Volunteer Application Of Compass (Page 2 of 6) in pdf

Volunteer Application Of Compass Page 2

Emergency Contact:

1. Name: ______________________________________________________

Relationship: ____________________Phone: Home/Cell _______________Phone: Work _____________

2. Name: ______________________________________________________

Relationship: ____________________Phone: Home/Cell _______________Phone: Work _____________

VOLUNTEER’S BILL OF RIGHTS

1. The right to be treated with dignity and respect as a coworker.

2. The right to be oriented to the residents, the building, the services, and policies.

3. The right to a suitable assignment, with consideration of preferences noted in

application

4. The right to have guidance, direction, and continuing education from a staff member as

volunteer duties increase/change.

5. The right to be heard, make suggestions, and express your opinions with staff (not

residents).

CONFIDENTIALITY: VOLUNTEERS

It is the policy of the facility to:

1. Respect residents, family, and employees’ right to privacy regarding their personal lives

and their experiences while in the facility.

2. Ensure that resident information remains confidential and to remind that it is not to be

shared outside of the facility.

(HIPAA: Health Information Portability and Accountability Act)

3. Require all actual or incidental information about residents, families, employees, or

facility functions to be kept in strict confidence by volunteers.

4. Require all volunteers to sign a confidentiality statement.

5. Resolve any concerns from residents, families, visitors, or volunteers. Communicate

directly with the Activity Director regarding concerns or suggestions.

I understand and will honor confidentiality policy and rules.

___________________________________________________

Date

Signature

_____________________________________________________

Date

Parent/Legal Guardian Signature

(If under 18 years of age)

Volunteer Application Of Compass Page 2