Medical Reserve Corps Volunteer Agreement and Policies
I hereby certify that all information on this application is accurate and correct and hereby make an application to the Lake County Medical Reserve Corps. I understand that I am applying for a volunteer position, and this is not an application for, nor a contract of, employment. I acknowledge that my participation with Lake County Health Department is voluntary, and I will receive no financial compensation or other consideration. I understand that this application does not automatically make me a credentialed volunteer and that further processes and training will take place.
Volunteer Risks: I understand that every attempt will be made to reduce the risks to volunteers; however, some risks may be presented, not to exclude blood borne pathogens, during a public health emergency or disaster.
Background Check: I further understand that I will submit my information, at no cost to me, for criminal background checks. In addition, I understand that my medical or behavioral health professional licensure status will be verified by the Lake County Medical Reserve Corps.
Disclosure of New Convictions: I agree to report any new criminal conviction, felony, or misdemeanor to the Medical Reserve Corps Unit Leader within 7 days of such conviction.
Confidentiality: I agree to respect the rights, property and confidentiality of clients, staff and other volunteers. I agree that I shall not disclose any confidential information maintained by the Lake County Health Department to any unauthorized person. Furthermore, I agree to adhere to the rules/instructions of my volunteer job assignment so as not to jeopardize operations or procedures.
Dress Code: I understand that if I have been provided a Lake County MRC shirt, I should wear it to MRC community events. I also understand that a dress code may apply for certain events. For those special circumstances, I can find dress code requirements under the Activity Details for the event in the Opportunities tab of Better Impact.
Photo Release: I hereby authorize Lake County Health Department and the Medical Reserve Corps permission to use my likeness in a photograph or video in any and all of its publications, including printed and digital publications. I authorize Lake County Health Department and the Medical Reserve Corps to publish and distribute these photos or videos for purposes of publicizing Lake County Health Department programs or the Medical Reserve Corps or for any other related, lawful purpose. In addition, I waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of a photograph.
Policies:
We are committed to maintaining a safe and harassment-free environment at our volunteer field locations. Please review the following policies:
I acknowledge receipt of the following policies. I understand it is my responsibility to read policies prior to volunteering with the Lake County Health Department.
