If you would like to be a recurring volunteer (more than 3 occurances), please additionally complete the following forms.

This process is performed by our 4-H partner and can take up to 2 weeks.

Volunteer Enrollment Forms:

Volunteer Reference Form
 (2 Required)

Background Check Forms:

Application Form for Approval (English)

Criminal History Check Disclosure
Notice and Release Authorization Form

Please complete and mail your forms to:
4-H Curry County Extension Office
Attn: Margie House
29390 Ellensburg Avenue
Gold Beach, OR  97444

Office: (541) 247-6672

We prioritize the safety of kids!
Thank you for taking the time to complete these Volunteer Background Check forms.  Volunteers are required to pass a background check before they are allowed to volunteer at the program.

Please download this form and submit it in a sealed envelope to the Program Director or a Board Member. You may email us at [email protected] or call (669) 500-KIDS to make arrangements. The form will be processed at the Brookings Police Department.


Download Background Check Form