Volunteer Application

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EMERGENCY CONTACT

VOLUNTEER AGREEMENT & RELEASE FORM

I recognize that, as a volunteer, I represent the Ecology Center to the public. I accept the responsibility for this status and will conduct myself in a professional manner.

I will not participate in and will report any and all instances of any sort of harassment, exploitation, and/or intimidation.

I agree to maintain the confidentiality of all volunteers, clients, and donors about whom I have personal and identifying information.

I agree to honor the commitment length and frequency of service that I make to the Ecology Center. I agree to provide as much advance notice as possible in the event that I will be absent from my volunteer shift.

I agree to update my personal information and emergency information as changes occur.  I am aware that as a volunteer I expose myself to potential hazards which include but are not limited to: kitchen accidents, cuts, burns, back injury from lifting, car accidents, property damage or injury to others in car accidents, falls, muggings, etc. Potential hazards have been explained to me. I am voluntarily participating in this service with knowledge of the potential hazards involved and hereby agree to accept any and all risks of injury. I represent that I am physically able, with or without accommodation, to participate in volunteer service, and that I am able to use the equipment and/or supplies described.

Should I require emergency medical treatment as a result of accident or illness arising during volunteer work, I consent to such treatment. I agree to be financially responsible for any medical bills incurred as a result of emergency medical treatment. I will notify Ecology Center staff at my volunteer site in writing if I have medical conditions about which emergency medical personnel should be informed.

If my volunteer service includes driving an automobile, I confirm that I have both a valid driver's license and automobile liability insurance policy as required by state law. I agree to maintain my license and insurance in good standing for my entire tenure as a volunteer for the organization. I am knowledgeable of and agree to abide by local and state traffic laws. I agree not to drive while under the influence of alcohol and/or other intoxicating substances.

I hereby release Ecology Center from all actions, claims, or demands that I, my assignees, heirs, guardians and legal representatives now have or may hereafter have for injury resulting from my participation as a volunteer. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and I sign it of my own free will.