Volunteer with Christian Village Hospice

1. Gift Acceptance Statement: It has been explained to me and I understand that as a volunteer at CVC I am not allowed to accept money including gifts or tips from any resident. We serve all residents equally and must graciously decline all gifts or tips. If the resident persists, I will refer the concern to the activities & volunteer coordinator for resolution.
2. Confidentiality Statement: All Residents have Rights and Responsibilities including the right to privacy. As a volunteer, you may learn confidential information about the residents. You must uphold each Resident's Right to Privacy by keeping these matters confidential. The only exception to this is in emergency situations. Passing along accurate and complete medical information to the physician, emergency room, rescue squad, hospital staff and nurses, etc. in an emergency is a part of our responsibility and is not a breach of confidentiality: I agree to comply with these confidentiality obligations.
3. Volunteer Authorizations: I authorize CVM to obtain information from schools, listed references, or other individuals and institutions it contacts regarding the information I have provided on this application. I understand that if accepted, false statements, omissions or other misrepresentation by me on this application may result in immediate dismissal. I also understand that I may be subject to a criminal background check, TB Test (Tuberculosis/Mantoux), Drug/Alcohol screening as a condition of performing volunteer activities. I understand that I am obligated to report any information which may be helpful in meeting the needs of the residents of the CVM community in which I volunteer. I also understand that my volunteer orientation requirements differ depending upon my assignment by the activities & volunteer coordinator. I agree to follow the established guidelines outlined here.
4. Qualified applicants are considered for all volunteer positions without regard to race, color, religion, sex, national origin, age, disability or veteran status.

Christian Village Communities appreciates your interest in volunteering and reserves the right to make decisions based on the residents' needs. All information recorded above is considered confidential. Thank you.