External Staff Onboarding

Sign Up for the Oak Learners Messaging System

Crew Messaging: https://crew.io/join/LEE0WG

Service Provider Details

Agency Name *

Agency Website

Agency Contact *

Agency Contact Phone Number *

Agency Contact Email *

Services to be provided at Oak Learners

Onsite Service Provider Personal Information

First and Last Name *

Date of Birth *

M/D/Y

Nick Name

Preferred Pronouns

Primary Phone Number *

Email Address *

Emergency Contact (name/number) *

Required Documentation

Do you have an up to date Vulnerable Sector Screening Reference Check (VSSRC)? *

YesNoWithin the Last 6 Months

If you do not have an up to date VSSRC, would you like us to submit one on your behalf? *

YesNoThe Vulnerable Sector Screening Form can be filled out in person at Oak.

Have you ever been convicted of a criminal offence? *

YesNo

Please upload your up to date VSSRC here.

No file chosen

Can you provide proof of vaccination? *

YesNoIssued within the last 3 years.

Please upload your Proof of Vaccination here.

No file chosen

(if applicable)

If you indicated no, please explain.

Terms for Service Providers

Please check all boxes to agree to the terms listed below.

Team Communication *

I have joined the CREW App. https://crew.io/join/LEE0WGI agree to use the CREW app only for the purposes of providing the services listed above and maintaining communiction with other members of the Oak Learners staff team in the pursuit of providing these services.I agree to maintain open and collaborative communication with other member of the Oak Learners team, and other service providers at Oak Learners, for the purpose of providing services as listed above and to review the progress of clients against their intended goals in these services.I agree to maintain the privacy and confidentiality of other members of the Oak Learners team and to use team communications only for the purpose of providing services as listed above.I agree to notify relevant team members in a timely manner of a planned or unplanned absence or change in a regularly scheduled visit.Please join our messaging App Crew so we can be in contact with one another for scheduling and any additional communication. https://crew.io/join/LEE0WG

Facility *

By checking this box, you agree to enter the facility only for the purposes of providing services listed above.You also agree to leave the facility in good order with all equipment, furniture and materials in their proper places. You agree to report any incidents of the facility not being left in proper condition to a managing member of Oak Learners immediately after discovery.

Clients *

You agree to maintain the privacy and confidentiality of all current, prior and future students of Oak Learners that you may come into contact with while providing services at Oak Learners.You agree that you shall not offer or agree to service current, prior or future Oak Learners students outside of Oak Learners in any other manner than the services listed above.

Confirmation, Privacy and Consent *

By checking this box, I give Oak Learners consent to the processing and storage of data about me. I give my consent for the information contained within this form to be used for the purposes expressed.Oak Learners respects each team member’s right to privacy and will not share the information contained within this form with any other individual or group outside of our organization without your prior written consent.