Please Read before Completing We are delighted to process your application. Please fill out all the information accurately and completely. To comply with state law and to maximize the safety of our students, we require that all non-parent volunteers submit a fingerprint card. The fingerprint packet will be furnished upon request. We also check the National Sex Offender Registry and the Arizona Department of Public Safety Sex Offender Info Center. You may submit this application at the front office of either Robles Elementary School or the Middle School. All parents and non-parents must receive clearance before they volunteer. Date Contact Information First name Last name Middle initial Complete home address Complete mailing address (if different) Home phone Work phone Cell phone Email Best number to call Home Work Cell Best time to call Personal/Emergency Information Sex Male Female Age group 20 and under 21-61 62+ Bilingual? No Yes Language(s) Emergency contact Phone Do you have children attending Altar Valley Schools? Yes No If yes, please list the grades and names of their teachers. Relationship to child(ren) Mother Father Custodial grandparent Grandparent Other I would like to help in Robles Elementary School Altar Valley Middle School Both I am available Monday Tuesday Wednesday Thursday Friday Times Interests I am interested in the following volunteer placements After school Assistant coach Campus beautification Bus monitor Chaperone Classroom Classroom clerical Clerical office Computer Field trip Listener for student reader Mentor Out bound phone calls PTA Read books on tape Reader Reading partner Reader seed Run errands Site council Speaker Special events Sports Teach craft or hobby Library helper Please list any particular subject in which you excel. Do you have any special skills? If yes, please describe. Is there any subject or task that you would prefer not to do? Agreement By signing, I agree to abide by the policies and/or procedures of the Altar Valley School District and the individual schools in which I serve. I understand the name of everyone who volunteers will be run thru the National Sex Offender Registry and the Arizona Department of Public Safety Sex Offender InfoCenter in the interest of protecting our children. I understand that parents do not need to submit a fingerprint card but non-parents do. I understand that the program reserves the right not to place me or to discontinue the use of my services as a volunteer at any time. Volunteer signature Date Mail in Volunteer Registration Form *Note: We must have an original, written signature on file to verify the above agreement. Please print it (by clicking on the print button in your browser window). Sign the form and mail it (or drop it off) to the Altar Valley School District, Attention: Partners for Success, 10105 South Sasabe Road, Tucson, AZ 85736. Thank you!