Pewaukee School District Volunteer Application

We appreciate your interest in volunteering for the Pewaukee School District. We offer a variety of activities you may choose from when donating your time. Simply submit the volunteer application, and upon approval you will be good for three years from that date, for all volunteer opportunities at all schools, including field trip chaperone. You will need a one-time driver's license scan as well. This can be done during regular school hours and takes only one minute.

It is very important that the information you enter on the application matches your driver's license--including your full legal name. You must provide a valid email address to be notified as to the status of your application, and for future communication. All information collected on the application will remain confidential and will not be shared outside the volunteer program.

If you have any questions about the application, please request to speak with our District Volunteer Coordinator at 262-701-5513.

Thank you for your support in education.

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 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

By providing your signature, you are agreeing to abide by the rules and regulations of the Pewaukee School District Volunteer Program. Serving as a volunteer 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.

DISCLOSUREOF INTENT TO OBTAIN BACKGROUND REPORTS :

For volunteer purposes, the Pewaukee School District, and/or JD Palatine, LLC. may obtain consumer reports, or investigative consumer reports, in connection with your volunteer application or from time to time during volunteering period in accordance with applicable law. Consumer reports include record checks conducted by consumer reporting agencies and may include driving records or criminal records. You may make a written request for a summary of consumer rights and a disclosure of the nature and scope of an investigation. A disclosure of the nature and scope of such investigation is provided below.

DISCLOSURE OF NATURE AND SCOPE OF INVESTIGATION
FOR INVESTIGATIVE CONSUMER REPORT
In the event we request an investigative consumer report in connection with your volunteer application or during your volunteering, a consumer reporting agency will prepare an investigative consumer report based on the following investigation: The agency will also conduct a records check of driving and criminal records. Such a report will be obtained from JD Palatine, LLC. I have received a summary of my rights under the Fair Credit Reporting Act.

AUTHORIZATION :

I authorize the Pewaukee School District and JD Palatine, LLC to obtain consumer reports and/or investigative consumer reports regarding me from time to time for volunteer purposes. Additionally, to the extent that JD Palatine, LLC obtains such reports, I consent to their release to the Pewaukee School District. In compliance with the Fair Credit Reporting Act, as amended by the Consumer Credit Reporting Reform Act of 2003, JD Palatine, LLC needs my authorization to obtain such a report.

Please acknowledge the following attachment prior to signing.

https://s3.amazonaws.com/files.consumerfinance.gov/f/201504_cfpb_summary_your-rights-under-fcra.pdf

Name

Signature

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

Thank You for offering to volunteer

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. Once approved, you will need a one-time driver's license scan which can be done on your next visit to school.

If you have any questions, please request to speak with a volunteer representative, 262-701-5513.