Volunteer Application

Full Name:*

Nickname:

Are you over 18 years old?*

YesNo

Address: (Street, City, State, Zip)

Home Phone:

Cell Phone:

Work Phone:

Employer

Email Address Type:*

WorkPersonal

Email Address: *

example@example.com

Emergency Contact Name:

Relationship:

Emergency Contact Phone Number:

I am interested in Special Event volunteer opportunities at Noble including:

Raising the StakesNoble Golf ClassicEvening in the Garden

I am interested in the following Special Events volunteer options:

Joining the Event CommitteeEvent Day Volunteer Only

I am interested in other volunteer opportunities at Noble, including the following:

Noble Auxiliary – plan and execute Noble’s largest fundraiser, “A Noble Evening in the Garden”Office Support – filing, mailings, copying, data entry, answering phones, etc.Facility Support – landscaping, cleaning, painting, gardening, cleaning vans, etc.Program Support – assisting with activities for the individuals served by NobleNoble Day Camps – helping with camp activities during June and/or July

By signing below:

I authorize Noble and its designated representatives to investigate all of the information contained in this application. I understand and agree that an omission or misstatement of any of the information requested will result in disqualification, regardless of the date of discovery.

I understand the process may include appropriate background checks, including State and County Criminal History report, Certified Nurse’s Aid Registry Search, and a Sex & Violent Offenders Directory Search. A conviction record will not necessarily disqualify me as a volunteer. If driving will be involved, a driving record and proof of insurance may be required.

I grant Noble the right to use my photograph, voice or image, with or without my name, for any and all purposes, including, but not limited to, presentations on radio, television, social media, or in other public or private places, advertising, publicity and promotion relating thereto.

The volunteer relationship can be terminated, with or without cause and without notice, at any time, at the option of either the volunteer or Noble.

By signing below you acknowledge and agree to Noble's Confidentiality Agreement.

Confidentiality Agreement

Certain safeguards are taken to protect the confidentiality of information collected and maintained by this agency regarding persons served and general business practices. All volunteers of the organization must abide by Human Resources Procedure #1.14: Confidentiality and General Program Procedure #5: Confidentiality of Information,

In addition, whereas the Volunteer will receive training from Noble in order to enable Volunteer to support and/or perform the services required by Noble, and will become acquainted with the business and affairs of Noble, its officers and employees, its Services, business practices, the needs and requirements of its clients and potential clients, trade secrets and other confidential information that Noble has or will acquire at its cost and expense, therefore:

On and after the date of this agreement, Volunteer shall not use or disclose to any person, firm, corporation, association, or any other entity for any reason or purpose whatsoever any Confidential Information (as outlined below) relating to Noble or its affiliates which Volunteer acquired at any time before or after the date of this Agreement. As used herein, “Confidential Information” means any confidential or proprietary information including without limitation marketing techniques, accounting or financial data or methods, techniques or strategies, trade information, trade secrets, client lists, potential client lists, information relating to clients or potential clients, research, client services, software design and documentation, marketing information, projections, business plans and other materials or records of a proprietary nature which are not generally known to the public.

All Noble records and copies thereof are and shall remain the property of Noble, and Volunteer agrees to keep such documents subject to Noble’s custody and control, and to return promptly to Noble all records, copies of records and all other property of Noble that are in the Volunteer’s possession or under the Volunteer’s control or custody at the point of separation from the Agency.

Signature of Volunteer

Date