Volunteer Form 2018-2019*
We are pleased to have volunteer support in our programs in MSD of Lawrence Township.
We want to do everything reasonable to prepare our volunteers/visitors and maintain safety of the students with whom they will be working. Therefore, we request that anyone visiting or volunteering in the classroom have a background check.
*A NEW Volunteer from will need to be completed EVERY Year
The following named individual would like to be a MSD of Lawrence Township Volunteer/Chaperone.
Black (not Hispanic)/Negro (no Hispano)
Asiatic or Pacific Islander/Asiático o de las Islas del Pacífico
White (not Hispanic)/Blanco (no Hispano)
American Indian or Alaska Native/Indio Americano o Nativo de Alaska
I agree to MSD of Lawrence Township conducting a thorough background check, including criminal history and sex crimes at no cost to me.
I understand all information listed and the background check results will remain confidential. The staff involved in this process is the School's Administrative Assistant.
I understand that I will only be contacted if there are restrictions to my being able to volunteer.
Student Last Name
Student First Name
Last Name Only
I herby authorize MSD of Lawrence Township to perform a criminal background check.
Send me a copy of my responses
Your submission is being processed. Please do not close this browser window until complete.