Volunteer Application

Volunteer Application
We are delighted to process this application to volunteer with Resilience Charter School. Please complete this application accurately and completely. Be aware that a check of the FDLE Sexual Predator web site will be performed. We do this to comply with state law and to maximize the safety of our students. You must fill out a new application each year. Thank you for offering your time, talents and skills to enhance the education of our students.
Name*

First NameLast Name
Date of Birth*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Occupation
Employer
Emergency Contact*
Emergency Contact Phone Number*

Area CodePhone Number
Have you ever been convicted, found guilty, entered a plea of nolo contendere (no contest), entered into a deferred prosecution or pre-trial diversion agreement, or had adjudication withheld in a criminal offense other than a minor traffic violation? (DUI is not a minor traffic violation.) Are there any criminal charges now pending against you? Sealed or expunged records must be reported. A “NO” check means “NO” to every statement above.*

YesNo
County & State Arrested:
Date(s):
Nature of Charges:
Name at Time of Charges:
Disposition:
If YES, Co-Director approval will be required before volunteering can begin.
How would you like to help (check all that apply)?:*

Tutor MathTutor English Language ArtsTutor Social StudiesTutor ScienceAfter/Before School CareAthletic CoachClassroom VolunteerClerical/OfficeClubExceptional Ed. (ESE)Field Trip ChaperoneFinance/BookkeepingFront DeskGardening/Outdoor MaintenanceWork @ HomeGuest SpeakerProject Studio MentorStudent MentorOther
Please share any additional info about your interests, skills, talents, or areas of expertise:
What days of the week work best for your schedule?:*

MondayTuesdayWednesdayThursdayFridaySaturdaySundayOther
What time of day works best for your schedule?:*

MorningAfternoonEveningOther
How frequently can you volunteer?:*

On a regular weekly basisAs needed occasionallyBothOther
Do you have any children attending this school?*

YesNo
Relationship to child:
Child(ren) Name(s); Grade(s):
How did you hear about Resilience?

Google/InternetFacebookRadio - NPRRadio - PrazeRadio - Kiss 105.3TVTwitterInstagramTumblrFlyerSchool board meetingThe Fine PrintThe Gainesville GuardianNorth Florida School DaysSt. Leo UniversityUF College of Education NewsletterUniversity of Florida - other dept.Santa Fe CollegeWord of mouth
Are you volunteering for a class requirement?*

YesNo
School Name:
Professor's Name:
Course Code:
Total Hours Required:
By signing, I agree to abide by the policies and/or procedures of Resilience Charter School. I understand that the school reserves the right not to place me or to discontinue the use of my services as a volunteer.*
Should be Empty: