Background Application

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Volunteer Information

Please fill out all boxes completely.

For Which Position Are You Applying?*

Chaperone

Coach

Student Governance Council

Contractor

2.	Enter the School Name or Contracting Agency*

3.	Enter your FULL NAME as it appears on your state issued ID or drivers license*

4.	Enter your Street Address, City, State & Zip Code*

5.	Enter your Phone Number*

6.	Enter your Date of Birth*

7.	Enter your Sex*
	Enter your Sex* Male Female

8.	Enter your Ethnicity - Are you Hispanic/Latino? * This question is about ethnicity, not race. Hispanic/Latino is defined as a person of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin, regardless of race.
	Enter your Ethnicity - Are you Hispanic/Latino? * This question is about ethnicity, not race. Hispanic/Latino is defined as a person of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin, regardless of race.No, not Hispanic/Latino Yes, Hispanic/Latino

Enter your Racial Group - What is your race? (Choose one or more)
*
No matter what you selected above for your ethnicity, please continue to answer the following question by marking one or more boxes to indicate what you consider your race to be.

American Indian or Alaska Native
Having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

Asian
Having origins in the Far East, Southeast Asia, or the Indian subcontinent including Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

Black or African American
Having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander
Having origins in Hawaii, Guam, Samoa or other Pacific Islands.

White
Having origins in any of the original peoples of Europe, the Middle East or North Africa.

10.

I hereby confirm the information I have provided above is true to the best of my knowledge. I understand that by submitting this form to the Fulton County School District Safety and Security Department, I agree to an independent verification of this information. I understand that I am NOT automatically approved by submitting this form.

*

I agree