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Mineral County School District
Application for Building Access for Non-Employees Form
8/22/2019

 BUILDING ACCESS PROTOCOL FOR NON-EMPLOYEES PROVIDING SERVICES FOR STUDENTS

Any individual wishing to gain fob access to Mineral County Schools must:

  • complete a background check
  • complete a training program
  • adhere to Mineral County School District Policy 7510 - Use of County Facilities.
  • submit and be approved on Use of Facilities and Grounds form.
  •  seek approval from building principal, superintendent and board of education

(Access will only be granted for those individuals that are providing services to students.)

 

Name: *
Home Phone: *()- Ext.
Cell: ()- Ext.

Address

City

State

Zip
Group affiliated with: *
Facility requested: *
Dates/Times of Access Needed: *
Verification of Insurance:
Yes  No  
Please provide verification of liability insurance in accordance with Mineral County School District Policy 7510.

 PLEASE PROVIDE A COPY OF YOUR BACKGROUND CHECK TO THE PRINCIPAL.


 

FOR APPROVER USE:


 PRINCIPAL:

Please do not approve application until a valid background check is submitted to you.

Yes  No  
Verification of Background Check

 


 DIRECTOR:

Please do not approve until the applicant has completed the training program.

Yes  No  
Verification of Training Program
Complete the information below to route your form  Show Instructions
Your Name:*
Your E-mail:*
Confirm E-mail:*
Your Routing Level: General
Send to Approver:*  
Verification Code:*
Verfication Code refresh verification code
Enter the letters as they are shown in the image. Letters are not case-sensitive.
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