Volunteer Registration Form and Orientation RSVP
Legal Name - Name as it appears on your government-issued photo ID
Badge Name - If you go by a nickname or shortened version of your legal name
Preferred Phone Number
Secondary Phone Number
Local Mailing Address - Please include an
and/or building name, if applicable
Please capitalize appropriately
In case of emergency, please contact
First and Last Name
Emergency Contact - phone number or email
Are there accommodations you may need to perform volunteer duties?
Please explain what accommodations are needed
Have you ever been convicted of a misdemeanor and/or a felony?
Selecting "Yes" it won't necessarily exclude you from volunteering. However, if you don't disclose prior convictions, that
automatically disqualify you.
If yes, please give details
Are you willing to be fingerprinted?
Some placements require fingerprinting, at no cost to the volunteer
Do you speak any languages other than English?
Languages spoken - please choose all that apply
Please list 2 adults (
) who can verify your work, volunteer, and/or education experience or provide a personal reference. This information will be made available to the teacher or staff person with whom you are placed.
Reference #1 - Relationship to you? How are you connected with this person - i.e. former colleague, friend, etc.
Reference #1 - Contact Information. Please list either a phone number or email address
Reference #2 - Relationship to you? How are you connected with this person - i.e. former colleague, friend, etc.
Reference #2 - Contact information. Please list either a phone number or email address
All Orientations are held at 2020 Bonar St. Because there is limited seating, the room number will be in the reminder email sent 1-2 days prior to the orientation date.
Please note: no orientations will be held the week of Thanksgiving.
Please select the orientation that works best for your schedule
11am - 12noon
12noon - 1pm
11am - 12noon
2pm - 3pm
the last orientation for 2017}
Are you already connected with a BUSD teacher or program?
- If you are already connected with a teacher, please let us know their full name and school site. If you are
connected with a teacher or program, please let us know what you're interested in doing
UC Berkeley students only
- If you are interested in enrolling in a field studies course to volunteer for academic credit, please select "ED 197" and we will contact you with more information.
How did you hear about us?
BUSD teacher/staff referral
Schools Fund newsletter
Schools Fund website
Since you selected "Other", please give us more details
I understand that checking this box constitutes a legal signature certifying that the information provided above is true and correct to the best of my knowledge.
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