Volunteer Biography Form
 
 
First Name:   Last Name:   Middle Initial:   Maiden/Other:
 
Preferred County: Preferred School/Program:
 
Months available to teach: October-December February-April
 
Home Address: City: State:    Zip:
 
Home Phone: Pager: Cell:
 
Firm: Position:
 
Firm Address:   City/Zip:
 
E-mail:   Phone: Fax:
 

Emergency Contact:   Phone:

Supervisor's Name/Title:

Supervisor's Address:

JA Volunteer Experience: Since year: Grades taught:

Highest Education:

JA Alumni? Other Community Involvement:
 
Are you interested in other JA volunteer opportunities?
Bowl-a-thon Golf Tournament JA Train-the trainer
 
I am interested in financially sponsoring Junior Achievement through donation

Do you have a child/children attending this school? No   Yes
CHILD'S FULL NAME TEACHER GRADE CHILD'S FULL NAME TEACHER GRADE
CHILD'S FULL NAME TEACHER GRADE CHILD'S FULL NAME TEACHER GRADE
Career/Volunteer Experience/Talents/Languages/Skills/Hobbies

VOLUNTEER ELIGIBILITY GUIDELINES

NOT ACCEPTABLE TO VOLUNTEER WHEN CONVICTED OF:
Felony crimes of violence, felony sale of controlled substances, felony sexual related crimes, lewd and lascivious crimes, indecent exposure crimes and felony child abuse crimes.
IF APPLICABLE, DO NOT COMPLETE OR PROCESS THIS FORM.
VOLUNTEER STATUS CANNOT BE APPROVED.
NOT ACCEPTABLE TO VOLUNTEER IF CONVICTION WAS WITHIN THE LAST 10 YEARS:

Other felony crimes and any other misdemeanor crimes of sexual nature, or misdemeanor crimes related to children.

NOT ACCEPTABLE TO VOLUNTEER IF CONVICTION WAS WITHIN THE LAST 5 YEARS:
Misdemeanor drug crimes, misdemeanor crimes of violence, misdemeanor crimes involving weapons.
WILL CONSIDER AND CAREFULLY REVIEW IF CONVICTION WAS BEYOND 5 YEARS.
REFER TO COMMUNITY INVOLVEMENT FOR APPROVAL:
  • Other misdemeanors
  • Multiple arrests
  • Offenses which are directly related to duties and responsibilities of the particular assignment.
For the purposes of these volunteer guidelines, criminal convictions mean a conviction by a jury or by a Court and shall also include the forfeiture of any bail, bond or other security deposited to secure appearance by a person charged with having committed a felony or misdemeanor, the payment of a fine, a plea of nolo contendere, the imposition of a deferred or suspended sentence by the Court, adjudication withheld, a finding of guilt, a plea of no contest or pre-trial intervention.
 

PLEASE COMPLETE BELOW
Have you ever been ARRESTED, or CHARGES with a criminal felony or misdemeanor?  No     Yes

If Yes

Have you completed a Volunteer Criminal Offense Review form in the past two years?

 
No    You must complete a Volunteer Criminal Offense Review form.
Yes   When? 

 

Ê
Have you been arrested or charged with a criminal offense since you last filled out a Volunteer Criminal Offense Review form?
  No
  Yes    You must complete a Volunteer Criminal Offense Review form.
Do you agree to maintain CONFIDENTIALITY of student's information? No     Yes
By clicking YES below, I agree to the rules and regulations of the volunteer program and that any product produced while a volunteer shall be the property of the School Board (a work for hire). I understand that all involvement with students shall be under staff supervision and is restricted to the school day, on the school grounds, or a school-sponsored activity. My signature below certifies that I have reviewed the criminal offense statement and responded truthfully. FALSIFICATION OR OMISSION ON AN OFFICIAL PUBLIC DOCUMENT IS A CRIMINAL OFFENSE AND CAN BE PROSECUTED, AND MAY CONSTITUTE GROUNDS FOR DISQUALIFICATION FROM BEING A VOLUNTEER.
X   I agree to the rules and regulations of the volunteer program

CONSULTANT RESPONSIBILITY FORM 
1.   Contact assigned teacher. Agree on date/time of class. Inform teacher at least one day in advance if you need to reschedule.
2.   Become familiar with school procedures.  Enter through main office and sign appropriate volunteer binder. Arrive early for each class session.
3.   Agree not to have any inappropriate contact inside or outside classroom with any students met through JA class including those students 18 years of age and older.
Some examples of inappropriate contact include:
·         Violations of state laws regarding child abuse, providing alcohol, drugs or tobacco on a school campus, etc.
·         Dress that violates the school’s faculty dress code or is inconsistent with normal business attire.
·         Use of inappropriate language or gestures within an educational setting.
·         Physical contact that is inappropriate to a teacher-pupil professional relationship considering the age and gender of the student.
 
These are examples only and not intended to be a comprehensive list. There could be other actions, which could result in suspension as a volunteer. 
 
X  , I understand my responsibilities as a Junior Achievement Volunteer and will abide by these standards.
Driver's License #:     
 
Social Security #:   (numbers only, no dashes)
 
Demographic information collected by JA is used for statistical purposes only. It is not used for individuals, but used only in aggregate form. JA is a non-profit organization that applies for grants and funding from various entities. In these applications, we need to provide statistical information to demonstrate that JA reflects the diversity of the communities we serve.  We appreciate your assistance in ensuring JA’s continued service to our children.
 
Ethnic Background: Asian   Hispanic   Native American    White   Black   Multiracial
 
Gender:  Male   Female   
 
Date of Birth:         
 
Income Level (optional):