Volunteer

Personal Information

Please complete the secure registration form. Applicants will receive email notification when the application has been successfully submitted and a second email notification when the background check has been processed and approved.

Name and Contact Information

* Salutation

* First Name

* Middle Name or Initial

* Last Name

* Maiden Name

* Date of Birth

(MM/DD/YYYY)

* Gender

* Street Address

* City

* State

* Zip

* Day Phone
* Cell Phone
* Email Address

Login Information

* User ID (?)

* Password

* Verify Password

Create a User ID and Password. User ID and Password are case sensitive, and must be between 6 and 30 characters.

Use this login information to return later to update your profile.

Geographic Area

Population Served

Activity Type

Languages

Organization

Please indicate if your volunteer service is affiliated with the following:

Sub-Organization

Background Check

Information required for criminal background check:

Identification:

* Social Security #

* Drivers License #

* Drivers License State

- OR -

* State I.D. Number

* State I.D. State

- OR -

None

Please list previous addresses in the US outside of North Carolina in the past 10 years

	State	County	Street Address/City	# of Years
1.
2.
3.

Employment

* Place of Employment

* Are you a Durham Public Schools retiree?

	No
	Yes

* Are you a Durham Public Schools employee?

	No
	Yes

Parent/Guardian

* Are you a parent or Guardian of a student?

	Yes
	No

* Name of Child #1

* Name of Child #2

* Name of Child #3

* Name of Child #4

* Name of Child #5

* Name of Child #6

Authorizations and Disclosures

I affirm that I have not been convicted of any felony. I am not currently under indictment for any felony or misdemeanor offense. I hereby give my voluntary consent to a criminal history check.

By selecting "I Authorize" in the box below, I empower Durham Public Schools to be my designated representative for the purpose of obtaining my criminal history record information maintained by law enforcement agencies

I understand that certain information obtained as a result of the criminal history check may preclude my participation in Durham Public Schools. I waive any claim for damages or injury against the Durham Public Schools or the provider of the report, except as mandated by the Fair Credit Reporting Act.

* Select One:

* Electronic Signature

(Please enter your name as you would sign it)

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Volunteering at DPS

Name and Contact Information

Login Information

Please specify the school(s) or locations(s) where you are planning to volunteer

Please check all student groups you would like to serve

Please check all activities that interest you

Please check any languages with which you can provide assistance

Please indicate if your volunteer service is affiliated with the following:

Sub Organization

Information required for criminal background check:

Please list previous addresses in the US outside of North Carolina in the past 10 years

Authorizations and Disclosures