Communities in Schools of Lakewood · Volunteer Application

Contact Information

Name

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First Name

Last Name

Email

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Verify Email

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Phone

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Home/Mailing Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Emergency Contact Phone

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Emergency Contact

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First Name

Last Name

Reference 1

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Friend, Co-Worker, or someone who can speak to your relationship with working with young people or your character.

Reference 1 Relationship

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Reference 1 Email

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Verify Email

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Reference 1 Phone

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Reference 2

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Friend, Co-Worker, or someone who can speak to your relationship with working with young people or your character.

Reference 2 Relationship

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Reference 2 Email

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Verify Email

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Reference 2 Phone

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WATCH Background Check Information

All of our volunteers, no matter the type, have to pass a background check before volunteering with CISL

Have you filled out Clover Park School District's volunteer application?

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Yes

No

Full Name

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First, Middle, Last

Maiden and/or alias

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If none, write "none"

Date of Birth

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(mm/dd/yyyy)

Gender

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Have you been convicted of a crime?

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Yes

No

Please provide brief description of convictions.

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Upload Picture Identification

Identification MUST MATCH name used above. IF UNABLE TO UPLOAD DOCUMENTATION, PLEASE EMAIL A COPY/PICTURE TO INFO@LAKEWOODCIS.ORG

Electronic Signature

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First, Middle, Last | By electronically signing your full name you are giving consent to Communities In Schools of Lakewood to run a background check.

COVID Vaccine Verification

EVERYONE ENTERING K-12 SCHOOLS IS REQUIRED TO PROVIDE DOCUMENTATION OF COVID VACCINATION. All CISL volunteers are required to provide documentation to verify their vaccination status as of October 2021.

Upload COVID Vaccine Documentation

Acceptable documentation for verifying the vaccination status includes at least one of the following: 1. CDC vaccination card which includes name of person vaccinated, type of vaccine provided, and date(s) administered, or a photo of the vaccination card. 2. Documentation of vaccination from a health care provider with the information listed above. 3. State immunization information system record with the information listed above. Universal masking is still required for all adults and students. IF UNABLE TO UPLOAD DOCUMENTATION, PLEASE EMAIL A COPY/PICTURE TO INFO@LAKEWOODCIS.ORG

Volunteer Descriptions (Examples)

One Time/ On call:
Join our contact list for one time opportunities that come up throughout the year. These can include but are not limited to: Helping out at Kid's Night Out at our elementary sites, assisting in running our booth at SummerFEST alongside CIS Staff, collect school supplies at the fair grounds as people enter the fair, help our Office Manager with yearling stuffing of mailing envelopes.

Tutoring:
You can help students with their homework alongside their teachers. CPHS has extended learning on Tuesday and Thursday from 2:30p-4:30p. Lochburn has Homework & Academic Success Club on Thursdays from 3:15p-4:30p.

Mentoring:
Get matched with a student who you will meet with once a week for 30 minutes to an hour. This is on-going throughout the year and can be continued as the student advances grade levels. Training will be provided and is required to attend before meeting with your mentee.

Job Shadows:
CPHS requires all students to attend a job shadow in order to graduate. This is open to Juniors and Seniors. If you want to host a job shadow, you must fill out the application as normal, and attend an interest session where you will get debriefed on the requirements the student needs to complete.

Lunch Pals/Small Groups:
Enjoy having lunch with a student or facilitating activities during small groups. Most Small Groups and Lunches are 30 minutes and you can meet once a week with your lunch pal. There will be a training you will have to attend before meeting your lunch pal.

Volunteer Opportunities

Select which volunteer option(s) you are interested in.

Opportunities

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One time/ on call

Tutoring and Homework Help

1:1 Mentoring

Career Exploration: Job Shadows or Informational Interviews

Group Mentoring: Lunch Pals or Small Groups

CISL Board or Committee

Fundraising and/or Event Preparation

School Staff Appreciation/Adopt-a-School

On Call Volunteering

General Description of One-Time Volunteering options

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These types of volunteer jobs are offered once or twice a year

Greet guests at the Fair Grounds while we collect school supplies at the gate

Help our booth at SummerFEST

Annual Call-a-thons & Mailing

Kids Night Out at Four Heroes

Field Trips

Science Fair Judging

Other

Other Volunteer event:

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Why do you want to volunteer? What do you hope to get out of your experience?

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What're some skills you would like to bring to CISL?

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Ex: are you a great logistics person? love welcoming guests? great at helping with design, photography or anything else!

Tutoring

What subject or grade levels would you feel most comfortable tutoring?

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Can you speak a language other than English? If yes, please state below.

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Mentoring

Grade Level

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Elementary Schools: Tillicum, Four Heroes | Lochburn Middle School | Clover Park High School

Elementary (3-5)

Middle (6-8)

High (9-12)

What days of the week are you available?

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Select all that apply

Monday

Tuesday

Wednesday

Thursday

Friday

What time slot are you available?

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Select all that apply

Morning (9a-11a)

Afternoon (11a-2p)

Late Afternoon (2p-5p)

Job Shadows

Participating in a job shadow is a graduation requirement of our seniors at Clover Park High School.

Organization/Employer

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Position/Title

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Location

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

How long have you been with this organization/employer?

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Description of your role/career.

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Method of Contact

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This is to set up or schedule the job shadow.

Student reaches out to you

CIS staff reaches out to you

Are you comfortable with a student having your contact information?

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Note, all the students will be seniors or juniors at Clover Park High School.

Yes

No

After the job shadow

How many job shadows are you able to conduct in a year?

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This is throughout the year, not at one time.

1

1-3

3-5

5+

Attend an Orientation/Interest Session

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Please share your general availability/preferences and we will contact you to schedule.

Confirm Attendance for Tuesday, March 21 Information/Orientation Session 10:00-12:00 (In Person & Virtual)