At times, information concerning a volunteer may be used in a press release, for fundraising purposes or other reasons deemed appropriate by HPCCR. By submitting this application, the volunteer provides consent for HPCCR to use the volunteer’s name, title, portrait, picture, video image, photograph, or any reproduction likeness or quotation of the volunteer’s remarks for public information, fund-raising purposes, or other organization programs as approved by HPCCR.
HPCCR is not obligated to provide a placement, nor are you obligated to accept a position offered. Opportunities for volunteers are provided without regard to race, religion, gender, ethnic origin, disability, age, or sexual orientation.
I understand that all volunteers represent HPCCR and are subject to the rules, and regulations of the organization. I authorize the organization to acquire additional information from references included in this application, and I hereby release them, their companies and HPCCR from any liability whatsoever concerning information obtained through this application.
HPCCR Volunteers are expected and required to report on time for accepted assignments and in appropriate mental and physical condition for work. It is our intent to provide a healthful, safe, and secure work environment. However, as a volunteer with Hospice & Palliative Care Charlotte Region (HPCCR), I understand that I am volunteering at my own risk whether at an HPCCR facility, third party facility, special event, patient homes, or while commuting. I understand that HPCCR is not liable for any claim that I may have with respect to any bodily injury, personal injury, illness, death, or property damage that may result from volunteer activities whether caused by the negligence of HPCCR or its board of directors, employees, agents or otherwise. I also understand that HPCCR does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.
The information provided has been completed thoroughly and truthfully by the Volunteer Program applicant. This application and any other documents obtained during the application process will remain confidential in the HPCCR Volunteer Services Office.