1. To perform volunteer duties for the length of time and specified schedule that you list for CHW (note, a minimum of three months service is preferred for after-school shifts)

2. To adhere to all CHW policies and procedures covered in the volunteer orientation.

3. To report any child, elder, and/or domestic abuse as described in the Volunteer Orientation Training to the Community Building Coordinator or the Volunteer Coordinator, so that they may take proper action.

4. To not use my volunteering as an opportunity for personal gain in my professional life and connect with CHW communities in order to gain access to personal information.

If you agree to the above commitments, then please sign your name below, electronically.

As a volunteer of Community HousingWorks and/or its subsidiaries, I agree to the following terms and conditions relative to my receipt of certain confidential and proprietary information of CHW.

1.  To keep confidential and not disclose to any third party, without CHW’s written permission, information presented or made available to me as a volunteer.

2.  That such confidential information may take many forms, but is likely to include CHW’s plans, ­­­­­­reports, proposals, agreements, organizational documents, studies, forecasts, descriptions, wage/salary information, feasibility studies, strategic/business plans, market analysis, financial statements, recommendations, negotiating strategies and positions, due diligence reviews and reports, pricing information, member and customer information, requests for proposals and responses thereto, and other materials made available to me as a volunteer.

3.  Not to disclose confidential information that I receive at CHW Board or Staff meetings, or on conference calls except to (a) persons who have signed confidentiality agreements similar to this agreement with CHW and (b) to CHW, whom I represent on the Board, Committee and only to the extent that such disclosure is necessary to perform my duties as an employee. This includes all materials developed during company time.

4.  That this Confidentiality Agreement does not apply to information which I was aware of prior to my volunteering with CHW and/or prior to CHW disclosing such information to the Board, Committee, volunteers or Staff, or information in the public domain, or any information disclosed to me by a person (other than a CHW Director, Officer, Employee, Agent, Committee Member or Representative) not bound by any confidentiality obligations with respect to such information.

5.  That I will continue to honor my obligation under this agreement throughout the duration of my volunteering. In the event that my volunteering is terminated, I will maintain the confidentiality of, and will not disclose the confidential information made available to me during my employment. In Witness Whereof, this Confidentiality Agreement has been entered into on the date set forth below:

This Release and Waiver of Liability (the “Release”) executed on(date) by volunteer releases, Community HousingWorks (“Nonprofit”), a nonprofit corporation organized and existing under the laws of the State of California and each of its employees, directors, officers, representatives, and agents. The Volunteer desires to provide volunteer services for Nonprofit and engage in CHW volunteer activities (the “Activities”).

Volunteer understands that the scope of Volunteer's relationship with Nonprofit is limited to a volunteer position and that no compensation is expected in return for services provided by Volunteer; that Nonprofit will not provide any benefits traditionally associated with employment to Volunteer; and that Volunteer is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of Volunteer's services to Nonprofit. Volunteer acknowledges that he/she is not an employee.

In exchange for being allowed to participate in the Activities as a volunteer and for other good and valuable consideration, the receipt and sufficiency of which I acknowledge, I hereby freely, and voluntarily execute this Release.

1.     Waiver and Release: I, the Volunteer, release and forever discharge, release and hold harmless Nonprofit and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide to Nonprofit. I understand and acknowledge that this Release discharges Nonprofit from any liability or claim that I may have against Nonprofit with respect to bodily injury, personal injury, illness, death, or property damage or property loss that may result from the Activities, whether caused by the negligence of the Nonprofit or otherwise.

2.     Insurance: Further I understand that Nonprofit does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance and workers’ compensation insurance. I expressly waive any such claim for compensation or liability on the part of Nonprofit beyond what may be offered freely by Nonprofit in the event of injury or medical expenses incurred by me. 

3.     Indemnification: I hereby agree to indemnify, defend, and hold harmless the Nonprofit from any and all liability, losses, damages, judgments, or expenses, including attorneys’ fees, that may incur or sustain as a result of my negligence, recklessness, or willful misconduct in connection with my participation in the Activities, arising out of any third-party claim.

4.     Medical Treatment: I hereby give consent and authority to Nonprofit to obtain medical treatment on my behalf if I am injured or require medical attention during my participation in the Activities.  In understand and agree that I am solely responsible for all costs related to such medical treat, medical transportation and/or evacuation.  I hereby Release and forever discharge Nonprofit from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with Nonprofit.

5.     Assumption of Risk: I understand that the services I provide to Nonprofit may include activities that may be hazardous to me including, but not limited to involving inherently dangerous activities. As a volunteer, I hereby expressly assume risk of injury or harm from these activities and Release Nonprofit from all liability.

6.     Photographic Release: I grant and convey to Nonprofit all right, title, and interests, including any royalties or proceeds, in any and all photographs, images, video, or audio recordings, and consent to the Nonprofit’s use of, me or my name, likeness or voice in perpetuity, in any medium or format, made by Nonprofit in connection with my volunteer services.

