Microsoft Word - Volunteer Application

Goldthwaite ISDVolunteer Application

Please complete the following information:Name _____________________________________ Date ___________Address ___________________________________ Phone __________What days of the week would you be available to volunteer? M T W TH FA.M. or P.M.Number of hours you can contribute to volunteer work weekly ___________What kind of work are you available to do?________________________________________________________________________________________________________________________________________________________________________________________________Background and experience:Education _______________________________________________________Special Skills ____________________________________________________Experience ______________________________________________________Three references (Name, address, phone numbers):________________________________________________________________________________________________________________________________________________________________________________________________I understand the district will conduct a criminal history check.Signature _________________________________Date _____________________________________

Goldthwaite I.S.D. and its career and technology education program does not discriminate in the basis of sex,disability, race, color, age, or national origin in its educational programs, activities, or employment as required byTitle IX, Section 504, and Title VI.

Goldthwaite ISDCriminal History Information

The district has the authority by state law to obtain criminal history recordinformation on any person who has indicated an intention to serve as avolunteer with the district. The district needs the information requestedbelow to obtain the criminal history record information.Full Name _______________________________________________________Date of Birth _____________________________________________________Male _____ Female _____Ethnicity ________________________________________________________I understand the information I am providing about age, sex, and ethnicitywill not be uses to determine eligibility for a volunteer position but will beused solely for the purpose of obtaining criminal history recordinformation.Signature _______________________________________________________Date ___________________________________________________________This form will be removed from the application and filed separately.

Goldthwaite I.S.D. and its career and technology education program does not discriminate in the basis of sex,disability, race, color, age, or national origin in its educational programs, activities, or employment as required byTitle IX, Section 504, and Title VI.

Goldthwaite ISDApproval/Denial Volunteer Form

Name of applicant ________________________________________________Date interviewed _________________________________________________Assignments ____________________________________________________________________________________________________________________________________________________________________________________I verify that a criminal history record check has been completed for thisindividual, and the individual is eligible to volunteer for Goldthwaite ISD. Ihave provided him/her with an orientation to the procedures of thecampus/organization.Principal’s Signature ______________________________________________Date approved/denied _____________________________________________

Goldthwaite I.S.D. and its career and technology education program does not discriminate in the basis of sex,disability, race, color, age, or national origin in its educational programs, activities, or employment as required byTitle IX, Section 504, and Title VI.