District Volunteer Application

Thank you for choosing to become a CCSD volunteer! We appreciate your willingness to help the staff and students at our school and to support our excellent learning environment.

As a volunteer, you may come in contact with confidential student education records (such as grades, discipline records, IEPs, and 504 records). This information is typically protected from disclosure to third parties by state and federal privacy laws, and school board policy [Board Policy JRCB]. Staff members, as well as volunteers working under their direction, must be sensitive to the confidentiality of student information and must take every step to refrain from sharing protected and confidential information to third parties.

If you have specific questions for a staff member regarding a student, please find a private place to discuss your questions, so that your communications are not inadvertently overheard by others.

Additionally, as a CCSD volunteer, I understand that I must maintain appropriate and professional boundaries with all students at all times and treat all students with dignity and respect. CCSD Board Policies, including in particular Board Policies AC (Nondiscrimination) and GBEB (Staff Conduct), set the standards for maintaining professional boundaries with students.

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

Thank you,

CCSD 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 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

By providing your signature, you are agreeing to maintain the confidentiality of student information in accordance with Board policy and state and federal laws. You further agree that you will follow the requirements of all Board policies for student interactions. As a visitor to District facilities, you also agree to adhere to Board Policy KI and Board Regulation KI-R outlining expectations for CCSD visitors. You further understand and agree that any failure on your part to adhere to the standards outlined herein and in Board policy is grounds for disqualifying you from continuing to serve as a CCSD volunteer.

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.