Volunteer Application

Name:

Email Address:

Date of Birth (needed for background check): Phone:

Secondary Phone:

Address: City/State/Zip: Emergency Contact: Relationship:

Phone:

Please indicate where you would like to volunteer (check all that apply): Early Childhood Program (Birth -5 years) ALC (Area Learning Center) in Cambridge CPS (Cambridge Primary School) IPS (Isanti Primary School) CIS (Cambridge Intermediate School) IIS (Isanti Intermediate School)

IMS (Isanti Middle School) CMS (Cambridge Middle School) CIHS (Cambridge-Isanti High School) SFAS (School for All Seasons) MNC (Minnesota Center) Community Education

I am available: Monday

I have children in these schools: Tuesday

Wednesday

Thursday

Friday

AM PM Cambridge-Isanti Schools may want to use photos of you volunteering. I give my permission for Cambridge-Isanti Schools to use photos of me to promote school programs and activities. Photo Release:

Date: Signature Have you ever been convicted of a felony, either civil or military? If yes, please explain:

YesNo

I certify that the information provided above is true and correct to the best of my knowledge and belief. I understand that Cambridge-Isanti Schools may request a background check on me pursuant to the Minnesota Child Protection Background Check Act. Background checks are done online, cost $10 and are good for three years. Date: Signature Over for more information.

Please indicate which areas you are interesting in volunteering your time: Art Display student art Picture Person (IPS) Assemble Bulletin Boards Special Programs Fundraiser Junior Great Books (IPS) Inventors/Science Fair Gifted and Talented Program Sewing Early Childhood Screening Child Care Serving Snacks Monitor Bus Cafeteria Hall Tutoring Math Reading

School Office Clerical Typing/Word Processing Sort/Staple/Collate Classroom Helper Media Center Book Fair Day Evening Chaperone Field Trips Dances/Parties Vision & Hearing Screening Work at Home Collating Cutting/Stapling Typing/Word Processing Recording Text Books Performing Arts Center Event Usher

Revised 04-18-2016