Volunteer Commitment
Volunteer Commitment
I agree to serve as a Volunteer with your organization and in this capacity, I may serve as a member of the team in a variety of roles. These roles may include patient and family support, office/administration assistance, community outreach, and more. Depending on my assignment(s), I also may expect to travel as a volunteer with you.
I acknowledge that I must submit to a background check, reference checks, 1 step tuberculosis test, fingerprinting (requires valid social security number and state driver's license or ID)) and drug testing (amphetamines; barbiturates, benzodiazepines, cannabinoids, cocaine, methadone, opiates, phencyclidine, propoxyphene) which will be paid for and completed by the agency. I will provide a health form signed by a medical professional. I understand that in general there is a minimal risk of personal injury and that the agency will take reasonable and customary precautions to ensure my safety. I pledge to act responsibly as a volunteer with you and will avoid situations that may put me at extraordinary risk.
I recognize that I am covered under the agency’s liability insurance for anything that might happen to a patient or family member as a result of my service. However, I am aware that any personal injury sustained during a volunteer assignment will not be covered under the agency’s policy and must come under my personal insurance coverage.
I understand that as a volunteer working with your organization, the following is expected of me:
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A one-year commitment to the volunteer program.
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All volunteer assignments will only be accepted through the Volunteer Department.
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Accurate and up to date documentation.
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Dependability when assigned to patient/family/administrative tasks and other special projects.
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A minimum attendance of 1 in-service (education event) per year.
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All training requirements (e.g., courses, competencies) must be completed within the timeframe allotted and I will complete a tuberculosis surveillance form annually.
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On an annual basis I will have a discussion with a volunteer coordinator about my performance and complete a competency assessment.
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Advance notice of resignation from program.
As a hospice volunteer, I will respect the confidentiality of all information gained in the course of my work, and I will allow each patient/family the freedom to define the type of care they wish to receive.
I understand that I may withdraw from any case for any reason after discussion with the Volunteer Coordinator.
In return for my volunteer work, paid staff will provide me with training, continuing education, and ongoing support. Specifically, I will receive supervision, encouragement and recognition from the Volunteer Services Team and other agency employees.
This commitment will remain in effect until mutually agreed upon with the Volunteer Supervisor.
