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VOLUNTEER CONSENT FORM * 2021-2022 School Year
In a continuing effort to keep our students safe, East Grand Rapids Public School District (Board Policy #9230) requires that parents/guardians and community members submit to a criminal background check prior to participating in any volunteer activities (including field trips) involving our students. Thank you for your understanding and for all that you do on behalf of our students.

The Volunteer Consent Form is kept completely confidential at the District Office.
First Name *
Middle Initial (type NA if none) *
Last Name *
Birthdate (mm/dd/yy) *
MM
/
DD
/
YYYY
Race *
Gender (as listed on Driver's License) *
Name of EGRPS Student(s) (type NA if no relationship to specific students) *
Relationship to Student *
Required
Driver's License # / State Issued ID *
Any Other Last Name, First Name, Middle Initial
I would like to volunteer at (building):
I would like to volunteer at (building):
I would like to volunteer at (building):
I would like to volunteer at (building):
I would like to volunteer at (building):
I would like to volunteer at (building):
Have you ever been convicted of a criminal offense? *
If Yes, please explain:
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