All
volunteers are subject to a preliminary background check, which you authorize
with your signature on this form.
All
Volunteers should never be alone with students without staff present
If
volunteering requires you to be alone with students, you are required to
complete an extensive background check. Please call D11 Volunteer Coordinator at 719-520-2202.
I understand that as a volunteer I am not
an employee of CSSD11, and therefore am not compensated or entitled to Workers Compensation benefits or in case of an automobile accident, any personal
injury, property damage or liability coverage provided by CSSD11. I understand
that CSSD11 or I may terminate this relationship at any time. I agree to abide
by: (i) all rules, policies, and regulations of CSSD11; (ii) the rules of the
Colorado High School Activities Association and the National Foundation
of High Schools. (if I am volunteering with any athletic program); and
(iii) the laws of the State of Colorado. CSSD11 policies and regulations are
available on the CSSD11 website at http://www.d11.org/BOE/Policies. CHSAA and
NFHS rules are available in the CSSD11 Athletic Office. In addition:
I will only volunteer or volunteer coach while
under the supervision of a District 11 employee.
I will not
place myself in a situation where I am alone with students unless I have
submitted and cleared an extensive background check (as provided by policy IJOC
and Regulation IJOC-R).
I will abide by all District policies and
procedures, conduct myself in a professional manner and use good judgment.
I understand that by signing this
Volunteer Registration Form
I am providing
my permission for the District to conduct any background check on me that it
deems necessary or appropriate.
I do hereby
attest that all information on this form is true and complete to the best of my
knowledge, and I understand that any misrepresentation of fact may result in
the denial of registration and the opportunity to volunteer for the District.
By signing this form, I understand the
requirement of self-reporting if I am charged with, convicted of or plead not
guilty or nolo contendre to any felony, misdemeanor, or alcohol/drug related
traffic offense. *