Volunteer Confidentiality and Release Form
I, as a volunteer for Masbia, agree to abide by all rules and policies of Masbia including but not limited to professional behavior, appropriate attire and the policies detailed below.
I understand that Masbia is a drug-free environment and I agree not to use, possess, distribute, sell, manufacture, or be under the influence of alcohol or any illegal substance while on Masbia’s premises. I also understand that smoking is prohibited on Masbia's premises in accordance with applicable laws.
In case of accidents that result in injury, regardless of how insignificant the injury may appear, I agree to notify my supervisor and/or the Human Resource Director within twenty-four hours.
I understand that all Masbia records and information relating to Masbia, its donors, vendors and clients are confidential property of Masbia and I agree to not disclose any confidential information, purposefully or inadvertently (through casual conversation), to any unauthorized person inside or outside the organization, I agree to consult my supervisor for clarification if I am unsure whether someone is an authorized person or whether information is confidential.
I authorize Masbia or its agent to perform an investigation of any criminal history records I may have or any other relevant personal information.
Photo and Recording Release (optional)
I hereby grant the permission, without reservation, to MASBIA to take or make and/or have taken or made photographs and/or sound/image/video recordings of me and to use and to otherwise describe the same with or without my name or information about me, for promotion of good will, public education, fundraising and/or promotional activities, and other related activities of MASBIA or any of its other affiliated or beneficiary agencies, and I waive any right to inspect or approve the photograph(s), sound/image/video recordings or finished versions(s) of the works, including web site, incorporating the photograph(s) or sound/image/video recordings. No compensation is to be paid to me for the above, and I understand and agree that I am entitled to receive no compensation for the above.
I hereby hold harmless and release and forever discharge MASBIA, each of it's officers, trustees, agents, employees, independent contractors, licensees and assignees (including photographers), from all claims, demands, and causes of action that I, my heirs, representatives, executors, administrators or other persons acting on my behalf or on behalf of my estate now have or in the future may have, relating to the above, including but not limited to any photographs, or sound/image/video recordings described above.
I agree that MASBIA as applicable, will be the sole or joint owner, as applicable, of all tangible and intangible rights in the above mentioned photographs and sound/image/video recordings, with full power of disposition.
The following personal details will be used to electronically sign the Volunteer Confidentiality and Release Forms:
If any of these details are incorrect, please edit or add them below.
Date of Birth: