District Volunteer Application

Thank you for your interest in becoming a volunteer for the East Troy Community School District. The School District Board of Education recognizes the valuable services to and for students that can be made by parents and community members as volunteers. The Board encourages the use of tutors and other school volunteers to help bridge the gap between the schools and the East Troy community. These volunteers may assist teachers and other school personnel while under the supervision of a teacher, adviser, coach, supervisor or school principal.

To help ensure the safety of our students and staff, the East Troy Community School District conducts background reference checks for all employees as an initial condition of employment. The Board of Education has determined that this procedure should become a regular administrative practice for any individual who volunteers to work with students. Please be assured that the information provided from the background check will be used strictly for confirming there is not an offense that would be reason to exclude you from working with our students. This information will not be provided to individuals other than a limited number of school officials who have direct responsibility in conducting the background reference. (Per Board policy 881)

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. If you are unable to provide an email address, you can use the district’s email address. 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 a volunteer representative.

Thank you,

Terry Carstens

District 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. If you do not have access to email, please enter carter@easttroy.k12.wi.us 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 giving the East Troy Community School District permission to complete a criminal background check and you understand that in volunteering with students that you shall hold confidential any information obtained during the course of volunteer work.

Approved Volunteers will be covered under the District's liability insurance while performing services authorized by the school principal.

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 request to speak with a volunteer representative.