I hereby affirm that the information provided on this application is true and complete to the best of my knowledge. I understand a misrepresentation of facts constitutes cause of separation.
If placed I will volunteer on a regular basis, be dependable, and honor all Genesys Health System and volunteer policies and guidelines. I hereby authorize present and former employers, associates, schools, credit organizations, law enforcement agencies, military organizations, and/or other persons to provide Genesys Health System with any information which may aid in determining my suitability for volunteering. Additionally, I release those individuals and/or organizations contacted from all liability whatsoever for issuing the requested information, and hereby waive my right to receive written notice of any such information provided. I also hereby release Genesys Health System, its affiliates and employees from any and all liability and damages for requesting, releasing and using information concerning me, my work and performance record.
It is clearly understood that there is no employer/employee relationship and that as a support volunteer I am not entitled to compensation or fringe benefits of any kind for voluntary services.
By submitting this application on-line, I agree to the above written statement.
A telephone interview will be scheduled when your completed application is recieved