Bastrop ISD Volunteer Application

We appreciate your interest in volunteering with Bastrop ISD. Our District offers a variety of activities you may choose from when volunteering your time. Simply complete and submit a volunteer application, and you'll be on your way!

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 also 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 will use the district’s email address. All information collected on the application will remain confidential and will not be shared outside of our volunteer program.

If you have any questions about the application, please email alewandowski@bisdtx.org or call 512.772.7180.

Thank you,

April Lewandowski

Bastrop ISD Volunteer Coordinator

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 alewandowski@bisdtx.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)

Documents

The following documents are required by the state to authorize clearance within this school district.

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

DPS Computerized Criminal History (CCH) Verification

I, __(Applicant Name)__________, have been notified 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 information that I supply.

Because the name based information is not an exact search and only fingerprint record searches represent true identification to criminal history, the organization conducting the criminal history check for background screening is not allowed to discuss any criminal history record information obtained using the name and DOB method. Therefore, the agency may request that I have a fingerprint search performed to clear any misidentification based on the result of the name and DOB search.

For the fingerprinting process I will be required to submit a full and complete set of my fingerprints for analysis through the Texas Department of Public Safety AFIS (automated fingerprint identification system). I have been made aware that in order to complete this process I must make an appointment with L1 Enrollment Services, submit a full and complete set of my fingerprints, request a copy to be sent to the agency listed below, and pay a fee of $24.95 to the fingerprinting services company, L1 Enrollment Services.

Once this process is completed and the agency receives the data from DPS, the information on my fingerprint criminal records may be discussed with me.

(This copy must remain on file by this agency. Required for future DPS Audits)

______________________________

Signature of Applicant or Employee

______________________________

Date

______________________________

Agency Name (please print)

______________________________

Agency Representative Name (please print)

______________________________

Signature of Agency Representative

______________________________

Date

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

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 call 512.772.7180.