Yes, I want to be a Chaffey-Burke Volunteer Name: ___________________________________________________ Date: ________________ Child’s Name: _________________________________________

Division: ________________

Phone Number: _________________________________________________________________ Email: _________________________________________________________________________ Hours/Days Available: ____________________________________________________________

I would like to volunteer for the following: (please check all O that interest you)

O O O O O O O O O O

Parking Patrol (15 minutes, once a week) Library – weekly (2 to 3 hours) Special Lunch – usually last Wednesday of the month (1 hour) Art Gallery – monthly (2 hours) Listening to Students Reading – to be arranged with classroom teacher Milk & Juice Program – weekly (1 hour) Classroom – to be arranged with classroom teacher Publishing House – weekly (1 to 2 hours) Office Phone – weekly (1 hour) Special Events (e.g., Walkathon, Multicultural Dinner, etc.)

I have the following skills to share: _______________________________________________________________________ _______________________________________________________________________ I speak the following languages and can help translate as needed: _______________________________________________________________________

Signature: ______________________________________________________________ Date: __________________________________________________________________

Thank you! Please return your form to the office. We will send you an email acknowledging receipt of your form.