Event Form - Volunteer Background Check
* Required
Email address
*
Your email
Please use this form at least one week prior to a field trip or event where chaperones will be present. The Department of Employee Services will verify the completion of a Background Check Form and run a criminal history check.
Teacher Last Name
*
Your answer
Teacher First Name
*
Your answer
School
*
Masonic Heights
Rodgers
Violet
Kennedy Middle School
Lake Shore High School
Other:
Required
Date of Event
*
MM
/
DD
/
YYYY
Event Type
*
Field Trip
Classroom Volunteer
Other:
Required
List chaperone name (First, Last) and student name (First, Last) on one line. List each chaperone/student pair on a new line.
*
Your answer
The Department of Employee Services will contact the building principal ONLY if the individual is not cleared to work with our students. If you do not hear from Employee Services, the volunteer check has been completed and approved.
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