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Volunteer Registration Form
Thank you for your interest in volunteering with the Wichita Public Schools! We are glad you are here!
Please be sure to fill out all fields to ensure prompt processing.
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First Name
*
Your answer
Last Name
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Address
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Your answer
City
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Your answer
State
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Your answer
ZIP Code
*
Your answer
Phone number (if none - write N/A)
*
Your answer
Email Address (if none- write N/A)
*
Your answer
Place of Employment
*
Your answer
Emergency Contact
*
Your answer
Emergency Contact Phone
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Your answer
Which age group would you prefer to work with?
*
Choose
Elementary School
Middle School
High School
At which school or support center do you wish to volunteer?
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Your answer
Are you affiliated with a community organization?
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Yes
No
If yes, which one?
Your answer
Have you ever been convicted of, plead guilty or nolo contend re (neither admitting nor denying the charge) to, or received a suspended imposition of sentence, been placed on diversion or otherwise found guilty of:
*
Yes
No
DUI/DWI
Any Criminal/Municipal Violations
Is your driver's license currently suspended?
Yes
No
DUI/DWI
Any Criminal/Municipal Violations
Is your driver's license currently suspended?
If the answer to any of the three instances in the previous question is yes, please provide the date, description and explanation of each incident. If no, please write N/A.
*
Your answer
Have there ever been allegations, complaints or reports regarding your involvement in child abuse or neglect (regardless of whether the incident was confirmed or denied)?
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Yes
No
If the answer to the previous question is yes, please provide the date, description and explanation of the incident. If no, please write N/A.
*
Your answer
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