At Milwaukee College Prep. School, it is our desire to enter into an agreement with all volunteers having supervision and ongoing volunteer-child relationships with the children in our school. All volunteers must complete the following in order to comply with legal and insurance liability requirements. Your cooperation will help us know that the children will be in a safe and secure environment. Be assured this information is confidentially held. Thank you.
Please print and complete this form
Name (first, middle, last):
E-mail:
Street / PO Box:
Daytime phone:
City:
Evening phone:
State:
Cell phone:
Zip:
Social Security #:
Birth Date:
List any special skills or training you will bring to Milwaukee College Prep. School:
List previous work with children. Identify the institution and type of work.
Please indicate the days/times you are available /interested in volunteering.
Monday morning
Monday afternoon
Tuesday morning
Tuesday afternoon
Wednesday morning
Wednesday afternoon
Thursday morning
Thursday afternoon
Friday morning
Friday afternoon
Occasional Project
Indicate which, in general, you have a preference for working with:
elementary grades
middle school
Are there any physical handicaps or conditions which would limit your activities in working with youth or children? If yes, please explain.
Is there any circumstance in your background which would call into question your being entrusted with the supervision, care, or guidance of youth or children? If yes, please explain.
Have you ever been accused of sexual misconduct or abuse? If yes, please explain.
Please list three references who are not members of your family. These people should have personal knowledge of you which is relevant to your participation as a volunteer with Milwaukee College Prep. School. Include name, address, email, and phone numbers for work & home if appropriate.
1)
2)
3)
I authorize the references above to provide information they may have regarding my character and fitness for this volunteer position.
The staff of Milwaukee College Prep will complete a background check and promise to provide you with the administrative support needed to become a successful volunteer.
