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Work Preferences

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Availability

Volunteer Opportunities

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Criminal Background

If yes when, and what were the charges?

Emergency Information

Medical Conditions

Please list any medical conditions or allergies we need to be aware of.

Hospital Preference

Confidentiality statement

I recognize the right to privacy of all the Housing Assistance Corporation’s clients. I understand that in performing the responsibilities of my volunteer job, I may need access to information which is confidential. I will not share information about any of the clients without the express of that individual and the agency.

Informed Use of Photographs

I hereby authorize the Housing Assistance Corporation to use my image in any promotion of the agency’s programs and activities. I understand that these promotions may include but are not limited to such informational and instructional materials as the production of brochures, slide presentations, videotapes, and newsletters to be distributed publicly.

Agreement to Terms

Please refer to Volunteer Handbook for safety guidelines. I understand that I will be expected to meet the requirements of the position, including agreed-on attendance and adherence to agency policies and procedures. I am aware that I may be exposed to personal injury or damage to my property as a result of my activities, the activities of other persons or the conditions under which my services are performed while participating in a volunteer workday. With full knowledge and understanding, I agree to accept any and all risks of injury, damage, or death and I release Housing Assistance Corporation of Hendersonville, its directors, employees, and volunteers from any and all liability arising out of my participation as a volunteer.

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