Welcome

District Volunteer Application

We appreciate your interest in volunteering for the District Volunteer Program. Our district offers a variety of activities you may choose from when volunteering your time. Simply complete and submit a volunteer application and upon approval you will receive instructions 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. 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. If you are unable to provide an email address, you use the district’s email address. All information collected on the application will remain confidential and not be shared outside the volunteer program.

If you have any questions about the application, please request to speak with a volunteer representative.

Thank you,
District Volunteer Coordinator

Personal Information

Personal Information

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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 morphis_m@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)

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.