Sylvan Union School District Volunteer Application

Personal Information

Please select the schools at which you wish to volunteer

Please review and select the functions from the list below (select all that apply):

Level I Volunteers -

Level I volunteers are defined as volunteers who are supervised by a SUSD employee and have:

• Permission to be on campus for activities including but not limited to observations, meetings, school events and assemblies

Procedures for Level I volunteers are as follows:

• Check in with a valid ID
• Tuberculosis testing or a background fingerprinting check is not required

Level II Volunteers -

Level II volunteers are defined as volunteers who are supervised by a Sylvan USD employee and have:

• Direct student contact under the supervision of a credentialed employee; or
• Weekly student contact by assisting in classrooms

Procedures for Level II volunteers are as follows:

• Complete volunteer application process (i.e. current driver's license and tuberculosis (TB) clearance uploaded, volunteer training, and approved by administration)
• Check in with a valid ID

Level III Volunteers -

Level III volunteers are defined as volunteers who have:

• Approval to assist in a classroom on a regular basis; or
• Direct contact with students (i.e. youth ministers, interns-special education, counseling); or
• Chaperone approved for field trips including overnight school sponsored events

Procedures for Level III volunteers are as follows:

• Complete volunteer application process (i.e. current driver's license and tuberculosis (TB) clearance uploaded, volunteer training, and approved by administration)
• Live Scan - Fingerprinting required (information will be provided after application submission)
• Complete online Mandated Reporter training at https://mandatedreporterca.com - volunteer training and upload the certificate of completion
• Check in with a valid ID

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

I hereby authorize the school to conduct a background investigation and authorize release of information in connection with my application for volunteer status. By providing your signature, I affirm that the information provided in this application is true and correct to the best of my knowledge. Any falsification on this application may result in denial or revocation of my volunteer relationship.

By providing you signature below you also acknowledge you have read and understand the following.

STATEMENT OF CONFIDENTIALITY FOR SUSD VOLUNTEER

All Sylvan USD volunteers are expected to maintain confidentiality while working in the school. I understand that in the course of volunteering at a school site that I share the responsibility of maintaining the confidentiality of any employee or student information that may be available to me. I further understand that I am not to discuss academic or other confidential information regarding students or employees with anyone. Any breach of confidentiality will be carefully reviewed and may result in termination of volunteer involvement with the school and or District.

Sylvan Union School District Board Policies related to Volunteer Services

1240 (a) Volunteer Assistance

The Superintendent or designee shall develop and implement a plan for recruiting, screening, and placing

volunteers, including strategies for reaching underrepresented groups of parents/guardians and community members. He/she may also recruit community members to serve as mentors to students and/or make appropriate referrals to community organizations.

(cf. 1020 - Youth Services)

(Cf. 1400 - Relations between Other Governmental Agencies and the Schools)

The Superintendent or designee shall establish procedures for determining whether volunteers possess the

qualifications, if any, required by law and administrative regulation for the types of duties they will perform. Volunteers shall act in accordance with district policies, regulations, and school rules. The Superintendent or designee shall be responsible for investigating and resolving complaints regarding volunteers.

54145.7 Sexual Harassment - Students

The Governing Board is committed to maintaining a safe school environment that is free from harassment and discrimination. The Board prohibits sexual harassment of students at school or at school-sponsored or school related activities. The Board also prohibits retaliatory behavior or action against any person, who reports, files a complaint or testifies about, or otherwise supports a complainant In alleging sexual harassment.

3513.3 Tobacco-Free School

The Governing Board recognizes that smoking and other uses of tobacco and nicotine products constitute a serious public health hazard and are inconsistent with district goals to provide a healthy environment for students and staff. The Board prohibits the use of tobacco products at any time in district-owned or leased buildings, on district property, and in district vehicles. This prohibition applies to all employees, students, and visitors at any instructional program, activity or athletic event.

Acknowledgement Regarding Child Abuse

Section 11166 of the Penal Code requires any child care custodian, medical practitioner, nonmedical practitioner, or employee of a child protective agency who has knowledge of or observes a child in his or her professional capacity or within the scope of his or her employment whom he or she knows or reasonably suspects has been the victim of child abuse to report the known or suspected instance of child abuse to a child protective agency immediately or as soon as practically possibly by telephone and to prepare and send a written report thereof within 36 hours of receiving the information concerning the incident.

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.