3368 Esplanade Ave • New Orleans, LA 70119 • 504.539.4505 VOLUNTEER INSTRUCTIONS: 2015-2016 Thank you very much for your willingness to volunteer at Bricolage Academy! We rely on the generosity of parents and community members to help our school run more efficiently. These procedures and guidelines reflect the visitor/volunteer policies of the Orleans Parish School Board’s Department of Security. The following procedures are designed to ensure that all members of our school community are safe. If you have questions, please contact Andy Lewis at 504-539-4505 x702 or [email protected] . Background check policy: All parents, relatives, and community members who wish to perform volunteer service within the school during school hours (8 a.m. to 5:30 p.m., Monday through Friday) must have an updated NOPD background check on file with the school. Background checks must be updated every three (3) years. To obtain a background check: • Step 1: Obtain a background check from the New Orleans Police Department. The background check form is attached to this letter. A background check costs $5 payable by check or money order to the New Orleans Police Department. The NOPD Records & Identification Division is located at 715 S. Broad Ave. • Step 2: Return your completed background check form to Andy Lewis, Director of Operations. Persons not allowed to serve as volunteers: No person who is a Registered Sex Offender may serve as a volunteer. Persons who are convicted of a felony must provide the background check form to the school, and the school will make a determination of eligibility based upon the circumstances of the offense. Identification requirements: All visitors to the Bricolage campus—including volunteers—must produce a valid State photo ID card at the main office. The volunteer’s ID will be scanned against the National Sex Offender Database. All volunteers must wear a printed Bricolage Academy visitor’s pass at all times while on campus. Ongoing eligibility: A request to volunteer or to continue volunteering will be denied if the volunteer behaves in any manner that demonstrates he or she is not a good role model or is otherwise detrimental to the school environment. Examples of such behavior include: swearing, failing to be dependable, failing to follow the supervisor's instructions, and committing any criminal act on school grounds or at a school activity, touching a student in a rude or overly forceful manner, failing to dress in an appropriate manner, being under the influence of any substance i.e. marijuana, alcohol, illegal drugs, or violating any school rules. NEW ORLEANS POLICE DEPARTMENT RECORDS AND IDENTIFICATION DIVISION 715 S. BROAD AVENUE NEW ORLEANS, LA 70119 REQUEST FOR CRIMINAL HISTORY /BACKGROUND CHECK INFORMATION The applicant listed below has applied to this company for consideration of a service provided by the company. As part of our policy, we are requesting a check of your arrest records to determine if the applicant has ever been convicted of any state or municipal violation in your jurisdiction. The applicant has been made aware of our policy and by his signature, is personally agreeable to release the requested information. All information will be held in strict confidence between the company and the applicant. A self address stamped envelope is enclosed for return mailing. COMPANY NAME ______________________________________________ ADDRESS ______________________________________________ CITY/STATE/ZIP ______________________________________________ _____________________________ ________________________________ PRINT NAME OF COMPANY OFFICIAL SIGNATURE OF COMPANY OFFICIAL _______________________________________________________________________ APPLICANT INFORMATION (PLEASE PRINT ALL INFORMATION EXCEPT SIGNATURE) NAME_________________________________________________RACE_________SEX________ ADDRESS ___________________________________________STATE OF BIRTH ____________ DATE OF BIRTH___________________ SOCIAL SECURITY NUMBER ____________________ ______________________________ (APPLICANT’S SIGNATURE) MUST INCLUDE A COPY OF DRIVER’S LICENSE OR STATE IDENTIFICATION CARD. Make Check or Money Order IN THE AMOUNT OF $5.00 and out to the NEW ORLEANS POLICE DEPARTMENT Mail to: NEW ORLEANS POLICE DEPARTMENT RECORDS DIVISION 715 S. BROAD AVENUE NEW ORLEANS, LA 70119 BY THIS SIGNATURE, I AUTHORIZE THE RELEASE OF MY ARRST CONVICTION RECORD AND WAIVE SUCH LEGAL RIGHTS THAT MAY ARISE OUT OF THE RELEASE AND I DO RELEASE ALL PERSONS FROM LIABILITILY IN CONNECTION WITH THE RELEASE OF THIS INFORMATION. --------------------------------------------------------------------------------------------------------------------------------------------------------------------------POLICY PERMITS THE RELEASE OF ONLY THOSE CHARGES THAT HAVE RESULTED IN A CONVICTION. THE RESULTS OF THIS CHECK WERE COMPILED FROM INFORMATION OBTAINED ONLY IN OUR JURISDICTION. ___________________________________________________________________________________________________________________ DATE OFFENSE DISPOSITION ______________________ _________________________ _______________________________________________________ ______________________ _________________________ _______________________________________________________ ______________________ _________________________ _______________________________________________________ ______________________ _________________________ _______________________________________________________ ____________________________________________________________________________________________________________________ ***IMPORTANT – THE DEPARTMENT OF POLICE CANNOT MAKE AN ACCURATE IDENTIFICATION BASED UPON NAME AND DATE OF BIRTH ONLY. ANY INFORMATION CONTAINED ON ANY NAME CHECK IS SUBJECT TO VERIFICATION BETWEEN THE REQUESTING PARTY AND THE APPLICANT. THE NEW ORLEANS POLICE DEPARTMENT ASSUMES NO RESPONSIBILITY FOR ANY ACTION RESULTING FROM THE INFORMATION FURNISHED. _____________________________________________________________________________________________________________________ IF THE IMPRINT OF THE SEAL IS NOT AFFIXED TO THIS FORM THROUGH THE NAME OF THE RECORD DIVISION CLERK, THIS FORM IS NOT VALID. PAGE TWO ATTACHED_________ DATE RECEIVED:______________ ____________________________________________ RECORD DIVISION CLERK
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