Volunteer Application
Thank you for your interest and involvement in supporting the children of the Liberty Elementary School District.  Please fill in this application form for volunteer consideration.
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Volunteer Name *
Address *
Email *
Phone Number (Cell or Home) *
Are you at least 18 years of age? *
I am a parent or guardian of a student(s) that attend LESD. *
My student(s) are in the following grade(s).
Have you ever Volunteered for Liberty Elementary School District in the past? *
Which school(s) would you like to volunteer at?  (Please mark all that apply) *
Required
What is your availability to volunteer?
Mornings
Afternoons
Monday
Tuesday
Wednesday
Thursday
Friday
Are you available to volunteer on weekends or for overnight field trips? *
Do you have a valid Fingerprint Clearance Card? *
Emergency Contact Information - Name, Relationship & Phone Number. *
Have you ever been arrested, convicted of, admitted committing, or are you awaiting trial for any crime (excluding minor traffic violations not involving allegations of drug or alcohol impairment)?  You must answer "Yes" even if the matter was later reduced, dismissed, deferred, vacated, or expunged.  If you answer "Yes" you must provide dates of proceedings, the court where proceedings occurred, a statement of the accusation against you and the final disposition of the case(s). *
If you answered "Yes" to the above question, include here the dates of proceedings, the court where proceedings occurred, a statement of the accusation against you and the final disposition of the case(s).
I certify that all data and information submitted in this application is truthful and accurate and that no information has been omitted.  I agree to abide by all District rules and policies.  In accordance with ARS 15-512, new volunteers, who are not a parent or guardian of a child in the school where they will be volunteering, must be fingerprinted.  Fingerprinting services are available from the District Office, which is located at 19871 W. Fremont in Buckeye.   *
I understand, all approved volunteers of the District are covered by a blanket liability insurance policy.  This policy would cover any charges that might be brought against me and/or the District, relative to the service I am performing.  I understand should I be injured while volunteering, my own accident or health insurance will be necessary.   *
Please electronically sign your signature below. *
Next step,  please go back to the volunteer website and review the 2022/2023 Volunteer Handbook. Upon completion of your handbook review, go back to the volunteer page and complete the handbook acknowledgement form.
Please understand that the information you have provided is strictly confidential.  Thank you again for your interest in supporting the Liberty Elementary School District.
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