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Welcome

Eugene School District 4J Volunteer Application

We appreciate your interest in volunteering for the District Volunteer Program. Eugene School District 4J offers a variety of activities you may choose from when volunteering your time. Simply complete and submit a volunteer application. Upon approval, you will receive instructions on the next steps.

 

The information you enter on the application must match your government-issued identification card including your full legal name. You must 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 and not be shared outside the volunteer program.

 

To support the district's compliance with the Governor’s vaccine mandate we need to obtain information from all volunteers regarding their vaccination status. The vaccine mandate requires district staff, contractors, and volunteers to be fully vaccinated against COVID-19. In addition, the district must maintain documentation supporting compliance with the mandate. As a volunteer, you must submit a COVID-19 vaccination record card, or a copy or digital picture of the vaccination record card (front and back), or a print-out from the Oregon Health Authority’s immunization registry. 

 

Your vaccination record needs to show that you are considered fully vaccinated for COVID-19. In general, people are considered fully vaccinated: 2 weeks after their second dose in a 2-dose series, such as the Pfizer or Moderna vaccines, or 2 weeks after a single-dose vaccine, such as Johnson & Johnson's Janssen vaccine. 

 

When filling out your volunteer application you will be prompted to upload either a JPG, PDF or PNG file no larger than 5MB. 

 

If you have any questions about the application, please either send an email to volunteersupport@4j.lane.edu or by calling 541-790-7537. 

 

Thank you for your generous gift of time, we are thrilled to have your support. It’s because of the generosity of people like you that we can continue to assure our students and staff enjoy a warm, caring community that fosters the highest standards of academic, social, and emotional growth For this, we thank you and greatly appreciate your support.

Personal Information

Personal Information


I don't have a middle name
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Phone number is required
Please note: An email will be sent to the email address entered to inform you of the status of your application. If you do not have access to email, please enter gonzalez_e@4j.lane.edu and a district administrator will call you regarding the status.
School Preferences

Please select the schools at which you wish to volunteer

Functions

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

Documents

Documents

The following documents are required by the state to authorize clearance within this school district.

Organizations

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

Disclaimer

Please read the disclaimer below and provide your signature

By providing your signature, you are agreeing to abide by the rules and regulations of the District Volunteer Program. One or more of the volunteer activities you have selected may require you to provide your United States social security number so we can perform a criminal background check. Your social security number will only be used for this purpose and we do not retain this information.

FCRA Disclosure and Authorization to Obtain a Consumer Report Eugene School District 4J Pursuant to the federal Fair Credit Reporting Act, I hereby authorize Eugene School District 4J and its designated agents, representatives, and consumer reporting agencies, such as OPENOnline, TLO, to conduct a comprehensive review of my background through a consumer report and/or an investigative consumer report to be furnished to Eugene School District 4J to use the information for employment purposes, including hiring, promotion, reassignment, or retention as an employee. I understand that the scope of the consumer report and/or investigative consumer report may include, but is not limited to, the following areas: verification of Social Security number; current and previous residences; employment history, including all personnel files; education; references; credit history and reports; criminal history, including records from any criminal justice agency in any or all federal, state or county jurisdictions; birth records; motor vehicle records, including traffic citations and registration; and any other public records. I understand that information from the consumer report will not be used in violation of any applicable Federal or State equal employment opportunity law or regulation.

 

I authorize the complete release of the records or data pertaining to me that an individual, company, firm, corporation or public agency may have, including the information that I provided on the Criminal History Verification Form, to prepare the above-described consumer report. I hereby authorize and request any present or former employer, school, law enforcement agency, financial institution or other persons having personal knowledge of me to furnish Eugene School District 4J or its designated agents with any and all information in their possession regarding me in connection with an application of employment. I am authorizing that a photocopy of this authorization be accepted with the same authority as the original.

 

I understand that, pursuant to the federal Fair Credit Reporting Act, if any adverse action is to be taken based upon the consumer report, a copy of the report and a summary of the consumer's rights will be provided to me.


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

Thank You

Your volunteer application has been successfully submitted and will be reviewed per the district’s volunteer policy. In the near future, you will be notified as to your volunteer status. If you have any questions, please request to speak with a volunteer representative.