Volunteer Consent Form

Lowell Area Schools, parents and volunteers have worked hard together to create a partnership. In a continued effort to keep our schools as safe as possible and to comply with State law, volunteer parents and community members must submit to criminal background checks. If you choose to participate as a volunteer, please complete this form and wait for clearance prior to volunteering.

A school volunteer works under the direction of teachers and school staff.  Occasionally it can be difficult to decide if an individual falls into the classification of a school volunteer.  A school volunteer usually meets all of the following criteria: 1. The individual will provide a service to the school; 2. The individual will NOT be compensated monetarily by the school district; 3. The individual will be providing volunteer service for more than one day at any one site (except for chaperones), and 4. The individual may have unsupervised access to students while performing the service. If you do not meet the aforementioned criteria, you are likely considered to be a visitor or a guest of Lowell Area Schools.

If you do not wish to complete the form, then volunteer activities may be denied or will be limited to group situations as approved by the principal, superintendent, or designee. The Volunteer Consent Form will be maintained solely at the Central Administrative Office and any response will be kept confidential with the Principal of the school building, Superintendent, and/or designee. You need only submit this form once per school year.


THIS FORM WILL BE KEPT CONFIDENTIAL
ONE FORM PER PERSON COVERS ALL STUDENTS AND ONE NAME PER FORM
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Email *
Volunteer is: *
Legal Last Name: *
Legal First Name: *
Middle Initial:
Date of Birth: *
MM
/
DD
/
YYYY
Race: *
Sex: *
Maiden/Other name(s):
Check building(s) you will be volunteering in: *
Required
Full name of LAS student(s):
Signature
By typing my full name below, I certify the above stated information is true to the best of my knowledge.

I understand the Central Records Division of the Michigan State Police, Lansing, Michigan, requires the above information. I authorize Lowell Area Schools to utilize the above information for the sole purpose of obtaining a conviction-only criminal history file search.
FULL LEGAL NAME: *
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