality and Discrimination Statement:

By providing your signature I understand that the information regarding students, families, staff, and the school may be confidential in nature and that as a volunteer for the Ashford School I will...

- Respect the confidential nature of any verbal or written communication I receive regarding students, families, staff, and the school.

- Keep personal information confidential at school and after I leave the school.

- Be discreet in any verbal communication by not discussing students, staff, or families in front of others.

- Immediately report directly to the teacher or principal any information disclosed to me concerning a child's safety.

- Make reasonable efforts to assure that each student is protected from harassment or discrimination.

- Neither harass nor discriminate against any student, staff member, or volunteer on the basis of race, color, religion, sex. age, national or ethnic origin, political beliefs, martial status, handicapping condition, sexual orientation, or social and family background.

I also understand that relationships develop with children at school should remain at school and that for the protection of both the student, staff, and volunteer, volunteers should not be left alone with a child that is out view of school personnel or another adult volunteer.

Volunteers are also reminded that permission to communicate with a student outside the regular school day must be granted by the student's parent/guardian; Ashford School cannot and will not grant this permission.

Waiver of Liability:

The Ashford Board of Education does not provide liability insurance coverage to non-district personnel serving as volunteers for the Ashford Board of Education. The purpose of this waiver is to provide notice to the prospective volunteer that they do not have insurance coverage by the Ashford Board of Education and to document the volunteer’s acknowledgement that they are providing volunteer service at their own risk. However, C.G.S. 10-235 provides that the district must indemnify and hold harmless volunteers from civil liability in most situations as long as the volunteer is approved by the Board of Education to carry out a duty prescribed by the Board and performs services under the direction of a certified teacher. Therefore the district must pay any damages awarded to a plaintiff in an action brought alleging negligence or other act resulting in injury, including infringement of that person’s civil rights.

By your signature below:

You acknowledge that the School District does not provide insurance coverage for the volunteer for any loss, injuries, illness, or death resulting from the volunteer’s unpaid service to the Ashford Board of Education.

You agree to assume all risk for death or any loss, injury, illness or damage of any nature or kind, arising out of the volunteer’s supervised or unsupervised service to the Ashford Board of Education. You agree to waive any and all claims against the Ashford Board of Education, or its officers, Board Members, employees, agents or assigns, for loss due to death, injury, illness or damage of any kind arising out of the volunteer’s supervised or unsupervised service to the Ashford Board of Education.

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 Ashford School 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 someone in the office.