Leland Public School  - Volunteer Application
To volunteer at Leland Public School, please complete this volunteer application. Once you have submitted your application, a background check will be completed that includes an ICHAT and the National Sex Offender Registry search. If approved, your contact information is placed on a master volunteer list for school staff and administration to access. You will be contacted if there is a question on your volunteer application form.

Questions? Contact the LPS Main Office at 231-256-9857.
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Email *
I give formal consent to receive electronic communication from Leland Public School (LPS). LPS will not sell or share your information to third parties. *
Email Address *
Legal First Name *
Preferred First Name *
Legal Middle Name
Legal Last Name *
Other Names Used (e.g. Maiden Name), if applicable
Date of Birth *
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DD
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Current Age *
The Michigan State Police ICHAT Background Check requires one of the following for Race be entered for all background check searches. *
The Michigan State Police ICHAT Background Check requires Gender be entered for all background check searches. *
Best Phone Number to Reach You *
Home Address (Street) *
City, State, Zip *
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? *
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? *
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)? *
I have reviewed the LPS Standards of Conduct for Volunteers and agree to follow the standards for school-based volunteering. *
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 Leland Public School, in their sole and complete discretion, may accept or decline this application without providing me any reasons for the decision. *
Required
Pursuant to LPS Board Policy 4120.09 regarding volunteers, I understand and release LPS of any obligation should I suffer any risk or loss as a result of my volunteer services. *
What type(s) of volunteering are you interested in? (please select all that apply)
Questions or Comments (optional).
A copy of your responses will be emailed to the address you provided.
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