Mt. Pleasant Public Schools Volunteer Application

As a prospective volunteer of the Mt. Pleasant Public Schools, I understand that it is the policy of the Mt. Pleasant Public Schools to secure conviction criminal history information as part of the screening process using the information provided below. (This form has been developed for your safety and the safety of other volunteers and students involved with Mt. Pleasant Public Schools).
YOUR CONTACT INFORMATION
Last Name *
Your answer
First Name *
Your answer
Date of Birth *
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DD
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Gender *
Driver's License Number *
Your answer
Email *
Your answer
Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Assignment
Select the top 3 jobs you wish to participate in from the drop-downs below. You'll be notified which job you've been assigned to during check-in.
1st CHOICE *
2nd CHOICE
3rd CHOICE
Reason for volunteering *
Your answer
I understand that the above information is required by the Sexual Offenders Registry list and Central Records Division of the Michigan State Police, Lansing, Michigan, and by the Federal Bureau of Investigation. I authorize the Mt. Pleasant Public Schools to utilize the above information for the sole purpose of obtaining conviction only criminal history file searches. I understand that information gathered in these criminal history file searches will be used by the Mt. Pleasant Public Schools in reaching voluntary status decisions. It is the policy of the Mt. Pleasant Board of Education that the Mt. Pleasant Public Schools will not discriminate in its educational programs and activities on the basis of age, race, creed, religion, color, national origin, sex, marital status, disability or any additional criteria identified by any applicable state or federal statute.
I will abide by all Board policies and District guidelines while on duty as a volunteer. I release the Mt. Pleasant Public School district from any obligations should I become ill or receive an injury as a result of my volunteering services.
I understand that this is my electronic signature. *
Your answer
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