District Volunteer Application

We appreciate your interest in volunteering at Free Horizon Montessori K-8. We are excited to have your assistance and look forward to working with you. Please complete and submit a volunteer application and upon approval you will receive instructions on the next steps.

The information you enter on the application must match your government-issued identification card including your full legal name. You must provide a valid email address so you can be notified of 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.

If you have any questions about please reach out to me at Megan.Wells@jeffco.k12.co.us

Thank you,

Megan Wells

Director of Operations

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. 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)

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

As a Free Horizon Montessori volunteer, you are required to provide your United States social security number so a criminal background check can be performed. Your social security number will only be used for this purpose and we do not retain this information.

As a community volunteer assisting at Free Horizon Montessori, once you have been authorized by the Principal to assist subject to the direction and control of the school’s administrators and teachers. As such, you may under limited circumstances have access to student education records in connection with your authorized duties. Student education records include all records, files, documents, and other materials that contain personally identifiable information on any student, as well as the personally identifiable information itself (including student grades).

By signing below, you agree to maintain the confidentiality of all student education records, information, and knowledge that you generate and to which you are given access as an authorized community volunteer. This means that you agree not to disclose student education records or personally identifiable student information in such records to any person other than the school administrator(s) and/or teacher(s) with whom you are working. Further, you also agree to keep staff information, records, or knowledge confidential. You understand and agree that your failure to maintain the confidentiality of all student education records to which you are given access may disqualify you from further service as a community volunteer in Free Horizon Montessori PK-8 and Jeffco Public Schools.

If you have any questions about the disclosure of records, information, or knowledge, please refer them to the Principal.

Thank you for your contributions to our community! We look forward to having you volunteer at our school.

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.