TSMS Volunteer Application Form

Volunteer Individual

First Name(*)

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Date Of Birth(*)

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Gender(*)

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Last Name(*)

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Age Range(*)

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Mailing Address

Street(*)

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City(*)

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Zip(*)

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Apartment Number

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State(*)

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Contact Information

Cell Phone (with area code)(*)

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Work Phone (with area code)

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Home Phone (with area code)

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Email (*)

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Emergency Contact Information

Name(*)

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Phone (with area code)(*)

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Availability

Times

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Security / Background

Have you ever been convicted of a felony related to violence?(*)

YesNo Invalid Input

Have you ever been convicted of a felony related to weapons charges?(*)

YesNo Invalid Input

Have you ever been convicted of a felony related to crimes against/involving children?(*)

YesNo Invalid Input

If you selected 'YES' to any of the above questions, please provide an explanation of the charges below, including disposition. In addition, this volunteer application will need to be reviewed and approved by Leon County School District Office before volunteer service can begin.

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IMPORTANT VOLUNTEER POLICIES AND GUIDELINES

1. All volunteers must sign in at the school office before proceeding to their volunteer assignment.

2. Volunteers may not dispense any medications (prescription or over-the-counter) to students.

3. Volunteers may not administer any form of corporal (physical) punishment to students.

4. Volunteers must respect a student’s right to confidentiality (Florida Statute 1002.22) including the following areas: standardized test scores, grades, attendance records, health information, academic work completed, family background information, reports of serious behavior patterns and written teacher observations.

5. School Board Policy 2430.01 - Volunteer Program, requires that a National Sexual Offender/Predator Check be processed on all school volunteers.

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I have read and understand the above guidelines Invalid Input

Signature / Attestation

By submitting this application, I agree to abide by the policies and/or procedures of the School Board of Leon County, Florida, of the Leon School Volunteer Program and of the individual school in which I serve. I understand that Leon County Schools reserves the right to accept, decline or discontinue the services of any volunteer.

Volunteer Applicant Signature (Type your full name here.)(*)

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Signature Date(*)

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