MyImpactPage - JFS Teen Volunteer Application Form

Confidentiality and Consent Agreement

I understand that all direct work with clients/donors and performed by volunteers of Jewish Family Service is confidential and shall not be shared. If I work directly with clients I will take and pass the JFS HIPAA quiz before starting my volunteer work.

I understand that if working with items that will be gifted to seniors or patients that they will be handled with cleanliness in mind (gloves, when appropriate) and that if I am ill, I will not work on this project.

I understand that if I have any unused items that were provided to me by JFS at the end of my project, they will be returned within 7 days.

I understand that I will notify JFS staff as soon as possible if I am unable to fulfill my volunteer duties as expected so that alternate arrangements can be made. Should this take place, all items will be returned to the JFS office ASAP.

I understand that information provided on this application will be used for communications from Alexander JFS (including emails and newsletters). Youth volunteers will not be solicited for any fundraising but may be contacted in the future about potential volunteer opportunities. Should they wish to opt out, they may click unsubscribe at the bottom of the newsletter.

I agree to allow my likeness to be shared in organizational branding which includes photography, videography, social media, website and more.

I have discussed this agreement with my parent or guardian and I have been given their permission to become an Alexander JFS teen volunteer.

If I have any concerns about this agreement, I will contact a member of the Alexander JFS staff.

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

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	Username must not start with space
	Username must not end with space
	Username must not have two or more spaces in a row

Email Address

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Verify Email Address

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I have read and understand the confidentiality and consent. Required

I already have a username

If you have signed up with this organization before, or are a member of another organization that uses MyImpactPage.com, you can use the same login to access all organizations with which you are associated.

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I have read and understand the confidentiality and consent. Required

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