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Volunteer with Seattle Public Schools

| Field Trip Chaperone Form - Overnight Field Trip (Complete Volunteer Application First)

August 1st - July 31st, 2019
You must complete the 2018/19 SPS Volunteer Application prior to this form.

Thank You for Your Support!

Seattle Public Schools believes that field trips provide a valuable educational experience for students. Without the help of volunteer chaperones like you, many field trips would not be possible. We thank you very much for giving your time and support to these important activities.

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Before you begin applying, make sure you have the following items ready:
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1. Please complete this form after you've completed the main SPS volunteer application.
2. Use the same email address at the top of the page to make sure information on this form connects to your volunteer profile.
3. Read Board Policy No. 3246 "Restraint, Isolation, and Other Uses of Physical Intervention" available at http://bit.ly/sps3246 or in your school office.
4. Review Seattle Public Schools’ Code of Conduct available at http://bit.ly/spscodeofconduct or in your school office.

*** In order to help ensure that District-sponsored field trips result in safe and rewarding experiences for all participants, we have prepared the following guidelines to provide information about volunteering as a field trip chaperone. Please read them carefully. ***

Because student safety is our paramount concern, Seattle Public Schools has established procedures for screening all school volunteers who may have unsupervised access to children. Please check the District website “Volunteering at SPS” (under Get Involved tab) for the latest requirements. No volunteer may chaperone a field trip until the background check and other requirements are completed.

The District also requires that volunteer chaperones be at least 21 years old to supervise students in grades 6-8, 25 years old for students in grades 9-12

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GUIDELINES FOR VOLUNTEER CHAPERONES
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Prior to your field trip, the lead chaperone will provide you with information regarding the activities planned for the trip, expectations for supervising students, and emergency procedures. In addition, we have developed the following general guidelines to help you perform your duties as a chaperone. If you have any questions regarding these guidelines, please contact the lead chaperone or the building principal/program manager.

1. All school rules apply on District-sponsored events. Chaperones are expected to comply with District policies, follow the directions given by the District’s lead chaperone, work cooperatively with other staff and volunteers, and model appropriate behaviors for students. Be sure you are familiar with the Seattle Public Schools’ Code of Conduct.

2. In order to comply with District policy, during District sponsored events, chaperones:
• may not use, sell, provide, possess, or be under the i nfluence of drugs or alcohol
• may not use tobacco in the presence of, or within the sight of, students
• may not possess any weapon
• may not administer any medications, prescription or nonprescription, to students

3. Student behavior is your responsibility. School rules related to student behavior apply. Go over rules and standards of behavior, safety rules, and any site specific rules with students. Ensure that students do not get involved in any extra activities not pre-approved by administrators and parents. If a student will not follow your reasonable requests to comply with behavior and safety rules, please notify the lead chaperone or other District staff chaperone promptly.

4. Students must be supervised at all times while at District-sponsored events. As a chaperone, you will supervise a small group of students, helping them learn and making sure they behave appropriately. At the secondary school level, depending on the activity and the location, it may be appropriate to allow students some time in small groups. Review those expectations with the lead chaperone in advance of your trip. Go over use of the buddy system with students under your care. Account for all participants regularly and before changing activities. Be sure you know when and where to meet the rest of your group at the end of the visit. Chaperones must be readily available, be mindful of safety concerns, and respond to students’ needs.

5. Night-time supervision can present different challenges. Chaperones should not be sleeping in the same rooms with students, but must ensure that students are in their rooms and not engaged in prohibited activities. This will generally mean a bed check at lights out and at least one additional check during the night. Your lead chaperone will help you understand the requirements and procedures for specific locations where students will be lodging. Different rules may need to be established for locations where students are staying in a gym, in open cabins or other non-traditional lodgings.

6. For the protection of both the student and the chaperone, chaperones should not place themselves in situations in which they are alone with a student.

7. Other than the spouse or partner of a chaperone, with prior written approval of the principal, family members or friends of a chaperone may not participate in a District-sponsored overnight field trips.

8. Chaperones who transport students in their personal vehicle must complete the Volunteer Driver Checklist form. You are expected to comply with all District and State student transportation rules and regulations. Be aware that your personal vehicle insurance provides primary coverage in the event of an accident or injury.

9. Be sure to know what to do in an emergency (medical emergency, natural emergency, lost child, serious breach of rule, etc.). Know who is first aid trained, where the first aid kit is, where the cell phone is kept, and who has the copies of parental permission slips with emergency phone numbers and medical information.

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Registration Information


Required fields are marked with an asterisk (*)
First Name *
Last/Family Name *
Phone number *

A full 10-digit phone number (for example: 555-123-1234, (555) 123-1234, 555.123.1234, etc)
1. Did you read Board Policy No. 3246 "Restraint, Isolation, and Other Uses of Physical Intervention"?It is available at http://bit.ly/sps3246 *
2. Are you familiar with the Seattle Public Schools’ Code of Conduct? You can review it at http://bit.ly/spscodeofconduct *
3. If needed, are you also available to drive students during the field trip?
If you answered yes you will also need to complete the Driver Check List.
4. If needed, are you willing to assist in CPR (mark yes only if you are CPR-certified)?
5. If needed, are you willing to assist in First Aid (mark yes only if you are First Aid certified)?
EMERGENCY CONTACT
First name *
Last name *
Relationship
Daytime phone number *

Waiver

Check below to acknowledge that the information contained in this form is true and accurate to the best of your knowledge.



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