Old Volunteer Application

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REFERENCES

Please list 2 personal references (not related).

Reference #1*

First Name

Last Name

Phone*

Email*

Relationship*

Reference #2*

First Name

Last Name

Phone*

Email*

Relationship*

EMERGENCY CONTACT INFORMATION

Emergency contact*

First Name

Last Name

Emergency contact phone*

Emergency contact email*

VOLUNTEER CONFIDENTIALITY AGREEMENT

Confidentiality is essential to the mission of the Friends of Aine Center for Grieving Children and Families. Our work at the Center is strictly confidential. This allows for a trusting relationship to be built and is what makes this a truly safe place for our participants and volunteers. No information about the families, volunteers, donors or perspective donors is to be shared or discussed outside of the Center.

Signature*

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Date/Time*

BACKGROUND CHECK

I understand that volunteer roles at Friends of Aine require a background check. I will be asked to provide additional authorization for those checks. All volunteers at Friends of Aine are subject to a search of the National Sex Offender Registry. I understand I have the right to be told if the information in my screening has been used to disqualify me from volunteering; I may request a copy of any background checks that are provided by third parties; and I have a right to dispute incomplete or inaccurate information. I have reviewed the information in this application and find it to be fair and accurate. Committing an unlawful act on or off Friends of Aine operated premises of whose conduct discredits the agency in any way will be subject to disciplinary action, up to and including discharge. Any arrest or summons must be reported to the Executive Director within 5 days.

Signature*

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Date/Time*

VOLUNTEER PHOTO RELEASE FORM

I hereby give my consent for the Friends of Aine Center for Grieving Children and Families to use my photograph and likeness in its publications, including its website. I release them from any expectation of confidentiality. I hereby agree to indemnify and hold harmless Friends of Aine against claims, damages and incumbent legal fees that may result from publishing these photographs. Nor shall I receive compensation for such photographs.

Signature*

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Date/Time

VOLUNTEER APPLICATION

REFERENCES

EMERGENCY CONTACT INFORMATION

VOLUNTEER CONFIDENTIALITY AGREEMENT

BACKGROUND CHECK

VOLUNTEER PHOTO RELEASE FORM