WCSB Volunteer

Volunteer Registration Form

Volunteer Code of Ethics and Guidelines
Printable Version

Please note: address and date of birth must be accurate or clearance process will be delayed. Personal information must be as it appears on official documents. This information will not be shared. (* indicates required fields)

*First Name:

*Last Name:

*Birth Date:

(xx/xx/xxxx)

*Address:

*City:

*State:

*Zip:

Email:

Home Phone:

Work Phone:

Cell Phone:

*Please check your age group: Under 21 21-62 62 Plus

*Through what organization/agency are you volunteering?

If you selected Other above, please indicate what organization/agency you are with:

*Are you an active or former member of law enforcement, a firefighter, a Department of Children & Family Services employee, a judge, a state or assistant attorney, a prosecutor, a government employee with duties involving human resources, labor relations, code enforcement officers or a spouse or child of the foregoing categories? Yes No

*A. Have you ever entered a plea of Nolo Contendere (no contest), a plea of Guilty, been placed in pre-trial intervention program or on probation, or been fined in a criminal procedure? Yes No

*B. Have you ever received an adjudication of guilt, had adjudication withheld, had a criminal case result in a nolle prosequi ("nol pros"), or had a criminal record sealed or expunged? Yes No

If you answered yes to any of the questions above, you must provide, when requested, a written explanation and certified Clerk of the Court documents to the District Office for each arrest. Any volunteer with a criminal record will not be placed unless cleared by the District Volunteer Office.

Please check the Volunteer Job Categories in which you would like to serve:

*Athletic Coach
Classroom
Classroom Speaker
Clerical
Day Chaperone
Health Screening
Library/Media
*Mentor

Overnight Chaperone
PTO
Room Parent
Special Event (Book Fair,Festival etc)
Tutor
Other, please explain
Wherever needed

*Level 2 volunteering (Athletic Coaches and Mentors) requires fingerprinting and additional information.

*If you have a preference for a specific school, please check below:

PreK Wakulla	PreK Sopchoppy	Crawfordville	Medart	Shadeville
Riversink	Riversprings Middle	Wakulla Middle	Wakulla High	WHS Band
WHS ROTC	Sopchoppy- Alternative Programs		Sopchoppy- Adult Ed (WEC/SEC)

Teacher:

Grade:

*Note: Requesting a specific teacher does not guarantee placement with that teacher.

*Do you have children/grandchildren in the school(s) where you wish to volunteer? Yes No

Child's Name:

Teacher: Grade:

Child's Name:

Teacher: Grade:

Child's Name:

Teacher: Grade:

Child's Name:

Teacher: Grade:

Which day(s) are you available to volunteer? Monday Tuesday Wednesday Thursday Friday

Which hours are you available to volunteer?