Basic Contact Information:

 It is best to contact me via:
 
 
 
 

In case of emergency notify:

Please select your top choice for the day/time you would like to volunteer (select only one day and one time):

 
 
 
 
 
 
 
 

Select your second choice for the day/time you would like to volunteer (select only one day and one time)

 
 
 
 
 
 
 
 

Are there any days you are not available? Please indicate below.

 
 
 
 
 

Confidentiality Statement

 Consent to Share Confidential Information: I understand that the volunteer screening process includes both criminal background checks and reference checks. I give permission to have the results of these checks shared with placement sites considering my involvement as a volunteer.
 Confidentiality Agreement: I understand that in providing my services as a volunteer with Waukegan Public Schools I will respect the confidential nature of the knowledge I will gain concerning academic performance, behavior and personal information of the children with whom I work. If a child tells me something or I notice something that may indicate his/her safety is at risk or he/she is in emotional distress, I will report that information to my supervising teacher or a support staff member (social worker, psychologist, nurse).

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