Please check the location you are interested in volunteering your services to*:
(If you plan on volunteering at multiple locations, you must fill out the form again)

Please indication the type(s) of service(s) you wish to volunteer for *:

Acknowledgement and Authorization

"I understand that the district will be conducting a criminal record check with the Vermont Criminal Information Center (VCIC). I understand that I will automatically be disqualified from volunteering if I was convicted of any of the crimes found on http://www.ccsuvt.org/human-resources/volunteers/. I understand that this is not an all inclusive list of disqualifying crimes: Other crimes and the totality of crimes shall be considered on a case-by-case basis.

"In the event the District receives notice of a criminal record, I understand that within 30 days of receiving the results of the record check, I have the right to appeal the findings to the Vermont Criminal Information Center, Department of Public Safety, 103 South Main Street, Waterbury, Vermont, 05671-2101.

"In addition to the above disqualification, I understand that it is the responsibility of the Principal/Director or his/her designee to accept/not accept specific individuals as volunteers, and all decisions related to the continuation of a volunteer's service. I further understand that the decision of the Principal/Director on these matters is considered final.

"I understand that I am expected to abide by all school and Chittenden Central Supervisory Union policies and procedures which can be found at www.ccsuvt.org. I also acknowledge that I have read and understand the expectations for volunteers found on http://www.ccsuvt.org/human-resources/volunteers/.

"I hereby acknowledge and agree to a check of any record of criminal convictions from the Vermont Criminal Information Center. I understand that the results of this check will be made available to Chittenden Central Supervisory Union for use in reviewing my suitability for volunteer services with the district and that my volunteer service is contingent upon a satisfactory criminal records check.