I understand that the volunteer screening process includes a criminal background check. I give permission to have the results of this check shared with placement sites as it pertains to my involvement as a volunteer.
I understand that in providing my services as a volunteer with Readers Are Leaders Tutoring Program, I will respect the confidential nature of the knowledge I will gain concerning the academic performance, behavior, and personal information of the children with whom I work. If a child tells me something or I notice something that may indicate his/her safety is at risk or he/she is in emotional distress, I will report that information to my supervising teacher, site coordinator, school principal or office staff.
I will not initiate contact with the children with whom I work or their families outside of the school or program setting to which I have been assigned.
United Way of Kenosha County may take photographs or videos of participants, individually or in groups, attending or taking part in United Way programs and activities. These images, in original or modified form, may appear in future United Way publications and/or publicity, including print, web and video productions.
Anyone who attends or participates in a United-Way-hosted event or activity authorizes the use and reproduction of any photographs taken during the event, without compensation by United Way. The opportunity or right to inspect or approve any such images or recordings is waived. If an individual does not wish to be photographed or videotaped, the person must notify the United Way staff to that effect. Permission for usage is assumed for any photographs submitted to United Way by an individual or organization. All images and files shall constitute United Way property, solely and completely.
I understand that a criminal background check must be submitted in accordance with the Kenosha Unified School District Policy 4332. The background check will be submitted, processed, and approved or denied by Kenosha Unified School District who will inform United Way of Kenosha County of the decision. Approval of the background check determines eiligiblity to participate.
Returning KUSD volunteers do not need to resubmit the form if it has been submitted within the last five years. If you have not already, click here to complete the form.
