Student Volunteer Application
25 Questions
The Applicant Disclosure questions must match the results that we receive from the Washington State Patrol.
Once approved, your volunteer clearance will be good for two years from the date of processing with the Washington State Patrol. After two years, another volunteer application must be submitted and cleared in order to maintain your volunteer status.
If you are over 18, please complete the Adult Volunteer Application.
View the Handbook here: https://www.msd25.org/o/district/page/volunteer-handbook
Signature I understand that my typed signature is the legal equivalent of my handwritten signature on this document.First Middle Last
*Due to constraints of the WSP Criminal History request application, we are unable to include Non-Binary as an option. Please select what is stated on your driver's license.
- Hover over and click the date - Click the current year - Scroll through the list of years and select the right year - Once you've selected the year, click the top arrows and scroll through until you find the right month - Once you're on the right month, click the date - See that the month, date, and year have changed successfully
If you are a Marysville School District student, please include your school of attendance on this list of volunteer schools.
Please Answer YES or NO to each item in the following questions. If the answer is YES to any item, explain in the area provided at the end, indicating the charge or finding, the date, and the court(s) involved. Please leave this question blank.
View the RCW here: https://app.leg.wa.gov/RCW/default.aspx?cite=43.43.830
View the RCW here: https://app.leg.wa.gov/RCW/default.aspx?cite=43.43.830
For purposes of this question, “crimes related to drugs” means a conviction of a crime to manufacture, delivery, or possession with intent to manufacture or deliver a controlled substance. View the RCW here: https://app.leg.wa.gov/RCW/default.aspx?cite=43.43.830.
*Including chiropractic, dentistry, dental hygiene, naturopathy, massage, midwifery, osteopathy, physical therapy, physicians, practical nursing, registered nursing, psychology, real estate broker, and salesperson
IF YES, cite and describe each incident on the following question.
Indicate the charge or finding, the date, and the court(s) involved.
*Furthermore, I understand that my volunteer status is conditional upon the background checks that the Marysville School District will conduct.*
Signature I understand that my typed signature is the legal equivalent of my handwritten signature on this document.I ACKNOWLEDGE the Marysville School District will make every attempt to ensure my safety while participating in this volunteer project, but there are certain inherent risks involved that may be unavoidable resulting in bodily injury, death, or property damage to myself or others. I acknowledge that I am fully aware of any and all risks posed by these volunteer activities and that I have no medical condition that prevents me from engaging in them.
I further acknowledge the Marysville School District does not provide any accidental medical insurance coverage for the activity and that I assume all risks of injury or damage to my person or property. Furthermore, I acknowledge that I do not qualify for worker’s compensation benefits and am expected to carry personal medical insurance to cover medical expenses for any injuries I may incur while performing volunteer services.
In consideration of my participation as a volunteer, I hereby release and agree to indemnify and hold harmless the Marysville School District and its School Board, employees, and agents from any liability for any loss, cost, or damage to me or my property arising out of or in connection with my activities or performance of my volunteer work. I agree that all information, property, and materials received and/or created by me in connection with the performance of my volunteer work are property of the District and I will return them promptly upon request or termination of my service.
I understand that I am a volunteer for the Marysville School District, not an employee. I further understand that I am not entitled to receive a salary, benefits, or other compensation. Nothing in this Agreement creates a partnership or relationship of employer and employee or agent and principal between the parties. I further understand and agree that my volunteer service may be terminated at any time without cause or recourse. I agree to comply with all program and District guidelines. I further agree to follow the directions of District faculty and staff when on school grounds and/or at school-sponsored events.
Forms
4 forms were found.