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Volunteer Handbook

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					Missoula County Public Schools
Volunteer Handbook
                                                                                                              1
                                         Introduction

M           issoula County Public Schools District is the primary provider of public education
            in Missoula County. The first MCPS school opened in 1869 after the residents of
            Missoula were urged by the county superintendent of schools to elect a board of
education and hire a teacher. In the late 19th Century, more buildings were added, and in
1905, the first four-year high school was erected. Today, MCPS serves kindergarten through
12th grade and has grown to include nine elementary schools, three middle schools, four high
schools, an alternative high school program, a pre-school, adult learning center, and adminis-
trative buildings.
        Major initiatives that continue to enhance the quality of public education in Missoula
include the Graduation Matters Missoula initiative, 21st Century Schools initiative, and the
upcoming International Baccalaureate (IB) program. With the support of volunteers, along
with the high quality of performance from teachers and staff, MCPS offers the students of
Missoula a world-class education in a supportive, exciting community.



      Welcome from Superintendent Alex P. Apostle
Dear MCPS Volunteers,

         Welcome to the partnership of teachers, staff, administrators and par-
ent and community members that help make Missoula County Public Schools
a state leader in public education.

        The past three years have exemplified change and accomplishment.
From establishing high school graduation as a priority through our nationally
recognized “Graduation Matters Missoula” initiative, to raising test scores in
our schools, MCPS has been on the march to be the best. This year will be no
exception. We will continue to pursue excellence in our schools.
                                                                                   Dr. Apostle has served
         As it should be, our hopes and dreams will move us all toward great       as the Superintendent of
achievement. By working together and supporting each other, we can con-            Missoula County Public
tinue to reach for the stars. Together we can truly move Missoula County           Schools since July 2008.
Public Schools to a new American standard of public education. Together we
can achieve the best possible education program and in the process provide
the foundation for our children’s hopes and dreams to flourish.

        The involvement of parents, families, and community members as
volunteers in our schools serves to enhance and support the excellence of our
teachers and staff, while fostering vital relationships between students and the
greater Missoula community. These relationships and support can make a true
difference in the lives of Missoula’s students, and we at MCPS thank you for
your commitment and service to our schools and our youth.

Sincerely,

Alex P. Apostle
Superintendent, Missoula County Public Schools
2

                                    Policies and Procedures
                      MCPS Volunteers Are Expected To:
         Complete Volunteer Registration
         Turn in a signed Confidentiality Agreement
         Complete a Criminal Background Check, if necessary                                       Are you age
         Adhere to District sign-in/sign-out procedures
         Wear appropriate attire for service and working with students
                                                                                                  55 or older?
         Wear a visible nametag at all times during service                                         If yes, you are eligible to
         Maintain communication with their teacher/supervisor                                    register as an RSVP Tutor
         Adhere to all District policies                                                         or Foster Grandparent vol-
         Assist teachers/school staff in non-instructional activities                            unteer through Missoula
                                                                                                 Aging Services.

                                                                                                     Through these Senior
                               Check-in Procedures                                               Corps programs, you could
         All MCPS volunteers are required to sign in and out at the front desk of their          join more than 500,000
school every time they volunteer. This procedure helps us keep track of volunteer                Americans who are giving
numbers and hours and also covers you under the District’s worker’s compensation                 back to their communities
plan while you are at the school.                                                                through service.
         Sign-in procedures should be explained to you prior to or on your first day as
a volunteer. School office staff can answer any questions you have about the sign-in/               As a Senior Corps volun-
sign-out procedures.                                                                             teer, you may be eligible to
                                                                                                 receive a small stipend for
                                                                                                 your service and you will be
                                         Attire                                                  covered under an insurance
          MCPS volunteers should wear attire appropriate for working with minors. T-             plan that protects you from
shirts with logos depicting tobacco, alcohol or firearms are prohibited for volunteers as        the moment you leave your
well as students. As a general guideline, if a shirt shows your stomach when you raise           home to volunteer at an
your hands over your head, it is too short; and skirts, dresses or shorts should extend          MCPS school.
below your fingers when your arms are held at your side.
          If you know that you will be doing a lot of walking or outdoor work during                To learn more about
your service, please remember to bring sufficient shoes and a jacket, as the school will         these programs and the
not have extras to provide.                                                                      benefits and training you
                                                                                                 can receive as a member,
                                                                                                 contact Missoula Aging
                                                                                                 Services at (406) 728-7682.
                                    Identification
         MCPS volunteers are required to wear a nametag or identification when in
schools, just like MCPS employees. Each school has different forms of volunteer nametags,
and the school secretary can help you determine how to identify yourself. When filling out the nametag, use the name stu-
dents call you (i.e. “Grandma Beth” or “Mr. Jones”).



