| Name: | DOB: | |||||
| Home Phone: | Cell Phone: | |||||
| Email: | ||||||
| I can drive out of town: Yes No | ||||||
| I understand that I must make my own transportation arrangements and will not be reimbursed for mileage or gas costs. | ||||||
| I pledge to volunteer for _____ hours per month or _____ hours per year. | ||||||
| I will be ready to volunteer when asked, but my interests and skills are: | ||||||
| ____ Building and Construction | ____ Community Service Organization | |||||
| ____ Outdoor Activities | ____ Other ____________________ | |||||
I promise to conduct myself in a way that will be restpectful of other people and organizations that need my assistance and volunteer help. I promise to show up on time and remain at my volunteer activity for the full duration of the assigned time unless I hve made PRIOR arrangements with the supervisor of the activity to start late and/or leave early. I promise not to discuss any matter which may be considered confidential in nature, including physical or mental health, financial information, or conversations with persons receiving services. I promise to talk with school counselor or the supervisor of the volunteer activity if I have a concern about the safety or well-being of a person I provide services to in a volunteer capacity. I promise NEVER to take any money or item of value in exchange for my volunteer services. If this causes a problem, I will discuss it with the Viking Volunteer adult leader before I accept any payment or item of value. I agree to these terms: Yes No |
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| Signature: | Date: | |||||
| Parent Signature if under 18: | ||||||
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