SchoolWires Forms


Form Message
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Your application will not be complete until all required information is provided, signed, and submitted.

Personal Information

LEGAL NAME as it appears on your photo ID:

First Name: *   Middle Name: Last Name: *  
Maiden/Other Names: Suffix: Date of Birth: *  
Place of Birth: *
Gender: *   
Race - check ALL that apply: *
Hair Color: *   
 Eye Color: *   
 Height: *   
 Weight: (Enter Weight in Pounds (lb), No Decimals) *    lbs.

Contact Information

Home Address:
Street: *   Apt#: City: *   State: *   Zip: *
Previous Address (if less than 5 years):
Street: Apt#: City: State: Zip:
Fill in your ten (10) digit phone number(s) below:
Home/Cell Phone: * Work Phone: Other Phone:
ex.
Email Address: *   Emergency Contact Name: Emergency Phone:

Employment Information

Are you a current employee of Pinellas County Schools? *
Employer Represented:
Other:
Organization Represented:
Other:
Are you 18 years old or younger and a student? *
Where?
Note: If you are a current student in a Pinellas County School, you do NOT need to provide your Social Security Number or ID Card Information.

Volunteer Information

Do you have a child/children attending Pinellas County Schools?
Child's Full Name: School: Grade:
School(s) at which you want to volunteer: *  
(choose at least one)

If you are unsure of the school where you wish to volunteer at this time, please select Admin Building and contact volunteer@pcsb.org for assistance

Volunteer positions I am interested in: *

What subject?
Which sport?
List Club(s):
Description:
Message to Volunteers/Applicants
You will receive a Livescan Request Form and a Privacy Policy Acknowledgement Form via email from the Clearinghouse; please bring the Live Scan Request form to any Livescan vendor to complete your fingerprinting. Once your fingerprints are processed and cleared, you will be notified of your status.
PRIVACY POLICY ACKNOWLEDGEMENT
I acknowledge that I have received a copy of the privacy policies from the Florida Department of Law Enforcement and the Federal Bureau of Investigation. These policies describe the exchange of information in which criminal record results become part of the Care Provider Background Screening Clearinghouse. I understand and agree to read and comply with the guidelines outlined in these privacy policies.

PRIVACY POLICY ACKNOWLEDGEMENT FORM

 * Please check the box to confirm that you have read and agree to the Privacy Policy Acknowledgment.
   

If there is a financial hardship that prevents you from being able to pay for fingerprints, please contact Strategic Partnerships at 727-588-6405.

If you have any questions, you may contact the Family & Community Liaison at your school or Strategic Partnerships at volunteer@pcsb.org.
* required fields