                                            Non-Instructional Activities
          Volunteers are a great asset to assist instruction in the classroom, but MCPS volunteers should never assume the
role of a certified teacher. Examples of assisting instruction include: Giving a guest lecture on an area of expertise, tutor-
ing or enriching curriculum for particular students, reading to a class or demonstrating the proper way to perform a sci-
ence experiment. Examples of prohibited instructional duties include: Serving as a substitute teacher (unless you are reg-
istered as a substitute and hired through the District for a particular class), teaching curriculum to the class while the
teacher grades student tests, conducting the main lecture for a subject on a regular basis.
          MCPS does not anticipate volunteers will be asked to perform any of the prohibited duties, but volunteers should
be aware of the difference between assisting instruction and acting as the instructor.
                                                                                                                            3
     Volunteers should review the following policies before working with stu-
dents in schools. To read more District policies, visit www.mcps.k12.mt.us.

            Fingerprint and Criminal Background Investigations – District Policy 5122
District Policy 5122 requires all volunteers who will have unsupervised contact with students to pass a name-based crimi-
nal background check. This policy helps ensure the safety of all MCPS students and is not intended to discriminate based on
criminal history. Background checks do not include any financial information, such as credit history, taxes or income.
          If a volunteer chooses to decline a criminal background check or is unable to work with students unsupervised due
to a certain conviction, they may still be eligible to volunteer with MCPS in a supervised capacity.

    Unsupervised positions refer to those where the volunteer has contact with students while not in the presence of an
    MCPS employee (i.e. teacher, administrator).
    Supervised positions refer to those where the volunteer has contact with students only in the presence of an MCPS
    employee.

         Any questions regarding the classification of your desired volunteer assignment or specific restrictions that will
apply as a supervised volunteer may be directed to the teacher or administrator you will volunteer with, or the school’s prin-
cipal. Visit www.mcps.k12.mt.us for more information.

        You must fill out and return the Criminal Background Check form at the back of this handbook, and your check
must be processed before you may begin volunteering unsupervised. You may submit your completed form to the MCPS
Human Resources Department, located in the Central Administration Building at 215 S 6th St. W, Missoula, MT.


                            Conduct on School Property – District Policy 4332
         In addition to prohibitions stated in other District policies, no person on school property shall:
         Injure or threaten to injure another person;
         Damage another’s property or that of the District;
         Violate any provision of the criminal law of the state of Montana or town or county ordinance;
         Smoke or otherwise use tobacco products;
         Consume, possess, or distribute alcoholic beverages, illegal drugs, or possess dangerous weapons at any time;
         Impede, delay, or otherwise interfere with the orderly conduct of the District’s educational program or any
         other activity occurring on school property;
         Enter upon any portion of school premises at any time for purposes other than those which are lawful and au-
         thorized by the Board; or
         Willfully violate other District rules and regulations.

“School property” means within school buildings, in vehicles used for school purposes, or on owned or leased school
grounds. District administrators will take appropriate action as circumstances warrant.


                                Tobacco Free Schools – District Policy 8225

         The Missoula County Public School District, inclusive of all its building and property, shall be tobacco-free 24
hours a day, 365 days per year. This includes all days when school is not in session and all events and other activities
not associated with, or sponsored by, the school.
         Use of tobacco products by school employees and visitors on District property, in District vehicles and at
school-sponsored events (whether on or off District property) is prohibited at all times. Exceptions to this include:

         In a classroom or on other school property as part of a lecture or demonstration or educational forum sanc-
         tioned by a school administrator or faculty member concerning the risks associated with use of a tobacco prod-
         uct or involving Native American use of traditional tobacco for ceremonial purposes under the supervision of
         a faculty member or other responsible adult.
4


                                                     Student Contact
              As a volunteer, you will have a great impact on the lives and education of MCPS
       students. The relationships forged between volunteers and youth can instill confidence
       and ambition in students as they go through school. However, it is important to remem-
       ber the nature of your relationship to students in MCPS.

