Volunteer Application

The Cleveland County Board of Education is committed to the safety and well-being of all students.   For this reason, we are directed to conduct a criminal record check on all volunteers who may have unsupervised  contact with students or who volunteer regularly in the schools. Under this policy, you must agree to undergo a criminal record check before approving your application to volunteer. The Cleveland County Schools also make conduct periodic criminal record checks on you after you begin volunteering.  You are entitled to receive a copy of any report if you request it, or if the school system modifies your volunteer status as a result.

Are you currently employed with Cleveland County Schools?*

If you are currently employed with Cleveland County Schools, you do not need to complete a volunteer application.  You may simply proceed and contact the school principal for information about volunteering.

I authorize the Cleveland County Schools to obtain a criminal history report from the North Carolina State Bureau of Investigation or other agency or source of information. *
Today's Date*

Volunteer Information

Volunteer Name*
Maiden Name (If Applicable)
Gender*
The national authorization background search provided the options as they are listed above.
Address*
Business Address
Have you ever been employed by CCS?*
If yes, when did you begin your employment?*
If yes, when did your employment with CCS end?*
Date of Birth*
Please only include numbers with no spaces or dashes.
Have you ever resided outside of North Carolina?*
Did you volunteer with Cleveland County Schools during the previous school year?*
Include Street address, city, and state (Including Dates)

Volunteer Availability and Interests

What's the name of a student you the connected with (if applicable)
How often are you available to volunteer?*
What grade(s) do you prefer?*
Day(s) of week available*
Time available*
List any preferences you have for your volunteer assignment

Emergency Info

Emergency Contact*

PLEASE READ AND AGREE TO THE FOLLOWING:

  • I will hold in confidence any information revealed to me pertaining to my student.
  • I will report any home or school concerns about a child to the school coordinator of volunteers, the child’s teacher, or directly to the principal before I leave for the day.
  • I understand that I have a legal obligation to report any suspected abuse or neglect that is revealed to me by a child to the principal or designated person.
  • I will not contact the child off-campus or remove him/her from school at any time without written parental permission.
  • I will call the volunteer coordinator or manager when I have to be absent.
  • I will sign in and out each day when I volunteer at the school.
  • I will perform my duties to the best of my ability.
  • I will follow Cleveland County Schools’ policies and procedures, including record-keeping requirements and confidentiality of patron information.
  • I will meet at the times and perform the duties as agreed or provide adequate notice so that an alternative arrangement can be made.
  • I understand the diversity in all students and believe in their ability to be successful.
  • I understand the school board may maintain a volunteer file and that such file may be open for inspection in accordance to state law.
Have you ever been convicted of any felony?*
Have you ever been convicted of any drug, alcohol, or child abuse offense?*
By typing your name below, you affirm that the previous information is true and complete to your knowledge; therefore, you hereby authorize the Cleveland County Schools to obtain a criminal history report from the North Carolina State Bureau of Investigation, or other agencies, and waive any claim for damages of injury against the Cleveland County Schools or the provider of the report, except as provided by the Fair Credit Reporting Act. This agreement can be canceled at any time at the discretion of either party.*
Date*
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