Volunteer Registration


Volunteer Registration Form
PCS Logo
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: *  
Gender: *
Race - check ALL that apply: *

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.
Valid E-mail Address:   Emergency Contact Name: Emergency Phone:

Employment Information

Are you a current or former employee of Pinellas County Schools? *
Occupation:
Check the box if you are retired:
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) 		Days and Times available:
(check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday

Select Admin Building if you do not know the school or grade level you wish to volunteer at and contact the District Volunteer Coordinator at volunteer@pcsb.org after completing this application.

Check which school level(s) and volunteer positions you're interested in: *

What subject?
Which sport?
List Club(s):
Description:
* required fields