              Students inevitably look to volunteers as mentors, role models and even friends.
       Volunteers must keep the “mentor” and “role model” aspect of any friendship with a stu-
       dent at the forefront. Students will take guidance from your speech, behavior and opin-
       ions, so be conscious of what you say and what you choose to share in conversation.




               Harassment, Intimidation, and Bullying Prevention – District Policy 3223

              The policy of the Board of Trustees of Missoula County Public Schools is to provide students and staff
    with a school environment free from harassment, intimidation and bullying. Missoula County Public School
    District will not tolerate harassment, intimidation or bullying in any form at school or school-sponsored activi-
    ties and events, including off-campus events, school buses or any event related to school business.
              Harassment, Intimidation and Bullying include: Any gesture, visual depiction, written or electronic com-
    munication, or verbal or physical act that is reasonably perceived as being motivated either by any actual or per-
    ceived attribute such as race, color, religion, ancestry, national origin, gender, sexual orientation, gender identity,
    culture, social origin or condition, political affiliation, mental, physical or sensory disability, or by any other char-
    acteristic, that a reasonable person knows or should have known:

             Will have the effect of harming the person or damaging the person’s property; or
             Will place a person in reasonable fear of physical harm; or
             Will demean any person or group of people in such a way as to disrupt or interfere with the school’s edu-
             cational mission, the education of any student, or the ability of a staff member to perform the essential
             functions of the staff member’s job.




                                        Questions? Concerns? Let us know!

    As we move forward with changes to our volunteer program, please feel free to offer your feed-
    back and experiences so we can better prepare materials and procedures for our volunteers. If
    you have any questions, comments or concerns, contact the MCPS Volunteer Coordinator at
    728-2400 ext. 1095, or by e-mail at volunteer@mcps.k12.mt.us.
                                                                                                      5
                           Confidentiality Agreement
This copy of the MCPS Confidentiality Agreement is for your records. Please review this document
and sign the copy in the back of this handbook. You may submit the completed form to the school
where you plan to volunteer, along with all other required forms before you begin your service.


                  Missoula County Public Schools Confidentiality Agreement


           Students in Missoula County Public Schools have the right to expect that information
   about them will be kept confidential by all volunteers, student interns, practicum students and
   student job shadow observers. Additionally, the U.S. Congress has addressed the privacy-
   related concerns of educators, parents, and students by enacting the Family Educational
   Rights and Privacy Act (known more commonly as “FERPA” or the “Buckley Amendment”).
   Among other provisions, FERPA allows the government to withdraw federal funds from any
   educational institution, including Missoula County Public Schools, which disseminates a stu-
   dent’s education records without his or her parent’s consent.

   Each student with whom you work has the right to expect that nothing that happens to or
      about him or her will be repeated to anyone other than authorized school department em-
      ployees, as designated by the administrators at your school. Even when discussing a stu-
      dent with those who are directly involved in a student’s education, such as a teacher, prin-
      cipal, or guidance counselor, you may not share otherwise confidential information with
      them unless it is relevant to the student’s educational growth, safety, or well being.
   You may not share information about a student even with others who are genuinely interested
      in the student’s welfare, such as social workers, scout leaders, clergy, or nurses/physicians
      (a grave medical emergency, in which confidential information may be necessary for a
      student’s care, is the only exception). Thus, you must refer all such questions to the
      school employees so authorized and indicated to you, typically the student’s teacher or
      principal.
   Parents, friends, or community members may in good faith ask you questions about a stu-
      dent’s problems or progress. Again, you must refer all such questions to the authorized
      school employees. You may not share information about a student even with members of
      your own family or the student’s family.
   Before you speak, always remember that violating a student’s confidentiality isn’t just impo-
      lite, it’s against the law!

