• Long-Term Care Ombudsman Volunteer Application

  • The Office of the Long-Term Care Ombudsman provides Certified Volunteer Ombudsmen for Oregonians living in nursing, assisted and residential living, and adult foster home facilities. They serve as the voice of the resident, working to make the system responsive to their needs and wishes. To do that, they investigate the resident's concerns and then work with facility staff and others, as appropriate, until these concerns have been resolved. The services provided are free and confidential for the resident, and we provide a no-cost training for our volunteer Ombudsmen. Once trained, volunteers are asked to give 4-hours per week including meetings, reporting, visiting the facility, and helping to resolve issues. Thank you for your interest in becoming a volunteer Certified Ombudsman - we look forward to reviewing your application!

    If you are having trouble filling out the application online, please call 971-600-6149 for assistance or to be sent a physical copy.

    Note: There are several volunteer opportunities in this agency with different applications. If you are interested in applying for the Residential Facilities Ombudsman RFO program (focused on improving the lives of persons who experience Intellectual and/or Developmental Disabilities or Mental Health conditions) or the Oregon Public Guardian and Conservator (OPGC) program (serves as court-appointed, surrogate decision makers for adults incapable of making some or most of the decisions necessary for their basic care and safety) go to oltco.org and choose the application you are most interested in.

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  • ADDITIONAL INFORMATION

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  • HOW DID YOU HEAR ABOUT US?

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  • EMERGENCY CONTACT INFORMATION

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  • REFERENCES

    Please include four professional/non-family references 
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  • VOLUNTEER EXPERIENCE

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  • WORK EXPERIENCE

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  • EDUCATION AND CERTIFICATIONS

  • FACILITY EXPERIENCE

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  • TEAM MEETINGS

    Certified Ombudsmen attend monthly team support meetings in their area. They are your best option for networking, connecting with your Deputy, receiving updates on program changes, and earning continuing education credits required to maintain your certification. If there is not a meeting scheduled in your area, you are strongly encouraged to attend the meeting held in a neighboring county. In addition, new meetings are added as volunteer numbers increase in other areas. If you cannot attend these meetings, an alternate plan will be necessary.
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  • *Times and days are subject to change

  • • Certified Ombudsmen are appointed by the State Long-Term Care Ombudsman to act in accordance with the attached job description.

    • A one-year minimum commitment is requested.

    • Certified Ombudsmen commit to spending an average of sixteen hours a month on their ombudsman responsibilities, including weekday business hours.

    • Certified Ombudsmen must complete six days of certification training including classroom sessions, a facility visit, and a certification test.

    • Certified Ombudsmen must also complete 16 hours of continuing education annually.

  • As a representative of the Office of the Long-Term Care Ombudsman, you will be a public official as defined by ORS 244.020(15. As a public official you must avoid conflict of interest or the appearance of conflict of interest and cannot benefit financially from your affiliation with the Office of the Long-Term Care Ombudsman. If a conflict develops after your appointment as a volunteer, you must notify the office immediately.

  • Consent to Reference and Criminal History Check

    The checks will assist the Office of the Long-Term Care Ombudsman in making an informed decision about candidate qualifications. In assessing the pertinences of a conviction record, the agency will consider such factors as the nature of the crime, when and where it occurred, and the duties of the position for which application is made.  The checks will be completed prior to the start of training.

    I authorize the Oregon Long-Term Care Ombudsman (LTCO) to conduct a reference check with my present and/or previous employer(s) and/or volunteer positions, as well others I have listed who personally know me. I understand that reference information may include, but not be limited to, verbal and written inquiries or information about my employment performance, professional demeanor, rehire potential, dates of employment, and employment history. 

    My signature below authorizes my former or current employers and references to release information regarding my employment record with their organizations and to provide any additional information that may be necessary for my application for volunteering at the LTCO, whether the information is positive or negative. I knowingly and voluntarily release all former and current employers and references from any and all liability arising from their giving or receiving information about my employment history, my academic credentials or qualifications, and my suitability for volunteering as a representative of the State of Oregon.

    I authorize the Office of the Long-Term Care Ombudsman to conduct a criminal history check and I agree to provide the office with the information necessary to complete the criminal record check.

    I understand that any oral or written statement made during this process that is false, fraudulent, or misleading that is contained in this form or made in the course of any related application process, whether made by me or others at my request, will result in rejection of my application, denial of appointment to a volunteer position or dismissal if discovered after appointment.

    This form may be photocopied or reproduced as a facsimile, and these copies will be as effective as a release or consent as the original which I sign.

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  • The Office of the Long-Term Care Ombudsman retains the right to not approve an applicant for participation in the program or associated training sessions.

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