Handbook 2015-2016

Transcription

Handbook 2015-2016
VOLUNTEER
HANDBOOK
2015-2016
5208 South FM 494
Mission, TX 78572
Phone: 956-583-2752 + Fax: 956-583-3782
Juandiegoacademy.org
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Fall, 2015
Dear Volunteers,
“I have given you a model to follow, so that as I have done for you,
you should also do.”
John 13:15
I am truly grateful for your presence as part of our school community. We could not do the many events
and activities that make our school truly unique and special without your amazing gift of unselfish and
devoted service to students, parents, faculty, and staff. Thank you for your ministry to us.
On behalf of the Administrative Team, I look forward to working with you to promote the value of
service as you join in the teaching ministry of the Church. I encourage you to ask for help, direction, or
advice as you participate in the numerous opportunities to volunteer.
Research indicates that parent volunteerism in schools enhances student self-esteem, increases academic
achievement and improves student behavior and attendance. We appreciate the priceless service that
you provide us and we have created this Volunteer Handbook to assist you. We want to make sure that
you are well informed on all aspects of volunteering at Juan Diego Academy.
The policies and procedures contained in this handbook serve to govern and direct our efforts as servant
leaders at JDA. They are subject to change with prior written notice through the school’s web site, and
the weekly E-News: our chief communications tools for our school community.
Together let us pray that God, who began this good work in us, may carry it through to completion.
Devotedly,
Bob Schmidt
President & Principal
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TABLE OF CONTENTS
INTRODUCTION
Welcome
Table of Contents
Vision, Mission, and Philosophy of Juan Diego Academy
VOLUNTEER OPPORTUNITIES
PROCEDURES AND POLICIES
Application Process
School Hours
School Office Hours
Sign-In Procedure
Dependability
Confidentiality
Volunteer Dress
Responsibility
Emergency School Closing
Emergency Drills
Right to Amend
CHILD SAFETY & LEGAL ISSUES
Guidelines for the Supervision of Minors
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FORMS TO BE COMPLETED
Volunteer Application
DPS Computerized Criminal History (CCH) Verification
Diocese of Brownsville Code of Ethics
Volunteer’s Code of Conduct
Field Trip Driver Information Sheet
Volunteer Handbook Acknowledgement Form
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Vision
Juan Diego Academy is a Christ-centered, Catholic learning community forming young men and women
to answer the call to lead and be active participants in their Church and community.
Mission
As a Catholic regional high school, Juan Diego Academy:

Offers a quality, comprehensive academic curriculum

Utilizes the latest in technology and innovation

Educates the whole person: mind, body, and spirit

Instills a sense of Christian responsibility and service to others

Trains leaders to meet the current and future challenges of society
Statement of Philosophy
Juan Diego Academy is dedicated to giving students a Catholic-based, holistic education.
Religious and Spiritual Formation—Education in the doctrines, customs, and traditions of the Roman
Catholic Church challenges students to see and appreciate the dignity of all persons as children of God.
Christian values are reflected throughout the curriculum: in daily prayer, religious instruction, weekly
Mass, Christian ministry, and periodic retreats. In this environment of prayer and reflection, students are
challenged to internalize their Christian beliefs and put them into practice. The centrality of religion to
life is foundational.
University Preparation—Rigor, relevance, and relationship are hallmarks of a thorough,
comprehensive, college preparatory program for the 21st century. Students are academically challenged
with courses that emphasize the development of critical thinking skills, the integration of technology, an
understanding of the relevance of what is being studied to life and career goals—all the while forming
relationships between ideas and concepts across the curriculum. Students are equipped with the tools
needed to be successful college students and life-long learners.
Educating the Whole Person—In addition to the religious and the intellectual, a truly Catholic
education: builds character based on gospel values, promotes physical fitness and health, gives students
the opportunity to exercise their aesthetic, kinesthetic, and artistic abilities, and involves them in
competitive activities designed to foster growth of self-image, the importance of teamwork,
sportsmanship, and the pursuit of excellence. These important concepts are addressed in various forms
across the curriculum, particularly in competitive sports, fine arts, and extracurricular clubs and
organizations.
