LVC inquires about certain health issues out of respect for the needs of each individual person and of the needs of community. Past medical history with physical and/or mental health concerns does not remove you from our program; however, your openness to discussing these issues helps LVC know how best to support you and your potential community during the upcoming year. We ask you these questions so that we can understand your needs and so that you can learn about the support LVC is able to offer you and what is beyond our ability to support. Please complete this form with honesty and accuracy, to the best of your knowledge. This form will only be shared with your regional program staff and Operations Director. If you have any questions please contact firstname.lastname@example.org.
Please submit this form by June 1, 2017.
LVC Staff may ask LVCers to seek counseling if they display unhealthy behavior or if their behavior negatively affects work or community life, as outlined in the Volunteer Handbook (p. 10, 11, 16, 26, 27).