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Volunteers at Kinloch Park Middle School

MDCPS Level 1 background check questionnaire

Please take time to fill out the information below to become Level one background checked by MDCPS and participate in the Soil Preparation Event at Kinloch Park Middle School. Thank you so much for being apart of this movement to go green and enhance the local schools in our communities!
1.Complete first and last name of volunteer as it appears on picture ID/ drivers license?
2.Please write your full SSN?
3.What is your date of birth? MM/DD/YYYY
4.What is your full home address as it appears on your photo ID/ drivers license? (please include apt #, city, state, and zip code)
5.What is your primary phone number?
6.E-mail address?
7.What is your gender?
8.What is your Ethnicity? (Check all that apply)
9.Are you bilingual?
10.Are you a grandparent?
11.What is your primary language?
12.Please give us an emergency contact person who can be reached on your behalf in the case of an emergency?
13.What is your emergency contact's phone number?
14.Are you an active/former member of law enforcement, firefighter, DCF employee, judge, government employee involving human resources, labor relations, and or a code enforcement officer?