A Christian Learning Community-- Educating the whole person requires more than excellent
classroom instruction. For this reason, Juan Diego Academy continually strives to build a Catholic
Christian community where each student is offered love, acceptance, discipline, and challenge. The
witness of faculty, with the care, attention and respect shown to students, contributes significantly to this
atmosphere. In turn, students are expected to treat faculty and each other in a similarly loving and
respectful manner, responding to the Gospel mandate to, “…love one another as I have loved you.”
(John 15, 12).
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VOLUNTEER OPPORTUNITIES
This list is by no means exhaustive. Additional volunteer opportunities will become available. These
will be announced through the E-News, facebook®, twitter®, and our school web site.
VOLUNTEER COORDINATOR
The Volunteer Coordinator assists the Administration of Juan Diego Academy in promoting, recruiting,
and retaining volunteers to assist the school’s many activities and major fundraising events. The
Volunteer Coordinator works with chairs and co-chairs on an “as needed” basis to assist in the smooth
and efficient operation of volunteer-supported events. This volunteer position requires considerable
commitment of time and resources to insure the smooth and effective stewardship of the volunteer
resources of JDA. Typically, the Volunteer Coordinator has had numerous successful volunteer
experiences both at JDA and in other settings, possesses a variety of gifts and talents, can communicate
effectively with all members of the school community, and has a strong and active faith life. The
Volunteer Coordinator is invited to serve in his/her ministry by the Vice President of Finance and
Academy Advancement in consultation with the President & Principal and other members of the
Administrative Team.
CHAIRPERSON
The chairperson is essential to the success of all volunteer activities. The main responsibility of a chair
person is to assist the administration of Juan Diego Academy in completing the task(s) assigned to
his/her committee—before, during, and after. In the case of Gala or other major fundraising event, the
chairperson is responsible to event’s Steering Committee or Volunteer Coordinator.
GALA
Steering Committee Responsibilities: Planning, scheduling and organizing the schools largest fundraiser
which takes place every year in early November. Manage a budget and solicit underwriters to help fund
event and coordinate sub committees.
Chair/Co-Chair Time Commitment: Significant
List of Committee chairs:
Live Auction Chair: Design and manage the live auction
Silent Auction Chair: Design and manage the silent auction
Program Chair: Design, compile, and print the Gala program, including live auction item descriptions
Publicity Chair: School, and community promotions and advertisement
Ticket Sales Chair: Coordinate development and sale of tickets
Entertainment Chair: Musical entertainment and visuals during live auction
Dinner Chair: Select Caterer, coordinate menu, arrange for bar
Decorations Chair: Table centerpieces, silent auction tables, registration tables, linens, indoor signs, name
tags
Finance Chair: Manage budget, track expenses, coordinate check-out, donor tax receipts, etc.
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Student/Faculty Coordinator: Arranges the scheduling and supervises the work of student and faculty
volunteers during the Gala
Event Extras Chair: Registration, Coat Check, Runners, Checkout, Set-up and Take Down
Correspondence Chair: Write and send invitations, thank you letters, etc.
Reports to: Vice President of Finance & Academy Advancement
CAFETERIA/SCHOOL LUNCH PROGRAM
Chair Responsibilities: Plan the ongoing school lunch menu; coordinate delivery of food; stock snack
bar items and drinks; sell menu items; track sales and receipts and submit to the finance office; recruit
and coordinate parent and student volunteers assisting with sales and support of the lunch program;
coordinate with class sponsors concerning school spirit days and other special lunch events.
Chair Time Commitment: 90 minutes-two hours daily (regular lunch shifts are 11:45—12:15 & 12:30—
1:00 PM), plus periodic shopping trips to pick up snack bar items and supplies
Reports to: President & Principal
UNIFORM FAIR SOCIAL/UNIFORM SWAP
Chair Responsibilities: Plan and Organize event. Schedule volunteers to work shifts throughout the
event.
Volunteer Responsibilities: This event occurs in late July/early August. Volunteers set up the
refreshments table and uniform swap area, serve families, and clean up after the event.
Volunteer Time Commitment: 6-7 hours on the day of the event that may be broken down into shifts,
including set up and clean up. Some advance promotion work and shopping for refreshment tables
supplies is required.
Reports to: President & Principal
SOCIAL COMMITTEE:
MASSES/MEET THE TEACHER NIGHTS/REPORT CARD NIGHTS/PARENT MEETINGS
Chair Responsibilities: Plan and Organize the social components of these events to provide appropriate
refreshments based on time of day and type of event. Schedule volunteers to work shifts throughout
each event.
