Thank you for applying to volunteer.
Please complete all four sections to this application.
If you have any questions, please contact Yelm Community Schools.
RequiredHave you ever been convicted of ANY crime against children or other persons?
RequiredHave you ever been convicted of ANY crime? (For the purpose of this question “convicted” includes (1) all instances in which a plea of guilty or nolo contendere is the basis of conviction, and (2) all proceedings in which a sentence has been suspended or deferred.)
Have you ever been convicted of a crime relating to sexual abuse, exploitation or physical abuse?
Do you currently have ANY outstanding criminal charges or warrants against you in WA or in any other state or country?
Have you been convicted of a crime to manufacture, deliver, or possession with an intent to manufacture or deliver a controlled substance?
Have you ever been convicted of a crime relating to financial exploitation including a conviction for first, second, or third degree extortion; first, second, or third degree theft; robbery; forgery?
By typing in my full legal name on this application, I am certifying (or declaring) under the penalty of perjury of perjury under the laws of the State of Washington that the foregoing and all information included in the application is true and correct. If the information provided or answer(s) to any question on the Volunteer Background Questionnaire change, I understand that I must immediately notify Yelm Community Schools.
I understand I must answer this application truthfully and completely. Any falsification or deliberate misrepresentation, including omission of a material fact, failure to update this background questionnaire, and/or lack of completion of this form will be grounds for denial of a volunteer assignment. By signing this application, I am granting Yelm Community Schools permission to conduct a Washington State Patrol criminal history background check.
Policy No. 5201 - Personnel
The board has an obligation to staff, students and citizens to take reasonable steps to provide a reasonably safe workplace and to provide safety and high quality performance for the students who the staff serves.
For the purposes of this policy, 'workplace' is defined to mean the site for the performance of work done, which includes work done in connection with a federal grant. The 'workplace' includes any district building or any district property; any district-owned vehicle or any other district-approved vehicle used to transport students to and from school or school activities; and off district property during any school-sponsored or school-approved activity, event or function, such as a field trip or athletic event, where students are under the jurisdiction of the district which could also include work on a federal grant.
To help maintain a drug-free school, community, and workplace, the following behaviors will not be tolerated:
|A.||Reporting to work or the workplace under the influence of alcohol, illegal and/or controlled substances including marijuana (cannabis) and anabolic steroids.|
|Using, possessing, transmitting alcohol, illegal and/or controlled substances including marijuana (cannabis) and anabolic steroids in any amount, in any manner, and at any time in the workplace.|
|B.||Any staff member convicted of a crime attributable to the use, possession, or sale of illegal and/or controlled substances including marijuana (cannabis) and anabolic steroids will be subject to disciplinary action, including termination.|
|C.||Using district property or the staff member's position within the district to make or traffic alcohol, illegal and/or controlled substances, including marijuana (cannabis) and anabolic steroids.|
|D.||Using, possessing or transmitting illegal and/or controlled substances including marijuana (cannabis) and anabolic steroids.|
Any staff member who is taking prescribed or over-the-counter medications will be responsible for consulting the prescribing physician and/or pharmacist to ascertain whether the medication may interfere with the safe performance of his/her job. If the use of a medication could compromise the safety of the staff member, other staff members, students or the public, it is the staff member’s responsibility to use appropriate personnel procedures (e.g., use leave, request change of duty, or notify his/her supervisor of potential side effects) to avoid unsafe workplace practices. If a staff member notifies his/her supervisor that the use of medication could compromise the safe performance of his/her job, the supervisor, in conjunction with the district office, then will determine whether the staff member can remain at work and whether any work restrictions will be necessary.
As a condition of employment, each employee will notify his or her supervisor of a conviction under any criminal drug statute violation occurring in the workplace. Such notification will be provided no later than 5 days after such conviction. The district will inform the federal government within ten days of such conviction, regardless of the source of the information.
Each employee will be notified of the district's policy and procedures regarding employee drug activity at work. Any staff member who violates any aspect of this policy will be subject to disciplinary action, which may include termination. As a condition of eligibility for reinstatement, an employee may be required to satisfactorily complete a drug rehabilitation or treatment program approved by the district, at the employee's expense. Nothing in this policy will be construed to guarantee reinstatement of any employee who violates this policy, nor does the district incur any financial obligation for treatment or rehabilitation ordered as a condition of eligibility for reinstatement.
The district may notify law enforcement agencies regarding a staff member's violation of this policy at the district's discretion or take other actions as the district deems appropriate.
|Cross References:||Board Policy 4215||Use of Tobacco, Nicotine Products and Delivery Devices|
|Board Policy 5280||Separation from Employment|
|Legal References:||RCW 69.50.435||Violations committed in or on certain public places or facilities – Additional penalty – Defenses – Construction – Definitions|
|20 U.S.C §§ 7101-7117||Safe and Drug-Free Schools and Communities Act [as amended by Title IV – 21st Century Schools]|
|21 U.S.C. § 812||Controlled Substance Act|
|41 U.S.C. § 8103||Drug Free Workplace Requirements for Federal Grant Recipients|
|Management Resources:||Policy News||Feb. 1999; Dec. 2011|
|Policy & Legal News||Feb. 2013; Dec. 2015|
|REVISED: 9/24/98; 3/22/12; 6/25/13; 3/24/16|
Thank you very much for your application. Volunteers are very important and are very much appreciated here at Yelm Community Schools.
We will be in touch as soon as possible and look forward to welcoming you as a volunteer.
If you have any questions, please contact us by phone - 360.458.1900,
or email us - email@example.com