March 17, 2017

Adult Volunteer Commitment Form

CONTACT INFORMATION

Name:*
E-mail Address:*
Phone:*
-
Extension:
Address:*
VOLUNTEER WORK HISTORY
Employer:*
Volunteer Job Title or Duties:*
How Long:*
Reference:*

Employer 3:
Volunteer Job 3 Title or Duties:
How Long (3):
Reference 3:
Employer 2:
Volunteer Job 2 Title or Duties:
How Long (2):
Reference 2:

Employer 4:
Volunteer Job 4 Title or Duties:
How Long (4):
Reference 4:
VOLUNTEER AREA CHOICE
Committee/Board Positions:
Other Volunteer Opportunities:

*(Truck, proof of insurance, and driver's license required)

VOLUNTEER AVAILABILITY
Indicate one or more days, and then provide hours below.*
Monday Hours:
Tuesday Hours:
Wednesday Hours:
Thursday Hours:
Friday Hours:
Saturday Hours:
Sunday Hours:
How Often:*
How many months would you like to commit to?*
VOLUNTEER COMMITMENT

BEFORE you make any commitments, please double-check that the days and hours you've chosen are convenient for you.

Please read the following statements carefully. Your submission of this form indicates that you agree to the following:

  1. I agree to make a commitment to volunteer for a minimum of:
hours*
  1. I understand that I am expected to be prompt in reporting for my assignments on the day(s) and hours which I have been assigned. I shall notify my supervisor/designee prior to the scheduled starting time if unable to be present, and am aware that two unexplained absences will be grounds for termination from the program. I shall notify my supervisor and the Volunteer Services Program two weeks prior to the end date.
  2. I understand that my services to Faith Works Community Outreach are entirely voluntary, and that I have not been promised nor do I expect compensation for my services. These services are for charitable or humanitarian objectives as well as for my personal purpose.
  3. I am not economically dependent on Faith Works Community Outreach for food, shelter, clothing, or pharmacy supplement benefits/services.
  4. I will abide by the rules of the organization regarding safety, confidentiality, infection control, and conduct.
  5. I further understand and agree that Faith Works Community Outreach may discontinue my service at any time, with or without cause, and without prior notice.
IMPORTANT: Volunteers who do not adhere to the policies of Faith Works Community Outreach or who fail to satisfactorily perform their volunteer duties are subject to dismissal. Possible grounds for dismissal may include, but are not limited to: misconduct, insubordination, not adhering to the proper dress codes, being under the influence of alcohol or drugs, theft of property or misuses of equipment or material, abuse or mistreatment of clients, facility, or other volunteers, and failure to abide by any Faith Works Community Outreach policies and procedures.