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 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.


I have read the Administrative Procedure 490: Volunteers or Administrative Procedure 491: Volunteer Coaches and Supervisors. (if applicable) Yes No
I have read the Administrative Procedure 403: Duty to Report Yes No
Have you submitted a copy of your criminal record check? Yes No
I agree to keep the School Division informed of any criminal charges, convictions, pleadings of guilty or no contest to misdemeanor or felonies. Yes No

Confidentiality Terms

  1. Confidentiality is of the utmost importance in the school setting in order to ensure that the dignity and worth of students, parents, volunteers and school staff is honored.
  2. Any information collected, used, generated, and stored by The Fort McMurray School Division including student, instructional, financial, or administrative information is strictly confidential and is to be used only in the performance of volunteer duties.
  3. You may not disclose, communicate, publish, take, alter, copy, interfere with, or destroy any information unless you are specifically authorized to do so by the teacher or principal.
  4. The teaching and administration staff are responsible for student learning and discipline. School administration, teaching, and support staff have specific roles to play and it is important that these roles be respected.
  5. Failure to comply with these conditions may result in termination of your position as volunteer.
   
I Agree to the Confidentiality terms listed above and will 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

By signing below I agree that  I meet the requirements to be a volunteer and that the information provided is truthful.

Volunteer Signature  Date
Principal/Vice-Principal Signature  Date

The information on this form is collected under Alberta's Freedom of Information and Protection of Privacy Act to carry out our responsibilities under the Education Act. If you have any questions about this form, please contact the school principal.

Adopted:

December 1, 2009

Amended:

August 23, 2021

Reference:

Section 52, 53, 197, 222, 256 Education Act

Freedom of Information and Protection of Privacy Act

Criminal Record Act

Cross References

Policy 20 Student Conduct / Welcoming, Caring Respectful and Safe

AP 404 Conflict of Interest

AP 420 Role of the Teacher

AP 430 Role of the Principal

AP 312 Student Safety Patrols

AP 490 Volunteers

AP 491 Volunteer Coaches and Supervisors

AP 403 Duty to Report