Summer Extended Learning Volunteer Application

Thank you for your interest in supporting Knapp and Julian Thomas Community School students this summer! We need volunteers to help support in-person extended learning activities. Together, we can ensure that our students have a fun, safe summer.

Please complete the form below to submit your application as a summer school extended learning volunteer.

Important things to know

All volunteers must consent to and pass a background check, by completing the WINGS application online, prior to being scheduled.
All summer school participants (staff, students, volunteers) will be required to wear masks at all times.
Summer school runs Mondays-Thursdays, June 21-July 29, 2021.
There's no programming on Fridays or on Monday, July 5.
Extended learning hours are 12:35-4:45 p.m. Optional shifts are from 12:15pm-2:45pm and 2:30pm-5:00pm to allow for set up and clean up time. In the application you will be able to select a specific shift or shifts that you would like to commit to or you can select an alternative time that you are available.
Volunteers will be working with extended learning staff and program coordinators to support story times, arts/crafts, leading sports, helping with snack, etc.
You do not need a formal education background. Activities and supplies will be provided.

Volunteer information

Prefix

Legal first name

Middle intial

Legal last name

Preferred first name

Preferred last name

Home address

City

State

Zip code

Date of birth

Email address

Alternate email address

Primary phone

This is my

Alternate phone

This is my

Availability and scheduling

I would like to volunteer at

Would you like to volunteer for more than one shift per week?

I would like to volunteer for ___ shifts each week.

I am available to volunteer on

Mondays

Tuesdays

Wednesdays

Thursdays

On Mondays, I am available

Monday availability

On Tuesdays, I am available

Tuesday availability

On Wednesdays, I am available

Wednesday availability

On Thursdays, I am available

Thursday availability

Would you like to be a substitute volunteer?

Anticipated absences June 21 through July 29

Notes, comments, etc.

Emergency contact

Emergency contact name

Emergency contact phone number

Emergency contact relationship

Medical conditions/allergies

Terms

I agree to the background check terms listed below.

I acknowledge that all volunteers who are over the age of 18 are required to complete and pass a background check through RUSD before being allowed to volunteer. It will be my responsibility to complete the WINGS form online before my first scheduled shift.

I agree to the media release terms listed below.

This will confirm that the undersigned, having the sole right to do so, for good and valuable consideration (the receipt of which is hereby acknowledged), grants to United Way of Racine County, to include United Way Worldwide and its affiliated organizations, members, successors, assigns and licensees, a non-exclusive and irrevocable right to photograph, record, reproduce, publish, copyright, or otherwise use my name, photographic portraits or pictures, film, videos, internet postings, or sound recordings or any part thereof that may have been taken of me during United Way events and/or activities in written or electronic format, video or film (Content) for promotional, advertising, or other charitable purposes in any media including the world wide web related to the United Way community impact activities. This also includes any tweets or messages through social media.

I acknowledge and agree that nothing contained herein requires United Way to use any Content as described herein.

I represent and warrant that the consent of no other third party is required to enable United Way to use the Content as described herein, and that such use will not violate or infringe upon the rights of any third parties.

I acknowledge and agree that United Way has the right to assign this agreement and/or the rights herein (in whole or in part) to any party.

I acknowledge that its sole remedy for any breach shall be an action for damages, and irrevocably waive any right to obtain equitable or injunctive relief.

I waive any right of inspection, preapproval, or claims for compensation.

I am of full age and have the right to contract in your own name and have read the above consent and permission and are fully aware of its contents. In the event I am a minor, the signature of a parent or legal guardian is required. I will contact United Way of Racine County to make further arrangements.

This Consent and Release contains the full and complete understanding between the parties and supersedes all prior agreements and understandings pertaining hereto and cannot be modified except by a writing signed by each party.