Volunteer Registration/Login

Or enter e-mail to register and volunteer as individual.

Main e-Mail

Name

Prefix

*

First

Middle

*

Last

Suffix

Please indicate which information to be released to this agency.

Name

e-Mail

Address

Phone Number

Are you registering as a United for Success Volunteer for Midland Public Schools?

Yes

No

Are you interested in volunteering with United Way of Midland County as well?

Yes

No

To best meet the needs of our students and teachers, a 3 tiered volunteer level system has been implemented. Please review the difference between the levels and select the option that best fits the volunteer opportunities you are seeking to participate in.

Level 1 Volunteers

A Level 1 volunteer position involves direct student contact under limited supervision. Examples include: PYP Exhibition volunteers, Head-to-Head volunteers, Reading help, field trip chaperones, club supervisors, and volunteers within the library, classroom, lunchroom, playground, or at special events.

Level 2 Volunteers

Level 2 volunteers have the same clearance as a Level 1 volunteer, but are qualified to drive students to activities off school grounds such as athletic and club events.

Level 3 Vounteers

Level 3 volunteer positions involve unsupervised, direct contact with students in various settings such as overnight school trips or volunteer athletic coaches.

To view further descriptions of each volunteer level, please click here.

Please select the volunteer level you are applying for.

*

Are you an MPS Employee?

Yes

No

In which building(s) do you work?

Adams Elementary

Administration Building

Central Park STEM Elementary

Chestnut Hill Elementary

H.H. Dow High

Jefferson Middle

Juvenile Care Center

Midland High

Northeast Middle

Plymouth Elementary

Post Secondary

Pre-Primary Center at Carpenter Street School

Science Resource Center

Siebert Elementary

Woodcrest Elementary

Please select your volunteer category:

Parent/Legal Guardian/Grandparent

Additional spots for children will appear after you enter the child's first name.

Child 1 Name:

Grade:
Enter 0 for Kindergarten

School:

Child 2 Name:

Grade:
Enter 0 for Kindergarten

School:

Child 3 Name:

Grade:
Enter 0 for Kindergarten

School:

Child 4 Name:

Grade:
Enter 0 for Kindergarten

School:

Child 5 Name:

Grade:
Enter 0 for Kindergarten

School:

Child 6 Name:

Grade:
Enter 0 for Kindergarten

School:

Child 7 Name:

Grade:
Enter 0 for Kindergarten

School:

Child 8 Name:

Grade:
Enter 0 for Kindergarten

School:

Retiree

College Student (Traditional, Grad, Work Study)

High School Student

Other (Please explain)

Level 2 Volunteer Liability and Certification Statements (Drivers)

I understand, as a volunteer driver, I must be at least 21 years of age, be a non-student, hold a valid driver's license, and have the required insurance coverage in effect on any vehicle used to transport students. I further understand that my personal insurance is responsible for providing coverage for any claims relating to personal injury or property damage arising from ownership, operation, or maintenance of the vehicle used while driving on a field trip or extracurricular activity. I will upload images of my current vehicle registration, driver's license, and proof of insurance to my United for Success volunteer profile account.

Volunteer Driver Electronic Signature:

Date of Signature

Level 2 drivers must upload images of their current driver's license, registration and proof of insurance.

After your application is processed, you will be provided instructions via email as how to upload images of your driver's license, vehicle registration, and proof of insurance. You will also be responsible for keeping this documents up-to-date in your volunteer profile, prior to driving students.

Level 3 Volunteers are required to complete a Fingerprint Background Check Request form and a Waiver Agreement form. Volunteers are responsible for the cost. The required forms and further information will be emailed to the address provided on this account. You will need to print the forms, complete the process and return them to the Human Resources Department in the Midland Public Schools Administration Center on Carpenter Street.

Level 3 volunteers, planning to drive, are required to upload a current driver's license, vehicle registration, and proof of insurance. After your application is processed you will be provided instructions via email as to how to upload this documents.

Previous experience with children

References (non-relative)

Reference 1 Name:

Relationship:

Title (if applicable):

Address (Street/City/State/Zip):

Phone:

Email:

Reference 2 Name:

Relationship:

Title (if applicable):

Address (Street/City/State/Zip):

Phone:

Email:

By submitting this form, you give us permission to perform a background check on you. You will be notified annually via email about keeping your volunteer status. You will need to respond to the emailed survey to remain active in the program and current with a background check. Furthermore, you affirm that you have read and consent to the details of the Criminal History File Search.

Criminal History File Search Consent Information (click to expand)

A priority for Midland Public Schools is to ensure the safety and welfare of our students. Volunteer screening is a part of this effort. Individuals applying for Level 1-3 volunteer positions will need to complete this form in order to authorize a criminal history background check. Please complete this form and submit by clicking "Create Account". The MPS Volunteer Manager will process your application. Midland Public Schools will handle this information confidentially, like it handles employee personnel records. Once the background check is completed, you will be notified via email that you have been approved to participate as a volunteer. All MPS schools have access to the approved list of volunteers and can verify your status as well. If a question arises regarding the information received during the background check, you will be contacted directly. MPS must complete a background check on volunteers each year that you volunteer in our schools.

Please include any/all maiden and prior LEGAL names as this is required to complete a background check.

Please list a previous LEGAL first name:

Please list a previous LEGAL middle name:

Please list a previous LEGAL last or maiden name:

Please list a previous LEGAL first name:

Please list a previous LEGAL middle name:

Please list a previous LEGAL last name:

Date of Birth

Month: *

Day: *

Year: *

Gender: *

Background Information: An MPS volunteer application will be automatically denied if the applicant has been convicted of any felony; or a misdemeanor that is specifically listed in "School Safety Legislation."

Have you EVER been convicted of any felony?

Yes

No

If yes, please explain: *

Have you EVER been convicted of a misdemeanor?

Yes

No

If yes, please explain: *

Have you ever been found to have committed one or more acts of immorality, moral turpitude or inappropriate behavior involving a minor, or a commission of a crime involving a minor?

Yes

No

If yes, please explain:

Acknowledgement of Terms:

I understand that the need for volunteer services will be determined at the discretion of MPS staff and the need for these services may vary from year to year. I understand that a volunteer's service may be terminated at any time, for any reason or no reason at all, at the discretion of either MPS or the volunteer. I certify that my Driver?s License, Proof of Insurance and Vehicle Registration uploaded to my United for Success Volunteer profile are valid (For Level 2 and Level 3 volunteers that drive). Futhermore, I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient for denial of participation or termination. I understand that volunteer forms are public record and some information may be subject to applicable Freedom of Information Act provisions. I have read and agreed to the terms of the United for Success Volunteer Handbook. I also understand that an electronic signature has the same legal effect as a written signature and may be enforced in the same manner as a written signature.

Yes

No

Electronic Signature: *

Date of form submission *

Items marked with an asterisk(*) are required