Volunteer Consent Form
: Suenton Sublic Schools
2603 thaaten Sead.
Fearten, MI W193
Thank you fr volunteering to help eihance the educational program for Trent's students. In order to provide forthe
safety of al students itis a. Trenton Publie Schools procedure 1 perform a criminal conviction history ile search on ait
volunteers who will be working directly with students andlor driving students in their personal vehicles.
The following information is required in order to perform the criminal conviction history ite search through the Michigan
‘State Police computerized system (ICHAT). Their sysiem isa secured, encrypted web-based program with appropriate
security protocols in place.
Building/Progratn:
Student's Name:
A copy of your Driver's License
Tr, 0) VaR. Fy
Puy Bac le
‘Maiden Name or Name (s) Previously Used:
ryou are driving students, you will also need to provide the fellowing: a copy of your vehicle registration and proof of
Insurance,
Lunderstand that the above information is required by the Central Records Division of the Michigan State.
Police, J authorize the Trenton Public Schools District to utilize this information for the sole purpose of
obtaining a criminal conviction history file search,
Signature of Volunteer Date