Volunteering

Which school will you be volunteering at?requiredPlease select up to 5 choices

Please select up to 5 choices

Namerequired

First Name

Last Name

Addressrequired

Phone Numberrequired

Email Address

In accordance with District Policy No: A8500, the district may conduct background checks on volunteers prior to utilizing their services. This may include, but is not limited to criminal checks and/or calling references. These backgrounds checks, once accepted, are good for only two years. You must reapply after that period.

To help provide a safe environment for our students, please provide the following information:

Have you ever been convicted of a misdemeanor crime?required

Yes

No

If yes, in what state?

Have you ever been convicted of a felony crime?required

Yes

No

If yes, in what state?

Comments:

*Yamhill Carlton School District may deny any volunteers who have a criminal background that includes a Felony or Misdemeanor. Failure to disclose criminal activity will result in an automatic denial. (Refer to the YCSD Risk Management Matrix at the bottom of this form) ** Any criminal activity involving a minor will result in an automatic denial.

Please list any other last names you have gone by: (ex: maiden name)

Drivers license numberrequired

Social security numberrequired

Date of birth:required

I verify that the above information is true and correct, and I hereby grant Yamhill Carlton School District permission to check civil and criminal records to verify the given information.requiredChecking this box serves as your electronic signature.

I agree

Checking this box serves as your electronic signature.

Please contact Julie Warner with any question, warnerj@ycschools.org

YCSD Risk Management

Criminal Conviction Matrix for Participation Acceptability

This form should be considered a guide, because each case may pose unique situations not covered by a standard format. When multiple convictions have occurred – the “No” on the matrix should be the number of years since last convicted.

***Any criminal activity involving a minor will result in an automatic denial.

No = YSCD determination not to allow an individual to participate YCSD “D” = YCSD Decision to allow an individual to participate

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In This Section

Navigation

Step 1: Background Check

YCSD Volunteer Background Check Form

Forms

Step 2: Complete Sexual Misconduct Training

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Links & Resources