Volunteer - Background Check Authorization
A background records check MUST be completed for all volunteers of the Unified School District of De Pere.
This form is valid for the 18-19 school year ONLY.
Legal First Name *
Your answer
Legal Middle Name *
Your answer
Legal Last Name *
Your answer
Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Authorization: I authorize the Unified School District of De Pere (USDD) in De Pere, Wisconsin, to make inquiry of or receive any information, from any person or organization regarding my suitability to volunteer in the District and do hereby expressly give permission to these persons or organizations to provide such information. In consideration for the cooperation extended to USDD by release of such information, I forever waive, release and covenant not to sue any person or organization, including USDD and its agents and employees, for providing, obtaining, verifying or otherwise acting upon such information. I give this waiver, release and covenant not to sue for myself, my heirs, assigns and successors in interest forever. I do so understand that the information obtained may be such as to disqualify me from being a volunteer in the District. I understand that such information is sought with confidentiality and I will not request copies thereof. I certify that all information provided is accurate to the best of my knowledge, information and belief and I acknowledge that any false information may subject me to rejection. A copy of this authorization shall be as effective as the original for the purposes stated above. I have read and understand the foregoing certification and sign below voluntarily and with knowledge of its contents. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Unified School District of De Pere. Report Abuse - Terms of Service