Volunteer Patient Description and Policy

Thank you for taking the time to sign up for our Volunteer Patient opportunity.  We recruit for this all year round, but you will only have to complete this form once.  We will send you notifications when Final Drill dates are announced and Volunteer Patients are needed.  Please note being a Volunteer Patient is not the same as being a student in a CERT Academy.  This is a Non-CERT activity that supports the academy.  As such, we are able to invite participants age 13 and older, unlike the CERT Academy, which requires participants be 18 and older. 

By completing this application and checking the box next to "Volunteer Patient Policy Acceptance", you confirm that you have read and understand the following:

I agree (or agree to inform my child) to perform only those tasks assigned, observe all safety rules and use care in the performance of assignments.

If, I (or my child) cannot complete the project or otherwise meet my commitment, I (or my child) will notify the supervisor immediately.

I understand that I (or my child may be photographed, videotaped, or recorded and that the resultant photographs, videos or recordings may be used for promotional materials, including but not limited to print materials and on social media. I understand that I (or my child) will not receive compensation for the use of these and that I (or my child) might not be given notice of when these materials are used.

I (or my child) acknowledge that the City Council has adopted legislation governing liability and Workers Compensation claims that may arise from my (or my child’s) volunteer service. I understand that I (or my child) must follow policies and procedures, per City staff supervising my volunteer efforts, which ensure compliance with such legislation.

I acknowledge that I (or my child) may be dismissed at any time.

I am new to MyImpactPage.com

You will need to enter a unique username to identify yourself to the system. You should select something that is easy for you to remember such as your email address or your name. Your username must be at least 6 characters long. If the name you enter is already in use by someone else, you will be prompted to choose another username.
Username must not start with space
Username must not end with space
Username must not have two or more spaces in a row

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