http://cm2dac.neworg.com/compformdisplay.asp?pagenum=68&formnum=19&cn=&can=&sid=408951843
New Volunteer Intake
 

 
102 Benoni Avenue
Fairmont, West Virginia 26554
Phone: 304-366-3213 Email: jsole@disabilityacitoncenter.com



VOLUNTEER APPLICATION AND CODE OF CONDUCT




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Please check yes or no to the following:

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Please Provide two references with whom we can verify your personal character. Include Name, Address, and Phone numbers:
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PLEASE READ BEFORE SIGNING:
  • Some of the information that I have provided may be verified, and I give permission to The DAC to check my references.
  • In the course of volunteering for The DAC, I may be dealing with confidential information and I agree to keep said information in the strictest confidence.
  • In relationship between The DAC volunteers is an “at will” arrangement, and that it may be terminated at any time without cause by either the volunteer or The DAC.
  • I hereby agree to release, discharge and hold harmless The Disability Action Center, its officers, agents, its director and employees of and from all causes, liabilities, damages, claims or demands on account of any injury or accident arising out of my attendance and participation as a volunteer with The Disability Action Center.
  • I will respect the rights, dignity and worth of the members, other volunteers, parents, officers, board members and friends of The DAC.
  • I will treat everyone equally regardless of sex, ethnic origin, religion or ability and be a positive role model.
  • My language, manner and presentation will demonstrate high standards.
  • I will display control, respect, dignity and professionalism to all involved with The DAC.
  • I will not drink alcohol, smoke or take illegal drugs while representing those involved with The Disability Action Center.
  • I will refrain from any form of personal abuse towards our members, volunteers, officers, board members and parents, including inappropriate or unwanted sexual advances on others, verbal, physical and emotional abuse.


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