Volunteer at Miramar Ranch Elementary School!

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1 Volunteer at Miramar Ranch Elementary School! You are welcomed and encouraged to become a school volunteer! There are many volunteer positions in your child s classroom or helping the Family-Faculty Association (FFA) with programs or events to benefit all of our children. In order to protect and assure the health and safety of our students, any person who wishes to volunteer in a classroom, attend a field trip or work with students or the FFA needs to complete the volunteer clearance process. How Do You Become A Volunteer? Step 1 o Complete a Volunteer Application A New Application is Needed EVERY School Year Volunteers will need to complete a Volunteer Application and return it to Lisa Kane-Charles in the school office. Please allow 2 weeks for application processing and for your volunteer badge. If you plan on attending fieldtrips with your child (ren), it is recommended you get this done in the very beginning of the school year. If you plan on driving your vehicle please complete the entire application, even if you previously submitted a volunteer application. o Complete Tuberculosis (TB) Testing (See reverse side for TB certificate & test sites) All volunteers are required to provide proof of a recent, negative TB test or chest x-ray before volunteering at the school site. A TB test is good for 4 years from the testing date. You may have one completed by your family physician, visit one of the San Diego Health Service Centers, or one of the TB test clinic days held at MRE. A TB test requires two visits - one visit for the nurse/doctor to administer the test, and a second visit (48-72 hours later) to have the test read and must be done within the past sixty days (older results will not be accepted) of the date of the application. Please submit your results to Lisa Kane-Charles in the school office. If you are a returning volunteer, please submit your application first and wait to see if you need to get another TB test. Remember they are good for 4 years, so you do not have to obtain one every year. Step 2 o Sign-up to volunteer in your child s classroom and/or with the FFA Find a volunteer position that interests you either through your child s teacher or posted on the school website. During the first few weeks of school, you will find sign-up sheets listing volunteer opportunities in front of the school and at Back to School Night. Step 3 o Receive your Volunteer Badge Once you have completed and submitted all of the necessary volunteer paperwork and received the proper clearance, your name badge will be produced and can be picked up in your child s classroom. You may begin to volunteer once you receive your badge and have been instructed by your child s teacher, usually after Back To School night. It takes about 2 weeks to get your badge. All volunteers must sign-in at the school office and wear a Volunteer Name Badge whenever they are on campus. If you have not gone through the volunteer clearance process you will be considered a visitor on campus and will not be permitted to work directly with children or go on field trips. If you have any questions about volunteering, please contact: Lisa Kane-Charles, District Volunteer Coordinator, lkanecharles@sandi.net (858) x1121

2 Mandatory Tuberculosis (TB) Testing for ALL MRE Volunteers and Employees The San Diego Unified School District does not provide TB testing for volunteers or employees. You will need to have a TB test administered by your family physician, San Diego Health Services Centers, or there are several health clinics or pharmacies that administer the TB test. This form or a form from your doctor must be submitted with your TB test results in order for it to be valid. MRE FFA is offering TB test clinics at Miramar Ranch on Tuesdays Sept 22, and 29 from 8-9am. Check the school website for more details. Remember that TB testing is a 2-step process. The first step is to have the test administered. The second step is to have the test read. Both steps must be completed. Following are suggested sites to have TB testing done. Please contact them for days of operation, appointment times, and cost. Rosecrans Tuberculosis Clinic (619) Rosecrans St., Ste. T San Diego, CA East Region Public Health Center (619) N. Magnolia Ave., Ste. 110 El Cajon, CA Central Region Public Health Center (619) University Ave. San Diego, CA South Region Public Health Center (619) Oxford St. Chula Vista, CA North Central Region Public Health Center (858) Ruffin Rd. San Diego, CA New Hope Church (760) Carmel Mtn. Rd. San Diego, CA Minute Clinic (Inside CVS #9105) (866) Poway Rd. Poway, CA MRE is not responsible if the listed phone numbers and or addresses have changed. These sites are merely suggestions.

