Volunteer

First Name *

Middle Name

Full Legal Last Name *

Phone *

Email *

I give formal consent to receive electronic communication from The Greenspire School. The Greenspire School will not sell or share your information to third parties. *

Yes, I agree

No, I do not wish to receive electronic communication.

Address *

Address

City

State/Province

Zip/Postal

Country

Date of Birth *

Age *

The following is requested to comply with statistical reports required by state and federal offices. It is requested only to assist the school district in responding accurately with statistical information in regard to racial/ethnic numbers and percentages of the total staff. The racial/ethnic headings below are taken directly from the form provided by the equal opportunity commission for public school systems. Please select the racial/ethnic heading that is appropriate to your racial/ethnic heritage. (Select one only)

Racial/Ethnic Heritage *

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

Black or African AmericanBlack or African American

Hispanic or Latino

White

Asian

Two or More Races

Other Names Used, e.g. maiden name

Gender *

Male

Female

What type(s) of volunteer position are you interested in? (Select all that apply.) *

Classroom/Field Trip

Overnight Field Trip (also required to completed a DHS Clearance. See form below.)

Coaching

Art/Music Program

Other

What 'Other' Volunteer Position are you interested in?

Have you lived in Michigan for at least 3 years? *

Yes

No

Have you ever been convicted of, pled guilty or nolo contendere (neither admitting nor denying the charge) to, or received a suspended imposition of sentence, been placed on probation, or otherwise been found guilty of any criminal or municipal ordinance violation? *

Yes

No

Have you ever been convicted of, pled guilty or nolo contendere (neither admitting nor denying the charge) to, or received a suspended imposition of sentence, been placed on probation, or otherwise been found guilty of DUI/DWI? *

Yes

No

Have there ever been allegations, complaints, or reports regarding your involvement in child abuse or neglect (regardless of whether the incident was confirmed or denied)? *

Yes

No

I understand that any omissions or misstatements made by me on this application form may be cause for my application to be declined or volunteer placement to be terminated. I understand that a Michigan State Police criminal background check will be conducted and all information including conviction or child abuse records will be verified, and hereby consent to such verification. I declare that all the statements I have made on this application are true, correct, and complete to the best of my knowledge. I understand The Greenspire School, in their sole and complete discretion, may accept or decline this application without providing me any reasons for the decision. *

I agree

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The Greenspire School Overnight Chaperone