Volunteer Responsibilities: Volunteers set up the refreshment area for each event, serve families, and
clean up the refreshments area (including kitchen) after the event.
Volunteer Time Commitment: 3-4 hours on the day of the event that may be broken down into shifts,
including set up and clean up. Some advance promotion work and shopping for refreshment supplies is
required.
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Reports to: President & Principal
GYMNASIUM CONCESSION STAND
Chair Responsibilities: Assist the Athletic Director in purchasing items for sale, coordinate volunteers
to work at the various games, coordinate with finance office to have a cash box with money to use for
sales, and to keep the money in a safe location when not in use.
Volunteer Responsibilities: Volunteers set up, sell product, clean up and take down elements of the
concession stand after each event.
Volunteer Time Commitment: 3-4 hours on the day of the event that may be broken down into shifts,
including set up and clean up.
Reports to: Athletic Director
CALLED TO MINISTRY/SENIOR RETREAT
Chair Responsibilities: Coordinate with the Called to Ministry Teacher for the menu and logistics of
serving meals to the students on retreat. Coordinate delivery of food; stock items for snacks and drinks;
establish and keep to the agreed-upon budget as set by the teacher, keep receipts and submit to the
finance office; recruit and coordinate additional parent help as needed for serving and clean up.
Chair Time Commitment: Significant amount of time the week of the retreat, including the possibility of
staying on retreat site throughout the three-day event.
Reports to: Called to Ministry Teacher; President & Principal
LIBRARY/MEDIA CENTER
Chair Responsibilities: Work with Librarian & schedule volunteers to assist in the Library as needed.
Chair Time Commitment: varies, based on Librarian’s schedule and availability
Volunteer Responsibilities: assist students in finding, checking out, and returning library books; using
printers, audio-visual materials, returning books to shelves, light cleaning as necessary.
Volunteer Time Commitment: 2-4 hours weekly on designated day(s).
Reports to: Librarian, President & Principal
FALL AND SPRING LOCK IN CHAPERONES
Chair Responsibilities: Arrange to have 2-4 parents present in 4-hour shifts from 8:00 PM to 8:00 AM
to supervise rooms where lock in activities will take place. Arrange for delivery of pizza between 11
and 12; promote parent contributions of snacks and desserts.
Volunteer responsibilities: Assist in supervision of students along with faculty; clean up as necessary.
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Volunteer Time Commitment: one, 4-hour shift (8-12; 12-4; 4-8)
Reports to: Student Council Sponsor, President & Principal
THANKSGIVING DINNER
Chair Responsibilities: Coordinate and plan the annual dinner for all students, teachers, and families.
Determine budget for dinner in consultation with the President & Principal. Choose caterer, gather
volunteers to arrange and decorate tables and provide desserts. Arrange servers, if needed. Arrange for
a set-up and a clean-up committee.
Volunteer responsibilities: Assist in procuring desserts from parents, decorating tables, serving, and
cleaning up.
Volunteer Time Commitment: Significant time commitment for chair in November; 3-5 hour
commitment on day of event.
Reports to: President & Principal
SPRING FESTIVAL
Steering Committee Responsibilities: Planning, scheduling and organizing the school’s second largest
fundraiser which takes place every year in early spring. Manage a budget and solicit underwriters to help
fund event and coordinate sub committees.
Chair/Co-Chair Time Commitment: Significant
List of Committee chairs:
Raffle Chair: Solicit raffle prizes, Coordinate the development and sale of raffle tickets, manage the raffle
drawing following chalupa in the gym
BBQ Chair: Coordinate cooks, select and arrange for purchase and delivery of food products, grilling
equipment, and meal supplies. Coordinate set up of cafeteria and kitchen, plus volunteers to work in shifts
preparing and serving food, set-up and cleanup.
Run/Walk Chair: Recruit volunteers to assist in building and maintaining the course for the run/walk.
Solicit donors and sponsors for sign up materials, refreshments, entertainment, security, first aid, and
awards. Create an online sign up system for runners and walkers, promote and advertise the event
throughout the local and statewide running/walking communities.
Booths & Rides Chair: Arranges for an appropriate selection of game booths, rides, a rest area, first aid tent,
and dining tent around the perimeter of the plaza for the Spring Festival. Coordinates with vendors in
delivery of needed items, selects and purchases prizes, prepares a volunteer schedule for students, faculty,
and parents. Arranges for set up and removal of games and booths before and after the festival.
