2019-20 Volunteer Profile - English
To ensure the safety of all of our students, West Ottawa reserves the right to "approve" or "deny" any volunteer upon review of the background check returned through ICHAT (Internet Criminal History Access Tool). The determination will be based upon the individual's fitness to have responsibility for the safety and well-being of children. Providing false information is grounds for immediate volunteer denial. (Board of Education Policy 4120.09)
Maiden name or other name(s) previously used
Date of Birth
How many years have you been a resident of the State of Michigan?
(Include area code)
Name of student(s)
School of student(s)
Great Lakes Elementary
North Holland Elementary
Pine Creek Elementary
Sheldon Woods Elementary
Harbor Lights Middle School
Macatawa Bay Middle School
West Ottawa High School
Relationship to student(s)
If you are not related to student(s), are you a community volunteer?
If you are a community volunteer, please list the organization you are working through, if applicable.
Please indicate those areas in which you would like to volunteer. Check all that apply.
AP Proctor - High School only
Classroom Assistant/Tutoring/One on One/Work with teacher as needed
CTEE (Cultural Technological Environmental Exchange) - Secondary only
Eighth Grade Celebration
ESL - Work with English as a Second Language students
Fun Night/Carnivals/Movie Night/Fifth Grade Celebration
Jungle - Senior All Night Party
Music Boosters - Band, Choir, Orchestra
Physical Wellness/President's Physical Fitness/Hiking Club/Mileage Club
Popcorn Days/Donut Days/School Store
Science Olympiad - WOSO
Staff Appreciation - provide snacks for events
Student Directory/Publishing Center
Tulip Time - Parade/Chaperone/Costumes/Props
Walk through Days and Open House - Hospitality Committee/greeting parents and students
I agree to abide by all relevant Board policies and administrative guidelines while on duty for the District. I understand that, although I am covered under the District's liability insurance policy, I am not covered by its health insurance policy nor am I eligible for workers' compensation. Should I become ill or suffer an accident while doing volunteer work for the District, I agree that I shall be responsible for any and all hospital and medical charges that may accrue.
I understand further that, as a volunteer, I am not in any manner considered an employee of the District or entitled to any benefits provided to employees. I further release the Board of Education from any and all liability for any damages, whatever their nature, which may result as a consequence of my volunteer services.
I understand that checking this box constitutes a legal signature confirming that I acknowledge my statements to be true and I give full consent to a background check through ICHAT.
Please type your full LEGAL name
A copy of your responses will be emailed to the address you provided.
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This form was created inside of West Ottawa Public Schools.