4647West47 th Street Chicago,Illinois60632 T.(773)582 1100 F(773)582 1101 VolunteerApplication TheAcademyforGlobalCitizenshipencouragestheparticipationofvolunteerswho supportourmission,visionandinnovation: Mission TheAcademyforGlobalCitizenship'smissionistoempowerstudentstopositivelyimpact thecommunityandworldbeyond.inpursuitofthismission,agciscommittedto: Servingthewholechild Modelingacademicexcellence Developinginquirers Cultivatinginternationalawareness Fosteringenvironmentalstewardship Facilitatingcollaborationwithinthecommunity Vision TheAcademyforGlobalCitizenshipisanInternationalBaccalaureatecandidateschoolthat offersarelevant,engaging,andchallengingeducationalprogramforallchildren.every childisheldaccountableforachievingrigorousacademicexpectations.ourinquiry based learningcurriculumprovidesanopportunityforlearnerstoconstructmeaningthrough concept drivenunitsofstudy.studentsbecomeenvironmentallyandinternationally mindedbylearninghowtheirchoicesimpacttheircommunityandultimatelytheworld. TheAcademyforGlobalCitizenshipplacesanemphasisonthetotalgrowthofthe developingchildbyencompassingsocial,physical,emotional,andculturalneedsin additiontoacademicdevelopment.asacommunityoflearners,professionals,andfamilies, teachersworkcollaborativelytoensurethelearningenvironmentsupportshigh achievement. Innovation Extendedschooldayandyearproviding36%moreeducationaltimeannually InternationalBaccalaureatePrimaryYearsinstructionforall Data driventeachingstrategiesandcontinuousformativeassessment Globallycollaborativestudentlearningopportunities Internationalfieldexperiencesforeverygraduatingstudent Biliteracydevelopmentforallstudents Extensivefacultyprofessionaldevelopmentandinternationallearning opportunities Dailyyoga,environmentaleducation,wellnessinstruction,organicgardeningand ecologicallysustainableschool widepractices Organic,nutritionallybalancedandfreshbreakfast,lunchandsnackdaily
TheAcademyforGlobalCitizenshipislocatedat4647West47 th Street,Chicago,Illinois60632 HoursofOperationare7:30a.m. 4:30p.m. AfterSchoolProgramHoursare:4:15 5:15p.m. IfyoushareourVision,pleaseanswerthefollowingquestions. Name: LastFirstMiddleInitial Address(mustbeastreetaddress,P.O.boxeswillnotbeaccepted): FullAddress(pleaseincludenorth,south,eastorwestandapartmentifapplicable) CityStateZipCode Bestcontactnumber: Email: D.O.B.: Age: Sex: Male Female SchoolName: Grade: YearofExpectedGraduation: Numberofservicelearninghoursneeded: Haveyoueverbeenconvictedofacrime?YESORNO Arethereanycriminalprosecutionscurrentlypendingagainstyou?YESORNO HaveyouvolunteeredfortheAcademyforGlobalCitizenshipbefore?YESORNO Ifyes,date: Location:
WhyareyouinterestedinbecomingattheAcademyforGlobalCitizenshipVolunteer? Describeanyexperienceyouhaveworkingwithchildren,personswithdisabilities, etc. Describeanyexperienceyouhaveworkingwiththepublic/customerservice: Describeanyspecialskillsorinterestsyouhavewhichwouldcontributetoourvolunteer activities: Have you taken a tour of the Academy for Global Citizenship? YES OR NO
Are there any medical, physical or other concerns which would limit the type of activity you are able to perform? YES OR NO If yes, indicate: In case of emergency, whom should we contact? Name: Phone: Alt. Contact: Phone: Which of the following programs are you interested in? (Check one or more) Special Events Gardening After School Main Office Support Sports/Games Arts/Crafts Special Greeter/Guide Recreation Sustainability/Wellness Special Literacy Spanish Education Mathematics Science Language Arts Visual Communication English Language Learners Organic Lunch Program Teaching Assistant Homework Help Kindergarten First Grade Second Grade Third Grade After School Writers Workshop Main Office Reception and Organic Café Assistant Facility Operations Clerical Community Outreach Other: Availability Occasional regular Morning (7:30 12:00) Afternoon (12:00-3:30) AGC After School (3:30 5:30) other Preferred Days and Hours Sunday a.m p.m. To a.m. p.m. Monday a.m p.m. To a.m. p.m. Tuesday a.m p.m. To a.m. p.m. Wednesday a.m p.m. To a.m. p.m. Thursday a.m p.m. To a.m. p.m. Friday a.m p.m. To a.m. p.m. Saturday a.m p.m. To a.m. p.m.
