• Volunteer Application

  • Emergency Contact:    *   *      * 
    Relationship   *    

  • This question is optional. It is used for demographic purposes.

  • Confidentiality Agreement

    I understand that, serving as an employee/volunteer of the Utah AIDS Foundation, I may have access to confidential information concerning the Foundation, its staff members and its clients.  This information may be generated within the Foundation or obtained from outside sources.  Improper disclosure of confidential information constitutes a violation of trust and can involve the Foundation in serious litigation. Access may also be provided to information handling technology, such as computer systems and programs, which the Foundation has exclusive right to use and/or may be contractually bound to use in prescribed ways.  I acknowledge that misuse of information handling technology can constitute a violation of contractual and perhaps a violation of the law as well.  Consequently, I agree as a contractual condition of my participation in the Foundation that I will treat confidential information confidentially and use information handling technology carefully and not for personal gain or in violation of other privacy restrictions or requirements.  I further agree not to remove confidential documents, including lists, tapes and computer programs from the Foundation’s premises without prior written authorization from the Foundation’s Executive Director.  I understand that any violation of this on my part will be considered grounds for immediate termination and the Foundation may pursue appropriate recourse to carry out the terms of this agreement.
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  • Procedure Agreement

    In consideration of the training which I have/will receive from the Utah AIDS Foundation and the trust and confidence which has been placed with me, I agree to the following: I agree to hold harmless and waive any liability against the Utah AIDS Foundation for any accident, injury, loss, damage, etc., that I may incur or suffer while acting as a volunteer of the Foundation, and I agree to assume all risk associated with my volunteer duties, I have obtained the minimum insurance as required by the State of Utah and I accept responsibilities associated herewith.
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  • Photographic Release

  • I,     , hereby give permission to the Utah AIDS Foundation, its representatives and employees the right to take photographic images of me, film/video footage of me, or sound recordings of my voice. I authorize the Utah AIDS Foundation, its assigns and transferees to copyright, use, and publish the same in print and/or electronically.

    I understand that I will not receive remuneration of any kind.

    Moreover, I hereby waive claim to any rights, residuals, fees or other charges in connection with photographs, film/video footage or sound recordings with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. 

    The Utah AIDS Foundation greatly appreciates your participation.

        
                   

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