Volunteer Packet

WE CAN Volunteer Packet

Today's Date

First Name

Last Name

Mailing Address

Mailing Address Line 2

City

State

Zip Code

Best Phone

Phone Type

Cell

Home

Business

Other

Preferred method for communication

Phone

Text

Alternate Phone, if any

Phone Type

Cell

Home

Business

Other

Emergency Information

Emergency Contact First Name

Emergency Contact Last Name

Relationship

Emergency Contact Phone

Are there any allergies or medical conditions WE CAN should know about?

Demographic Information

To understand the impact of WE CAN in the community, we would like to ask you some identifying questions. All information is confidential.

Date of Birth (month, day, year)

Gender

If other, please specify:

Primary Language

Other Languages Spoken

Race Self-Identification: (Please select the category that most closely fits your identity)

Black and African American (Including Caribbean or African Black, Afro-Latino/Afro-Caribbean, Other Black Heritage)

Asian or Asian American (including East Asian, South Asian, West Asian, Southeast Asian, and Other Asian)

White (Including European Heritage, UK Colonial ex: Australian, Hispanic White Heritage, Other White)

Indigenous or Indigenous American (Including Native American, First Nations, Alaska Natives, Hawaiian, Pacific Islander)

Multi Racial

Prefer not to say

Do you identify as Hispanic/Latino?

Yes

Prefer not to say

Photo/Video/Media Release

I hereby grant WE CAN, its successors and assigns and those acting under its authority, and those for whom it is acting, the absolute right, for as often as it may elect, to copyright and/or use and/or publish any media pictures/video/media of me or in which I may be included in whole or in part, or in conjunction with my own or a fictitious name, or reproductions thereof in color or otherwise, made through any media for outreach, education, advertising, trade, or any other lawful purpose whatsoever.

I hereby waive any right that I may have to inspect and/or approve the finished product or the advertising copy that may be applied. I understand that under no circumstances shall I have any right to maintain any cause against WE CAN, or anyone else by virtue of the terms of this agreement, or anything done pursuant hereto.

I agree

I decline – it is my responsibility to remove myself from any photo/video being taken

Website Permission

We like to list our individual volunteers on our website as a way of thanking them and recognizing the value they bring to WE CAN. With your permission, we would like to add your name to this list.

I do wish my name to be included on WE CAN’s website list of volunteers.

I DO NOT wish my name to be included on WE CAN’s website list of volunteers.

Anti-Harassment Policy

It is WE CAN’s policy that all employees and volunteers should be able to enjoy a work atmosphere that is free from sexual harassment and other forms of discriminatory harassment based on race, color, gender identity, religion, sexual orientation, marital status, age, national origin, disability, genetic background, ancestry, active military or veteran status or any other protected category.

Sexual and other forms of discriminatory harassment of employees or volunteers by other employees, volunteers or participants of WE CAN occurring in the workplace or in other settings connected with their WE CAN involvement is unlawful and will not be tolerated. Further, any retaliation against an individual who has complained about discriminatory harassment or against individuals who cooperated with an investigation of a discriminatory harassment complaint is similarly unlawful and will not be tolerated.

Because WE CAN takes allegations of harassment seriously, we will respond promptly to complaints of harassment and, where it is determined that such inappropriate conduct has occurred, we will act swiftly to eliminate the conduct. WE CAN will impose any and all corrective actions deemed necessary, including disciplinary action where appropriate.

WE CAN encourages any volunteer who feels that he or she is being harassed or has witnessed harassment to come forward without fear of reprisal. Your complaint should be made either verbally or in writing to the board president.

I have received and reviewed the contents of WE CAN’s Anti-Harassment Policy.

Volunteer and Staff Confidentiality Statement and Agreement

In your work with WE CAN, you will be exposed to a range of confidential matters and information. Confidentiality is vital to WE CAN. There are three (3) main areas of confidentiality, which follow:

1. Participant information is confidential and is to be shared only among WE CAN staff, except in cases where there are legal considerations involved in the individual’s care. At no time shall the identity or specific situation of a participant be discussed inside or outside of WE CAN, except in a context relative to helping and supporting the individual. (Note: a participant of WE CAN is someone who receives any service from WE CAN).

2. Proprietary information of WE CAN is confidential and is not to be shared outside of the building. Proprietary information includes technical data, donor information, copyrights, and mailing lists (including participant, employee, and volunteer addresses and phone numbers). Please be aware that WE CAN owns proprietary information, and you cannot use it without express written permission of the Executive Director.

3. Information shared by colleagues and/or coworkers, including participants who are volunteers or employees, must be afforded a certain level of discretion and respect for a person’s privacy. This includes any information shared by people with colleagues about their personal life or matters at WE CAN.

4. All employees, volunteers, and consultants of WE CAN must agree to this confidentiality agreement. If you are unsure about the confidential nature of specific information, you should ask the Executive Director for clarification.

I have read and agree to abide by the above policy. I further understand that the violation of this confidentiality policy may subject me to discipline, including dismissal and possible prosecution.

WE CAN Volunteer Handbook & Policies

I have received, read, and agree to abide WE CAN's Volunteer Handbook & Policies

WE CAN Volunteer Service Description

I have received, read, and agree to abide WE CAN's Volunteer Service Description

Your Signature

508-430-8111

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