I understand that the information provided on this form may be disclosed for the purposes of volunteerism only and that my information regarding my volunteerism activities/hours/etc. can be shared between stations I serve and Volunteer Connections. I understand that if I use my personal automobile to and from my volunteer work station, I will arrange to keep in effect automobile liability insurance equal to or greater than the minimum required by the state. I agree to keep all information about clients, volunteers or other individuals obtained while volunteering confidential. I understand that I am not an employee of Volunteer Connections, the Human Services Council, nr any agency where I may volunteer. I am under no obligation to accept or continue any assignment unless I choose to do so. I understand that I may be terminated from volunteer assignments, and that I may pursue an appeal process as outlined in the Volunteer Connections Volunteer Handbook. I understand that some volunteer positions may require additional driving history checks and/or background check information. I grant the Human Services Council permission to use my likeness in photograph(s)/video in any and all of its publications or on Internet, whether now known or hereafter existing. I will make no monetary or other claim against Human Services Council for the use of the photograph(s)/video. I affirm that the information I have provided is accurate and that I have read and agree to the statements above.AGREEMENT: By entering my name below, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.
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