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Centerville City Schools
2018-19 Academic Volunteer Program

Volunteer Information Form for Parents/Guardians
and Returning Community Volunteers

IMPORTANT! If you are NOT a parent/guardian of a current student and you have NOT been an Academic Volunteer in Centerville Schools in the past five years, please complete our form for New Community Volunteers.

Last Namerequired

First Namerequired

Email Addressrequired

Preferred Phone Numberrequired

Addressrequired

Apt Number

Cityrequired

Staterequired

Ziprequired

Name of Emergency Contactrequired

Phone Number of Emergency Contactrequired

Please select one of the following*

I am the parent and/or guardian of a student in Centerville Schools I am NOT a parent or guardian of a student in Centerville Schools

Child's Name and School (if applicable)

Multi-lingual Skills

Please indicate any foreign language(s) in which you are fluent and would be willing to provide assistance to students who do not speak English.

Please check one of the following*

I have a current background check through SecureVolunteer-Background Investigation Bureau (BIB). (This background check is valid for two years.) I have a current background check through Centerville City Schools (issued to substitutes, coaches, part-time or full-time employees, etc.). I do not have a current background check through SecureVolunteer-BIB or Centerville City Schools and agree to enter a request for a background check.

I understand and agree to abide by the guidelines and policies as stated in the Centerville City Schools' Academic Volunteer Program Volunteer Handbook as well as the Centerville City School District Bylaws and Policies.

Note: The handbook is available for download from www.centerville.k12.oh.us/students-parents/volunteer. Printed copies are also available from the AVP district office. The Bylaws and Policies may be accessed from www.centerville.k12.oh.us/about-us/board-of-education.

Please ensure that you have completed all required fields and then click on Submit. Thank you for your interest!

Centerville City Schools2018-19 Academic Volunteer Program

Volunteer Information Form for Parents/Guardians and Returning Community Volunteers

Centerville City Schools
2018-19 Academic Volunteer Program

Volunteer Information Form for Parents/Guardians
and Returning Community Volunteers