Chalpua Chair: Solicits and catalogs prizes, materials, and set up/clean up of the chalupa game in the gym.
Publicity Chair: School, and community promotions and advertisement
Ticket Sales Chair: Coordinate development and sale of all tickets
Finance Chair: Manage budget, track expenses, coordinate check-out, donor tax receipts, etc.
Event Extras Chair: Registration, Coat Check, Runners, Checkout, Set-up and Take Down
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Correspondence Chair: Write and send invitations, thank you letters, etc.
Reports to: Vice President of Finance & Academy Advancement
CATHOLIC SCHOOLS WEEK: STAFF APPRECIATION DAY
Chair Responsibilities: Coordinate and plan a lunch, plus other activities, promotions, or gifts for the
staff on the Tuesday of Catholic Schools Week. Determine specific menu items, etc. in consultation
with the President & Principal. Choose vendor(s), gather volunteers to arrange and decorate tables, etc..
Arrange servers, if needed. Arrange for a set-up and a clean-up committee.
Volunteer responsibilities: Assist in obtaining donations from parents, decorating tables, serving, and
cleaning up.
Reports to: President & Principal
CATHOLIC SCHOOLS WEEK: COMMUNITY APPRECIATION DAY
Chair Responsibilities: Works with the President & Principal to prepare a list of persons/agencies to be
thanked by the school on Thursday of Catholic Schools Week. Solicit volunteer help to get donations of
materials and baked goods to prepare a gift basket/plate for each entity. Recruit volunteer drivers to
prepare plates/baskets and make deliveries. Work with the sponsor of the student council to prepare a
schedule of students to serve as goodwill ambassadors to the delivery sites. Coordinate the deliveries
based on location and feedback from volunteers. Arrange for a clean-up committee, if needed.
Volunteer responsibilities: Assist in obtaining donations from parents, decorating tables, serving, and
cleaning up.
Reports to: President & Principal
WALKATHON FOR CATHOLIC SCHOOLS
Chair Responsibilities: Coordinate and plan the annual event for all students, teachers, and families.
Working with the Athletic Director, Distribute pledge envelopes and take t-shirt orders. Make
arrangements for securing police escort, purchase and transportation of drinks, food, and snacks to the
park. Arrange for volunteers to cook and serve food; clean up afterwards. Arrange for t-shirt sales and
delivery, payment of fee to Diocese, transportation of persons with disabilities and other special needs.
Arrange for a set-up and a clean-up committee.
Volunteer responsibilities: Assist with purchase of supplies, cooking and serving of food on day of
event; set up and clean up.
Volunteer Time Commitment: Significant time commitment for chair in April; 4-6 hour commitment on
day of event.
Reports to: Athletic Director
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SOPHOMORE SERVICE DAY
Chair Responsibilities: Coordinate with the Sophomore Religion, President & Principal, and Sr. Fatima
Santiago of Casa de Desarrollo in planning a significant service project in the Colonia Las Palmas in
Penitas on the pre-determined date. Plan and recruit volunteers to assist students in successfully
completing the project. Plan and hold one fundraising/awareness day in consultation with the President
& Principal. Arrange for transportation for students and materials to service site. Arrange for Mass to
be offered at St. Anne’s in Penitas to conclude service day. Recruit and coordinate additional volunteer
help as needed for serving and clean up.
Chair Time Commitment: Significant amount of time during the month leading up to the service day; 68 hours on the service day itself.
Reports to: Sophomore Religion Teacher; President & Principal
JUNIOR RETREAT
Chair Responsibilities: Coordinate with the Called to Ministry Teacher for the menu and logistics of
serving meals to the students on retreat. Coordinate delivery of food; stock items for snacks and drinks;
establish and keep to the agreed-upon budget as set by the teacher, keep receipts and submit to the
finance office; recruit and coordinate additional parent help as needed for serving and clean up.
Chair Time Commitment: Significant amount of time the week of the retreat, including the possibility of
staying on retreat site throughout the three-day event.
Reports to: Called to Ministry Teacher; President & Principal
SCHOOL PICTURES
Chair Responsibilities: The chair is responsible for obtaining the dates
for school pictures from the office, recruiting volunteers to assist the photographers on picture days and
organizing the volunteers, staff, students and photographers to facilitate a pre-assigned time schedule.