Please attach any documents pertaining to your Service Learning Program, School Calendar, Class Schedules, and any other documents such as a resume, transcripts, or portfolio that you would like to have reviewed in regards to your application. We greatly appreciate your interest in Volunteering at the Academy for Global Citizenship. Pleasereadbeforecontinuing IagreetonotifyandupdatetheAcademyforGlobalCitizenshipofanychangestothe informationprovided.iunderstandthat: AparentorlegalguardianmustprovidewrittenconsentbeforeIwillbeallowedto volunteer. ThedecisionoftheAcademyforGlobalCitizenshiptoacceptorrejectmyapplicationis final; Thepositionofvolunteerisan atwill relationshipandmaybeterminatedatanytime; IwillreceivenocompensationformyservicesfromtheAcademyforGlobalCitizenship; Thisformmustbecompletedinfullformyapplicationtobeconsidered; VolunteerStaffMemberTermsandConditions Youracceptanceofavolunteerassignmentmustcarrywithityourunderstandingthattheassignment isofferedpendingfinalclearancesandmaybeterminatedatanytimewithorwithoutcause,or changedatanytimebytheacademyforglobalcitizenship.byacceptingavolunteerassignment,you alsoagreetothefollowingtermsandconditions. 1.IunderstandandagreethattheAcademyforGlobalCitizenship AGC isrelyingonmypromiseto volunteerasscheduledandaccordingly,imustbeavailableformyparticularassignmentasscheduled.ishall attendanyon the job trainingsessionsasrequestedorrequiredbytheacademyforglobalcitizenship. 2.Iunderstandthatasavolunteerstaffmember,Iwillreceivenocompensationformyservices.Iunderstand thatimaybeassignedtoworktogetherwithpaidemployeesoftheacademyforglobalcitizenship. 3.Whileonassignmentasavolunteer,Ishallnotengageinreligiousorpoliticalactivities,orany unauthorizedcommercialactivity.ishallabidebyallotherstandardsofconductasoutlinedinpolicies establishedbytheacademyforglobalcitizenship. 4.IherebyconfirmthatIdonot,andshallnot,havetheauthoritytoincurobligationsonbehalf,orotherwise bindtheacademyforglobalcitizenship. 5.IunderstandthattheremaybemediacoverageofcertaineventsattheAcademyforGlobalCitizenship.I agreethatishallnotgrantradio,televisionorpressinterviews,orotherwiseinitiateoracceptmediacontact relatinginanywaytotheacademyforglobalcitizenship.shouldmylikenessbephotographed,tapedor otherwiserecordedbytheacademyforglobalcitizenshipormedia,iirrevocablyconsenttothe reproductionanduseofsuchphotography,tapesorotherrecordingswithoutcompensationtomeand herebyassignanyrightsimayhavetotheacademyforglobalcitizenship. 6.Iacknowledgethatlawenforcementagenciesandprivateinvestigatorswillperformbackgroundcheckson volunteerstaffmembers.iherebyconsenttosuchinquiriesandagreetocomplywithallsecurityandaccess policiesandpracticeswiththeacademyforglobalcitizenship.iunderstandthataccesscredentialsarethe propertyoftheacademyforglobalcitizenshipandiwillsurrenderthemupondemand. 7.Iagreetoholdinconfidenceanyinformationdisclosedtomeconcerningthebusinessactivitiesofthe AcademyforGlobalCitizenship,andrelatingtoanyconfidentialorproprietarydata,andagreenottodivulge suchinformationtoanypersonorpersonsunlessihavereceivedwrittenauthorizationfromtheacademyfor GlobalCitizenship.Iagreenottoremoveanydocumentsormaterials(whethercomputer generated,hard copy,audioorotherwise)fromanyoftheofficesorotherlocationsinwhichtheacademyforglobal CitizenshipconductsbusinesswithoutpriorwrittenconsentfromtheAcademyforGlobalCitizenship.Iagree nottouseanyphotographicorrecordingequipmentwithinanyoftheofficesorotherlocationsinwhichthe
AcademyforGlobalCitizenshipconductsbusiness,andIexpresslyagreethatanysuchphotographs orrecords,ifmade,mayberetrievedwithoutnoticebytheacademyforglobalcitizenshipand/orenjoined fromusebytheacademyforglobalcitizenship. 8.IherebyassigntotheAcademyforGlobalCitizenshipallright,titleandinterestinandtoanyworkproduct developedorcreatedbymefortheacademyforglobalcitizenshipinconnectionwithmyservicesasa volunteerstaffmember.iacknowledgethatthisassignmentfurtherextendstoanyandallprofitsderived fromthesale,useorotherapplicationofanysuchworkproductorpartthereof. 9.IagreethatIwillnotholdtheAcademyforGlobalCitizenship,itsemployees,agents,sponsors,donors, volunteers,artspartnersorboardofdirectorsresponsibleforanyinquiriesorlossesimightincurwhile performingvolunteerassignmentsfortheacademyforglobalcitizenship.iherebyreleaseandagreeto indemnifyandholdharmlesstheacademyforglobalcitizenship,itsemployees,agents,sponsors,donors, volunteers,artspartnersorboardofdirectorsagainstanyandallclaims,demands,andcausesofactionfor damagesbroughtbymeorbyanypartyonmybehalf. Bymysignaturebelow,IverifythatIhavereadandunderstoodtheabove.Further,I verifythattheinformationihavegivenistrueandcomplete.ialsoconfirmthati havereadandunderstoodthetermsandconditionsonthisapplicationandagreeto beboundbythem.iunderstandthatprovidingfalseinformationornotupdatingmy informationasnecessarywillterminatemyvolunteerrelationshipwiththeacademy forglobalcitizenship. VolunteerSignature: VolunteerName(Printed): Parent/GuardianSignature: Parent/GuardianName(Printed): Parent/GuardianTelephone: Date: