PMG Parent/Guardian Volunteer Agreement/Sign-up, 2016-2017
Please complete one form for each parent/guardian who is volunteering.  Thank you!
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First Name of Parent/Guardian *
Last Name of Parent/Guardian *
Address1 *
Address2
City *
State *
Zip Code *
E-mail *
Phone Number *
Cell Phone
Person to Contact in the Event of an Emergency *
(First and Last Name)
Phone Number of Emergency Contact *
I have read and agree to the contents of the Parent Volunteer Manual. *
Please type your first and last name to digitally indicate your agreement.
Statement of Assurance for Volunteers
As a volunteer in the Clinton Township School District, I hereby acknowledge that I have read and understood Board Policy and Regulations # 9180, School Volunteers, and that I will abide by said policy.  I understand that any information I receive about a student is confidential;  I will not discuss any information with others. *
Please type your first and last name to digitally indicate your agreement.
Reporting Potentially Missing or Abused Children
I have read and understand Policy and Regulations #8462, Reporting Potentially Missing or Abused Children.  If I have reasonable cause to believe that a child has been subjected to abuse and/or neglect as defined under N.J.S.A. 9.6-8.10, I will immediately report to the New Jersey State Central Registry (SCR) at 1-877-NJABUSE.  I will also inform the school principal that the report has been made. *
Please type your first and last name to digitally indicate your agreement.
Harassment, Intimidation and Bullying
I have read and understand Policy and Regulations #5512, Harassment, Intimidation and Bullying.  I will report alleged violations of this policy to the Building Principal or designee on the same day that I witness or receive reliable information regarding a violation. *
Please type your first and last name to digitally indicate your agreement.
Please list your child/children's name(s) at this school and teacher(s). *
Please list:  Child's last name, Child's first name/Teacher with each child on a separate line
Please select the grade level(s) of your child/children. *
Please check all that apply.
Required
Please indicate the PMG volunteer opportunities in which you are interested. *
Working with your child's class:
Yes
No
Homeroom Parent
Classroom Volunteer
Music Room-Assist when your child has music
Please indicate the PMG volunteer opportunities in which you are interested. *
Working with children (may or may not include your own child.)
Yes
No
Enrichment
Technology
Cafeteria Help
Literacy Volunteer
Art Room-Parent assistant for select art units
Please indicate the PMG volunteer opportunities in which you are interested. *
Administrative/Classroom Help (not working with children):
Yes
No
Library
Copying
Laminating
School Beautification
Gardening/Weeding
Book Room Organization/Book Exchanges
Keying in Hunterdon County Democrat Kids' Pages writing
Music Room:  Play an instrument and/or accompany at the Spring Concert
Music Room:  Create costumes/props for the Spring Concert
Music Room:  Weekly assistance with cutting/copying/laminating
Art Room:  Photographing/Uploading artwork to Artsonia
Art Room:  Assisting with hallway displays
Art Room:  Helping prepare art supplies
Lost & Found Organization
Bulletin Boards
Reading Step Assistance - cutting out shapes/animals
Special Interest/talent (list in Other)
Health Office
Publishing Center
Other comments (or special talents):
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