Background Check Form

We appreciate your interest in volunteering at Rochester Public Schools.

We have launched a new volunteer application for new and returning volunteers. If you have not already done so, go to our website at volunteer.rochesterschools.org to create your account and start your application.

The application will ask you to enter your information, return here to submit this background check form, and then complete the rest of your application.

Please submit this form at least two weeks prior to your first day of volunteering.

The information you enter in this form must exactly match your full legal name and date of birth.

All information collected on the application will remain confidential. You may review our Terms & Conditions and Privacy Policy on our website at volunteer.rochesterschools.org.

If you have any questions about this form, please email volunteer@rochesterschools.org.

Thank you,

Rochester Public Schools

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.

Please select the schools at which you wish to volunteer

Please select from the list below.

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 Rochester Public Schools. 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. If you have any questions, please contact volunteer@rochesterschools.org.

Name

Signature

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

Thank You

Your background check form 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.