District Volunteer Application

We appreciate your interest in volunteering for the Batavia City School District's Volunteer Program. Our District offers a variety of activities you may choose from when volunteering your time. Please complete and submit a volunteer application and upon approval you will receive instructions on next steps. Current BCSD staff do not need to apply.

It is very important that the information you enter on the application matches your government issued identification card including your full legal name. It is important that you provide a valid email address so you can be notified as to the status of your application and for future communication. If you are unable to provide an email address, please use the district’s volunteer email address, volunteer@bataviacsd.org. All information collected on the application will remain confidential and not be shared outside the volunteer program.

There will be a disclaimer page at the end of the application which you will sign (using a mouse to make your signature). Please be aware it states that your signature serves as a record of a volunteer applicant's acceptance of the Batavia CSD's Volunteer Application Disclaimer message. Please review these documents prior to starting your application. The links are provided.

*Acknowledging receipt of Board of Education Policies #3150, #6171, #5640, #6180, #7530, #7551, #6540 (https://5il.co/17377)

*Acknowledging receipt of Board of Education Regulations #3150R, #6151R (https://5il.co/1737x)

*Acknowledging receipt and electronic signature of the Batavia CSD Student Privacy and Confidentiality Agreement for School Volunteers (#3150F) and Notice to Employees and Volunteers Engaged in Work on Federal Grants (6151F), a copy of which will be signed by an administrator and kept on file in the District Volunteer Coordinator's office. (https://5il.co/17374 and https://5il.co/1737j)

* (FOR ATHLETICS ONLY) Acknowledging receipt of BCSD Athletics Expectations (https://5il.co/17369) and training as necessary.

Thank you,

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)

<p>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 volunteer@bataviacsd.org and a district administrator will call you regarding the status.</p><p>Current BCSD staff do not need to apply to volunteer.</p>

Please select the schools at which you wish to volunteer

Please select the type of volunteer activities you would like to participate in. You may choose as many as you like.

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

Your signature serves as a record of a volunteer applicant's acceptance of the Batavia CSD's Volunteer Application Disclaimer message.

By providing your electronic signature, you are:

*Consenting to a background check

*Agreeing to abide by the rules and regulations of the Batavia City School District's Volunteer Program

*Acknowledging receipt of Board of Education Policies #3150, #6171, #5640, #6180, #7530, #7551, #6540 (https://5il.co/17377)

*Acknowledging receipt of Board of Education Regulations #3150R, #6151R (https://5il.co/1737x)

*Acknowledging receipt and electronic signature of the Batavia CSD Student Privacy and Confidentiality Agreement for School Volunteers (#3150F) and Notice to Employees and Volunteers Engaged in Work on Federal Grants (6151F), a copy of which will be signed by an administrator and kept on file in the District Volunteer Coordinator's office. (https://5il.co/17374 and https://5il.co/1737j)

* (FOR ATHLETICS ONLY) Acknowledging receipt of BCSD Athletics Expectations (https://5il.co/17369) and training as necessary.

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 contact me.

Thank you,

Julia Rogers

District Volunteer Coordinator

jrogers@bataviacsd.org

585-343-2480 ext. 1004