New Submission

Datefield type date
Reason for submitting this form:*field type radio button
Reason for submitting this form:VolunteerVolunteer CoachPine BasinContracted Staff
School*field type drop-down
First Name*field type single line
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Middle Namefield type single line
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Last Name*field type single line
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Street Address*field type single line
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City*field type single line
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State*field type single line
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Zip*field type single line
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Home Phone*field type single line
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Email Address*field type email
Date of Birth*field type date
Notify in Case of Emergency*field type single line
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Emergency Contact Phone*field type single line
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Background Check Information

Social Security Number*field type single line
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Please list ALL previous legal names you have used:
*field type single line
Row 1× *field type single line
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Add a Name
Eye Color*field type radio button
Eye ColorBlackBlueBrownGreenGrayHazelMaroonMulti-ColoredPinkUnknown
Hair Color*field type radio button
Hair ColorBaldBlackBlondBlueBrownGrayRed/AuburnSandyWhite
Height:*
*field type number
Feet
*field type number
Inches
Weight:*
*field type number
Pounds
Gender:*
*field type radio button
MaleFemale
Country of Citizenship*field type single line
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City/Place of Birth*field type single line
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State of Birth*field type single line
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Race*field type radio button
RaceAsian or Pacific IslanderBlackCaucasion or other Spanish Culture or OriginAmerican Indian, Eskimo or Alaskan NativeUnknown
Teacher(s) you plan to volunteer for
Teacher Name*field type single line
Row 1× Teacher Name*field type single line
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Add a Teacher

	*field type single line
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	Teacher Name*field type single line
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List Athletic Director, Head Coach, and/or Department Advisor

	Name*field type single line	Position*field type drop-down
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Add a Name

Sport or Specialty?*field type single line
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Contracted Agency Name*field type single line
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Do you plan to volunteer at another District 93 school?*field type radio button
Do you plan to volunteer at another District 93 school?YesNo
Please list other schools
School*field type drop-down
Row 1× School*field type drop-down
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Are you a new or returning District 93 Volunteer?*field type radio button
Are you a new or returning District 93 Volunteer?NewReturning
Do you have any criminal charges pending against you?*field type radio button
Do you have any criminal charges pending against you?YesNo
Not including traffic violations, have you ever been convicted of a felony or misdemeanor?*field type radio button
Not including traffic violations, have you ever been convicted of a felony or misdemeanor?YesNo
Have you ever been convicted* of a sex, drug, or weapon related offense?*field type radio button
*Conviction includes a finding of guilty by a court in a trial with or without a jury or plea or verdict of guilty.
Have you ever been convicted* of a sex, drug, or weapon related offense?YesNo
Please explain*field type multi line
Volunteer Code of Confidentiality
1. All student records should be considered confidential.
2. Volunteers should not discuss or repeat information overheard from teachers or administrators while in the staff lounges or offices.
3. Volunteers should not discuss information obtained while in a classroom, such as a student’s grade or behavior, with anyone other than the student’s teacher.
4. Directory information, including students’ and staffs’ names, addresses, telephone numbers, date and place of birth, a student’s photograph, participation in officially recognized activities and sports, weight and height of student members of athletic teams, dates of attendance and awards received, and previous educational agencies or institutions attended can only be shared with administrative approval.
5. Any knowledge of a violation of this Code of Confidentiality will be immediately reported to the school administrator and the staff member who supervises the volunteer and corrective action will be taken up to and including termination.
*field type checkbox
By signing, I acknowledge that I have read, understand, and will comply with the Volunteer Code of Confidentiality.
*field type checkbox
You may not volunteer or perform contracted services if you are required to register as a sex offender under Idaho law. By signing my name below, I declare under penalty of perjury, that all the information on this application is true and correct.
Signature*field type signature
Datefield type date

Volunteer &
Contracted Staff
Information
Sheet

Background Check Information

Please list ALL previous legal names you have used:

Teacher(s) you plan to volunteer for

List Athletic Director, Head Coach, and/or Department Advisor

Please list other schools

Hidden Section

Volunteer &Contracted StaffInformationSheet

Background Check Information

Please list ALL previous legal names you have used:

Teacher(s) you plan to volunteer for

Volunteer &
Contracted Staff
Information
Sheet