ENID PUBLIC SCHOOLS

1) First Name

2) Last Name

3) Middle Initial (optional)

4) Date of Birth

5) Phone Number

Please list the best phone number to get in touch with you.

6) Email

7) Address

8) Volunteer Category

9) School Preference

Please select all that apply.

10) Volunteer Responsibility

Please select all that apply.

11) Availability - Day

Please select all that apply.

12) Availability - Time

Please select all that apply.

13) Are you bilingual?

If yes, what language(s)?

14) Have you ever entered a plea of guilty or no contest to a state or federal felony charge?

15) Have you ever been convicted of a state or federal offense?

16) Have you ever been charged with a state or federal felony offense which was reduced to a misdemeanor offense to which you entered a plea of guilty or no contest?

17) Have you ever entered a plea of guilty or no contest to, or been convicted of, a state or federal misdemeanor charge involving illegal chemical substances or illegal sexual activity?

18) I understand that it is my responsibility to notify EPS immediately if there is any change in my above responses.

I also understand that my volunteer status is temporary until a background check is satisfactorily completed by the district. Additionally, I agree to complete this form annually.

19) I understand that EPS may conduct inquiries into my background, including a criminal history check.

I voluntarily authorize, only to the extent necessary, EPS to complete the background check using the Enid Police Department and/or other government agencies or ACCUFAX, a private company contracted by the district for employee background checks. I release EPS, or any company or organization contracted, from any liability for conducting such background checks. I authorize EPS to obtain one or more background checks now or in the future, should they deem it appropriate.

20) I understand that I can be accepted or denied as a volunteer with EPS.

I understand that it is the policy of EPS to deny volunteer opportunities for individuals who have been convicted of any violent crime against any person and/or who could be a threat to the safety of students and staff.

21) I am offering my services to EPS without compensation and without any rights to health benefits in case of injury.

22) I affirm that my responses are true, complete and correct to the best of my knowledge and are made in good faith.

Refusal to sign and return or giving misinformation on any required form will result in disqualification from consideration.

ENID PUBLIC SCHOOLS

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