In accordance with Age Well Senior Services, Inc., policy, I agree to keep confidential any and all information regarding Age Well Senior Services program participants and clients. This includes, but is not limited to, name, address, phone number, donation activity (anything pertaining to donations), medical information, and/or any other information that is in any way identifiable to Age Well Senior Services, Inc., program participants.

While volunteering for Age Well Senior Services, Inc., I hereby assume all responsibility for any and all risk of property damage or bodily injury that I may sustain while participating in any voluntary effort associated with Age Well Senior Services, Inc. including the use of equipment and facilities of Age Well Senior Services, Inc. Further, I agree to indemnify and hold harmless Age Well Senior Services, Inc., the Board of Directors, and their officers, employees and agents from any liability, loss or expenses resulting from any claim or litigation arising from my personal participation in the Volunteer Program

Thank you for volunteering for Age Well Senior Services, Inc. We could not serve as many seniors without your help. Please read and abide by this Code of Conduct to avoid any situations that comprise the integrity, independence, and reputation of Age Well Senior Services, Inc. It is presumed that this Code of Conduct will be in addition to your good judgment since we cannot contemplate all possible situations of actual or potential conflicts of interest. All Age Well Senior Services, Inc., volunteers must adhere to the following:

1. A volunteer may not accept personal gifts or gratuities from a client or participant.
2. Volunteers must maintain the confidentiality and privacy standards of Age Well Senior Services, Inc. A volunteer may not distribute/share/disclose/reuse client information, addresses, or contact outside AWSS.
3. Volunteers agree to participate in scheduled training.
4. Volunteers agree to wear appropriate clothes when volunteering and closed toed shoes when working in the kitchen.
5. Volunteers must work in support of their supervisor and abide by program regulations.
6. Age Well Senior Services, Inc., is a smoke free and drug free work environment.
7. Volunteers may be dismissed for reasons related to disrespectful conduct towards seniors,volunteers or staff.

Volunteers under 18 who are not accompanied by a parent or legal guardian are required to complete this section of the application. Without it, the minor will not be able to volunteer.

A parent or legal guardian of each minor must read and agree to the following:

By completing this form, I the parent or legal guardian of the named below, consent to the child’s participation in the volunteer activities organized by Age Well Senior Services. I understand that the child will be provided with orientation and training necessary for the safe and responsible performance of the volunteer duties and will be expected to meet all requirements of the position, including compliance with Age Well's policies and procedures.

I understand that my child will receive no monetary compensation for this work.