Learning Partner Background Check

Dear Prospective Learning Partner,

We are looking forward to having you join our community of life longer learners and spirited citizens! The following information will be submitted for your background check. Please be sure to use the information listed on your government issued documents such as, drivers license, state ID, or passport. Failure to do so will result in an incomplete background check.

Learning Partner status is pending until your background check is approved.

Typical background checks take within 48-72hrs to be approved. Once we receive the notification via Raptor, the Intergenerational Programming Specialist will reach out with next steps.

Questions? Please contact Molly Mizisin at Mmizisin@igschools.org

Sincerely,

Intergenerational Schools

Personal Information

Legal First Name

Address Line 1

Legal Middle Name

I don't have a middle name

Address Line 2 / Apt # / Building #

Legal Last Name

City

Maiden Name

State/Province/Region

Gender

Postal/Zip Code

Date Of Birth

Phone Number Phone number is required

Affiliation

Please note: An email will be sent to the email address entered to inform you of the status of your application. If you do not have access to email, please enter mmizisin@nearwestschool.org and a district administrator will call you regarding the status.

Please select the schools at which you wish to volunteer

Please select the functions from the list below. (select all that apply)

Please select the organization(s) on behalf of which you are volunteering (if not applicable, select "None")

Please read the disclaimer below and provide your signature

By providing your signature, you are agreeing to abide by the rules and regulations of the District Volunteer Program. One or more of the volunteer activities you have selected may require you to provide your United States social security number so we can perform a criminal background check. Your social security number will only be used for this purpose and we do not retain this information.

Name

Signature

By signing your name you agree to all the above statements. Use the mouse or touch screen to sign.

Thank You

Your background check has been successfully submitted and will be reviewed per the Integenerational School’s Learning Partner policy. In the near future, you will be notified as to your volunteer status. If you have any questions, please request to speak with the Intergenerational Programming & Volunteer Coordinator at mmizisin@igschools.org