SEEK Teacher Info & Background Check

Contact Information

Name

Preferred Name for Volunteering

Pronouns

This address will receive a confirmation email

Phone

Address

Emergency Contact (Name & Phone)

SEEK Interest

What part of SEEK are you interested in supporting? Please check all that apply.

Joining a Teaching Team OWL Teaching Team (must complete OWL training for facilitators) Substitute Teach as needed

Are you interested in being a regular volunteer in... Please select all that apply

Nursery PreK-2nd 3rd-5th 6th-8th Youth Group OWL

Do you have any talents/skills that we may find useful for programming?

Are you a trained OWL Teacher? If yes, please share for which age/grade level. If no, would you be interesting in becoming a trained OWL teacher?

Background Check

Please type your full name below if you agree with the following statement:

I, (full name typed below), hereby authorize the Washington Ethical Society (WES) and/or its designated agents and representatives to conduct a background search that may include information about me in the national sex offender registry, criminal records systems, and credit agencies.

I understand that any information discovered about me may adversely affect any volunteer or employee position I may have at WES, up to and including my dismissal.

Full Legal Name

Date

Do you have any other known names or alias' beyond the name typed above? If so please share them here.

Drivers License Number and State (Or other government issued ID)

Social Security Number -- This form is secure and only seen by the necessary WES staff.

Background checks cost WES $29/each. If you'd like to contribute to help offset that cost, please do so here.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

SEEK Teacher Info & Background Check

Description

Please Fix the Following