Volunteer Application Tool

Meriden Public Schools Volunteer Application

Thank you for your interest in volunteering for the Maloney High School Music Department! Please fill out the form below as required by the district. This is a mandatory background check that we perform on all school volunteers as part of our security protocol. The form only needs to be filled out once. If you join us for multiple school events this year such as marching band, the musical, fundraisers, backstage and more, you do not need to re-apply. Thanks!

(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 *
Have you previously been approved as a volunteer in the Meriden Public Schools during the 2019-2020 school year. *

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.

x
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 *

I am volunteering for the following activity:
Maloney Music Volunteers

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.