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Volunteer Standardized Forms
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These forms have been approved for use in the audit of ESSEX students.    These FORM should be used and maintained in this order for each ESSEX Inbound Student.  Records must be maintained for 3 years.  

 

 

 

 

 

 Audit #

VOLUNTEER  FORMS

Non- host family

 

 Form

 Date

 Notes

 

 

 

24

 

 

 

Volunteer Application

 

 

 

YE320

April 2011

 

 

One per volunteer, non host family 

Retain at the District

 

 

 

25

 

 

 

Volunteer Reference Form

 

 

 

YE318

 

Jan 2011

 

 

 

Two references per volunteer;   References can not

be a relative and only 1 former or current Rotarian reference is allowed

Retain at the District

 

 

 

 

 

26

 

 

 

 

Student Protection Waiver

 

 

 

 

YE321

 

 

Oct 2012 

 

 

 

Every volunteer 18+ of age must complete a waiver for background check ANNUALLY -

DO NOT SAVE A COPY -

CONFIDENTIAL - ORIGINAL TO CBC to process

 

Must document and file for audit your CBC

email confirmation of clearance.

 

 

 Reference for Youth Exchange Officers:    

  • Dept of State Regulations 22 CFR, Part 62 10/27/2010 (SX701)
  •