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Confidentiality Agreement for Individual Volunteer Application
Who is this registration for?
Please provide a name and email address for a parent or guardian who can sign for you.
Parent/guardian first name:
Parent/guardian email:
By submitting this application, I affirm that the facts set forth are true and complete. I understand that if i am accepted as a volunteer, any false statements, omissions or other misrepresentations submitted on this application may result in my immediate dismissal.
VOLUNTEER CONSENT AND AGREEMENT
- CHILD ABUSE AND NEGLECT/BACKGROUND CHECK POLICY: To ensure the safety of our organization, volunteers [excluding those under the age of 18] must successfully complete a Child Abuse and Neglect Background Screening and Criminal Background Check.
- CONFIDENTIALITY POLICY: To ensure the safety of our organization, volunteers are NOT to disclose information regarding our confidential location, including but not limited to the street address, zip code, neighborhood, etc. Volunteers are not to disclose any information regarding former or current clients in our program.
- EXCHANGE OF INFORMATION POLICY: Volunteers are not to exchange any contact information with clients. The exchange of information, including but not limited to telephone number, email address, home address, etc. is an immediate breach of confidentiality and could result in the termination of the client and volunteer.
- CONCEALED WEAPONS POLICY: Weapons of any type, including but not limited to any form of firearm, explosive devices, or other devices that are generally considered to be weapons are prohibited and therefore banned from the premises.
- PHOTO RELEASE POLICY: The Women's Safe House is permitted to take and use photos of volunteers for social media purposes on our website, social media sites, literature, newsletters, etc. Photos of volunteers will be sued for the sole purpose to promote the organization, its volunteer program, events, and activities.
- PHOTOGRAPHY POLICY: To ensure the confidentiality of our organization, volunteers are not permitted to take photos of clients. If you wish to take pictures of your volunteer experience, you must not include the faces or any other identifiable images of the clients. To ensure that the appropriate guidelines are followed, it is recommended to have a trained staff person take the picture on behalf of your organization. Furthermore, volunteers are not to take photos of clients at their request or discretion with personal cells or other electronic devises. Please refer the client to a staff person immediately.
-HOLD HARMLESS/ LIABILITY AGREEMENT POLICY: Volunteers will hold the Women's Safe House harmless in the result of any injury(s), loss, or damages which may be sustained while fulfilling the assigned volunteer tasks.
By submitting this application, I affirm that the facts set forth are true and complete. I understand that if i am accepted as a volunteer, any false statements, omissions or other misrepresentations submitted on this application may result in my immediate dismissal.
VOLUNTEER CONSENT AND AGREEMENT
- CHILD ABUSE AND NEGLECT/BACKGROUND CHECK POLICY: To ensure the safety of our organization, volunteers [excluding those under the age of 18] must successfully complete a Child Abuse and Neglect Background Screening and Criminal Background Check.
- CONFIDENTIALITY POLICY: To ensure the safety of our organization, volunteers are NOT to disclose information regarding our confidential location, including but not limited to the street address, zip code, neighborhood, etc. Volunteers are not to disclose any information regarding former or current clients in our program.
- EXCHANGE OF INFORMATION POLICY: Volunteers are not to exchange any contact information with clients. The exchange of information, including but not limited to telephone number, email address, home address, etc. is an immediate breach of confidentiality and could result in the termination of the client and volunteer.
- CONCEALED WEAPONS POLICY: Weapons of any type, including but not limited to any form of firearm, explosive devices, or other devices that are generally considered to be weapons are prohibited and therefore banned from the premises.
- PHOTO RELEASE POLICY: The Women's Safe House is permitted to take and use photos of volunteers for social media purposes on our website, social media sites, literature, newsletters, etc. Photos of volunteers will be sued for the sole purpose to promote the organization, its volunteer program, events, and activities.
- PHOTOGRAPHY POLICY: To ensure the confidentiality of our organization, volunteers are not permitted to take photos of clients. If you wish to take pictures of your volunteer experience, you must not include the faces or any other identifiable images of the clients. To ensure that the appropriate guidelines are followed, it is recommended to have a trained staff person take the picture on behalf of your organization. Furthermore, volunteers are not to take photos of clients at their request or discretion with personal cells or other electronic devises. Please refer the client to a staff person immediately.
-HOLD HARMLESS/ LIABILITY AGREEMENT POLICY: Volunteers will hold the Women's Safe House harmless in the result of any injury(s), loss, or damages which may be sustained while fulfilling the assigned volunteer tasks.
My signature confirms that I have read, understand, and will comply with the volunteer policies and procedures of the Women's Safe House. I understand that failure to comply with the volunteer policies and procedures will result in the termination of my volunteer service, and may result in legal actions if found in violation.
The following document is a waiver of liability that must be signed by the parent or legal guardian of a minor person under the age of 18 years old who is planning to volunteer with The Women's Safe House (TWSH).
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS. Waiver of Liability
I am the parent or legal guardian having custody of a minor child volunteering for TWSH. I acknowledge and agree that activities performed by the Minor as a volunteer will be performed strictly on a voluntary basis, without any pay, compensation, or benefits.
Safety is of utmost importance to TWSH. I agree and understand that the Minor must comply with the rules and regulations establised from time to time by the Women's Safe House and that failure to do so may result in the Minor's immediate removal as a volunteer.
I am aware of the nature of the activities to be performed by the Minor as a volunteer and recognize that in performing volunteer tasks, a risk of harm or injury exists. As a parent or legal guardian, I understand that The Women's Safe House cannot be liable for any injuries or illness that my minor child may suffer while engaged as a volunteer in their program. I expressly waive any such claim for compensation or liability on the part of the Women's Safe House. By signing this form, I acknowledge that I understand and agree to the above waiver of liability.
Your Minor child is applying to volunteer at The Women's Safe House in St. Louis. Please read and digitally sign this parental waiver of liability.
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