District Volunteer Application

We appreciate your interest in volunteering with Prince Edward County Public Schools. Our school 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. 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 the appropriate school's volunteer representative:

LaRoya Eanes-Walton, Director of Human Resources

Thank You,
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/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.

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.

Driver's License or State Issued Identification Card

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 Volunteer Program. 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.

Name

Signature

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

Thank You

The Prince Edward County Public School division does not discriminate on the basis of race, color, national origin, sex, age, retaliation, political affiliation or disability in its education programs or employment. Questions, regarding compliance should be directed to the Director of Support Services, 35 Eagle Drive, Farmville, VA 23901, (434-315-2100).

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 the appropriate school's volunteer representative:

LaRoya Eanes-Walton, Director of Human Resources