Burton School District Volunteer Application

We appreciate your interest in volunteering for the Burton School District Volunteer Program. Our district offers a variety of activities that you can choose from when you volunteer your time. Simply complete and submit a volunteer application and once approved, you will receive instructions on the next steps.

It is very important that the information you enter on the application matches your government-issued identity document, including your full legal name. It is important that you provide a valid email address so that we can notify you of the status of your application and for future communications. If you are unable to provide an email address, please use the district email address. All information collected on the application will be kept confidential and will not be shared outside of the Burton School District volunteer program.

Volunteer Procedures: Volunteers under the DIRECT SUPERVISION of certificated employees School/Classroom Volunteer:

School/Classroom Volunteer: Adults who volunteer in the classroom or on campus. Requirements: Provide original California Driver License or California Identification Card, AND provide a copy of a Tuberculosis Test administered within the last 4 years during the application process online. School/Classroom Volunteer cannot ride on school transportation and are not allowed to chaperone.

Chaperone: Adults who participate in a school activity unsupervised by a certificated employee (i.e. outdoor education, field trips supervising small groups of students, overnight field trips, or authorized to ride on school transportation). Requirements: Complete the requirements for School/Classroom Volunteer above AND provide original California Driver License or California Identification Card, AND provide a copy of a Tuberculosis Test administered within the last 4 years during the application process online.

All Clearances will be processed by the Student Services Department. You cannot volunteer unless you have been cleared at one of the levels above. Fingerprint forms for Chaperone applicants are available at the Student Services Office, 633 N Westwood St, Porterville, CA 93257 and ONLY for those with a completed and Chaperone volunteer application. Chaperone applicants must complete the fingerprint requirements through Burton School District regardless of fingerprint clearance at another school district or employer – NO EXCEPTIONS. Volunteer status will be updated in Aeries and accessible to the school site(s). Volunteers are responsible for:

Setting up their appointment for the TB test and Fingerprinting. The cost of the TB test and fingerprinting “rolling fees”. Burton School District pays for the fingerprinting if done prior to Dec 1*. Rolling fees are what the printing location charges for their service. The cost of the fingerprinting and rolling fees for printing done after Dec 1.

Volunteers with a felony conviction or pending felony conviction are not eligible for Chaperone volunteer clearance. Misdemeanor convictions or pending misdemeanor convictions will be approved on a case by case basis. All convictions or pending convictions for felonies or misdemeanors or their equivalent must be disclosed on the application form. Failure to do so will result in the termination of all volunteer rights at any level. Subsequent arrest records may terminate volunteer rights.

*The District will pay for up to two family members per child/family to print as Chaperone volunteers if done by December 1st. This does not include the rolling fees; those are at the volunteer’s expense. Volunteers who print after December 1st are responsible for the full cost of the printing and rolling fees. Additional family members may print at their expense for the printing and rolling fees. Families new to the District after December 1st, will have the printing fees paid for by the District for up to two family members.

If you have any questions about the application, please ask to speak with a volunteer representative.

Thanks,

David Shimer

Superintendent

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 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)

Documents

The following documents are required 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 are agreeing to abide by the rules and regulations of the Burton School District 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

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.