   Agreement
           I, (print name)______________________________, as a volunteer, student intern,
   practicum student, student job shadow observer, for Missoula County Public Schools agree
   never to disclose information about a student’s records to anyone other than an authorized
   school department employee. I will refer all requests for such information from those not di-
   rectly involved in the student’s education to authorized school department employees.

     Signature ___________________________________________              Date
6

                               Special Volunteer Positions
                                             Chaperones
      If a volunteer will serve as an overnight chaperone for students on a trip, certain additional re-
quirements and restrictions apply.

       Age: Overnight chaperones must be at least 21 years old
       Background Checks: Overnight chaperones must submit a Criminal Background Check form
       Insurance/Vehicle information: If the chaperone will be driving students, they must complete
       paperwork detailing their vehicle information and registration and meet certain insurance limits.
       Ask the teacher/administrator you work with or the school office staff for this paperwork if
       asked to drive students to an event as a chaperone.



                     Afterschool Programs and Outside Organizations
        If you are a volunteer for an outside organization or afterschool program that serves students in
MCPS facilities and does not have a Facilities Rental Agreement with MCPS – such as The Flagship
Program, Big Brothers Big Sisters, YWCA GUTS!, and others – you must adhere to the policies of
that organization in addition to the policies and procedures of the MCPS Volunteer Program.
        You must meet the screening requirements for both the organization and MCPS before you may
begin your volunteer service with MCPS students.
        If any policies and/or procedures outlined by your organization conflict with the MCPS policies
and procedures detailed in this handbook, or you have any other questions, please contact the MCPS
Volunteer Coordinator at 728-2400, ext. 1095, or by e-mail at volunteer@mcps.k12.mt.us.



                                 Parent/Teacher Organizations
        Parents are the strongest source of volunteers in our school District, from PTA/PTOs to booster
clubs. Volunteer work with these organizations does not necessarily fall under the requirements of
other MCPS volunteer positions.

    If you only volunteer with a parent organization and do not have contact with students, you do not
    need to register as an MCPS volunteer.
    If you will have contact with students as a member of a parent organization, you do need to register
    as an MCPS volunteer.
    If you are a member of a parent organization and also volunteer in your child’s classroom, you do
    need to register as an MCPS volunteer.
    If you are an extended family member and sometimes help with parent organization events, the
    same standards apply. If you will have contact with students, you need to register as an MCPS vol-
    unteer.

        The District administration understands that sometimes volunteers arrive at the last minute to
help with large events. We ask parent organization leadership and school administrators to keep student
safety in mind when assigning last-minute volunteers to duties.
                                                                                                        7
                                          Resources
                                              Training
         In a June 2010 survey of MCPS teachers, the No. 1 reason teachers across all grade levels iden-
tified for not using volunteers in the classroom was “I don’t have enough time to prepare and train vol-
unteers.” To help our teachers confidently welcome more volunteers into their classrooms, MCPS has
put together a variety of training materials for volunteers.
         A teacher may request that you complete certain MCPS training modules. These may be ac-
cessed online at www.mcps.k12.mt.us/. If you do not have computer access at home, ask the teacher/
administrator you volunteer with if you may use a school computer to complete the modules.
         Training materials available on the MCPS Volunteer Webpage cover a range of topics, and vol-
unteers should feel free to explore as many modules and topics as they find interesting. Even if your
teacher/administrator has not requested you complete any training, you may learn new skills and tips
for working with kids or understanding new curriculum.