7.     Other: I expressly agree that this Release represents the full understanding between the Nonprofit and me and supersedes all prior agreements, understandings, representations and warranties, both written and oral, between us, with respect to the subject matter hereof. This Release is binding on and inures to the benefit of the Nonprofit and me and our respective assigns, heirs, executors, administrators and legal representatives.  This Release is intended to be as broad and inclusive as permitted by the laws of the State of California and shall be governed by and interpreted in accordance with the laws of the State of California. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE NONPROFIT.

I hereby authorize Community HousingWorks (CHW) to use my likeness in a photograph or video/sound recording or automated digital media recordings over online meeting platforms to further the CHW mission.

I consent that CHW has the right to copyright, publish, use, and/or assign any and all images, pictures, video and/or sound recording taken or made of me or in which I may be included in whole or part. I grant permission to allow these images and/or
recordings to be used in print and/or electronically at the discretion of Community HousingWorks for any lawful purpose, including for example such purposes as publicity, illustration, advertising, promotion and Web content. I relinquish all rights, title or interest to any products, reproductions or facsimiles, and acknowledge that I will not receive financial compensation of any type for such use.

I certify that the information contained in this application is true and correct to the best of my knowledge and agree to have any of the statements checked by CHW unless I have indicated to the contrary. I understand that volunteer placement is a selection process and not all applicants are accepted into the program.

Furthermore, this application does not constitute, in any way, that I am a paid employee of CHW, nor its affiliates and I am solely a non-paid volunteer by my own will and understanding. Nor does this document act as promise of future paid employment.

I, the Volunteer, release and forever discharge and hold harmless Nonprofit and
its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide to Nonprofit. I also agree to keep information I learn about the organization and its clients confidential.

The following internal procedure has been created in accordance with Federal, State and county guidance in an effort to protect our residents and volunteers while continuing to provide resident services to our communities.

Please review and complete the following forms prior to volunteering during the Study Stars After School Program:

• Be at least 16 years old or older
• Must have completed the volunteer checklist and onboarding process
• CHW encourages up-to-date COVID-19 vaccination of volunteers AND encourages Volunteers to submit proof of COVID-19 vaccination attestation form and complete COVID safety trainings and forms.  ALL Volunteers are required to report COVID-19 positive and COVID exposures before volunteering for clearance by CHW to volunteers. ALL volunteers are volunteering at their own risk of exposure.
• Review the CHW-provided COVID Safety Training Videos

Pursuant to California state law, Community HousingWorks (CHW) volunteers are required to follow the below guidelines:

General Protocols for Volunteers:

Do NOT volunteer for any activity if in the last 5 days:

• You have displayed COVID like symptoms or do not feel well. YOU MUST STAY HOME.
• You have confirmed with CHW staff that there is a need for the activity, that it will be conducted, and that volunteer support is needed and expected.

COVID-19 Incident Reporting Internal Procedure for Volunteers:

The following steps are required to follow when reporting coronavirus incidents to property management and CHW staff.

1. Volunteer is to direct resident to contact Community Manager immediately over phone or email of a confirmed, exposure or potential exposure or COVID-19 at the property.
2. Volunteer is to complete the Incident Report Form. Please do not disclose name of resident, indicate name of CHW community and Building Number.
3. Submit an incident report via email to incidentreport@chworks.org
4. Incident Report will then be routed to CHW staff and Property Management team
5. Property management and CHW staff will then proceed with appropriate procedures and next steps

If a volunteer is exhibiting symptoms of COVID-19, has tested positive for COVID-19:

1. Volunteer will be discreetly separated and asked to return home immediately. They will be encouraged to seek medical care and test for COVID-19  and  remain home until their symptoms have improved and/or it has been 5 days from when symptoms presented and has improved with no fever for 24 hours. Volunteer will be asked to share who they interacted with in the last 2 days and what community room spaces they have entered. Those who had direct interaction with the volunteer will be notified of possible exposure and asked to return home and self-monitor.

I, {name} attest the following:

2.  I have lost and am otherwise unable to produce proof of my vaccination through any of the following means of documentation:

• A record of immunization from a health care provider or pharmacy;
• A copy of the COVID-19 Vaccination Record Card;
• A copy of medical records documenting the vaccination;
• A copy of immunization records from a public health, state, or tribal immunization information system; or
• A copy of any other official documentation that contains the type of vaccine administered, date(s) of administration, and the name of the health care professional(s) or clinic site(s) administering the vaccine(s). 

3. Below are the details regarding my vaccination(s) to the best of my recollection:

Dose No. 1

Dose No. 2 (If Applicable)

4. I declare that this statement about my vaccination status is true and accurate. I understand that knowingly providing false information regarding my vaccination status on this form may subject me to criminal penalties.  

CHW COVID Safety Training Video I certify that I have watched and understand the COVID Safety Training Videos Hand Hygiene and Mask Wearing provided to me by Community HousingWorks Team, while the CALOSHA COVID Safety Training Videos are currently unavailable due to updates.

1. Workplace Hand Hygiene Video (1 minute)
2. Mask Video (3 minutes)