Volunteer Packet for Parents
2021/2022 Parent Volunteer Check List ___ Complete Live Scan in advance of your volunteer event, to allow time for processing. Processing time varies. ___ Provide COVID vaccination status to Cammi Bell: cammibell@marinwaldorf.org / (415) 479-8190. ___ Sign the Volunteer Application and send to Robin Boynosky: robinboynosky@marinwaldorf.org. Please sign in at the front office when you arrive to volunteer.
Live Scan Locations – Appointments are Necessary Fairfax Police Department 144 Bolinas Road Fairfax, CA 94930 (415) 453-5330 fairfaxpd@fairfaxpd.org Marin Co. Sheriff's Dept - Southern Station 850 Drake Avenue Marin City, CA 94965 (415) 473-5394 Mill Valley Police Department 1 Hamilton Drive Mill Valley, CA 94941 (415) 389-4100 pd-info@cityofmillvalley.org The UPS Store # 2464 936 B 7th Street Novato, CA 94945 (415) 899-1686 store2464@theupsstore.com Marin Co. Sheriff's Dept. 1600 Los Gamos Drive, Ste 200 San Rafael, CA 94903 (415) 473-7286 The UPS Store #2623 369-B 3rd Street San Rafael, CA 94901 (415) 457-6909 store2623@theupsstore.com Tiburon Police Department 155 Tiburon Blvd. Tiburon, CA 94920 (415) 789-2801
MARIN WALDORF SCHOOL ONE-ON-ONE CONTACT / OVERNIGHT VOLUNTEER APPLICATION Your interest as a volunteer at Marin Waldorf School is appreciated. All volunteers who serve in positions that involve possible one-on-one contact or overnight chaperoning with a child other than their own are required to submit an application. Such positions include--but are not limited to--driving and/or chaperoning for field trips, coaching/assisting sports, and some forms of assisting in the classroom. Please complete the following information and return this form to the school office as soon as possible. I. Personal Information Full Name: ____________________________________________________Date:___________________ Address: ____________________________City: _______________ State: ________ Zip: _____________ Home Phone: ___________________Work Phone:_________________ Cell Phone:_________________ Email Address:_____________________________________________________________ II. Security Section Recognizing our concern for children, Marin Waldorf School has adopted a policy of screening applicants for volunteer service. The purpose of this policy is to promote a safe environment and to protect our students and school. This application is designed to elicit the information necessary for this purpose. The information provided will be treated confidentially and will only be used by authorized staff in reviewing your application. Please initial the following statements: _________I declare that I have never been convicted of a crime related to sexual abuse, molestation, exploitation, or violence. I understand the term "Convicted" includes entering into a plea agreement including a "no contest" plea or a deferred sentence or deferred judgment arrangement in connection with a criminal charge. _________I declare that I have not perpetrated physical abuse, sexual abuse, emotional abuse, or neglect against a child, student, or a disabled adult, and I have never been accused of these acts. If you are unable to initial one or both of the statements above and believe there are special circumstances the Business Administrator should consider in reviewing your application, please provide an explanation on a separate attachment of the circumstances, the outcome, and any other relevant information. III. National Sex Offender Registry Check I acknowledge that by signing this application, I understand that Marin Waldorf School will check my name on the national sex offender (Megan’s Law) registry, which is a matter of public record. IV. Volunteer’s Certification I certify that the information contained in this application is true and correct to the best of my knowledge. I understand that any misrepresentation of material or omission of pertinent information may result in my failure to serve as a one-on–one contact volunteer or overnight chaperone at Marin Waldorf School. Signature of Applicant:__________________________________________________ Date____________