By signing below, I certify that the facts set forth in this application are true to the best of my knowledge. I understand that falsification, misrepresentation, or concealment of information on this application may be sufficient grounds for disqualification from further consideration for volunteering or immediate discharge and Opening Doors shall not be liable in any respect if my volunteership is so denied or terminated. Furthermore, I realize that volunteer assignments are made based on the needs of Opening Doors in conjunction with my preferences.
I have read and signed Opening Doors 2021 Volunteer Handbook including Opening Doors’ Volunteer Policies and I understand the expectations of me as a volunteer and I promise to follow them. As a volunteer, I donate my time, effort, and services to Opening Doors and understand that I will receive no compensation in return.
I recognize and understand that my volunteer activities for Opening Doors may expose me to the possibility of injury to my person and property and that I may suffer some kind of injury as a result of an accident and other unforeseen circumstances. I recognize that as a volunteer, I am not covered by any workers’ compensation or similar insurance that would pay my medical bills incurred because of any injury I may receive while performing services as a volunteer.
Despite this risk of injury and lack of workers’ compensation or other medical insurance coverage from Opening Doors, I knowingly and voluntarily waive any and all claims, actions, or causes of action against Opening Doors and agree to hold the company, its affiliates, and employees harmless for any injury or damage that I may suffer as a result of my activities as a volunteer for Opening Doors. In return for my agreement to these conditions, Opening Doors accepts my services as a volunteer.
MEDIA CONSENT:
As a volunteer/intern of Opening Doors, I understand Opening Doors may wish to use my image, voice, name, and/or likeness in a photograph, video, digital image, audiotape, or other recording. I understand that Opening Doors may wish to use my statements for marketing or other business purposes.
I voluntarily consent to the capture/recording/publication and use of my image, voice, name, likeness, and/or statements for any business purpose deemed appropriate by Opening Doors. I also waive any entitlement I may have to any compensation by Opening Doors and its agents, representatives, and assignees for any such use.
CONFIDENTIALITY:
I agree that any client records and client-related business (including the names of clients) should not be discussed with or disclosed to anyone except: co-workers who are specifically authorized under Opening Doors’ Confidentiality Policy to have access to such information; your supervisor or managers; Administration; the CEO; any person authorized by the client to obtain information about the client from the volunteer (any such authorization must be in writing in a form approved by the CEO and must be retained in the client file); or any person with whom the CEO has authorized the volunteer to share the information.
USE OF PERSONAL VEHICLE
In using a personal vehicle for Company business I agree:
1. To require all persons in the vehicle to wear seat belts, and require children who are under 6 years of age or who weigh less than 60 pounds (regardless of age), to be in a child passenger restraint seat which meets federal and state motor vehicle safety standards.
2. To carry in my vehicle evidence of current insurance. The minimum level of acceptable insurance is $15,000/$30,000 bodily injury and $5,000 property damage. I understand that I must show proof of such coverage annually, or upon request, and provide verification of renewal information of my policy to my supervisor and the Human Resources Department. If the status of my auto insurance changes, I agree to report such information to my supervisor by the end of the next business day. I agree not to operate my vehicle on Company business unless I have current, valid auto insurance.
3. To maintain my vehicle in safe mechanical condition as required by law. I certify that my vehicle is in safe mechanical condition and it will be maintained accordingly. I further certify that I will regularly check or have inspected the condition of my vehicle, including such items as windshield wipers, headlights turn indicators, mirrors, emergency flashers, taillights, appropriate steering operation, tire condition, brakes and operational seat belts. I am advised that it is appropriate to keep records of all maintenance performed on my vehicle.
4. To follow all the rules and laws of the road when driving for Opening Doors.
