Ident-a-kid 0278 | Waynesboro Public Schools

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Waynesboro Public Schools Volunteer Application

Fields marked with an asterisk (*) are required.

First Name

Middle Name

Last Name

Address

City

State

ZIP Code

Phone Number (Home)

Phone Number (Business)

Phone Number (Emergency Contact)

Do you have a valid driver’s license?

Issuing state:

License ID #

Date of Birth

Email Address

Occupation/Employer

Schools I'd Like to Volunteer At

Specific mentoring program or area of volunteer service in which you are interested (chaperone, tutor, classroom assistance, program assistance, etc.)

Volunteer Information (Please list any previous volunteer experience with WPS)

Have you been convicted of any offense involving the sexual molestation, sexual battery physical abuse, sexual abuse or rape of a child?

Have you been investigated by the Department of Social Services (Child Protective Services Unit) for abuse or neglect with a result of “founded”?

Have you been convicted of a misdemeanor?

and/or a felony?

If yes, please explain, and give dates of conviction, type of conviction, and jurisdiction where convicted.

If you answered “Yes” to any of the above questions, WPS may need to contact Child Protective Services (CPS) before making a decision about your application. Do you grant WPS the right to check with CPS and/or police regarding any of the above investigations and/or convictions?

A school volunteer is defined as a person who has chosen to donate his/her time and talent, without compensation, to assist with programs and activities in Waynesboro Public Schools in an effort to enhance instruction and to promote learning opportunities.

The safety and security of the school community is a top priority of Waynesboro Public Schools. For your protection and that of the students and staff, the school system conducts a check with the National Sex Offender Public Website which includes the Virginia State Police “Registry of Sexual Offenders and Crimes against Minors” on all school personnel and volunteers.

Anyone convicted of a misdemeanor or felony offense, especially an offense against a minor, may be disqualified from volunteering depending upon the nature of the offense and/or volunteer activity.

I understand that Waynesboro Public Schools will check my name against the National Sex Offender Public Website.

The statements made by me in this application are true and complete to the best of my knowledge. I understand that any willful misstatements or material omission on this application will be considered sufficient cause to disqualify me for volunteer opportunities with Waynesboro Public Schools.

During such times as I am a participant in the Waynesboro Public Schools volunteer program, I agree to assume full responsibility for such participation and release Waynesboro Public Schools from any damages which I may sustain thereby. I fully understand that if my services are no longer needed, or my performance is not acceptable, Waynesboro Public Schools has the right to terminate my services as required and without notice.

Questions regarding the volunteer policy can be directed to the Assistant Superintendent at 540-946-4600.

IMPORTANT NOTE: After completing this application look for an email from Sterling Volunteers to continue the background check process. If you do not see an email from Sterling in your inbox please check your SPAM folder.

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Waynesboro Public Schools Volunteer Application

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