Name *

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Last Name

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Address 1

Address 2

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I understand that volunteering is a commitment to work with the MCC-HS to make a difference in our community. I agree to respect The MCC-HS's policies and practices, represent The MCC-HS in a positive and professional manner, to show up when scheduled, follow direction given by the staff or crew chiefs, or supervisor, refrain from swearing or cursing, follow the casual dress code with NO OPEN TOE SHOES. Modest clothing will be worn at all times. Clothing must be knee length, no tank tops and no offensive language or offensive pictures on clothing. I will not conduct personal business while volunteering for the MCC-HS. I hereby certify that the information provided on this application is true and complete to the best of my knowledge and subject to verification by the MCC-HS. I have not knowingly withheld any relevant information. I consent to a criminal background report if requested by the MCC-HS and understand that the MCC-HS obtains the right to refuse and /or deny any individual or group from volunteer with the agency. All items are donated for those in need. I agree to not take food, drinks, products or any items for personal use. I understand that the MCC-HS is not responsible for personal items that may be damaged or stolen. I agree to not bring personal items including cell phones, iPods, purses, etc. By disclosing my email address, I agree that the MCC-HS may contact me for the purpose of advising me about any of the MCC-HS programs or services, volunteer opportunities, or for such other purposes as the MCC-HS may deem appropriate. I understand that the volunteer activities I may be asked to perform may involve physical activity, contact with unidentified and unfamiliar person(s), travel to and from unspecified locations, and other potential risks of injury. Knowing this, I agree to take responsibility for my own personal safety when participating in any volunteer opportunities. I agree to participate only in volunteer activities of which I am physically capable without risk of injury to myself or others I assume any and all risk in connection with my volunteer efforts or participation, including without limitation risk of any accident or injury to person or property which I may sustain in connection with my participation. In addition, I hereby release and discharge the MCC-HS and any of its directors, officers, employees, partners, affiliates, agents and successors from any and all liability or responsibility for any such accident or injury. As a volunteer, I may, during the course of my volunteer work, have access to documents, data, personal records, or other information related to the MCC-HS and its activities which may not be known to the general public. The board of directors, staff, donors, volunteers and partners of the MCC-HS trust that all sensitive information and records be kept confidential. I agree to hold in complete confidence any information about program participants and program housing locations. No solicitation of any kind may be allowed. I agree not to capture any pictures of MCC-HS neighbors/families to keep their identity confidential.

I agree

I do not agree