Adopted:          07/18/1988

Reviewed:        03/16/2009                                                                              353.1 Exhibit 1

School District of Prairie Farm

School Volunteer Registration Form

SCHOOL DISTRICT OF PRAIRIE FARM

SCHOOL VOLUNTEER REGISTRATION FORM

Prior to completing this form, prospective volunteers are to have read the District's policy governing the School Volunteer Program.

Name of Volunteer:________________________________________ Phone: _______________

Area / Program of Interest: _______________________________________________________

Special skills, qualifications: ______________________________________________________

______________________________________________________________________________

Hours / Days / Times Available: ___________________________________________________

______________________________________________________________________________

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Name of Teacher / Program Coordinator: ____________________________________________

Nature of the Activity of Service: __________________________________________________

Schedule - Time, Date or Days: ____________________________________________________

Signature of Building Administrator:________________________________ Date:___________