District Volunteer Application

Thank you for your interest in becoming a volunteer in the Redlands Unified School District. With the passing of AB346 into law in July 2010, we are required to obtain specific documentation from each volunteer. In ALL volunteer situations, you must be 18 years of age or older and required to complete items 1-4:

1) Provide a negative TB skin test AND if you are new to volunteering for this district, the test must be completed within the past 60 days. Once you have completed your TB skin test, it will be valid with the school district for four years.

a) You can go to your own doctor to have the test OR

b) Obtain a “Health Services Voucher” by calling the Superintendent’s Office at (909)748-6712. Providing the information required will assist in the completion of the health voucher prior to your arrival.

 THIS VOUCHER IS ONLY VALID AT the facility listed below

 You will be charged $20.00 if the test is done at the facility WITH NO VOUCHER

Redlands Community Hospital Family Clinic

802 W. Colton Ave., #E, Redlands, CA 92374

909-335-5799

TB Skin Tests are given Tuesday and Wednesday from 8:00 AM -11:00 AM and 1:00 PM – 2:00 PM. Fridays from 8:00 AM – 11:00 AM

Chest X-rays - If you require a chest x-ray, to rule out Tuberculosis, please contact the Superintendent’s Office for possible options. WE DO NOT ISSUE VOUCHERS FOR CHEST X-RAYS.

2) Provide verification of your COVID-19 fully vaccinated status to the school site office you wish to volunteer. Non-vaccinated volunteers will be required to submit a negative COVID-19 test. Volunteers subject to weekly testing will be required to provide proof of negative COVID-19 test results for the current week at the school site as they Raptor-in upon arrival as well as email a copy of the test results to Rose Bermejo at rose_bermejo@redlands.k12.ca.us. Only COVID-19 test results administered by the District or by a licensed entity will be accepted.

3) Once the school office is in receipt of all required documents, they will submit your name for Board approval. You must be Board approved prior to commencing service as a volunteer. Board approval must be done on an annual basis.

4) If you will be chaperoning an overnight field trip, you will be required to have a DOJ Fingerprint completed. In most cases, this fingerprint approval will be valid for the remainder of your student's attendance in RUSD. The fingerprint form can be downloaded from our RUSD website.

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

Gender

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

I understand that by signing below that I am in receipt of the following information.

• I have read and reviewed the District Expectations of Appropriate Professional Conduct, https://www.redlandsusd.net/Page/13411 and understand the District may terminate my services if these rules are violated.

• I have read and reviewed the New Employee Information packet including Board Policy 4019.1 – Professional Adult/Student Boundaries, https://www.redlandsusd.net/Page/13411

To provide a safe and protective environment for students, the Redlands Unified School District is performing Megan's Law database checks thru Raptor for school volunteers. This database identifies adult who are registered sex offenders.

Because you are interested in volunteering at a school site, want to participate in a school sponsored field trip and/or overnight excursion, you are subject to a background check utilizing the Megan's Law Database.

Thank you for your cooperation in increasing the district's ability to protect our students' well-being.

I acknowledge that I am not a registered sex offender and the Redlands Unified School District will check the Megan's Law public database to confirm this. This form can be used throughout the school year to review my status.

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. Please provide the school site copies of your completed TB clearance form and your COVID-19 vaccination card. Upon receiving all required documentation and Board approval, you will then be notified that you may begin volunteering.