MOSAIC Volunteer Agreement Form



As a volunteer, you are an important member of MOSAIC’s team and you act as a representative of our organization to the community at large. As a team member, we ask you to read and agree the following Volunteer Agreement.

As a MOSAIC volunteer, I agree to:

Represent MOSAIC:

  1. Support the Mission and Vision of MOSAIC
  2. Represent MOSAIC in a professional manner. Maintain smooth working relationships and respect in all my volunteer interactions with MOSAIC clients, employees, other volunteers in the program, and the community at large.
  3. Conduct myself in an appropriate and ethical manner when dealing with clients, employees and volunteers.

Respect Professional Boundaries:

  1. Avoid all situations in which my personal interests, or financial gain, conflict with MOSAIC policy or with client service considerations.
  2. Not offer any legal, financial or medical advice outside of my volunteer role description. 
  3. Any intellectual property developed in the course of my volunteer service will remain the property of MOSAIC.
  4. Treat MOSAIC property, equipment and supplies respectfully and for program purposes only.

Maintain Confidentiality:

  1. Maintain strict confidentiality regarding employee, volunteer or client information unless it is necessary to disclose to program staff for safety reasons, outlined below: 
    • Where a client represents a serious danger to her/himself or to others
    • In the case of known or suspected abuse of a child or dependent adult

    I understand, and agree, that all such information is to be treated confidentially and discussed only within the boundaries of my volunteer position at this organization.

Perform My Volunteer Role:

  1. Perform my volunteer role to the best of my ability
  2. Participate in orientation and training sessions when provided to help me in my volunteer role.
  3. Complete reports and/or timesheets as requested by program employee, in a timely manner.
  4. Arrive on time and ready for my volunteer shift. Provide the program employee with as much notice as possible if I are unable to attend a shift, or expect to be late.
  5. Wherever possible, give notice when I must leave volunteer services at MOSAIC.
  6. Consult program employees about any concerns I have about my role, client service or program delivery.

I further understand that breach of this agreement shall constitute grounds for and may result in termination of my volunteer status with this organization.

All the information I have provided on this form is accurate.

I understand that MOSAIC will keep my personal information private but may share it with the person I provided as my reference, staff supervisor and government employees who monitor Volunteer Resources.

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