Volunteer Application

I understand that I am agreeing to serve as an unpaid Volunteer (“Volunteer”) beginning on agreed upon start date at the Child & Family Center (“C&FC”). I understand and acknowledge that my time and services as a volunteer are being donated by me to C&FC, specifically the (program site) Agency location, without contemplation of compensation or future employment, and that I provide these services for charitable, or humanitarian reasons.

I understand that as a volunteer I will earn no wages or benefits in connection with the volunteer services I wish to provide, and that I will not seek any such wages or benefits. I further understand that I will not be entitled to unemployment insurance benefits upon the discontinuance of my volunteer services (regardless of whether such discontinuance is initiated by me or by C&FC), nor will I be covered under C&FC’s workers’ compensation insurance in the event I am injured while engaging in the volunteer services I will provide.

I understand that in the course of my volunteer services, I may be provided with access to, or come to be in possession of, confidential, non-public information concerning employees, volunteers, or other individuals, as well as confidential information concerning related activities.

I agree that I will honor the confidential nature of any such information, and will not disclose directly or indirectly to any person or entity outside the Agency, without express written authorization. To ensure that the needs of the volunteer position are fulfilled, the weekly requirement is hours. My scheduled hours will be determined in conjunction with the Volunteer Supervisor and the needs of the program or department I am providing volunteer services for.

The start and end dates of the volunteer service will be established between me and my C&FC supervisor. During the service period, any expense reimbursements must be approved in advance by my C&FC supervisor.

The cost of the required trainings and clearances may vary by position. The cost to complete the required volunteer clearances and trainings for the above noted volunteer position is an estimated $ , and will be covered by C&FC.

The Volunteer Position Description outlines volunteer duties and responsibilities. I understand that I may be required to attend specified training workshops and seminars and that I am required to be on time for all appointments and training responsibilities. I also understand that I am to complete required documentation on time and in accordance with C&FC policy.

If I am unable to report according to my agreed schedule due to illness or other kinds of disruptions, it is my responsibility to contact my supervisor directly at the beginning of that day. If I am unable to reach my supervisor, I will leave a message and will make contact with the supervisor as soon as they become available. It is my responsibility to call back and establish contact with my supervisor to handle any client-related concerns.

I hereby waive, release, and hold harmless from any liability or claims for damages for personal injury, including death, as well as from claims or property damage which may arise in connection with the above-named position or any associated event, the Child & Family Center, and their elected and appointed officials, agents, and employees. I hereby give permission to the Child & Family Center to use my photographs as they see fit in their advertising. I understand the photograph belongs to the previously listed organization and I will not receive payment of any kind.