Volunteer Application - Salem-Keizer Public Schools

Instructions

Personal Info

Identification & Aliases

Role & Location

Criminal History

Review & Submit

Personal Information

Middle Name

Last Name

Date of Birth

Gender

Male Female Non-Binary

Last 4 of SSN

Street Address

City

State

ZIP Code

Phone Number

Yes No

School Name

Student Number

Yes No

License Number

Identification & Aliases

Identification Documents

ID Type

ID Number

Issuing State

Other Names (Aliases)

Role & Location

Requested Volunteer Role

Volunteer Guest Speaker University Supervisor Mentor Volunteer Coach Student Teacher

Select School Locations (Optional - you may select multiple)

Select All Locations

Acknowledgement & Agreement

Yes No

By clicking the submit button, you are stating that you agree to comply with the information provided in the volunteer handbook and the District's policies and training on child abuse prevention and maintaining appropriate boundaries with students.

Click here to view the Volunteer Handbook

Review & Submit

Please review your information carefully before submitting.

Authorization To Release Information

(Release From Liability & Waiver)

I authorize the release of information as described above.

Please enter your initials to confirm:

This Form Is Not For Current Salem-Keizer Employees

Salem-Keizer Public Schools

Personal Information

Identification & Aliases

Identification Documents

Other Names (Aliases)

Role & Location

Criminal History Disclosure

Review & Submit

Authorization To Release Information