General Membership Form

  • Education

  • Experience

  • Availability

  • By submitting the form, I certify that all the above information is complete and true. I understand that a criminal background check through the State of Michigan ICHAT search will be processed. I understand that the program is not obligated to utilize me in the after school program, if in the program's professional judgment, it would not be in my best interest or the best interests of the children served by the program.

Verification