By providing your signature, you are agreeing to abide by the rules and regulations of the District Volunteer Program. Some volunteer activities 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.
Acknowledgment Confidentiality Agreement
I understand that School District 87 will allow me reasonable access to the school, school facilities, educational programs and/or individuals needed as it relates to the purpose of my visit. I further understand that during my visit, I must honor the confidentiality rights of all students and agree to refrain from disclosing or sharing of any information regarding other students that is obtained during my visit, including any information contained in written or electronic records as we ll as information shared verbally, either directly or indirectly with me. I will not disclose or divulge, either verbally, in writing, electronically, or via any other mode of communication, any information about any students, either individually or as a group or class, acquired in my capacity as a volunteer, except as necessary and authorized by my supervising staff member or principal. I understand that any such breach in expected confidentiality could result in loss of my volunteer privileges, as well as District 87 pursuing any other remedies available to it for such breach or threatened breach. I understand that if I have any questions about this obligation, I am to contact the principal.
Waiver of Liability
The School District does not provide insurance coverage to non-District personnel serving as volunteers for the School District. The purpose of this waiver is to provide notice to prospective volunteers that they do not have insurance coverage by the School District and to document the volunteer’s acknowledgment that they are providing volunteer service at their own risk.
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 School District.
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 School District. You also agree to waive any and all claims against the School District, or its officers, School 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 School District.
By signing, I agree to abide by the policies and procedures of the District 87 Board of Education, the Volunteers Program, including the School Volunteer Handbook, and the individual school at which I am assigned. I understand the principal reserves the right to not place me or to discontinue use of my volunteer services at any time at the principal’s and District 87's sole discretion.
