Volunteer Application

Required

Please read before completing:

The legal questions and background check information in this application allow us as a school district to determine your eligibility for a volunteer service assignment which may include daily contact with students.

It is important that you answer the following questions honestly. EPSD R-3 reserves the right to require background checks and/or fingerprinting of any prospective or current volunteer, including parents, legal guardians, and stepparents. Background checks will reveal any and all instances in which you may have been arrested, summoned, charged or convicted for minor (such as underage drinking, shoplifting, simple assault, motor vehicle violations, etc.) and major offenses, both locally and nationally.

If these types of things have occurred in your past, and you deny knowledge of such occurrences by answering "no" to the applicable question(s), you will automatically be disqualified from volunteering with the EPSD R-3 for at least one year.

If you have had instance in the past which would require a good faith answer of “Yes” to any of the following questions, this will not bar you from volunteer considerations; each case is judged individually and many offenses, particularly minor ones, may not prevent you from becoming a volunteer for the EPSD R-3.

Namerequired
First Name
Nickname (optional)
Last Name
Must contain a date in MM/DD/YYYY format
type n/a if none
Do you have a child in the district?
My Role as a Volunteerrequired
I am interested in volunteering in the following schools (Check all that apply):required
Areas that I am interested in helping with:(Check all that apply so that we might match you with staff and/or organizations needing help in these areas and begin the approval process):required
How much time would you be interested in committing to school?:required

Important: Please read carefully before acknowledgment, release, and authorization

 

 

Have you ever been charged with any offense involving any sexual misconduct, including sexual molestation, assault, physical orsexual abuse, or rape involving a child?required
Have you ever been convicted of a criminal offense other than minor traffic offenses? (For purposes of this form, the term“convicted” includes and means conviction by a court or by a jury, and shall also include a plea of “no contest” or theimposition of a deferred or suspended prosecution or sentence). required
Volunteer Requirements: All volunteers are required to sign in at the building office each time they enter the building. Please bring your ID for check in. EPSD reserves the right to require background checks and/or fingerprinting of any prospective or current volunteer, including parents, legal guardians, and stepparents.required
In connection with this request, I authorize all corporations, former/present employers, credit agencies, educational institutions, law enforcement agencies, city, state, county and federal courts, city government, military services and persons to release information they may have about me to EPSDR3 or its agent. This releases the aforesaid parties from any liability andresponsibility for collecting the above information and transferring it to EPSDR3. I understand that these files may contain negative information about my background, mode of living, character, and personal reputation. This authorization, in original or copy form, shall be valid for this and any future reports or updates that may be requested.required
By typing my name below and selecting “I accept”, I am signing this agreement electronically, and I agree that my electronic signature is the legal equivalent of my manual signature on these agreements. I specifically agree that any electronic signatures that I provide through this online process are valid and enforceable as my legal signature. I acknowledge that these electronic signatures will legally bind me to the terms and conditions contained in the related documents just as if I had physically signed the same documents with a pen. I agree that no certification authority or other third party verification is necessary to validate my e-signature and the lack of such certification or third party verification will not in any way affect the enforceability of my e-signature or this Agreement.required