Volunteer Request Form 2023-2024

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The following information will be send to the Administrative Office of the Courts, Records Unit, for a background check in accordance with KRS 17.160.

Payment of $15 for each background check will added to your infinite campus account.

You must score at least an 80% (can miss two questions) before your request is processed. Your score will be automatically released to you after you submit your quiz.

Email *

Last Name *

First Name *

Maiden Name(s) and/or Alias

Date of Birth *

YYYY

Street Address *

City *

State *

Zip Code *

Driver License Number *

Social Security Number (xxx-xx-xxxx) *

Name(s) of student(s) attending Model Laboratory School: *

Grade of student(s) attending Model Laboratory School: *

If student(s) are in grades K-5, please list homeroom teacher(s).

You are a volunteer in the school’s front office. A parent approaches you about a police car outside of the school, asking what happened. What would be an appropriate response? *

Let the parent know you are not able to disclose information about any student-related issue.

Explain why the police is at school, but do not use any names.

Share all the information you know with the parent.

While volunteering for a classroom party in your child's 2nd grade classroom, you decide to visit your other child in 4th grade. Is this an appropriate action while volunteering? *

Yes, I can visit all my children while in the building.

No, while in the building I understand it is important to honor educational time and not disrupt others.

While volunteering, you decide to have an impromptu meeting with the teacher about your child's behavior and performance in the classroom. Is this an appropriate action? *

Yes

No, meetings with classroom teachers should be scheduled at another time, not while volunteering.

While volunteering in a third grade classroom, you see a child push another child down. What action should be taken? *

Tell the classroom teacher.

Tell the student to sit out for the remainder of recess.

Matthew’s biological father arrives at Matthew’s school. He requests to see his son’s school records. A review of Matthew’s school records indicate that Matthew’s parents are divorced, that they share joint custody, and that Matthew lives with his mother. Can the school allow access to educational records to Matthew’s father? *

Yes

Bonnie has recently separated from Fred. Bonnie and Fred are the biological parents of a student in a classroom you are volunteering in. Bonnie sends you a note that Fred is not to have any access to any of their child's educational records. Can the school honor Bonnie’s request? *

Yes

While shopping at Kroger, an adult in the community asks you, "How is that new kid at school doing? I know you volunteer there.” What information can you share? *

No information can be released on the new student.

Tell the parent what you know since her child is in the same class as the new student.

Mary is a parent member of a School Advisory Committee. Mary would like to have a look at the recent state test scores of all the students in Mrs. Taylor’s class. Does Mary have access to these records? *

Yes

Where should you enter the school building? *

Enter through the door closest to your child's classroom.

Enter through the main doors and sign in with the receptionist.

Your typed signature below ensures that you have completed Volunteer Training and agree to the conditions as outlined. You understand that by submitting this form, you are giving permission for Model Laboratory School to run a criminal background check. You understand that failure to provide the information requested may result in prosecution under K.R.S. 523.100. You have provided the basic information necessary to qualify for records processing. *

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