Waupun Area School District - Background Check Form 2026-2027
Thank you for sharing your time and talents with the Waupun Area School District! Everyone is a key component in our mission to provide an outstanding education that equips and inspires our students to conquer their challenges now and in the future.

APPLICATION & CONSENT - Part 1
Per Waupun Area School District policy, any volunteer, coach, substitute, staff member who works with or has access to students shall submit to a criminal history records check. WASD has contracted with an ongoing monitoring company to conduct background checks and notify us should anything be added to WI CCAP for those background checks screened. Please complete the form below for this purpose.

All information provided here-in is true and correct to the best of my knowledge.  I understand that misrepresentation or omissions may be cause for rejection or may be cause for subsequent dismissal as a volunteer.

I voluntarily and knowingly authorize any government agency, its officers, employees and agents to release any and all information regarding my criminal history to the Waupun Area School District, its officers, employees and agents.

I voluntarily and knowingly fully release and discharge, absolve, indemnify and hold harmless such agency, its officers and agents from any and all claims, liability, demands, causes of action, damages, or costs, including attorneys fees, present or future, whether known or unknown, anticipated or unanticipated, arising from or incident to the disclosure or release.

CONFIDENTIALITY STATEMENT - Part 2
Volunteers are often in the school building and in the classroom, where it is inevitable that they observe students’ strengths, weaknesses, and behaviors.  In an effort to raise the consciousness of volunteers about the importance of every student and staff members’ privacy, we require all volunteers to keep in mind that observations or information about students and/or staff members obtained as a result of volunteer efforts should be treated as confidential.  Observations should not be shared by others.  By volunteering, you are indicating a willingness to respect the privacy of all students and staff members. We also require that volunteers respect the privacy of staff if information of a personal or professional nature is overheard or observed at school. If you have any questions about this policy, please contact the school principal.

HANDBOOK ACKNOWLEDGEMENT - Part 3
By completing this, I acknowledge that I have received an electronic or paper copy of the Waupun Area School District Volunteer Handbook. I understand that it is my responsibility to read this handbook and my submission herein indicates that I will abide by the standards, policies, and procedures defined or referenced in the handbook. I understand that Board policies may be updated during the term of this handbook and are accessible on the District website.

PLEASE ALLOW 7-10 BUSINESS DAYS FOR PROCESSING.

To confirm your approval to volunteer, please contact the building administrative assistant in relation to the field trip and/or volunteer opportunity you are applying for.

Thanks again for your vested interest in our students!  GO WARRIORS!
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WASD Background Check & Consent Form
NOTE:  Please complete this form for EACH OFFICIAL Name* you are known as.  

*Official Name means you have or have had the name on a government issued ID.

To do this:  
1) Complete this form for your first official name.  Click the blue "Submit" button at the bottom.
2) On the new internet page that loads, it will say 'Your response has been recorded.'  Under that, click on the link 'Submit another response' to complete this same form for your next official name.  
3) Submit another response for as many official names you have had.

You do NOT need to submit a response for each volunteer reason/location.

Thank you!
First Name *
Middle Name (if none, just leave blank) *
Last Name *
Other Names Officially Known As
Date of Birth (Using the Format: MM/DD/YYYY) *
MM
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DD
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YYYY
I am completing this form for the following: *
Required
Which reason(s)/location(s)?
I was an approved volunteer for the 2025-26SY:
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WASD Volunteer Handbook Link
Please click here to view the current Waupun Area School District Volunteer Handbook.
2025-2026 Volunteer Handbook

I hereby acknowledge that I have received the Waupun Area School District Volunteer Handbook, and I understand the rights and responsibilities contained therein. *
Required
I have read and fully understand the above important assumption of risk and waiver and release of claims. I also acknowledge I have had an opportunity to discuss this waiver and release with a representative from the District. *
Required
Today's date: *
MM
/
DD
/
YYYY
Please enter your email address. *
Submit
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