First Name: *

Last Name: *

Email: *

Phone: *
(xxx-xxx-xxxx)

Address: *

Address 2:

City: *

State: *
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Zip: *

Affiliation: *
K-12 Administrator
GVSU Faculty/Staff
Relative of Student Participant
K-12 Teacher
Other

School: *
Please select a school... All Saints Academy Allendale High School Allendale Middle School Assumption of the Blessed Virgin Mary Baldwin Street Middle School Black River High School Burton Middle School Byron Center Christian School Byron Center High School Byron Center West Middle School Caledonia High Catholic Central High School Chandler Woods Charter Academy Chelsea Chelsea B Corpus Christi Catholic School Cross Creek Charter Academy Duncan Lake Middle School Dutton Christian Middle School Eagle Crest Charter Academy East Grand Rapids High School East Grand Rapids Middle School Excel Charter Academy Forest Hills Central High School Forest Hills Central Middle School Forest Hills Eastern High School Forest Hills Eastern Middle School Forest Hills Northern High School Gerald R. Ford Academy Grand Haven High School Grand Rapids Christian High School Grand Rapids Christian Middle School Grand Rapids University Preparatory Academy Grandville High School Grandville Middle School Harbor Lights Middle School Holy Trinity Catholic School Hudsonville High School Immaculate Heart of Mary Catholic School Jenison High School Jenison Junior High School Kenowa Hills Middle School Kent County Area Homeschool Kraft Meadows Middle School Lakeshore Middle School Lee High School Lee Middle Lowell High School Lowell Middle School Macatawa Bay Middle School Mill Creek Middle Mona Shores High School Northern Hills Middle School Northpointe Christian High School Northview High School Our Lady of Consolation Plymouth Christian High School Plymouth Christian Middle School Ravenna High School Reeths-Puffer High School Reeths-Puffer Middle School Riley Street Middle School Riverside Middle School Sparta High School Sparta Middle School St. Anthony of Padua Catholic School St. Patrick's School St. Paul the Apostle School St. Thomas The Apostle Catholic School Unity Christian High School W. MI Academy of Env. Science - High W. MI Academy of Env. Science - Middle Wellspring Preparatory High School West Michigan Aviation Academy West Ottawa High School West Side Christian School Western Michigan Christian High School Westwood Middle School White Pines Intermediate School Wyoming High School Wyoming Junior High School Zion Christian Middle School

Are you familiar with campus? *
Please select... Yes No

Name: *

Email: *

Phone: *
(xxx-xxx-xxxx)

Relationship to Volunteer: *

Are You Willing to Volunteer All Day? *
Please select... Yes No

Lunch Preference? *
If you are scheduled for more than 4 hours you will be provided a lunch.
Meat
Vegetarian
Vegan
Gluten Free

Comments:

Maiden Name: (if applicable)

Sex: *
Please Select... Male Female

Date of Birth: *
Month: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924

Driver's License Number: *

I hereby authorize and unqualifiedly grant permission to Grand Valley State University and its administration to make inquiries and to obtain any records from law enforcement and/or judicial authorities to determine whether any record of criminal conviction exists and whether there are any felony charges pending against me, including the nature of the offenses. I understand this information will be kept confidential.
I agree to the above statement. *