Chair Time Commitment: approx: 16 hours annually
Volunteer Responsibilities: A few volunteers are needed to assist the photographers on school picture
days. The primary responsibilities include organizing the students to get them to and from their
appointments with the photographer, collecting payments and maintaining some records on that day.
Volunteer Time Commitment: Four-six times a year for a period of approximately 3 hours each
Reports to: President & Principal
HEALTH SCREENINGS
Chair Responsibilities: The chair is responsible for obtaining the date for vision screening from the
school nurse or volunteer nursing practioner. It is usually held in mid-October. The chair will be
coordinating volunteers to assist the optometrist on the vision screening day and organizing the
volunteers, staff, and students to facilitate a pre-assigned time schedule.
Chair Time Commitment: approx. 10 hrs.
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Volunteer Responsibilities: A few volunteers are needed to assist the nurses and optometrist on vision
screening day. The primary responsibilities include organizing the students to get them to and from
their appointments with the optometrist.
Volunteer Time Commitment: once a year for approximately 4-6 hours.
POLICIES AND PROCEDURES
Application Process
All volunteers are required to fill out a Volunteer Application. Volunteers can either fill out the
application provided in this handbook or access the application online by visiting the Juan Diego
Academy web site (www.juandiegoacademy.org). The information you provide on these forms will be
held in the strictest confidence. Please fill out all of the information requested, sign, date, and return to
the Principal’s Office. Please keep the Diocesan Code of Conduct for your records. Volunteers may
not be considered for service unless the Volunteer Application, Volunteer and Diocesan Code of
Conduct, Criminal Background Check, and Volunteer Handbook Acknowledgement forms are
submitted, reviewed, and approved by the school (criminal background check is handled through the
Catholic School Office of the Diocese of Brownsville). Additionally, all volunteers must participate in
the Protecting God’s Children training offered numerous times throughout the year.
School Hours
The instructional day begins with Morning Prayer in the chapel at 8:20 AM. Dismissal is at 4:05 PM.
School Office Hours
The school office is open on all school days from 8:00 AM to 5:00 PM.
Sign-In Procedure
For the safety and security of the JDA community, all visitors (including volunteers) are required to sign
in at the school office upon arriving to campus. All visitors and/or volunteers are required to wear a
designated badge or sticker that may be picked up in the office. Visitors and/or volunteers are to return
the badge and sign out upon leaving the campus.
Dependability
The school relies on your support. We ask that you follow through on tasks by attending to scheduled
times and please give notice of absence whenever possible to the person you are working with, or by
phoning the office.
Confidentiality
A volunteer operates in a position of trust. Therefore, great care must be taken to ensure that student,
staff, and parent information is kept confidential. Any concerns in this regard should be reported to a
member of the Administrative Team. All volunteers are required to sign and abide by the Volunteer
Code of Conduct. Breaches in confidentiality are grounds for dismissal of services and could lead to the
separation of the volunteer’s family from the school community.
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Technology
Photographs or statements made on a volunteer’s Social Networking Site (e.g. facebook, twitter,
Instagram) or texted by a volunteer deemed abusive, defamatory, or obscene by the school’s
administration may be cause for dismissal of services and separation of the volunteer’s family from the
school community. This includes defamatory comments made about the school administration, other
teachers, students, Juan Diego Academy, the Diocese of Brownsville, or the Catholic Church.
Volunteers should never take photographs of students during school sponsored activities unless directed
to, or given permission by, the administration.
Health and Safety
A First-Aid kit is available on every field trip, in the school office, and in the gym. AEDs are available
in the cafeteria and the gym foyer. Volunteers should at no time administer any medication to a student.
This includes, but is not limited to, over-the-counter medications.
Volunteer Dress
Juan Diego Academy has established a dress code for both students and faculty. Although volunteers do
not have a dress code requirement, it is expected that volunteers reflect an appropriate image of Juan
Diego Academy and wear modest clothing while working in the school or during school activities. This
includes a moderate length for skirts and shorts, conservative blouses and tops, no workout apparel, and
no jeans if one is volunteering in the front office.
Responsibility
The Administration of Juan Diego Academy is accountable for facilitating, monitoring, evaluating and
providing continuity for the success of the volunteer program. The staff is committed to welcoming
volunteers, informing them about their tasks, encouraging their initiatives and celebrating their efforts.
