• Most importantly, thank you for applying as a Canton City School District Volunteer! 


    For the safety of all students and staff in the Canton City School District, anyone who volunteers in a school must consent to a BCII (Bureau of Criminal Identification and Investigation) fingerprint check. And, as in circumstances detailed below, an FBI check may also be required. Volunteers are required to complete 3 forms each year. In short, when your approved background check and paperwork is approved, you are cleared to work with students and staff. 


    Step I: Each year, all volunteers must sign and complete the following forms:  

    Volunteer Application Form  
    School Volunteer Agreement  
    Law Enforcement Agency Authorization 
    Send all three completed forms to Sue Luther, 305 McKinley Ave. NW, 44702


    Step 2: Schedule your BCII check  

    If you have lived in Ohio for the last 5 years: You will need to call Sue Luther (330) 580-3041, to make an appointment for a background check. Once the appointment has been made, you will need: 
    a check, exact cash or money order in the amount of $27 made payable to Canton City Schools, 
    your driver’s license or state ID and you must be able to provide your Social Security number. 
    Once Ms. Luther has received the necessary information, paperwork will be processed.


    If you have not lived in Ohio for the past 5 years: You will need to call Sue Luther (330) 580-3041, to make an appointment for a more extensive background check ~ BCI and FBI are both required. Once the appointment has been made, you will need: a check, exact cash or money order in the amount of $53.00 made payable to Canton City Schools, 
    your driver’s license or state ID and you must be able to provide your Social Security number. Once Ms. Luther has received the necessary information, paperwork will be processed. 


    Step 3: Once approved, the School Community Worker will be notified and will contact you. 

     

    Canton City Schools Volunteer Application Form 

    YEAR:_____________

    Name: ________________________________________________________________________

    Address: ______________________________________________________ Zip: ________

    Phone: _________________ Birth Date: ___________ Social Security #: ______________

    Years of residence in Ohio _________ If less than 5 years, please list city and state of previous residence _____________________________________________________________________

    Education (indicate last year of school completed): ____________________________________

    Number of children: ____________ Name(s), Age(s) & School(s): _______________________ ____________________________________________________________________________________________________________________________________________________________

    Please specify time/day you will be available to volunteer: 

     

    Monday
    Tuesday
    Wednesday
    Thursday
    Friday
    Morning

    Afternoon 

     

    Volunteer Preference: _____ Grades PS-2 _____ Grades 3–5 _____ Grades 6-8 _____ High School 

    What skills do you have that would be helpful in the positions you indicated above? ______________________________________________________________________________

    If you do not have a child attending the school, please list two references whom we may contact. 

    _________________________________________________________________________________________________________________________________________________


    IN CASE OF EMERGENCY: 

    Contact Name: __________________________________ Contact Phone: _________________

    Contact Address: ________________________________ Hospital Choice: _______________

    Medical Condition(s)/Allergies: ___________________________________________________

     

    PLEASE RETURN COMPLETED FORM TO SUE LUTHER

     ADMINISTRATION CENTER, 305 MCKINLEY AVE NW, 44702

    School Volunteer Agreement

    Year:____________

     

    Name: _______________________________________________________________________________

    Address: _______________________________________________ Phone: ____________________

    Volunteer directly responsible to: __________________________________________________________

    Duties and responsibilities: ______________________________________________________________

    _____________________________________________________________________________________

    Time Commitment: 

    Monday
    Tuesday
    Wednesday 
    Thursday
    Friday
    Morning
    Afternoon
    Other 

    Starting Date: _____________________________ Ending Date: ____________________________

    Procedure for reporting absence: __________________________________________________________

    _____________________________________________________________________________________

    Have you ever been convicted of a misdemeanor or felony?   Yes _________  No_________

    If your answer is “yes,” explain: __________________________________________________________

    _____________________________________________________________________________________

    Were you a member of the armed services? Yes _________  No__________

    If yes, have you been convicted under the Uniformed Code of Military Justice (UCMJ)? Yes ___   No___

    If your answer is “yes,” explain: __________________________________________________________

    _____________________________________________________________________________________

    The Volunteer agrees to: 

    Respect the confidentiality of all information that may be received regarding any pupils or staff while volunteering (this includes any observations made while volunteering) 
    Authorize the Canton City Schools to contact appropriate law enforcement agencies for the purpose of conducting a background check. _____________________________________
    Volunteer Signature

    The School Agrees to: 

    Provide initial orientation and ongoing training and support for school volunteers. 
    Show respect and appreciation by giving the volunteer a suitable assignment in line with areas of interest and skills. 
    Inform the volunteer in advance of all schedule changes (holidays, special events, etc.) 
    School Volunteer Coordinator’s Signature: __________________________________________________

    Principal's Signature: ___________________________________________________________________

    PLEASE RETURN COMPLETED FORM TO SUE LUTHER

     ADMINISTRATION CENTER, 305 MCKINLEY AVE NW, 44702

    LAW ENFORCEMENT 

    AGENCY AUTHORIZATION

     

    Date: ________________


    I, __________________________________________ do hereby authorize and request any City, County, State or Federal Agency, Department or Bureau to furnish any criminal information in their files under the above name(s). I agree to hold any sources of information blameless for any error in reporting this information. I release all persons, whomsoever, from any damage for having furnished said information.

    Social Security Number MUST be furnished to be considered for any position.

    Signature: _____________________________________________________________________

    Also known as, or maiden name  ___________________________________________________

    Please print

    Date of Birth _________________________

    Social Security Number ___________ -  _________ - __________

    Address: ______________________________________________________________________

    City: _________________________________ State: ____________ Zip: _________

    Application to volunteer at: _______________________________________________________

                                                    Name of School

      

    PLEASE RETURN COMPLETED FORM TO SUE LUTHER - ADMINISTRATION CENTER, 305 MCKINLEY AVE NW, 44702

     

    Click for the PDF version: Volunteer Application Form