 Appropriate physical contact with youth                                 Available Training
                                                                                 Elementary
 Everyone has a different comfort level with physical contact                Math Expressions
 and touch, and it’s no different with students. Here are some
                                                                             Working with youth K-5
 safe-touch guidelines from the “Working With Kids Training”,
 available in its full form online at www.mcps.k12.mt.us/.                   Understanding learning
                                                                             disabilities/differences
                                                                             Listening to readers
 Safe touch: Child has               Things to keep in mind                  Reading to groups
 control of the touch. Limit          No exchange of phone                   Classroom Management
 touching to avoid confusion.         numbers or emails with-
                                      out parental permission.                  Middle School
          Appropriate                 No exchange of gifts
                                                                             Supervising dances
     Shoulder-to-shoulder or          without permission from
                                      school staff and the par-              Working with youth 6-8
     side hugs
                                      ent/legal guardian.                    Understanding learning
     Handshakes, high fives
                                                                             disabilities/differences
     Get permission before
     touching                       Some students may be                     Math concepts 6-8
                                comfortable with touch and                   Classroom Management
          Inappropriate         want to sit in your lap or give
     Stroking the hair, head    you a full-frontal hug. As the                   High School
     Piggyback rides            adult and role model, you                    Supervising dances
     Sitting on laps            can direct that affection into               Working with teens
     Full-frontal hugs          a physically appropriate ac-                 Understanding learning
     Tickling, wrestling or any tion like a side hug or sitting              disabilities/differences
     action that immobilizes or without frontal contact.                     Writing concepts 9-12
     compromises the child’s        By modeling appropriate
                                                                             Classroom Management
     movements                  touch, you are building trust
     Contact with the child’s   with the student and helping
     private areas              them understand the ways it                  Check online at
     Any other action that      is safe and appropriate for a
                                                                           www.mcps.k12.mt.us/
     could be construed to be non-relative adult to touch
     sexual (massage, etc).     them.                                        to access these
                                                                               and more!
8
                              Preparedness Checklist
   Reviewing this list with the teacher or administrator you will be volunteering with can help alleviate
any concerns or uncertainty when beginning your service as an MCPS Volunteer. Teachers, school
staff, the Family Resource Center Specialist and district volunteer coordinators can help you under-
stand the layout of the school and proper policies and procedures.


        Requirements               □  Ask the teacher about any       the school (music, gym)?
Have you met the basic require-       classroom procedures you      □ Get a list of important school
ments to volunteer for MCPS?          need to be aware of, includ-    contacts (teacher, aides, prin-
                                      ing: Restroom policy, disci-    cipal, secretary)
□ Turned in MCPS Volunteer            pline, daily schedule, class
    Registration and Confidenti-      rewards, emergency protocol             Training
    ality Agreement               □ Have alternate plans ready What training do you need to
□ Submitted or officially             for volunteering when your complete for your position?
    declined a Criminal Back-         teacher or a student you
    ground Check as required by       work with is absent.          □ Does your teacher want to
    my volunteer position         □ How will students refer to        you complete any training
□ Reviewed the Volunteer              you? (Mr., Mrs., Grandma,       modules on the MCPS
    Handbook                          first name, etc.)               Volunteer Webpage?
                                  □ What nametag will you use? □ Have you checked the
            Position                                                  available training topics to
Do you understand your volun-                Orientation              see if you are interested in
teer role and position duties?    Do you know where you are go-       completing any of them?
                                  ing and what to do in the school?
□ I have reviewed my position                                                    Extra
    description and addressed     □ Where should you park?
    any questions with my super- □ Where are the adult              □ Discuss your interests and
    visor                                                             hobbies with your teacher if
                                      bathrooms?
□ I am aware of time and date □ Where is the volunteer                you prefer. You may be able
    commitments of my service                                         to give students a special
                                      sign-in/sign-out sheet?         presentation
□ Understand any restrictions □ Where can volunteers
    that apply to your contact
                                                                    □ Have you registered as a
                                      “take a break”?                 Senior Corps volunteer if
    with students if you are in a
    “supervised” position         □ Where are special rooms in        you are age 55 or older?


Schedule:

Training to complete:


Other notes:
                                                                                                          9
                      Frequently Asked Questions

Q: I’ve never needed to fill out these volunteer registration materials before. Why now?
A: Missoula County Public Schools has instituted a new District-wide volunteer management program
to safely increase the number of parent and community volunteers in the schools and enhance the over-
all success of the program. The data gathered through these forms will help us set realistic goals for
increasing volunteerism and assist in our application for state and federal grant funding.


Q: I have children at multiple schools. Do I need to fill out multiple registration forms?
A: No. These forms certify you as a volunteer across the district. If you plan to volunteer at multiple
schools, tell the office staff and they can access your records from the District.

