Promontory Volunteer Agreement & Background Check Authorization
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Please complete the following. A scan of driver's license will be made by office for back ground check.
Promontory School of Expeditionary Learning is grateful for the contributions made by parent and community volunteers and welcomes their participation in a variety of activities at the school.

In order to facilitate volunteer efforts and help ensure the safety of Promontory's students, the school will perform a criminal records background check on patents and community volunteers (1) who wish to volunteer on a regular basis, (2) who in the course of their volunteer time may have unsupervised time with students, or (3) who may assist with overnight trips or drive students from one location to another. Volunteers who fit into one one of these categories must complete this form.

NOTE: IF YOU HAVE BEEN CONVICTED OF A FELONY SUCH AS A DUI OR DRUG INFRACTION WITHIN THE LAST TEN YEARS OR HAVE EVER BEEN CONVICTED OF CHILD OR SPOUSE ABUSE, OR HAVE A CASE PENDING IN ANY OF THESE AREAS, PLEASE DO NOT VOLUNTEER TO DRIVE OR CHAPERONE.
Name *
Birth date *
MM
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DD
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Address *
Phone *
Agreement
I agree to respect and abide by confidential nature of what I see or hear pertaining to students and/or staff as I carry out volunteer duties. I will bring concerns or issues, if any, to the staff person supervising my volunteer activities and direct discipline issues to an appropriate staff member. I agree to be supportive of the school and its mission. I will always sign in at the office and wear a volunteer tag provided by the office while in the building or on fieldwork. As a volunteer, I understand that the school will use the information I have provided to conduct a criminal background check.
Signature *
For Volunteer Drivers:
Please fill in the Vehicle items below.
Model of Vehicle
Make of Vehicle
Year of Vehicle
License Plate
Owner of Vehicle
Number of seat belts available (including driver)
Vehicle Insurance Agreement
I agree to provide PSEL with a copy of the proof of insurance for the above vehicle(s).
Initials for Vehicle Insurance Agreement
Submit
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