District Volunteer Application

We appreciate your interest in volunteering for the District Volunteer Program. Our district offers a variety of activities you may choose from when volunteering your time. 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. If you cannot provide an email address, please use mail613@jdpalatine.com as your email address. All information collected on the application will remain confidential and not be shared outside the volunteer program.

If you have any questions about the application, please get in touch with Melynda Rivers at 940-435-7112.

Thank you,

Melynda Rivers

District 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)

NOTE 1: 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 mail613@jdpalatine.com and contact Melynda Rivers, District Volunteer Coordinator, at 940-435-7112 regarding the status.NOTE 2: If you do not have a social security number, please enter 555-55-5555 as your social security number. Thank you.

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 abide by the rules and regulations of the 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. Soon, you will be notified as to your volunteer status. If you have any questions, please contact Melynda Rivers at 940-435-7112.