Volunteer – Unigate Hub

Names

Phone Number

Address

Times Available

Morning Afternoon Evening

Skills and Interests

Previous Volunteer Experience

Preferred Programs to Volunteer In.

Why do you want to volunteer with UNIGATE HuB?

Do you have any specific goals or expectations for your volunteer experience?

Emergency Contact Information

Name and Signature

Certification and Confidentiality Agreement

By signing this application, I certify that the statements made by me are true and complete to the best of my knowledge. I understand that false statements are sufficient grounds for rejection of this application and/or dismissal from the volunteer program. I acknowledge UNIGATE HuB’s policies on confidentiality and will treat all information about clients with strict confidence. I understand that client information must be protected from the possible consequences of being inappropriately released. Violation of client trust is cause for immediate dismissal. Inquiries from the news media should be referred to authorized UNIGATE HuB staff member.

Volunteer Information Form

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