Volunteer Application

Thank you for taking a few moments to apply to become a volunteer with Communities In Schools of North Texas. The gift of time is one of the greatest gifts you can provide to us. As you begin your journey by completing this brief volunteer application, please realize that we commit to stand by you and do everything possible to make your volunteer experience with Communities In Schools of North Texas rewarding.

There are six primary steps in your application to become a Communities In Schools of North Texas volunteer.

  1. Submit Application
  2. Schedule Training/RSVP
  3. Attend Training
  4. CISNT Processes Your Information & Assigns You to Campus
  5. Program Manager Contacts You to Schedule Campus Orientation
  6. First Meeting with Your Student

Sincerely,
Gary Henderson
Chief Executive Officer - Communities In Schools of North Texas

Personal Information
Contact Information
Employment Information
Demographic Information
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If Other, please explain:

If Other, please explain:
Languages
English
Spanish
Chinese
Portugese
Vietnamese
Japanese
Burmese
Tagalog
Other
Volunteer Interests
School-based Mentor or Tutor
e-Mentor
Special School Event Volunteer
Administrative Support
CISNT Advisory Council
CISNT Board of Directors
CISNT Technology
CISNT Marketing/Public Relations
CISNT Fundraising (events, grants research)
Other

If you selected "Yes", please fill out the following. Otherwise, skip to "Hobbies".

Hobbies
References

Please provide two non-family references that we may contact to learn more about you. Feel free to let these references know about Communities In Schools of North Texas and your interest in being a Communities In Schools of North Texas volunteer.

Reference 1

Reference 2

Emergency Contact

In the unlikely event of an emergency, please provide:

Interests and Availability
Denton ISD
Lewisville ISD
Little Elm ISD
Northwest ISD
Communities In Schools of North Texas Central Office

Elementary School (Pre-K through 5th Grade)
Middle School (6th Grade through 8th Grade)
High School (9th Grade through 12th Grade)
Please place me in the grade level where I am most needed
I prefer a volunteer role not directly working with children

Monday From To
Tuesday From To
Wednesday From To
Thursday From To
Friday From To
Saturday From To
Protecting Our Students

Some of the questions below may seem personal, but they are important to ask when considering the relationship that will build between a mentor and their student. Communities In Schools of North Texas will keep all information that you are providing in this application confidential.




Image Use Waiver
I agree to allow Communities In Schools of North Texas to use any photographic or video image of me taken while participating in the mentoring program. These images may be used in promotions or other related marketing materials. (OPTIONAL: not a condition of serving as a CISNT volunteer)
Volunteer Certifications and Agreement

Please read this carefully before checking the boxes below:

Communities In Schools of North Texas appreciates your interest in donating time as a volunteer to help kids succeed. In order to continue to achieve the outstanding results our program has produced since 1994, we respectfully request that you take this volunteer position as seriously as any effort you would be financially compensated for by agreeing to the following:

Please check the boxes by those statements with which you agree:

I agree to follow all program guidelines that will be provided to me and understand that any violation will result in suspension and/or termination of the volunteer relationship.
I undestand that Communities In Schools of North Texas is not obligated to provide a reason for their decision in accepting or rejecting me as a volunteer.
I agree to attend initial volunteer training session(s) and agree to attend at least one in-service training session per year to increase my effectiveness as a CISNT volunteer.

All applicants must read and sign the following statement:

VOLUNTEER CONFIDENTIALITY AGREEMENT

Volunteers will, to the best of their ability, ensure confidentiality and privacy in regard to history, records, and the services provided to students and family members of Communities In Schools of North Texas. All participation regardning services received in the CISNT program will be kept confidential. Disclosure can be made only under specific conditions including any situation in which the student or another individual is in danger of receiving bodily harm. I have read the above information regarding CISNT policy on the subject of participant confidentiality. I agree to respect the policy and maintain the privacy of individuals served in the CISNT program.

Completing the signature and date field below serves as your signature and acceptance of this agreement.

Signature
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