Q: Will I be contacted to volunteer by other schools?
A: No. District volunteer records help us track involvement numbers and keep students and staff safe.
We understand a volunteer commitment comes from the volunteer. You will only be contacted to vol-
unteer at schools where you have expressed an interest in helping.


Q: I want to serve on my school’s PTA/PTO. Do I need to fill out these volunteer forms?
A: Maybe. If you only want to serve on the PTA/PTO/booster club and will not be working with
MCPS students directly or during school hours, you will not need to complete the MCPS Volunteer
Registration forms. However, if you are working with students at a school-sponsored event (ice cream
social, Sock Hop) you will need to complete the forms and ask your group’s leadership and the school
principal if your work will be supervised or unsupervised. Unsupervised positions require an approved
Criminal Background Check.


Q: My child’s extended family wants to volunteer while visiting. Is that allowed?
A: Family involvement is encouraged and welcomed by MCPS. We ask that family complete the basic
MCPS Volunteer Registration and Confidentiality Agreement to participate in one-stop volunteer ac-
tivities.
If you know family will be visiting, feel free to mail them a copy of this handbook with the proper
forms and/or refer them to the MCPS Volunteer Webpage at www.mcps.k12.mt.us/.



Q: What will show up in my Criminal Background Check, and who will see the results?
A: The MCPS Criminal Background Checks will be processed by the MCPS Human Resources De-
partment. The results include criminal convictions only. No financial or education history is included in
the results. Principals and teachers will only know if you’re approved or not approved for unsupervised
contact with students, not the full details of the report.


Q: What if I can’t afford to pay the $6.50 Criminal Background Check processing fee?
A: MCPS asks that individuals pay the processing fee for their Criminal Background Check to help us
offset the cost of our volunteer program. However, the District has arranged to pay the fee for individu-
als in cases of financial hardship. We welcome the opportunity for everyone to volunteer, so please
contact the MCPS Volunteer Coordinator at volunteer@mcps.k12.mt.us.
10
                          Frequently Asked Questions

Q: The teacher I volunteer with said I should complete some trainings. Where are they?
A: The MCPS Volunteer Webpage contains many training modules volunteers may find helpful. Go to
www.mcps.k12.mt.us/ to access them and other resources. If you do not have a computer with Internet
access at home, school staff may provide you time to complete these trainings. Additional computers
are available for public use at Missoula Public Library and the MPL Big Sky High School branch.


Q: My teacher knows when I come and everyone at the school knows me. Do I really have to sign
in and out at the front desk every time I volunteer?
A: Yes. The sign-in/sign-out sheets help us track volunteer involvement, keep students safe and pro-
vide proof you were in the school at certain times if you are injured while volunteering and file a
worker’s compensation claim through the District.


Q: What happens if I decline a Criminal Background Check?
A: Any volunteer who declines a Criminal Background Check is still welcome to be involved in the
school, but will be restricted to supervised volunteer positions. In these positions, you may never be in
contact with students without the presence of a background-checked district employee or an other ap-
proved individual who has been given authority to supervise volunteers by the District.


Q: How soon can I start volunteering after turning in my registration materials?
A: You may begin volunteering in a supervised position immediately after turning your registration
materials into the school. For unsupervised positions, you must wait until your Criminal Background
Check results are returned. Checks are submitted once a week and take 24 to 48 hours to process, so it
could take up to two weeks to get the results to your school. You may use that time to complete volun-
teer trainings or volunteer in a supervised capacity. If you know you will be volunteering at some time
during the year, completing your registration forms at the beginning of the year can cut out any lag
time between registration and approval.


Q: Do I have to fill out these forms every year?
A: No. Every volunteer must register with MCPS starting in the 2011-12 school year. If you continue
as an MCPS volunteer, you will not need to resubmit your registration materials or Criminal Back-
ground Check form. However, if you are inactive as a volunteer for more than a year, you may be re-
quired to resubmit materials.


Q: How do I know if I need to submit to a Criminal Background Check?
A: The teacher or administrator you volunteer with can tell you the contact level of your position. Any
duty where you are working unsupervised with students will require you to complete a Criminal Back-
ground Check.

