Clover Park School District Volunteer Application

We appreciate your interest in volunteering in the Clover Park School District. Volunteer activities vary from school to school. You can select which activities suit you best as well as which schools you would like to volunteer your time. Simply complete and submit a volunteer application and upon approval you will receive instructions on next steps. If you are applying to be a VOLUNTEER COACH, you must first get approval from the head coach or school Athletic Director.

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.

Request for Criminal History Information (RCW 43.43.830 through 43.43.845) The Washington State Legislature has helped us assure the security for children by allowing background checks on all people who work with children in schools in accordance with Chapter 43.43 RCW. CPSD cares about all our students, and therefore we support this requirement and work to ensure all volunteers complete this form and undergo a background check each school year prior to beginning as an active volunteer. Prospective volunteers are required to complete the disclosure questions below on the following page by answering YES or NO to EACH. If the answer is YES to any question, please explain in the area provided to the left with as much detail as possible including the charge/finding, date and court(s) involved.

If you have any questions about the application, please request to speak with a volunteer representative at your child's school or the district office.

Thank you,
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 an email, there are a number of free online sites to obtain one. You cannot complete a Volunteer Application at this time without a valid email address.

Please select the schools at which you wish to volunteer

Please select the functions (activities) from the list below. (select all that apply)

Volunteer activities vary from school to school. Below, we've listed a variety of activities performed within the school district. To learn more about the volunteer opportunities at your child's school, please talk to the volunteer coordinator at the school level.

Thank you,

District Volunteer Coordinator

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

By providing your signature, you agree to the following:

I certify under penalty of perjury under the laws of the state of Washington that the information provided in this application is true and correct. I authorize CPSD to conduct a background check and to obtain any and all information needed to process my volunteer application. I further authorize any person contacted by CPSD to provide information to the district about my volunteer application. I understand that information from others will not be made available to me. I hereby release and hold harmless CPSD and all references from any and all liability in obtaining or disclosing such information about my background. I understand that the district may, at its discretion, exclude me from volunteering for any reason, including misleading statements on this application.

I understand that the failure to answer any questions truthfully will automatically disqualify me from volunteer and employment opportunities with Clover Park School District.

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.

Thank you,

District Volunteer Coordinator