Please complete this application form if you are interested in becoming a Harvest Home volunteer.


Contact Information


Skills/Area of Expertise

Please share all skills or areas of expertise you would like to contribute to Harvest Home.



Volunteer Interest Areas

Please check the preferred areas you wish to volunteer in.



Availability

Please indicate the days and times you are usually available to volunteer.



Emergency Contact Information

In case of emergency please provide the following information.



Confidentiality Statement and Liability Waiver

ALL INFORMATION concerning clients, former clients, our staff, volunteers, and financial data, and business records of Harvest Home is CONFIDENTIAL. "Confidential" means that you are free to talk about Harvest Home, our program and your position, but you are no permitted to disclose clients' names, share personal details about their situation, or talk about them in ways that will make their identity known.

It is also PROHIBITED to share client names, client photos, or Harvest Home's address on SOCIAL MEDIA or ANY PUBLIC FORUM. No information may be released without appropriate authorization. This is a basic component of client care and business ethics.


Additionally, I agree to the following:


My role is as a volunteer, and, as such, I will receive no financial reimbursement for services rendered.


I will bring to the attention of Harvest Home staff any information or questions that arise of a legal nature.


I recognize that any and all information shared with me as part of my duties as a volunteer is confidential and shall not be divulged to unauthorized individuals, agencies, or organizations.


I will not copy, transcribe, record, or memorize confidential information in any manner, nor disclose or use such information for any purpose other than for the limited purpose of providing the assigned services at Harvest Home.


I, hereby release and agree to hold harmless Harvest Home, its members, affiliates, and employees or loaned executives of any and all liability that could possibly be incurred as a result of my negligence, intentional or unintentional, during the commission of my responsibilities as a volunteer for Harvest Home.


I further release and hold harmless Harvest Home, its members, affiliates, and employees or loaned executives of all liability with regard to any physical or emotional harm that I may sustain during the time I volunteer, or as a result of my participation in the project as a volunteer, or in any other activity sanctioned by Harvest Home.


THIS AGREEMENT shall be governed by and construed in accordance with the laws of the State of California.


I have had the opportunity to read and understand the release and acknowledge that by signing the document, I am waiving certain legal rights in the event of injury.


BY CHECKING BELOW, I accept and agree to the terms contained above.