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

Signature: Date:
Parent Signature if under 18:
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