Eugene School District 4J Volunteer Application

Thank you for your interest to volunteer with Eugene School District 4J.  Please complete the volunteer application in its entirety.  Upon approval, you will receive instructions on the next steps.

Information entered on the application must match your government-issued identification card including your full legal name.  A valid email address is required so you can be notified about the status of your application and for updates.  All information collected on the application is confidential and will not be shared outside of the volunteer program.

The district is in compliance with the Governor’s vaccine mandate and must obtain information from all volunteers regarding their vaccination status. Oregon’s vaccine mandate requires district staff, contractors, and volunteers to be fully vaccinated against COVID-19 and the district must maintain documentation that supports compliance with the mandate. As a volunteer, you will need to submit a copy of your COVID-19 vaccination record card (front and back) or a print-out from the Oregon Health Authority’s immunization registry. 

Your vaccination record must indicate that you are fully vaccinated for COVID-19. Generally speaking, 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 

If you request a vaccine exception based on medical and/or religious belief, you will need to complete an Oregon Health Authority Exception form. Pursuant to Oregon law, schools that grant a medical and/or religious exception to vaccination requirements must take reasonable steps to ensure that unvaccinated teachers, school staff and volunteers are protected from contracting and spreading COVID-19. As a result, volunteers are expected to comply with safety measures, designed to mitigate the spread of COVID-19 that include masking and physical distancing.

When filling out your volunteer application, you will be prompted to upload your vaccine card or the Oregon Health Authority Exception request form by either a JPG, PDF or PNG file (no larger than 5MB). 

If you have any questions about the application, please send an email to: volunteersupport@4j.lane.edu or call: 541-790-7693. 

On behalf of Eugene School District 4J, thank you for your gift of time. 

Personal Information

Please select the schools at which you wish to volunteer

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

Documents

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

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

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, volunteering and contracting purposes. 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, volunteering or contracting services. 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.

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.