Brunswick School Volunteer Application Form

Thank you for your interest in volunteering in the Brunswick Schools. Please complete this application form and click the submit button at the bottom.

Contact Information

Please provide your contact information.

First name:

Last name:

Street 1:

Street 2:

City:

Zip:

Home phone:

Work phone:

Cell phone:

Email address:

Skills & Experience

Please list any skills or experience below that may be applicable.

Availability

Please indicate the days and times you are usually available to volunteer.

Mon

Tue

Wed

Thu

Fri

From:

To:

Site Preference

Please select your site preference(s) below.

* Assignment Preference:

All Schools [All Schools\Volunteer Services]

Brunswick High School [BHS\Volunteer Services]

Brunswick Jr. High School [BJHS\Volunteer Services]

ESOL Program [All Schools\Volunteer Services]

Harriet Beecher Stowe School [HBS\Volunteer Services]

Kate Furbish Elementary School [Kate Furbish\Volunteer Services]

REAL School [REAL School\Volunteer Services]

Watch D.O.G.S. [HBS\Volunteer Services]

Emergency Contact

In the event of an emergency, whom should we notify?

First name:

Last name:

Home phone:

Cell phone:

Email Preference

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Mandatory Background Check

Brunswick School Department is committed to ensuring that all students learn in safe environments. As such, all individuals interested in volunteering must undergo a background check through the Maine Department of Public Safety. Please provide your date of birth for this background check. Findings will remain confidential.

Date of birth:

Confidentiality (FERPA)

Confidentiality is one of the most important aspects of being a volunteer with the Brunswick School Department. As a volunteer, you may encounter sensitive information due to self-disclosure by students, direct observation of activities, or by other means. This could include names of students, special programming provided to students, academic work, and/or behavioral information. It is critical that you treat such information with extreme confidentiality. Protecting the privacy of all students and their families is the law as protected under the Family Educational Rights and Privacy Act (FERPA). Remaining confidential is essential and no information about students may be shared with others outside of the school.

Confidentiality Agreement and Background Check

I understand and agree that submitting this application form does not automatically register me as a Brunswick School Department volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By checking "I agree" below I grant authorization for Brunswick School Department to perform a background check through the Maine Department of Public Safety. Findings will remain confidential.

The submission of this form indicates that I have understand the importance of confidentiality with respect to all student information; that I understand the confidential nature of information that may be gleaned during classroom visits, interactions with students, and observation of classroom activities; that I understand the legal and ethical importance of protecting all such information; and that I will not share any personally identifying information about any student with other individuals or agencies.

By submitting this form, I attest that the information I have provided on this form is true and accurate.

I Agree