ANN ARBOR PUBLIC SCHOOLS ADMINISTRATIVE AND HUMAN RESOURCE SERVICES VOLUNTEER CERTIFICATION FORM Michigan Makers at
Dear Volunteer, Scarlett and/or Mitchell Your contribution of your valuable time is a special gift. You Thank you for agreeing to volunteer at ________________________________. are contributing SS to the Board of Education’s top goal of student achievement. The safety of students, staff, volunteers, and guests in our buildings is a top priority of AAPS. The Board has developed policies to help ensure the safety of all who interact with students and staff. All AAPS employees and unsupervised volunteers are required by Board Policy, 7350 to undergo a criminal background check. The AAPS uses the I-Chat (Michigan State Police) system to perform background checks. All information gathered through the background check is confidential.
Please complete the following: Name__________________________________________
Maiden Name ___________________________________
Date of Birth ____________________________________
Pursuant to Public Act 68 of 1993, I represent that (check one): 1.
I have never been convicted of or pled guilty or nolo contendere (no contest) to any crimes.
2.
I have been convicted of or pled guilty or nolo contendere (no contest) to the following crimes: (Use other side of this form, if necessary, to explain nature of conviction, date and court.) A. ____________________________________________________________________________________ ____________________________________________________________________________________ B. ____________________________________________________________________________________ ____________________________________________________________________________________ C. ____________________________________________________________________________________ ____________________________________________________________________________________ D. ____________________________________________________________________________________ ____________________________________________________________________________________
Pursuant to Public Act 68 of 1993, I understand and agree that: •
The Board of Education of the school district or governing body of the non-public school (the “School” must request a criminal history check on me from the Central Records Division of the Michigan Department of State Police.
•
Until that report is received and reviewed by the School, I am not able to volunteer; and
•
If the report received from the Department of State Police is not the same as my representation(s) above, respecting either the absence of any violation(s) or any crimes of which I have been convicted, I shall not be permitted to volunteer for Ann Arbor Public Schools.
Signed:________________________________________
7, 2014 Date: October _______________________________
THE INFORMATION PROVIDED ON THIS DOCUMENT WILL REMAIN CONFIDENTIAL AND BE HELD AT THE AAPS HRS OFFICES 2555 S. STATE, ANN ARBOR, MI 48104 Shonta Green 7/30/08
criminal background check form for Scarlett and Mitchell - blank.pdf ...
Page 1. criminal background check form for Scarlett and Mitchell - blank.pdf. criminal background check form for Scarlett and Mitchell - blank.pdf. Open. Extract.
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Bring it to the Maintenance/Facility Complex. 203 Hillcrest St. Mansfield, TX, 76063. Phone: 817.299.4343. 4) Once the application is approved by the Director of ...
1) Go to this link: http://www.mansfieldisd.org/page.cfm?p=4516. Then select âBackground ... days, at which time the applicant will be notified. If the applicant is ...
4) Once the application is approved by the Director of Facilities, the background verification will begin. 5) If fingerprinting is required, you will be notified by the ...
rolled ink transfer of prints onto a card. The ink method can have the highest rate of failure due to the. lower quality of print characteristics. However, some ...
1) Go to this link: http://www.mansfieldisd.org/page.cfm?p=4516. ... 5) If fingerprinting is required, you will be notified by the Facility Department via email with.
of Public Safety. 3. Court that Processed. Arrest. Confidentiality. Exceptions to the background investigation may be. granted, but not guaranteed, to former District employees. who have cleared a background investigation within the. past two years,
... supervisor, private business, insurance company or. personal reference, and/or other persons to furnish any and all background information requested by BIB, ...
Phone: 817.299.4343. 4) Once the application is approved by the Director of Facilities, the ... Primary Contact: ... DATE OF BIRTH. SOCIAL SECURITY NUMBER ...
1) NAME: Type or print Last, First, Middle Name. Full name. is mandatory. You are encouraged to type, as it is easier to read typed. names. 2) AKA:Maiden name, other married names or any other. name used. 3) CITIZENSHIP: U.S. (If born US) Alien. Regi
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MH Volunteer Application w background check and confidentiality verbiage.pdf. MH Volunteer Application w background check and confidentiality verbiage.pdf.
I further authorize, without reservation, any person, entity or agency (including, but not limited to, criminal justice agencies, courts,. sex offender registries ...
Fingerprint cards are provided. -OR-. Your local law enforcement agency. Contact the local law enforcement agency you will use and find out if they (a) use the.
Page 1 of 1. APPLICANT INFORMATION. Surname(s) Given name(s). Maiden name(s) - Place of birth (if born outside of Canada, indicate date of entry to Canada). Date of birth. YYYY MM DD. j Gender. M/F. lelephone Number (s). I. Drivers license number -.
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Option 3 (Rolled Ink Transfer). Most police departments will utilize the rolled ink transfer of fingerprints onto card #FD-258. Call for hours of. operations and cost.
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Basic student Information Form. State of Alaska Immunization Requirements. State of Alaska Religious Exemption. Juneau School District Student Health History. Parent Authorization for Administering Acetaminophen or Ibuprofen. âWalkingâ Field Trip