ICHAT Annual Volunteer Consent / Acknowledgment Form
In order to ensure the protection of children in the care of Wayland Union Schools, school policy requires, prior to any and all persons providing a volunteer service at the school or for any function conducted by the school; all potential volunteers complete a secure criminal history using Internet Criminal History Access Tool (ICHAT) as part of its volunteer screening process. I understand that the information below is required by the Central Records Division of the Michigan State Police and I authorize Wayland Union School District to utilize the information for the sole purpose of completing a criminal history file search. Volunteers shall agree to abide by all Board policies and District guidelines while on duty as a volunteer including signing, if appropriate, the District’s Network and Internet Access Agreement Forms. Volunteers will be covered under the District’s liability policy but the District cannot provide any type of health insurance to cover illness or accident incurred while serving as a volunteer, nor is the person eligible for workers’ compensation.
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Full Name *
Maiden Name / Previous Name(s) used:
Race *
Date of Birth *
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Gender *
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Volunteering in:   (check all that apply) *
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