Volunteer, Student Teacher, Intern & Visitor Forms

It is the Livingston ESA's policy to secure conviction and/or criminal history information as part of our Student Teaching & Intern placement process, or for volunteering in any LESA program or school sponsored activity. 

Please select the appropriate form from the options provided on the left.  Upon submission, your request will be routed to the appropriate staff person; if you have any questions regarding your request, please contact the program teacher, or the program secretary (see below). 

If you have general questions regarding the process, please contact Mandy Rutzel, Human Resource Analyst for the Livingston ESA at 517-540-6821 or mandyrutzel@livingstonesa.org 

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