Bend-La Pine Schools Volunteer Application

We appreciate your interest in volunteering. Simply complete and submit a volunteer application and upon approval coordinate with your school on next steps.

It is very important that the information you enter on the application matches your government-issued identification card including your full legal name. Your name on the application will need to match your government-issued identification that you will be required to use to sign in at the school as a volunteer. It is important that you provide a valid email address so you can be notified as to the status of your application and for future communication. All information collected on the application will remain confidential.

Thank you,

Bend-La Pine Schools

Personal Information

Legal First Name

Address Line 1

Legal Middle Name

I don't have a middle name

Address Line 2 / Apt # / Building #

Legal Last Name

City

Maiden Name

State/Province/Region

Gender

Postal/Zip Code

Date Of Birth

Phone Number Phone number is required

Affiliation

Preferred Language (for future communications)

Please note: An email will be sent to the email address entered to inform you of the status of your application.

Please select the schools at which you wish to volunteer

Please select the functions from the list below. (select all that apply)

Please select the organization(s) on behalf of which you are volunteering (if not applicable, select "None")

Please read the disclaimer below and provide your signature

BEND-LA PINE SCHOOLS ("the Organization") may obtain information about you from a consumer reporting agency for consideration of the opportunity to serve as a volunteer with the Organization. Thus, you may be the subject of a "consumer report" which may include information about your character, general reputation, personal characteristics, and/or mode of living. These reports may contain information regarding your criminal history, motor vehicle records ("driving records"), or other background checks. Please be advised that the nature and scope of the most common form of consumer report obtained with regard to applicants for volunteering is a criminal record report conducted by JD Palatine, LLC dba JDP, 855-940-3232, One Oxford Centre 301 Grant Street, Suite 4300, Pittsburgh PA, 15219, jdp.com

I acknowledge receipt of the DISCLOSURE REGARDING BACKGROUND INVESTIGATION, “A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT”, “ADDITIONAL STATE LAW NOTICES” and certify that I have read and understand those documents. I hereby authorize BEND-LA PINE SCHOOLS (“the Organization”) to obtain “consumer reports” about me at any time after receipt of this authorization and, if I am allowed to serve, throughout term of my volunteer service. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, military branch, institution, school or university (public or private), information service bureau, past or present employer or supervisor, private business, insurance company or personal reference, and/or other persons to furnish any and all background information requested by JD Palatine, LLC dba JDP, additional third-party organizations acting on behalf of Organization, and/or Organization itself. I agree that a facsimile (“fax”) or photographic copy or digital copy of this Authorization shall be as valid as the original.

I understand the actions of typing my name in the following box and clicking the "I agree" checkbox will serve as my signature, even though a printed copy of this Disclosure and Authorization will not contain an original writing of my signature. Also, I acknowledge that I am seeking a volunteer opportunity or providing contract services and not seeking employment from JDP.

Name

Signature

By signing your name you agree to all the above statements. Use the mouse or touch screen to sign.

Certification of Application

Thank you for applying as a volunteer with Bend-La Pine Schools. You will receive an email update on your status once the background check application has been processed. This process can take up to two weeks to complete. This is an automated process that requires checking multiple databases across the nation, and there is no way to expedite an application.

Please review the volunteer guidelines on our District Volunteer Page. Questions regarding volunteer opportunities in the district should be directed to the school you are wanting to volunteer with. Any issues with the volunteer application process should be directed to the district's volunteer email at:

background-check@bend.k12.or.us