Q: Who can I contact with more questions about these policies and procedures?
A: You can visit the MCPS Volunteer Webpage for more F.A.Q. and to access training modules, forms
and other resources. For further questions, please contact the MCPS Volunteer Coordinator at 728-
2400, ext. 1095, or by e-mail at volunteer@mcps.k12.mt.us.
                            MCPS Volunteer Registration
                             Thank you for your interest in volunteering with Missoula County Public Schools.
                             Please complete the following registration form in ink. You may also register online
                             at www.mcps.k12.mt.us/. If you have any questions, please contact the secretary of
                             the school where you plan to volunteer, or call 728-2400 ext. 1095. You may submit
                             your completed form to the school where you will volunteer or at the District Central
                             Administration Building at 215 South 6th St. W.


1. Basic Information
Name:                                                                    Date of Birth (mm/dd/yyyy):

Address:                                                            City, State, ZIP Code:

Phone:                                         Home       Cell Email:

Available start date:                               CPR/First Aid Certified?        Yes       No

Emergency contact (Name, relation, phone):

How are you affiliated with the school district?

   Parent         Other relative    Community member            Other:


2. Volunteer Location(s)
Please identify the school(s), grades and specific class where you would like to volunteer:

                                                                                               Name of your child in
            School                       Grade(s)              Class/Teacher (optional)
                                                                                              that class (if applicable)




3. Availability
Please identify the days and times you would be available to volunteer:

        Time               Monday             Tuesday            Wednesday             Thursday             Friday
      9 a.m.
     10 a.m.
     11 a.m.
      Noon
      1 p.m.
      2 p.m.

   After school         From home        Evenings

    I formally decline a Criminal Background Check and will only have supervised contact with MCPS students.

Signature:                                                                            Date:
                            Criminal Background Check
                            In accordance with District Policy 5122, Missoula County Public Schools is requiring all
                            volunteers who will have planned or possible unsupervised contact with students to un-
                            dergo a criminal background check. If you decline a background check, you may only per-
                            form volunteer duties designated “supervised contact with students.”
                            This form may be returned to the MCPS Human Resources office in the Central Ad-
                            ministration Building at 215 S 6th St. W., Missoula, MT, in person or by mail.



Name:                                                                  Date of Birth (mm/dd/yyyy):
                   First           M.I.     Last           Suffix

Previous names (if applicable):                                                             Sex:      Male         Female


SSN:           -            -             Drivers License #:                                               State:


Address:
                   Street                                           City                    State            ZIP



The following are my responses to questions about my criminal record history (if any) with descriptions to any question
with a YES answer:

1.       Have you ever been convicted, plead guilty or been adjudicated before a court of any federal, state or municipal
criminal offense? (Excluding minor traffic violations)     YES           NO
If YES, please provide an explanation:




2. Have you ever received deferred or similar disposition for any federal, state or municipal criminal offense?
                YES             NO
If YES, please provide an explanation:




3.      Have you ever received probation or community supervision for any federal, state or municipal criminal offense?
        YES             NO
If YES, please provide an explanation:




4.      Have you ever been convicted of any criminal offense in a country outside the jurisdiction of the United States?
        YES             NO
If YES, please provide an explanation:
5. As of the date of this authorization, do you have any pending criminal charges against you?
        YES              NO
If YES, please provide an explanation:




      LIST ALL COUNTIES AND STATES OF RESIDENCE SINCE AGE 18 OR HIGH SCHOOL
            GRADUATION. YOU MUST BE SPECIFIC ABOUT DATES OF RESIDENCE.

     CITY/TOWN                     COUNTY                       STATE                   DATES FROM                         TO




This authorization and consent for release of personal information acknowledges that Missoula County Public Schools may now or
at any time conduct investigations including National Criminal Database search, National Sex Offender Registry Search and Social
Security Number Verification.

I understand this investigation will be used to determine volunteer eligibility and assignment according to Missoula County Public
Schools policy 5122. Therefore, I authorize and consent for full release of records (either orally or in writing) to the authorized repre-
sentatives of the district. In addition, I release and discharge the district and its agent and associates to the full extent permitted by
law from any claims, damages, losses, liabilities, costs expenses or any other charge or complaint filed with any agency arising from
retrieving and reporting this information.

