Form 490-1

Volunteer Registration Form

The Fort McMurray Public School District appreciates the services of all of its volunteers.  In order to ensure the safety of students, all volunteers in our schools need to be registered.  A volunteer is someone who assists school and/or students either in curricular or extra-curricular activities and includes volunteer drivers and students volunteering outside their school but does not include guest speakers, presenter, visitors to the school, parents who assist their own child in the school, or school council members in their position as school council members.  We hope that you will complete this form to enable the school in which you volunteer to exercise control over who should or should not be involved with the children.  The information collected on this form will be held in strict confidence.

If you are under 18 years of age your parent or guardian must sign this form.

Mr. Mrs. Ms.

Have you submitted a copy of your criminal record check?  Yes No
Has district policy on Conflict of Interest been provided to me? Yes No
I Agree to keep confidential any information I obtain or observe unless those actions are a breach of Confidentiality or Legislation Yes No
Do you have children or grandchildren registered in this school?
If yes, please list by name and grade:
Yes No
Name Grade

If not, would you please list at least two references with whom the school may check:

Name Phone Number

Volunteer Signature 

Principal/Vice-Principal Signature