3 SCHOOL YEAR 2015/2016 SAN DIEGO UNIFIED SCHOOL DISTRICT SCHOOL VOLUNTEER APPLICATION Child (ren) Room #(s): (Please fill out COMPLETELY; applications missing information will take longer for processing) Type of Volunteer - Please Circle at Least One: FFA Art Corp. Science Lab Room Volunteer Garden Other: Please list the name(s) of your child (ren): Parent Volunteers: Please check whether you plan to drive for a field trip during the school year. YES (You Must Complete the attached Clearance Form) NO DATE DISTRICT SPONSOR Lisa Kane Charles SCHOOL Miramar Ranch Elementary FULL NAME (FIRST) (MIDDLE) (LAST) ADDRESS DATE OF BIRTH (STREET) (CITY) (ZIP) (MO/DAY/YR) HOME PHONE Gov. Issued ID Type ID # NOTIFY IN CASE OF EMERGENCY (NAME) (PHONE) CURRENT EMPLOYMENT (EMPLOYER S NAME) (ADDRESS) (PHONE) Please check whether you are a new or returning SDUSD volunteer. New Returning Are you also a volunteer at another SDUSD school? If yes, please indicate the school(s): Do you have any criminal charges pending against you? Have you ever been convicted* of a felony or misdemeanor? Have you ever been convicted* of a sex, drug or weapon related offense? Are you required to register as a sex offender under Penal Code ? *Conviction includes a finding of guilty by a court in a trial with or without a jury or a plea or verdict of guilty. If YES, please explain: For security reasons, school site staff and/or SDUSD School Police Services will conduct a background check. Volunteer assignments may be terminated if service is unsatisfactory or no longer needed by the school district. You may not volunteer if you are required to register as a sex offender under California law. I give my permission to have my personal and professional references researched and hold the district and any individuals providing the district with information harmless. By signing my name below, I declare under penalty of perjury, that all the information on this application is true and correct. I also declare that I have read and agree to follow the Volunteer Code of Conduct. Volunteer Signature: Date: TO BE COMPLETED BY VOLUNTEER COORDINATOR: TB Test Expiration Date: Volunteer category (check appropriate box and indicate date cleared): o Category B Megan s Law database check - cleared o Category C SDUSD School Police background check - cleared Approved By: o Category D Fingerprinting - cleared

4 VOLUNTEER CODE OF CONDUCT (This document defines the district s expectations for all school volunteers.) As a volunteer, I agree to abide by the following code of volunteer conduct: 1. Immediately upon arrival, I will sign in at the main office or the designated sign-in station. 2. I will wear or show volunteer identification whenever required by the school to do so. 3. I will use only adult bathroom facilities. 4. I agree to never be alone with individual students who are not under the supervision of teachers or school authorities. 5. I will not contact students outside of school hours without permission from the students parents. 6. I agree not to exchange telephone numbers, home addresses, addresses or any other home directory information with students for any purpose unless it is required as part of my role as a volunteer. I will exchange home directory information only with parental and administrative approval. 7. I will maintain confidentiality outside of school and will share with teachers and/or school administrators any concerns that I may have related to student welfare and/or safety. 8. I agree to not transport students without the written permission of parents or guardians or without the expressed permission of the school or district and will abide by District Administrative Procedure #4586 when transporting students. 9. I will not disclose, use, or disseminate student photographs or personal information about students, self, or others. 10. I agree to follow the district procedure for screening of volunteers. 11. I agree to notify the school principal if I am arrested for a misdemeanor or felony sex, drug or weapon related offense. 12. I agree only to do what is in the best personal and educational interest of every child with whom I come into contact. I agree to follow the Volunteer Code of Conduct at all times or cease volunteering immediately. VOLUNTEER INITIAL: PLEASE NOTE: District policy requires that all new and returning volunteers have a current volunteer application and proof of a negative TB test on file with the school. Volunteer applications must be completed each year. TB test are good for 4 years. For the safety of our students it is important that the proper paperwork is on file for any volunteer who works with or has contact with our students. Thank you for understanding the importance of this requirement. VOLUNTEER APPLICATIONS ARE FILED AT THE SCHOOL SITE WITH TB AND BACKGROUND CLEARANCE DOCUMENTATION AND SAVED FOR 4 YEARS

5 Miramar Ranch Elementary P- (858) F- (858) FIELD TRIP DRIVER CLEARANCE & WAIVER OF LIABILITY INSTRUCTIONS TO DRIVERS OF PRIVATE VEHICLES FOR TRANSPORTION FOR FIELD TRIPS AND SCHOOL EVENTS 1. Name: DL#: Exp. Date: (Please Print) Teacher/Room(s) Child (ren) Name(s): 2. Insurance Carrier: Policy #: 3. Check Safety of Vehicle: tires, lights, horn, suspension, etc. A safety check of the type conducted by the California Highway Patrol is recommended. The School Safety Division of San Diego Police Department can also be of assistance. 4. Check the adequacy of your liability insurance. You are liable in the event of illness, accident, injury, or death resulting from such use of your vehicle. State law says that all persons making any field trip or excursion shall have been deemed to have waived all claims against the district (its employees) or the State of California for injury, accident, illness, or death occurring during or by reason of the field trip or excursion (Ed. Code 35330). 5. Carry only the number of passengers for which your vehicle was designed. The number of occupants in a sedan, passenger vehicle, station wagon, or van, including the driver, may not exceed ten (Ed. Code 39830). Each passenger is required to us a safety belt (Vehicle Code 27315). 6. The number of occupants in a pickup or motor-truck may not exceed more persons than can safely sit belted in the passenger compartment. Motorhomes may not be used to transport students. Students are expressly forbidden to ride in the cargo are of pickups or motor-trucks whether or not these areas are enclosed by camper shells or other protective covering (Ed Code 39830). 7. Travel caravan style if more than one vehicle is used for the trip. I certify that the above information is correct and current. My driver s license and insurance are current. I have adequate insurance and my vehicle is properly maintained. (Signature) (Date)