Roosevelt Volunteer Sign Up

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

Registration for Volunteers for Tutoring Kindergarten through 3rd Grade students at Roosevelt Elementary
When: 3:30pm to 6pm Monday through Thursday
Where: 1923 W. Third St. Dayton Ohio 45417

Join Us Through the Week!

Volunteer's Name *

Phone Number *

Email *

How many volunteer hours do you want per week? *

What's Your Availability?

Monday

Tuesday

Wednesday

Thursday

Friday

4 pm - 5pm

5 pm - 6pm

Name of Parent/Guardian (High Schoolers only)

Phone Number of Parent/Guardian

Email of Parent/Guardian

Emergency Contact Person

Phone Number of Emergency Contact

Grade/Year Level (Students Only)

High School/College/Church You Attend *

Are you 18 years or older? If so, you will need to complete a background check. *

Yes, I'm 18 or older and I approve the background check

Yes, I'm 18 or Older and I DO NOT approve the background check

No, I'm under 18 years (you will not need a background check)

ELIGIBILITY, ATTENDANCE, AND BEHAVIOR POLICY *

Volunteers are expected to adhere to all behavior expectations of Dayton Public Schools, such as health orders that require wearing masks

Volunteers will arrive on time and be prepared to work with several students at a time

Volunteer: By selecting this box, I am signing my electronic signature in agreement with this policy

Required

I hereby give my permission to be photographed, interviewed, and/or video tape recorded for news stories, district publications, on our web/internet sites, or in other electronic media during his/her enrollment in this program, as indicated by my signature : *

Yes

Required

Signature (Type Your Full Name) *

Today's Date *

YYYY

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms