Volunteer Application Form SY 2026-2027

As part of the volunteer approval process, Hawaiʻi state law now requires that all schools pre-screen their volunteer applicants via the state’s Harm to Students Registry (HSR). This confidential registry, operated by the Department of Education, helps to maintain a safe learning environment for students, staff, and volunteers by preventing individuals who may have harmed or abused students in the past from being employed or volunteering in educational settings where they could interact with or be in close proximity to students. The law, enacted on July 1, 2024, requires schools to consult the registry before hiring new employees or allowing volunteers to work with students. By submitting your volunteer application, you agree to have your name and date of birth checked against the HSR. Please enter the accurate spelling and input of your first name, last name, and date of birth to ensure your application is processed in the most efficient manner and least amount of time.

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.

Please select the schools at which you wish to volunteer

Please select the functions from the list below. (select all that apply)

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 disclaimers below and provide your signature

Confidentiality Pledge

I agree that in conjunction with my volunteering any and all information obtained by me or disclosed to me during my service at KS which includes information not generally known to the general public or other departments within KS are strictly confidential and proprietary to KS and shall be treated as confidential information. I covenant in perpetuity that such information shall not be disclosed, discussed or revealed to any persons, entities or organizations. I understand and acknowledge this Confidentiality provision is a mandatory condition for KS to permit me to participate as a volunteer. I agree that KS would suffer irreparable harm if I breach this Confidentiality Pledge and therefore both parties agree that if such breach occurs, my service shall immediately terminate, and KS may take further appropriate action.

Understanding of Assumption of Risks & Release

I hereby certify that the information provided on this form is true and correct and that KS may rely upon and release any such information they deem advisable under the circumstances. I assume all risks of injury, damage or loss I sustain while I am on KS’ premises and/or while I participate as a volunteer in any KS program or service arising out of any cause whatsoever, and I hereby waive, release, and discharge KS and its employees of liability for such injury, damage or loss.

Certification of Accuracy & Release

By agreeing, I swear under penalty of perjury that all of the information contained in this Application Form is true and correct. I understand that KS intends to use the information provided in this form to assist in determining my suitability for working in close proximity to children and that KS may also conduct criminal background checks prior to and during any volunteer work I perform. I understand that if KS finds by reason of the nature and circumstances of such crime(s), if any, that I pose a risk to the health, safety, or well-being of children, KS may refuse my volunteer services. I hereby agree to release, indemnify and defend KS, its trustees and employees, from all liability for any damage whatsoever that may arise from my disclosing this information.

Use of Name and/or Likeness

I understand that Kamehameha may take, record, use, and publish electronic or digital images and/or photographs, video, audio, and/or digital recordings of the Volunteer (“Materials”). I consent to Kamehameha’s use of the Materials without restriction or compensation, in any manner and for any purpose Kamehameha deems appropriate. I waive any rights to approve the Materials and understand that Kamehameha is not obligated to use or provide me any of the electronic or digital images and/or photographs, video, audio, and/or digital recordings taken of the Volunteer.

Background Check Authorization

By submitting this volunteer application, you authorize and consent to a background check. Your Social Security Number (SSN) will be used solely for background screening and identity verification purposes, as required by law and organizational policy.

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.