Organization Policies
Confidentiality: I acknowledge that all Lutheran Family Services Rocky Mountains (LFSRM) client-related or donor-related information is to be kept confidential by the volunteer. Client information, including but not limited to client-related records and the information contained in them, may be released only if authorized by law and in accordance with Lutheran Family Services Rocky Mountains (LFSRM) policies and procedures. I acknowledges that policies and procedures with regard to client or donor confidentiality have been explained to them and that I understands those policies and procedures.
References: I hereby give my consent for the Lutheran Family Services Rocky Mountains (LFSRM) to contact my references
Media: I hereby consent, authorize and grant permission to the employees or representatives of Lutheran Family Services Rocky Mountains for the collection and use of my personal images, either by photography and audio/video recording, taken while volunteering for the agency and do further consent to publication, circulation, or dissemination of said media for any purpose Lutheran Family Services Rocky Mountains deems appropriate.
LFSRM Publications: I hereby give my permission for LFSRM to send me newsletters and other agency publications via email or postal mail.
Reporting: I agree to submit a monthly record of my service. I also agree that all time, mileage and donation information indicated on reporting forms that I submit to Lutheran Family Services Rocky Mountains is true and complete, unless I notify LFSRM in writing of errors or omissions within 5 business days of original submission.
Electronic Submission Forms: I hereby agree that my typed signature on forms electronically submitted to Lutheran Family Services Rocky Mountains represents my written signature.
Background Check: I understand that to work directly with clients of Lutheran Family Services Rocky Mountains, I must consent to a background check to be conducted by LFSRM or myself, including motor vehicle record check if work includes driving LFSRM clients.
Withdrawal of Consent: I understand I can withdraw my consent to this release agreement at anytime in writing to Lutheran Family Services Rocky Mountains at the address listed below.
I have read, understand and commit to the terms stated above. I declare that my answers and all statements made by me herein are true and correct.
