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Northview Volunteer Consent Form
In a continuing effort to keep our schools safe, Northview Public Schools requires that parents and community members submit to a criminal background check prior to participating in any volunteer activities involving our students. If you do not complete this form, volunteer activities will be limited to group situations as approved by the principal or superintendent.

Thank you for your understanding and for all that you give to our schools, community and children.

You need only submit this form once per school year. THIS FORM WILL BE KEPT CONFIDENTIAL.

Legal Last Name
Your answer
Legal First Name
Your answer
Middle Initial (type NA if none)
Your answer
Gender
Relationship
Race
Date of Birth (mm/dd/yyyy)
Your answer
Any Other Last Name
Your answer
Any Other First Name
Your answer
Any Other Middle Initial
Your answer
Name of Student(s). Type NA if no relationship to a specific Northview student.
Your answer
I would like to volunteer at (check all that apply):
Have you ever been convicted of a criminal offense?
Required
If Yes, please explain:
Your answer
Do you have any felony charges pending?
Required
If Yes, please explain:
Your answer
Per District Policy 9120C: Any photographs taken at any activity, school or non-school related, must be submitted to the principal for approval prior to use to avoid possible invasion of privacy situations. Please initial below that you have read this statement.
Your answer
By typing my name below, I understand the Central Records Division of the Michigan State Police, Lansing, Michigan, requires the above information. I authorize Northview Public Schools to utilize the above information for the sole purpose of obtaining a conviction-only criminal history file search. I further understand and release the District of any obligation should I become ill or receive an injury as a result of my volunteer services.
Your answer
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