Scappoose School District Background Check for Volunteers and Contractors
This form will help us to verify your potential eligibility to serve as a volunteer or contractor in the Scappoose School District. The application gives us permission to conduct a required criminal background check as well as to fulfill the requirements of state law regarding abuse and sexual conduct. 
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With the passing of SB 155, all volunteers are required to verify that they have read and understand the "Abuse and Sexual Conduct Information and Reporting Requirements for Volunteers, School Contractors, and Agents."  
Please access the document here:  
https://drive.google.com/file/d/15WpnKK1wN3ys4v7nLnOpndiifSuE1Wuf/view?usp=sharing
Please check the box below.                                                                                                                         *
Required
Legal Last Name *
Legal First Name *
Full Middle Name (if you have one)
Other Name(s) previously used (maiden names, former married names, etc.)
Home Address *
Date of Birth
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Driver's License Number or ID Card Number - Please enter your identification information as it appears on your state issued ID card or driver's license.                       *
Driver's License/ID State *
Phone Number, including area code *
Email Address *
Person to notify in case of an emergency.  Please include their phone number
If a contractor, what company do you work for?
Volunteer Confidentiality Agreement
There are federal and state laws that protect the privacy rights of students and families. In a school situation, there are many instances in which confidential information is discussed in order to better understand students and how we can help them. When working in the schools as a volunteer there may be times when this information is overheard. Our staff will make every effort to prevent this from happening, however, as a volunteer you must agree that if you do hear information about a student or family, you will not repeat this outside of the school. This will ensure the protection of our students' interest, and their families, thus creating a better environment for all.

Additionally, two laws govern special education confidentiality. FERPA (Family Educational Rights and Privacy Act} and IDEIA (Individuals with Disabilities Education Improvement Act) which are both regulatory bodies that dictate that confidentiality must be maintained relative to students. Therefore, any written or verbal communication with anyone who does not have a right to know is in violation of these laws. A volunteer should not discuss a child's disability. In essence, only those who work directly with the student are considered to be on a "need to know" basis. If at any time these terms of confidentiality are violated by a volunteer, termination of volunteer services may occur.

As a volunteer:
• I realize that I am subject to a code of ethics to that which binds the professional in the field in which I am volunteering.
• I will keep confidential matters private.
• I also understand that volunteering in the Scappoose School District is a privilege and not a right. The school's administration reserves the right to deny or remove any volunteer violating confidentiality and district policy.
Please check the box below *
Required
I'd like to volunteer at the following school: *
Required
Criminal History Records Check
Individuals will be required to indicate their understanding of the statements below by clicking the submit button as part of the criminal history background check process.

A Criminal History Records Check is required by Board policy.  Volunteer status shall depend on the information received from a criminal history check.  A volunteer who knowingly makes a false statement, as determined by the district, on a district volunteer application form may be denied the ability to volunteer in the district.  It is the responsibility of the individual to inform the District to the existence of any criminal records.
Have you ever been convicted of any crimes which are drug related or related to child abuse? *
If yes above, please give the date, state in which it occurred, the type of offense, and an explanation.
Have you ever been convicted of any crimes related to violence, including abuse prevention? *
If yes above, please give the date, state in which it occurred, the type of offense, and an explanation.
Have you ever been convicted of a major traffic violation, including DUI? *
If yes above, please give the date, state in which it occurred, the type of offense, and an explanation.
Have you ever been convicted of ANY misdemeanor or felony crimes? *
If yes above, please give the date, state in which it occurred, the type of offense, and an explanation.
Have you ever been arrested for a crime for which there has not yet been an acquittal or dismissal? *
If yes above, please give the date, state in which it occurred, the type of offense, and an explanation.
By clicking the submit button below, I authorize the Scappoose School District to check civil and criminal records to verify any statement made on this form.  I understand that the District can revoke my authorization to volunteer at any time, with or without notice. I agree to be a positive and respectful role model for students.  I acknowledge reading and the receipt of this notice.
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