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VOLUNTEER CONSENT FORM * 2019-2020 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 will be kept completely confidential at the District Office.

First Name *
Your answer
Middle Initial (type NA if none) *
Your answer
Last Name *
Your answer
Birthdate (mm/dd/yy) *
Your answer
Race *
Gender *
Relationship *
Required
Driver's License # / State Issued ID *
Your answer
Any Other Last Name
Your answer
Any Other First Name
Your answer
Any Other Middle Initial
Your answer
Name of EGRPS Student(s) (type NA if no relationship to specific students) *
Your answer
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:
Your answer
By typing my name below, I understand the Central Records Division of the Michigan State Police, Lansing, Michigan, requires the information requested in this Volunteer Consent Form. I authorize East Grand Rapids Public Schools to utilize this information for the sole purpose of obtaining a conviction-only criminal history file search. *
Your answer
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