I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for acceptance and that the answers given by me are true and correct to the best of my knowledge. I further certify that I have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure acceptance as a volunteer shall be grounds for rejection of this application or for immediate discharge if I am accepted as a volunteer, regardless of the time elapsed before discovery.
I hereby authorize VNA Health to thoroughly investigate my references, work record, and other matters related to my suitability for volunteering and, further, authorize my former and current employers to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure.
In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I understand that nothing contained in the application or conveyed during any interview which may be granted is intended to create an employment contract for volunteering between me and the company.
In addition, I understand and agree that if I am accepted as a volunteer, my volunteer status is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and company’s designated representative.
Finally, I understand in addition to submitting this application, I will need to do the following to become a patient care volunteer: