ELC Volunteer Form
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/mentors and maintain safety of the students with whom they will be working. Therefore, we request than anyone visiting or volunteering in the classroom have a background check.
The following named individual would like to be a MSD of Lawrence Township Volunteer/Mentor.
Black (not Hispanic)
Asian or Pacific Islander
White (not Hispanic)
American Indian or Alaska Native
to MSD of Lawrence Township conducting a thorough background check, including criminal history and sex crimes at no cost to me.
all information listed and the background check results will remain confidential. The staff involved in this process is the School's Administrative Assistant.
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
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