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Generations Volunteer Form

A program of Vincennes University, Generations is the Area 13 Agency on Aging & Disability PO Box 314

1019 N. 4th Street Vincennes, IN 47591


Phone: 812-888-5880

Generations Toll Free: 1-800-742-9002

Fax: 812-888-4566

** A parent's/guardian's permission is required for students under the age of 18 **

Release of Information
I give Generations permission to release my picture and information for news releases
If you drive your own car to volunteer assignments, you are covered by insurance in excess of your own insurance. You are also covered for personal injury (accidental) occurring during your volunteer activities. This is a benefit and at no cost to you.
(can indicate estate or an individual)
Please check all areas of interest. This will help us match your interest with the various volunteer opportunities. Orientation and training will be provided for all volunteer services.
Voluteer Agreement
Thank you for your interest in Generations’ volunteer program. Please review and sign. If accepted into the Generations’ volunteer program, I agree to: 1. Authorize Generations volunteer staff to complete a limited criminal background check through a local or state law enforcement agency. 2. Hold all information confidential that I may obtain directly or indirectly concerning VIP’s, nursing facilities and staff - and not seek to obtain confidential information from a VIP, if assigned to AngelWorx. 3. Abide by the policies and procedures of the program and uphold its philosophies and standards. 4. Donate my services to the program without contemplation of compensation or future employment. 5. Be punctual and conscientious, conduct myself with dignity, courtesy and consideration of others, and endeavor to make my work professional in quality. 6. Carry out assignments and seek the assistance of Generations volunteer staff when necessary. 7. Take any problems, criticisms or suggestions to the Generations volunteer staff. 8. Contact my assigned VIP or Nursing facility at least twice a month by letter, phone call and/or visit, if assigned to AngelWorx. 9. Report my volunteer time to Generations volunteer staff by the 5th of each month by email, phone call or mail. 10. Report all accidents to the Generations volunteer staff immediately.
I have received and read the above conditions which I agree to follow.
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