SCUSD School Meals Volunteer Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

SCUSD is currently looking for volunteers who would like to help distribute meals at our school sites while our schools are closed.

Please note that we are looking for volunteers that are healthy and under the age of 65 (e.g. no underlying health conditions and no symptoms for cold or flu including cough and fever under 100 degrees). Volunteers must also be comfortable and able to interact with students and families.

Name (First and Last) *

Cell Phone *

Email Address *

Have you already been cleared (fingerprints) by SCUSD or a partner agency to work in schools? Please indicate how below. *

Yes, I am an SCUSD Employee

Yes, I am an employee of an SCUSD Partner Agency or am currently a volunteer with the District

I am a community member that has not been cleared yet

If yes, which organization cleared you? Indicate organization name, the school site you are affiliated with and your role. Indicate N/A if not an employee of an agency. *

By submitting this form I affirm that I am healthy and able to volunteer in a school. Check all to affirm. *

I am under the age of 65

I do not have any chronic or underlying health conditions

I do not have a fever (I took my temperature and it is under 100 degrees)

I do not have a cough

I have not been exposed to anyone and no one in my household has demonstrated any related symptoms (Confirmed COVID, Cough, Fever)

If any of the above changes, I will immediately inform SCUSD and cease volunteering

Required

I understand that there are risks associated with volunteering for SCUSD meal distribution, including the possibility of contracting COVID-19, which risks could result in economic loss, injury, disability, illness, or death. I voluntarily assume all such risks, whether known or unknown to me, and I release from liability SCUSD and its employees, officers, volunteers and agents from any and all claims arising from or related to my volunteering for SCUSD meal distribution, including travel to and from meal distribution sites and any activities incidental to meal distribution. *

Yes

If you would be willing to be On-Call for shifts, including early morning shifts, please provide your phone number below.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Sacramento City Unified School District. Report Abuse

Forms