GRCES - Evergreen Volunteer Clearance Form

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Thank you for your interest in volunteering in our school! The safety of our students is of utmost importance. Because of that we adhere to Michigan state law and ensure that all adults who come into contact with our students have passed a central clearance check. In order to be on our list of approved adults please fill out the required information below.

To insure a full clearance can be completed please fill out this form at least 1 week prior to your volunteer date. In the event that the clearance cannot be completed or approved with the information provided, someone from GRCS will contact you at the number provided.

If you have questions regarding this form or the process, please contact the school office.

Email *

Full Name (as it appears on a driver's license or other id) *

Race (as it appears on your driver's license or other id) *

Sex (as it appears on your driver's license or other id) *

Female

Male

Birthdate *

YYYY

Best Phone number (with area code) to reach you if clearance cannot be completed *

If known, the next date you plan to volunteer

YYYY

Student(s) or Staff who you are related to or in close relationship with

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