Apply to be a Volunteer

I certify that the answers given in this application are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application as may be necessary for the purposes of determining an appropriate and satisfactory volunteer position for me. I understand that this application is not, and is not intended to be, a contract. I understand that false or misleading information provided in my application or interview may result in my not being able to continue as a volunteer with HABcore.

In signing this agreement, I acknowledge that I have read and understood HABcore's confidentiality policies. I understand and agree that, in the performance of my duties as a volunteer, I must hold certain information regarding clients, employees, and other volunteers in the strictest confidence. Further, I understand that confidentiality is protected by Federal law (42CF R Part II and Uniform Health Care Act) and that any intentional or involuntary violation of confidentiality may result in disciplinary action including termination. A complete copy of HABcore's Confidentiality Policy can be requested from the Volunteer Coordinator.

I hereby release, indemnify, and hold harmless HABcore, Inc., its officers, directors, and employees, and the organizers, sponsors, a supervisors of all HABcore activities from any and all liability in connection with any injury I may sustain (including any injury caused by negligence) in conjunction with volunteering with HABcore.