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	Home Parents Site Council PTO Student Uniforms Principal Office Office Staff Classroom Teachers Pre-Kindergarten Kindergarten First Grade Second grade Third Grade Fourth Grade Fifth Grade Sixth Grade Specialists Teachers - Special Programs Resources After-School Programs Gifted and Talented Media Center Early Childhood Family Education (ECFE) Book of the Month School's Calendar Site Map Volunteer Opportunities Volunteer at Galtier! Breakfast / Lunch Schedules Staff Directory School Supply List '09-'10				Home > Volunteer Opportunities > Volunteer at Galtier! > Volunteer Application Form  Print View Volunteer Application Form Fill out this form and submit it electronically to Mike Petersen, Read, Read, Read Volunteer Coordinator. Please note that we need your full name and date of birth to complete a background check. Full Name  Street Address  City  State  Zip  Primary Phone  Secondary Phone  Organization (if volunteering with a group)  Email  Emergency Name  Emergency Phone  Language(s) Spoken  Placement Preferences (day, time, grade, or activities)  Please provide 3 references (2 person, 1 professional). Include name, occupation, years known, and phone number.  Pursuant to the Minnesota Child Background Check Act (Minn. Stat.299C.60-299.64), you will be asked for your consent to perform a background check to determine whether you are the subject of any reported conviction for a "background check crime." By submitting my date of birth I hereby authorize the Capital City Education Initiative to perform a background check in conjunction with this application. Date of birth  JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 12345678910111213141516171819202122232425262728293031 /   123456789101112 : 000510152025303540455055AMPM (now) [ Next ] [Back]
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