Volunteer Application Tool

Meriden Public Schools Volunteer Application

Thank you for applying to be a volunteer with the Meriden Public Schools. The Meriden School Volunteer Program provides an opportunity for community members and businesses to become more familiar with our school sand for school staff to develop a more personal relationship with parents, community members, and businesses.

(This information is required in support of The Meriden Public Schools' commitment to continually guarantee the safety of all students, staff & volunteers.)

First Name *
 Middle Initial
 Last Name * Please use full legal name.
Date of Birth *
 FORMER LAST NAME(S) *
Email *
 Contact Phone *

Your Social Security Number is required for the criminal background check. The Meriden Public Schools does not store this personal information for any reason after your background check is submitted for review.

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SSN *
      		Gender *
Street Address *
 Apt.
City *
 State *
 Zip *
Do you have any children or siblings in the Meriden Public Schools? *
Have you ever been convicted of any crime, excluding minor traffic violations *
Have you ever been dismissed for cause from any position *

Person to notify in case of emergency for you:

Name *
 Phone *

Please list 2 references that have known you for at least 2 years and are non-related:

Name *
 Address *
 Phone *
Name *
 Address *
 Phone *

Volunteer Service/Experience:

Are you currently employed: *
Place of Employment *
Employment Address *
Supervisor's Name *
 Phone *

What are you interested in doing as a volunteer:

When do you plan to start volunteering?
Are you mandated by the courts to perform Community Service *

I certify that the information provided by me on this application and any accompanying documents contain no material misrepresentations, falsification or omissions and that all of the information given by me is true, complete and accurate. I understand that all application and accompanying information may be verified and that and misrepresenation, falsifications or omission may result in denial of participation in the Meriden Public Schools Volunteer Program.
My Signature also gives my permission for a Criminal Background Check.

Volunteer signature: *

Information on this application is subject to disclosure pursuant to the Freedom of Information Act.