Volunteers are expected to adhere to school rules and procedures, perform assigned tasks to the best of
their ability, work cooperatively with all staff, and seek clarification when necessary.
Emergency School Closing
In the event of an emergency school closing, information will be released via the school’s website, by
Text Message, Twitter®, facebook®,and on one or more of the following news services: Channel 4,
Channel 5, K-Tex 100.3, or KVLY 107.9. In the event of inclement weather, Juan Diego Academy will
follow the Mission Consolidated Independent School District in cancelling school due to weather.
Emergency Drills
During an emergency (Code Red or Code Blue) students and volunteers are to follow teacher/staff
directions. Teachers/staff will activate the immediate response emergency plan. Students are to remain
silent until directions are given by their teacher, the administration, or the police.
Fire drills are conducted with and without prior notice. Upon notification of a Code Red, all work
immediately stops. The last person to leave the room closes the door and turns off the lights. Students,
staff, and volunteers are to move quickly and silently. Running is forbidden. Absolute silence is to be
maintained throughout the fire drill. Violation of these fire drill procedures can constitute a serious
hazard to the safety of others.
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Field Trips
1. Parents who chaperone a field trip may not bring pre-school or school-age siblings on the field
trip.
2. All chaperones must be 25 years of age or older.
3. Chaperones should not smoke while on the field trip. This includes the use of electronic
cigarette products.
4. Chaperones should dress modestly and appropriately on the field trip. Teachers will notify all
chaperones of the appropriate dress code for the trip.
5. Chaperones should refrain from cell phone use while on the field trip.
6. Chaperones should not allow students to use their cell phones on the field trip.
7. Chaperones should be involved in active supervision while on the field trip and not engaged in
social conversation with other chaperones.
8. Chaperones may be held responsible for accidents or injuries that happen due to their negligence.
Reimbursements
Volunteers seeking reimbursement for supplies purchased on behalf of the school must first seek
approval from the President & Principal or the Vice President for any such expenditures. Arrangements
will be made with the volunteer so that any purchases are tax-exempt. Original receipts must be brought
to the finance office as soon as possible once a purchase has been made. The volunteer will be asked to
complete a reimbursement form as part of this process. Due to audit regulations, the school is unable to
reimburse the sales tax.
Right to Amend
Juan Diego Academy reserves the right to amend this Handbook. Notice of amendments will be sent to
volunteers through the school’s web site, or in the E-News.
The following section is derived from the United
States Conference of Catholic Bishops guidelines regarding the Protection Of All God’s Children
encompassing both school and church.
CHILD SAFETY & LEGAL ISSUES
Guidelines for the Supervision of Minors
Guidelines include, but are not limited to, the following:
1. Church personnel are responsible for releasing minors in their care at the close of activities only
to parents, legal guardians or other persons designated by parents or legal guardians in writing.
2. Programs for minors should not be administered by only one adult without additional adult
supervision.
3. Church personnel should report uncontrollable or unusual behavior of minors to parents as soon
as possible.
4. Facilities should be monitored during church services, and all school and other activities.
5. Parents should be encouraged to be part of all services and programs in which their children and
young people are involved.
6. Parental permission should be obtained, including a signed medical treatment authorization form
before taking minors on trips. Have minors use a “buddy system” whenever they go on trips
away from church property.
7. Always obtain parental approval before permitting any minor to participate in athletic or other
activities that involve potential risk.
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Juan Diego Academy
Catholic Regional High School
P.O. Box 3888 (5208 S. FM 494)
Mission, TX 78573
(956) 583-2752
Fax (956) 583-3782
JuanDiegoAcademy.org
Volunteer Application
Last Name/First Name:
_____________________________________________ Date: _______/_______/_______
Address: ____________________________________________ City: _____________________________ State: ___________ Zip: ______________
Home Telephone: ______________________ Business Telephone: ______________________Cell Phone: _______________________________
E-Mail Address:
_____________________________________________________________________________________________________________________________
Occupation: ___________________________________________Employer: ____________________________________________________________
Best time to be reached:
_____ morning
_____afternoon
_____evening
_____weekend
Marital Status:
_____single
_____married
_____divorced
_____separated
Spouse’s Name: _______________________________________
Name(s)/Grade(s) of any children attending Juan Diego Academy:
______________________________________________________________________________________________________________________________
Driver’s License No: _____________________________State: ___________________ Expires: __________________________________________
I am willing to transport JDA students to/from a school-sponsored activity in my personal vehicle:
_____yes
_____no
Have you ever been convicted of violating any law (except traffic violation)? __________ If yes, please provide dates, location, and
details:
______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
All Catholic schools of the Diocese of Brownsville are required to comply with the law requiring a criminal background check.
