Roosevelt Elementary School
Volunteer Registration 2013­14
Please complete both sides of this form and return it to the Roosevelt school office. Most volunteers
will not begin until October. The volunteer coordinator will contact you when your help is needed. If
you have any questions, please call the school office at 354­4040. Thank you!
First Name
Last Name
Home Phone
Cell Phone
Email Address
What is the best way for the volunteer coordinator to contact you? (Note: If your cell phone
number is out of the 509 area code we are unable to call you from the school.)
☐ Email ☐ Cell Phone ☐ Home Phone
Do you have a child (or children) attending Roosevelt this school year?
☐ Yes ☐ No
If you have a child (or children) attending Roosevelt this year, please list them here:
Child’s Name
Grade
Teacher
The safety of our students is our highest priority. All volunteers must be cleared by
Spokane Public Schools and the Washington State Police prior to helping out in the
school. What is your volunteer clearance status?
☐ I have volunteered at Roosevelt before and have been cleared.
☐ I have volunteered at another Spokane District 81 school in the past (please name the school
here: ___________________________________________________________) and been cleared.
☐ I have not volunteered at a District 81 school and need to apply for clearance.
How would you like to volunteer at Roosevelt? (check all that apply)
☐ in my child’s classroom.
☐ in any classroom available.
☐ with teacher support activities: copying, correcting papers, etc.
☐ in the preschool classroom.
☐ as a Parent Rep for my child’s classroom.
☐ as a chaperone on field trips.
☐ in the library
☐ at library book fairs
☐ with athletic activities (ie Field Day)
☐ with after school activities (ie Chess Club, Math is Cool)
☐ with special events (ie Fundraiser, Carnival, Family Dance, Community Night / Science Fair)
Do you have any special skills that you could put to use as a volunteer? (check all that
apply)
☐ Computer skills (ie data entry, spreadsheets)
☐ Other skills (career, musical, arts, etc., please describe)
__________________________________________________________________________________
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When are you (generally) available to volunteer?
Monday
Tuesday
Wednesday
Thursday
Friday
☐ AM
☐ AM
☐ AM
☐ AM
☐ AM
☐ PM
☐ PM
☐ PM
☐ PM
☐ PM
Thank you! We look forward to having you on board!