SWARTZ CREEK COMMUNITY SCHOOLS
VOLUNTEER INFORMATION PROFILE

~THIS INFORMATION MAY BE USED FOR A CRIMINAL BACKGROUND CHECK.~

Last Name:________________________ First Name:______________________ M.I._______

Address:____________________________________________________________________

City:_________________________________  State:___________  Zip:__________________

Phone:________________________________ Birth Date:_____________________________

Driver's License#:______________________________________________________________

Volunteering in Building (s): Please circle ALL THAT APPLY:

High School                Middle School            Dieck Elementary      Elms Road Elementary

Gaines Elementary       Morrish Elementary    Syring Elementary               CDC

Other:________________________________________________________________________

Volunteer Signature:_____________________________ Date:_____________________

Supervisor Signature:____________________________ Date:_____________________