Your signature will be required on the attached to the Volunteer Handbook.
Please list any organizations, clubs, or civic involvement you have participated in during the last two years:
______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
Please list any special skills, hobbies, academic experiences, training, or interests that you would be willing to share with us as a
volunteer:
______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
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Please indicate the hours and days of the week that you are available to volunteer at Juan Diego Academy:
Monday____________________
Tuesday____________________
Thursday____________________
Friday_____________________
Wednesday_____________________
Please indicate the volunteer activities you would be interested in:
_____Gala Committee Chair
_____ Gala Committee Member
_____Cafeteria/Lunch Service
_____Social Committee
_____Library Aide
_____Nursing
_____Chaperone for lock in or dance _____Thanksgiving Dinner
_____Retreats/Service Projects
_____Catholic Schools Week
_____Spring Festival Committee Chair
_____Spring Festival Committee Member
_____Walkathon
_____Office Receptionist
_____Concession Stand for Athletic Events
_____Driver/chaperone for field trips _____Other (please specify)______________________________________________________________
References (Please list three references unrelated to you from a professional or volunteer environment in the past 5 years)
Name
Address
Telephone
Relationship
1.________________________________________________________________________________________________________________________
2.________________________________________________________________________________________________________________________
3.________________________________________________________________________________________________________________________
These questions have been answered to the best of my ability. If invited to serve as a volunteer I realize false information may be grounds for dismissal. I authorize inquiries
as to my character, reputation, and competence and release those supplying information from all liability. I understand that selection as a volunteer may require the taking of
finger prints or providing such other identification or certification as required by law. I also agree to abide by the policies and regulations set forth in the Juan Diego
Academy Volunteer Handbook, the school’s Student-Parent Handbook, and the Diocese of Brownsville Manuel of School Policies.
Signature: _______________________________________________
Date: ____________________________
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DPS Computerized Criminal History (CCH) Verification
(Diocese of Brownsville Catholic School Office COPY)
I, __________________________________________, have been notified that a Computerized
APPLICANT or EMPLOYEE NAME (Please print)
Criminal History (CCH) verification check will be performed by accessing the Texas Department of Public Safety
Secure website and will be based on name and DOB identifiers I supply.
Because the name-based information is not an exact search and only fingerprint record searches represent
true identification to criminal history, the organization conducting the criminal history check for background
screening is not allowed to discuss any criminal history record information obtained using the name and DOB
method. Therefore, the agency may request that I have a fingerprint search performed to clear any
misidentification based on the result of the name and DOB search.
For the fingerprinting process I will be required to submit a full and complete set of my fingerprints for
analysis through the Texas Department of Public Safety AFIS (Automated Fingerprint Identification System). I
have been made aware that in order to complete this process I must make an appointment with Morpho Trust
USA, submit a full and complete set of my fingerprints, request a copy be sent to the agency listed below, and pay
a fee of $24.95 to the fingerprinting services company, Morpho Trust USA.
Once this process is completed and the agency receives the data from DPS, the information on my
fingerprint criminal history record may be discussed with me.
(This copy must remain on file in the Catholic Schools Office. Required for future DPS Audits)
Name of School Requesting the Criminal Background Check: ____________________________________
__________________________________________________
Catholic Schools Office use ONLY
Signature of Applicant or Employee
Please Check and Initial each Applicable
_______________________________________________
Date
Diocese of Brownsville Catholic Schools Office
Agency Name (Please print)
Sr. Cynthia A. Mello, SSD, Superintendent of Schools
Agency Representative (Please print)
______________________________________________
Superintendent’s Signature
____________________________________
Date
Return to: Sr. Cynthia A. Mello, SSD
Superintendent of Schools
700 N. Virgen de San Juan
San Juan, TX 78589
Rev. 09/2012, 7/10/14
Space
CCH Report Printed:
YES______ NO ______
__________initial
Purpose of CCH:
________________________________
Hire ____ Not Hired ______
_________initial
Date Printed: ____________
_________initial
Destroyed Date: __________
_________initial
Name Based Search 1 of 3
Retain in Catholic School Office files
17
DIOCESE OF BROWNSVILLE
CATHOLIC SCHOOL OFFICE
Criminal Background Check Authorization Form
SECURE SITE NAME BASED SEARCH
I authorize the Diocesan Catholic School Office to obtain a copy of my criminal history record information form the
Department of Public Safety, the Texas Department of Criminal Justice, the Federal Bureau of Investigation identification
division, or any other law enforcement agency.
