Volunteer Acknowledgement Attestation

Thank you for volunteering with Senior Services! We are excited to have you join our team.

Please check the boxes and sign below to indicate that you have reviewed the Senior Services Volunteer Handbook, Liability Waiver, and Volunteer Orientation Video and that you understand the policies that apply to your volunteer assignment.

1. Please enter your name. *This question is required.

2. I attest that I have reviewed and understand the following (check all that apply):

Volunteer Orientation Video
Liability Waiver (Social Networking Policy, Cellular Phone/Wireless Technology, Safety and Health Policy, Drug Free Workplace Policy, HIPAA and Confidentiality, Photo/Video Policy
Volunteer Handbook

3. Email Address: *This question is required.

4. Sign with your mouse in the large box and type your name in the smaller bottom box to complete your acknowledgment of the above.

Clear

Signature of