Volunteer Background Check
Muncie Community Schools Volunteer Background Check
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First Name (Full Legal Name) *
Last Name *
Preferred Contact Phone Number *
Email Address *
Address
Please check which schools you would like to be notified of volunteer opportunities
Are you a parent or guardian of a MCS student? *
If so, where does your child(ren) attend?
Are you volunteering as part of an agency or group?
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Are you volunteering for something specific?
Have you ever been convicted of a crime related to any of the following: sexual contact with another person; sexual abuse; sexual misconduct; child abuse; theft of or taking property; mishandling funds; fraud; forgery; the use, sale, or possession of controlled substances or alcohol; or, intoxication? If so, explain the circumstances, including the matter for which you were investigated; a description of any underlying incidents or events; the date and nature of the investigation; the date and nature of the disposition of the investigation; and, any other information which you want to provide concerning the matter. *
If so, explain the circumstances, including the matter for which you were investigated; a description of any underlying incidents or events; the date and nature of the investigation; the date and nature of the disposition of the investigation; and, any other information which you want to provide concerning the matter.
I agree to the following:   1.) The School Corporation may check your criminal history record under IC 5-2-5-5.2.) 2.) You authorize the School Corporation to check your employment history, including, but not limited to, contacting references and obtaining investigatory information possessed by any private or public employer, or any state, local or federal agency. 3.) You authorize any prior private or public employer, or any state, local or federal agency contacted in connection with your volunteer form, to provide the Muncie Community Schools any information on the matters covered on this form. 4.) You shall agree to abide by all Board policies and administrative guidelines while on duty as a volunteer. 5.) You shall be covered under the School Corporation’s liability policy, but the School Corporation shall not provide any type of health insurance to cover illness or accident incurred while serving as a volunteer, nor are you eligible for workers compensation. 6.) Your signature below releases the School Corporation of any obligation should you become ill or receive any injury as a result of your volunteer services. 7.) And finally, you agree to inform the School Corporation of any changes in your criminal history status. *
I understand that I may be asked to provide my social security number if additional information is required to run the background check. *
Required
I understand that wearing a mask in Muncie Community Schools is OPTIONAL. *
I am over the age of 18. (Individuals under the age of 18 will need to have parent permission to volunteer on MCS grounds) *
Date of Birth *
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I agree to allow Muncie Community Schools to perform a limited criminal history check in order to volunteer within MCS. *
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