OUSD VENDOR REGISTRATION WITH BE A MENTOR, INC. (Employee/Volunteer Background Clearances)


Vendor Name (VENDOR)
Contact Name
Contact Phone No
Contact Email Address
I hereby authorize Be A Mentor, Inc. to conduct background clearances on individuals associated with VENDOR and to receive clearance and rejection email letters sent by Be A Mentor, and I agree to receive notices regarding further criminal offenses for which individuals are arrested.

I certify that VENDOR is registered with Be A Mentor to receive background clearances for their representatives. Unless specifically waived by Oakland Unified School District (OUSD), VENDOR is required to screen representatives who will be working at OUSD sites for more than six hours for Tuberculosis. Additionally, unless specifically waived by OUSD, for all representatives providing services to OUSD, VENDOR shall ensure completion of fingerprinting and criminal background investigation, and shall request and regularly review subsequent arrest records. VENDOR agrees that OUSD will be notified of individual background clearance discrepancies and subsequent arrests. When each representative is cleared, an individual clearance letter will be sent to the individual with a copy to VENDOR’s contact. OUSD may inspect individual clearance letters as per the OUSD Professional Services Agreement. Subsequent Arrest notifications will be sent to VENDOR’s contact with a copy to the OUSD designated person.

All school site participants shall act in accordance with district policies, regulations, school rules and directives of the supervising employee or administrator.

By checking these boxes, I agree to and understand that OUSD clearance requirements are:
Please pay the one-time VENDOR registration payment set-up fee here: https://connect.clickandpledge.com/w/Form/742d57e2-fd77-4f90-ad72-d2440af4a0c5


Each individual associated with VENDOR who is requesting a background clearance shall go to 'https://beamentor.org/OUSDPartner'. Upon completing of the registration form each individual will be charged a Twenty-five dollar ($25.00) processing fee and will make a payment by debit or credit card.
Name
Title
BY CLICKING "SUBMIT" you agree to the terms of this Agreement.