Oak Hills Background Check & Volunteer Release
Thank you for your interest in volunteering at J.F. Dulles Elementary School.  All volunteers are required to fill out a Background Verification & a Volunteer Release form every school year.  Please fill out this form to be given permission to volunteer at JF Dulles Elementary School for the 2023-24 school year.   
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Volunteer First Name *
Volunteer Last Name *
Maiden Name
 Current Street Address *
Current City, State, Zip *
If you have not lived at the above address for more than two years, what was your previous street address, city, state, and zip code?
Last 4 digits of Social Security Number *
City where you were born
Date of birth *
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Driver's License Number
Email Address
Phone number (including area code)
There are multiple ways to volunteer at J.F. Dulles.  Please check all the areas that you are interested in:
I hereby authorize the release to Oak Hills Local School District of information by any governmental authority (including but not limited to Hamilton County Sheriff's Department, Green Township Police Department, and the Delhi Police Department) regarding my record of convictions for violations of any Federal, State, or local statues or ordinances and my driving record.  I further understand that public record information will be reviewed initially and may be reviewed periodically by the Oak Hills Local School District.
I understand that the Oak Hills Local School District intends to utilize the investigation into my background for volunteer purposes only and shall not disclose such information to any other party. 
I hereby certify that the above information is true to the best of my knowledge and belief and I understand that should any information provided by me prove to be false, it may result in my inability to volunteer.

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All volunteers must agree to abide by all relevant Board policies and administrative guidelines.  Please read each statement below.  At the end you will be asked to provide your electronic signature that you have read, understand, and will abide by the following: 
1) I understand I'm obligated to keep confidential and not release or permit access to any and all student personally identifiable information to which s/he is exposed except as authorized by law.  
2) I understand that, although I am covered under the District's liability insurance policy, I am not covered by its health insurance policy nor am I eligible for workers' compensation.  Should I become ill or suffer an accident while doing volunteer work for the District, I agree that I shall be responsible for any and all hospital and medical charges that may accrue. I understand further, I am not in any manner considered an employee of the District or entitled to any benefits.  I further release the Board of Education from any and all liability for any damages, whatever their nature, which may result as a consequence of my volunteer services.  
3) I will display appropriate behavior at all times.  In accordance with R.C. 109.575, all volunteers who work or apply to work unsupervised with children on a regular basis may/will be required to provide a set of fingerprints at any time so that a criminal records check can be conducted.  If a criminal records check is conducted, it will be done as a condition of initial or continued service as a volunteer.  If a criminal records check indicates that a volunteer has been convicted of or pleaded guilty to any of the offenses described in R.C.109.572 (A)(1), the volunteer will be informed of the Board's actions in accordance with Policy 3120.09.

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Volunteers have a duty to maintain confidentiality of student records and information.  Violations of this duty may result in a reassignment and/or restriction of your volunteer responsibilities by the building principal or designee.  Please read the statements below.  At the end you will be asked to electronically sign that you have read, understand, and will abide by all the following:
1) All student records are considered confidential.
2) Directory information including the student's name, address, telephone number, date and place of birth, major field of study, participation in officially recognized activities and sports, weight and height of members of athletic teams, dates of attendance, degrees and awards received and previous educational agencies or institutions attended, can only be shared with administrative approval.
3) Records may not be left in a place where they can be viewed by others.
4) Copies of records may only be shared with administrative approval.
5) Volunteers may not discuss or repeat information overheard while in the staff lounge, classrooms, offices, school grounds, hallways, school or extra-curricular activities.
6) Volunteers may not discuss information obtained while in a classroom, such as a student's grade or behavior, with anyone other than the student's teacher or the building principal.
7) Concerns or questions regarding student records or issues of confidentiality should be brought to the attention of the staff member responsible for supervising your activities and/or the building principal.
8) Any knowledge of a violation of these provisions must be immediately reported to the staff member responsible for supervising your activities and/or the building principal.

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