Volunteer and Background Check Release Form

Thank you for your interest in volunteering at Christian Montessori School of Ann Arbor. The safety and well-being of our students is one of our highest priorities.
Christian Montessori School of Ann Arbor requires that Individuals who may have contact with students are required to complete this form and successfully undergo the background check via the Internet Criminal History Access Tool (ICHAT) with the Michigan State Police. This may include field-trip chaperones, classroom volunteers, pre-student teachers, extracurricular leaders, event volunteers, and other individuals working with or around students.
Please submit this form at least before your anticipated volunteer date. Submission of this form does not guarantee approval to volunteer. CMSAA will notify you when you have been approved.

Volunteer Information and Consent

Name(Required)
Legal name as it appears on your drivers license
Gender:(Required)
Race:(Required)
Birth Date:(Required)
CMSAA cannot complete the background-screening process without sufficient information to verify your identity.
Max. file size: 128 MB.

Background Check Authorization
ELECTRONIC SIGNATURE*(Required)
I certify that the information provided in this form is true, complete, and accurate to the best of my knowledge. By typing my name below, I acknowledge that it serves as my electronic signature and confirms my agreement with the acknowledgments and authorization contained in this form. I authorize Christian Montessori School of Ann Arbor to use the information provided in this form for the purpose of verifying my identity and conducting the criminal-history and background screening applicable to my volunteer assignment, including a search through the Michigan State Police Internet Criminal History Access Tool when appropriate. I understand that the information submitted through this form and the results of the background screening will be treated as confidential, will be accessible only to authorized individuals, and will be maintained or destroyed in accordance with CMSAA policy and applicable law. I understand that providing false, incomplete, or misleading information may result in the denial or termination of my volunteer assignment.
Signature Date(Required)

After submitting this form, you will receive confirmation that your information was received. Submission does not mean that you have been approved to volunteer. CMSAA will contact you when the screening process is complete or if additional information is required.