2018-19 Volunteer Profile - English
To ensure the safety of all of our students, West Ottawa reserves the right to "approve" or "deny" any volunteer upon review of the background check returned through ICHAT (Internet Criminal History Access Tool). The determination will be based upon the individual's fitness to have responsibility for the safety and well-being of children. Providing false information is grounds for immediate volunteer denial. (Board of Education Policy 4120.09)
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First Name *
Middle Name
Last Name *
Maiden name or other name(s) previously used
Date of Birth *
MM
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DD
/
YYYY
Gender *
Required
Address *
(Street)
*
(City)
*
(State)
*
(Zip)
Phone number *
(Include area code)
Email *
Name of student(s)
School of student(s)
Relationship to student(s)
If you are not related to student(s), are you a community volunteer?
If you are a community volunteer, please list the organization you are working through, if applicable.
Please indicate those areas in which you would like to volunteer. Check all that apply.
Electronic Signature *
Required
Please type your full LEGAL name *
Today's Date *
MM
/
DD
/
YYYY
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