New Volunteer Form

2020-2021 Registration

1. About You *

Other names you may have used ( eg. nicknames, maiden)

Date of Birth:

2 . Do you have any relation to a student enrolled at our school?*


3. Please check location(s) you are interested in volunteering your services to*

4. Please indicate type(s) of service(s) you wish to volunteer for*

By selecting the "Submit" button, I agree to "Acknowledgement and Authorization" below:         

When you apply to be a volunteer, we send you an email to the email address you provided. This email has a link inside of it that you'll need to click to confirm your application. If you can't find this email, let us know.

Acknowledgement and Authorization

I understand that the district will be conducting a criminal record check with the Vermont Criminal Information Center (VCIC). I understand that I will automatically be disqualified from volunteering if I was convicted of any of the crimes found on District Volunteers page. I understand that this is not an all inclusive list of disqualifying crimes: Other crimes and the totality of crimes shall be considered on a case-by-case basis.

In the event the District receives notice of a criminal record, I understand that within 30 days of receiving the results of the record check, I have the right to appeal the findings to the Vermont Criminal Information Center, Department of Public Safety, 103 South Main Street, Waterbury, Vermont, 05671-2101.

In addition to the above disqualification, I understand that it is the responsibility of the Principal/Director or his/her designee to accept/not accept specific individuals as volunteers, and all decisions related to the continuation of a volunteer's service. I further understand that the decision of the Principal/Director on these matters is considered final.

I understand that I am expected to abide by all school and Essex Westford School District policies and procedures which can be found at I also acknowledge that I have read and understand the expectations for volunteers found on District Volunteers page.

I hereby acknowledge and agree to a check of any record of criminal convictions from the Vermont Criminal Information Center. I understand that the results of this check will be made available to Essex Westford School District for use in reviewing my suitability for volunteer services with the district and that my volunteer service is contingent upon a satisfactory criminal records check.

Title 20, Chapter 117, Section 2064 also allows an educational facility to receive conviction information on any criminal record with applicant permission during the course of volunteering. My agreement above gives permission to the District to receive updates to my criminal conviction record via VCIC's subscription service.