APPENDIX E Ichat packet 5-2021.pdf

ICHAT INFORMATION

iChat background checks must be completed and cleared before any contractor can work onsite in/on any Ann Arbor Public Schools (AAPS) property. Below are guidelines that must be followed for any submission for clearance to work on AAPS Property.

We will only accept forms that are dated 5/2021 and later. Any forms that are dated previous to 5/2021 will not be accepted as of June 1, 2021.

IChat Forms must not be altered in any way except to fill out the required information.

IChat forms must be accompanied by a color copy or government issued identification.

Accepted identification: Driver’s license, State ID, Passport.

The form must be filled out in the entirety including the person’s LEGAL name. This shall match your birth certificate, Driver’s license etc. Forms shall be filled out with Black or Blue ink ONLY.

We will not accept or process any partial or altered forms.

Any person’s failure to disclose any convictions, guilty pleas or nolo contendere to any crimes may not be allowed to work on AAPS property.

All forms must be signed. We DO NOT accept any digital signatures. The signature must match your submitted identification or will not be processed.

All identification submitted must be submitted in in color, in its entirety and not altered, cut off or blurry. If it is not submitted in its entirety the request will not be processed.

Once forms are completed and accompanied by required government issued identification, please submit them to your AAPS contact and they will approve and submit for processing.

If there are questions on the form or you need an updated form, please email Jill Solowczuk at solowczj@aaps.k12.mi.us with your company name and AAPS contact.

APPENDIX E: ICHAT SAMPLE FORM

26.0001 Allen Elementary Boiler Replacement

5/2021

Ann Arbor Public Schools (AAPS) Contractor Background Check Authorization Form

Michigan State Police - Internet Criminal History Access Tool (I-CHAT) The safety of students, staff, volunteers, and guests in our buildings is a top priority of AAPS. The Board has developed policies to help ensure the safety of all who interact with students and staff. AAPS uses the I-Chat (Michigan State Police) system to perform background checks. All information gathered through the background check is confidential. ****A color copy of Government issued identification is required for processing.

FULL COMPANY NAME:

For each employee who will be working on projects at AAPS location(s), complete the following:

if you have more than 1 alias/maiden/married name please use the back of this form.

Last First Middle LEGAL Name:

Alias/Maiden Name:

Month Day Year Date of Birth:

Gender (M/F):

State of Residence:

Ethnicity:

African American American Indian Asian Hispanic White Middle Eastern Other Pursuant to Public Act 68 of 1993, I represent that (check one):

1. I have never been convicted of or pled guilty or nolo contendere (no contest) to any crimes.

2. I have been convicted of, or pled guilty, or nolo contendere (no contest) to the following crimes: (Use other side of this form, if necessary, to explain nature of conviction, date and court.)

A.

B.

C.

Pursuant to Public Act 68 of 1993, I understand and agree that:

1) The AAPS will request a criminal history check on me from the Central Records Division of the Michigan Department of State Police; and

2) Until that report is received and reviewed by AAPS, I am not able to work at any AAPS locations; and

3) If the report received from the Department of State Police is not the same as my representation(s) above, respecting either the absence of any violation(s) or any crimes of which I have been convicted, I shall not be permitted to work at any Ann Arbor Public Schools locations.

Signed: Date:

AAPS Personnel use ONLY NAME OF PERSON CONDUCTING CHECK DATE OF ICHAT CLEAR Y OR N NAME OF SUPERVISOR REVIEWING HISTORY