MARION COUNTY PUBLIC SCHOOLS
VOLUNTEER PROGRAM
Thank you for making the difference in our schools as a volunteer.
Your time and talents are very much appreciated.
Follow these steps:
1. Please complete the attached application, (do NOT leave any blank spaces).
2. Return the application to the Board of Education, any Marion County public school or the Community Education Director @ 214 North Harrison Street, Lebanon.
3. The process could take anywhere between 7-28 days.
4. You may contact 699-3906 for information, questions or concerns about your background check.
5. All information received will be kept personal and private and will not be released for any other purpose.
MARION COUNTY PUBLIC SCHOOLS
DISTRICT VOLUNTEER APPLICATION
(FORM MUST BE COMPLETE)
Location(s) you wish to volunteer: Marion County High_____
St. Charles Middle_____Lebanon Middle_____Lebanon Elementary_____
Calvary Elementary_____Glasscock Elementary_____West Marion Elementary_____
PLEASE PRINT
Name______
First Middle Maiden Last
Address______
House# Street OR P.O. Box
______
City State Zip
Social Security #______Date of Birth______
Phone #______Work #______Cell #______
E-mail Address______
Education (circle last year completed): 6 7 8 9 10 11 12 13 14 15 16 17+
Grade School High School College Graduate School
Presently Employed: Yes______No______
If employed, where? ______Full time Part time
Parent_____ Guardian_____ Grandparent_____ Other (specify)______
School-age children:
Name______School______Teacher______
Name______School______Teacher______
Name______School______Teacher______
Name______School______Teacher______
Have you ever been arrested for a felony? Yes_____ No_____
If so, when______and explain:______
______
How long have you been a KY resident? ______
If less than one year, what was your previous address? ______
Check which of the following you are interested in participating:
Consistent Volunteer (in school/with students on a regular basis) Event Chaperone (field trips, dances, etc.)
What event or reason are you volunteering in our schools?______
______
Conditions of Commitment
As a volunteer:
· I will attend any necessary orientation meetings.
· I will submit to a cost free background check.
· I realize that if given any information that involves the safety of an individual, it must be shared with immediate supervisor.
· I will abide by all school rules and Board of Education regulations/policies that apply to me.
· I will honor my commitment to volunteer as scheduled.
· I understand that if I share confidential information, I may be released from my volunteer position.
· I understand that the school principal or designee has the responsibility to assign and/or dismiss volunteers as needed.
· I understand that any information seen/heard while volunteering shall remain confidential.
Signature Date
All information given on this form will remain confidential. Completion of this form does not commit you or the sponsoring organization to a volunteer position.