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2023-2024 Parent Form: Volunteer Application

Please complete the form below. Required fields marked with an asterisk *

Date*

Answer Required

Volunteer Name:*

Answer Required

Student Name*

Answer Required

Volunteer Phone Number*

Answer Required

Have you ever been discharged or banned from any volunteer organization?*

Answer Required

Yes

Have you ever been convicted of any misdemeanor or felony?*

Answer Required

Yes

Have you ever been convicted of any offense that involves drugs or alcohol?*

Answer Required

Yes

Are you presently being charged with a crime that is currently pending or not yet adjudicated?*

Answer Required

Yes

If you answered "yes" to any of the above questions, please explain:

Answer Required

I certify that the information provided on this form is true and correct. I understand that I am offering to volunteer at New Horizon School and that New Horizon School may at its discretion decline my offer of volunteer services. In the event my volunteer services require a criminal background check under New Horizon procedures, I am responsible for the cost of the check and that I may not be reimbursed for this expense. By typing my name below I agree to this statement.*

Answer Required

If I am a volunteer at New Horizon School, I agree to the following: 1. I will not in any way access, use, divulge, copy, release, sell, loan, review, alter, or destroy any confidential information except as properly and clearly authorized within the scope of my work and that I will abide by all applicable New Horizon School policies and procedures and with all applicable laws. I will report to the Supervisor or Assistant Supervisor if any individual's activities that I suspect may compromise the confidentiality of a student. 2. I will notify the school immediately if I am being charged of a crime. 3. Any fraudulent application, violation of confidentiality or any violation of the above provisions may result in termination of my volunteer status at New Horizon School. By typing my name below I agree to this statement. *

Answer Required

Confirmation Email

Confirmation Email *

Email Required