Volunteer Form - Young Engineers

Please Submit the Following Application to be Considered for one of our Volunteer Positions

Applicant's Information:

Name:

Date:

Address:

City:

State:

Zip Code:

Date of Birth:

Gender:

School:

Grade Level:

Mobile Phone:

Home Phone:

Your Email:

Previous Volunteer Experience: (Please mention any other volunteer experience you may have)

Interests and Hobbies: (Please include any hobbies, interests or extracurricular activities)

What languages do you speak?

Why would you like to volunteer at Young Engineers Tallahassee?

Emergency Contact Info:

Name:

Email:

Mobile Phone:

Alternate Phone Number:

Address:

City:

State:

Zip Code:

Background Info:

1. Have You Ever Been Convicted for Violation of Any Laws, Traffic or Otherwise?

Yes No

2. Have You Ever Been Convicted of a felony related to violence?

Yes No

3. Have You Ever Been Convicted of a felony related to weapons charges?

Yes No

4. Have You Ever Been Convicted of a felony related crime against/involving child?

Yes No

5. Do You Have Any Physical Condition that May Limit Your Activities?

Yes No

If Yes, describe:

If you selected 'YES' to any of the above questions 1-4, please provide an explanation of the charges below, including disposition. In addition, this volunteer application will need to be reviewed and approved by the Young Engineers Tallahassee Management team before volunteer service can begin.

References:

Please list three persons we may call such as a religious or spiritual leader, teacher, employer, or relationship other than personal friend.

Reference 1 Name:

Reference 1 Phone:

Reference 1 Address:

Relationship to Reference 1:

Reference 2 Name:

Reference 2 Phone:

Reference 2 Address:

Relationship to Reference 2:

Reference 3 Name:

Reference 3 Phone:

Reference 3 Address:

Relationship to Reference 3:

Comments:

I hereby give my consent to contact my references; to contact my employers, past and present; and to conduct a background check.

(Selecting this box acknowledges consent)

Full Name of Applicant:

Date:

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.