Further, I understand the selective reporting or nondisclosure of any prior convictions (excluding minor traffic violations) or any new
convictions within three schools years of my approved background check may result in termination of my volunteer eligibility with
Missoula County Public Schools.



I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS AUTHORIZATION IS TRUE, CORRECT
AND COMPLETE. I UNDERSTAND THAT IF ANY INFORMATION PROVES TO BE INCORRECT OR INCOM-
PLETE THAT GROUNDS FOR THE CANCELING OF ANY AND ALL OFFERS OF VOLUNTEER POSITIONS
WILL EXIST AND MAY BE USED AT THE DISCRETION OF MISSOULA COUNTY PUBLIC SCHOOLS.



Applicant Print Name:

Application Signature:                                                                                Date:

Your Criminal Background Check includes a $6.50 processing fee. If you are unable to pay the fee,
please speak with your school staff and arrangements can be made to cover the cost.
                           Interests and Skills (optional)
                           By providing information about your interests and skills, MCPS can provide
                           you a better volunteer experience. We know the parents and community
                           members in Missoula have many skills to bring to our schools, so please help
                           us in acknowledging the talents of you, our volunteers. The form is optional.
                           You may submit the completed form to the school where you will volunteer or
                           to the District Central Administration Building.



1. Position
What is the volunteer position you are registering for?


   Position title                            School                           Teacher/class (optional)

Position is:        Supervised        Unsupervised (Must pass Criminal Background Check)


2. Skills
What skills or talents do you have that will help you in this position?

    Experience working with youth                     Math                               Other (please expand)

    Teaching experience                               Science

    Classroom/group management                        Arts and crafts

    Reading/writing                                   Computer skills


3. Interests
What are your interests or hobbies? Sharing an area of interest can be a fun way to volunteer!

    Outdoors                                          Playing an instrument              Other (please expand)

    Sports                                            Photography

    Arts and crafts                                   Performing arts/drama

    Writing / editing / journalism                    Travel


4. Education
Highest level of education completed:

   High school         Some college        Bachelor’s degree        Master’s/doctorate        Other

What is your degree in? (optional, if applicable)


Applicant Print Name:

Application Signature:                                                                      Date:
                Missoula County Public Schools Confidentiality Agreement


        Students in Missoula County Public Schools have the right to expect that information
about them will be kept confidential by all volunteers, student interns, practicum students and
student job shadow observers. Additionally, the U.S. Congress has addressed the privacy-
related concerns of educators, parents, and students by enacting the Family Educational Rights
and Privacy Act (known more commonly as “FERPA” or the “Buckley Amendment”). Among
other provisions, FERPA allows the government to withdraw federal funds from any educa-
tional institution, including Missoula County Public Schools, which disseminates a student’s
education records without his or her parent’s consent.

Each student with whom you work has the right to expect that nothing that happens to or about
   him or her will be repeated to anyone other than authorized school department employees,
   as designated by the administrators at your school. Even when discussing a student with
   those who are directly involved in a student’s education, such as a teacher, principal, or
   guidance counselor, you may not share otherwise confidential information with them unless
   it is relevant to the student’s educational growth, safety, or well being.
You may not share information about a student even with others who are genuinely interested in
   the student’s welfare, such as social workers, scout leaders, clergy, or nurses/physicians (a
   grave medical emergency, in which confidential information may be necessary for a stu-
   dent’s care, is the only exception). Thus, you must refer all such questions to the school
   employees so authorized and indicated to you, typically the student’s teacher or principal.
Parents, friends, or community members may in good faith ask you questions about a student’s
   problems or progress. Again, you must refer all such questions to the authorized school em-
   ployees. You may not share information about a student even with members of your own
   family or the student’s family.
Before you speak, always remember that violating a student’s confidentiality isn’t just impolite,
   it’s against the law!

Agreement
        I, (print name)______________________________, as a volunteer, student intern, prac-
ticum student, student job shadow observer, for Missoula County Public Schools agree never to
disclose information about a student’s records to anyone other than an authorized school depart-
ment employee. I will refer all requests for such information from those not directly involved
in the student’s education to authorized school department employees.

 Signature __________________________________________               Date

				
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