Volunteer Application Form
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1CNUSD Volunteer Application
Corona-Norco Unified School District
(Revised on 9/10/2010)
Legal Name: ______________________________________________________________________________________
(First)
(Middle)
(Last)
Gender: M_____ F _____
Birth Date: ______________ AKA/Nickname ___________________________________
Street Address _________________________________________ City _____________ State _____ Zip Code________
Mailing Address __________________________City _________ State ___ Zip______ Home Phone ________________
(Area Code)
E-mail address ____________________________________________________Cell Phone_______________________
(Area Code)
Student’s Name __________________________________________________________________ Grade ___________
Previous address if you have lived at current address less than 5 years
Street Address ____________________________________________________________________________________
City __________________________________________________ State ____________ Zip Code _________________
I’M INTERESTED IN VOLUNTEERING IN THE FOLLOWING AREAS
Reading to/with children
Classroom Helper
Library Helper
Room Parent
Special event assistance for individual schools
PTA
Other _____________________________________________
School/Site ______________________________________________________________________________
Have you been previously fingerprinted for the Corona-Norco Unified School District? Yes ____ No _____
DISCLOSURE: All applicants must answer the following question. Failure to answer honestly will disqualify
the applicant from service as a volunteer.
Have you ever been convicted of a crime? YES NO
If yes, describe each conviction in full, even if it was later dismissed, expunged or sealed. Also indicate
date(s) of crime (s) and in which city, county and state each took place. (Attach a separate sheet if needed.)
_____________________________________________________________________________________
I understand that in applying to serve as a school volunteer, I will be required to comply with Board Policy and
Administrative Regulation 6801.This includes district staff verifying that my name is not listed on the State of
California Megan’s Law database. I understand that under certain circumstances I will be required to obtain
fingerprint clearance, at my expense, and that I will be required to comply with all Riverside County
Department of Health requirements. Once approved, this application can be revoked by the district.
I certify that, under penalty of perjury, all of the information I have provided is true and correct.
Signature___________________________________________
Date __________________________
School Use Only:
yes no
yes no
4 hours or more
Confirm Identity/ Photo ID
yes no
Megan’s Law clearance
Forwarded for fingerprinting yes no
Budget Code# _____________________________
School Official _______________________________________
Date _________________________
District Office Use Only:
yes no
Fingerprinting clearance
District Official _______________________________________
Date _________________________
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