Volunteer Renewal Form  
McLean County Unit 5 District Office
1809 West Hovey Avenue, Normal, Il 61761
Have you successfully completed the Unit 5 District Office Bushue Electronic Volunteer Screening
Please contact the school you are wanting to volunteer at to complete registration.
PERSONAL INFORMATION:
* Name:
Last First MI
* Check One:
* Address:
Street City State Zip
* Phone Number: (Please use the following format xxx-xxx-xxxx)    Email Address: 
Emergency Contact: Phone: (Please use the following format xxx-xxx-xxxx)
Name(s) of any child(ren) in district and school(s) they attend:
School(s) where you wish to volunteer:
Benjamin Elementary School
Brigham Elementary School
Carlock Elementary School
Cedar Ridge Elementary School
Chiddix Junior High School
Colene Hoose Elementary School
Evans Junior High School
Fairview Elementary
Fox Creek Elementary
Glenn Elementary School
Grove Elementary School
Hudson Elementary School
Kingsley Junior High School
Normal Community High School
Normal West High School
Northpoint Elementary School
Oakdale Elementary School
Parkside Elementary School
Parkside Junior High School
Pepper Ridge Elementary School
Prairieland Elementary School
Sugar Creek Elementary School
Towanda Elementary School
Unit 5 District Office
Unit Office      
If you are a jr.high or high school volunteer, please list the activities with which you wish to volunteer:
Baseball
Basketball
Cheerleading
Cross Country
Dance
Drama
Football
Music
Other
Post Prom
PTO
Soccer
Softball
Swimming/Diving
Tennis
Track
Volleyball
Wrestling      
Volunteer ID badges are good from year to year.If you misplace or damage your badge,we will replace it on request.
Do you need a new ID badge?
Please send my ID badge (if applicable) to:
Since your volunteer screening,have you had any outstanding criminal charges or warrants for your arrest pending against you?
If yes,please explain:
AVAILABILITY:
Entire School Year(September - June)
Program/Short Term Project
Summer School(July)
Other      
 
 
WAIVER OF LIABILITY
McLean County Unit 5 District Office provides liability insurance coverage for approved volunteers who assist in school district activities or functions.However,volunteers are not eligible for numerous programs or insurance which employees may choose to participate in,such as health and life insurance,workers compensation or unemployment compensation.The District provides no health or life insurance for volunteers.

You should report any injury or loss incurred while serving as a volunteer to the District Superintendent in writing.Ask your supervisor to assist if you have questions.Under limited circumstances,you might be eligible for modest amounts of coverage personal injury insurance maintained by the District.

I represent that I am physically and medically capable of participating in all the activities for which I have volunteered and that there are no restrictions on my ability to carry out those activities,except those I have stated in my application to volunteer.I waive claims of all kinds against the school board,school district,and its employees,agents and assigns,and assume all risks of loss,property damage,personal injury or death arising out of or related to my volunteer activities.
 
 
Volunteer's Signature Date
Captcha: *
* Required Field