Name: _________________________________________________________________________
Last
First
Middle
Other Names Used: ________________________________________
Sex: M / F
Date of Birth: __________ - __________ - __________
Month
Day
Year
Social Security Number: _______ - _______ - __________
Texas Driver License Number: ________________________________
Social Security Card and Texas Drivers License verified by:_____________________________
Designated School Official
For employment/placement at: ________________________________________
(NAME OF SCHOOL)
Position Applied for: _________________________________________________
(TITLE OR POSITION)
Have you ever been convicted of violating any law? ____________________________________
If yes, give date, place and details.) _________________________________________________
________________________________________________________________________________
A conviction record will not necessarily disqualify an applicant from employment. The nature of
the offense will be considered in relation to the position applied for.
Signature: _________________________________
Date: _____________________
Return to: Sr. Cynthia A. Mello
Superintendent of Schools
700 N. Virgen de San Juan
San Juan, TX 78589
Rev. 9/08, 6/10,7/13, 7/10/14
Name Based Search 2 of 3
18
DIOCESE OF BROWNSVILLE
CATHOLIC SCHOOL OFFICE
Criminal Background Check Authorization Form
I, ___________________________________, understand that the validation of any
employment/volunteer agreement with ___________________________________ Catholic School is
contingent upon the successful completion of the check of my Criminal History Record Information
from the Department of Public Safety, the Texas Department of Criminal Justice, the Federal Bureau of
Investigation identification division, or any other law enforcement agency. Successful completion of the
check is the final judgment of the Superintendent of Schools for the Diocese. No information from the
criminal history record check other than clearance to validate contract or non-clearance will be
communicated by the Superintendent to anyone. I understand that for the fingerprinting process,
I will be required to submit a full and complete set of my fingerprints for analysis through the
Texas Department of Public Safety Automated Fingerprint Identification System (AFIS). I have
been made aware that in order to complete this process I must make an appointment with L1
Enrollment Services, submit a full and complete set of my fingerprints, request a copy to be sent to
the Diocese of Brownsville Catholic Schools Office listed below and pay the required fee to the
fingerprinting services company, L1 Enrollment Services. IF after the criminal history information
check, the Superintendent communicates a judgment of non-clearance, the principal will be required to
terminate immediately any and all relationships between the school and the employee/volunteer. Salary
for an employee would then be paid up-to-date on a per diem basis.
By my signature I acknowledge my understanding of and agreement to all of the above.
Print Name:
Signature:
Catholic Schools Office ONLY
O CLEARANCE
Date:
Notification to the school principal:
O NON-CLEARANCE
__________________________________________
Superintendent’s Signature
Date
_______________________ is due to renew
his/her Criminal Background Check on or
before ______________.
MM/YYYY
Rev. 1/99, 06/10, 01/13, 7/10/14
Return to: Sr. Cynthia A. Mello, SSD
Superintendent of Schools
700 N. Virgen de San Juan
San Juan, TX 78589
Name Based Search
3 of 3
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VOLUNTEER HANDBOOK
ACKNOWLEDGMENT FORM (2015-16)
I have received a copy of the current Juan Diego Academy Volunteer Handbook that
contains volunteer policies and procedures.
As a volunteer for Juan Diego Academy, I agree to abide by the policies and procedures
contained herein and used in determining the standard operating procedure of the items listed.
I understand that I am responsible for acting in accordance with the policies and procedures of
Juan Diego Academy.
___________________________________
Volunteer’s Printed Name
_________________________________
Volunteer’s Signature
_____________
Date
Juan Diego Academy retains the right to modify, amend, or change the policies and
procedures in this handbook at any time. Volunteers will be notified in advance if changes are
made.