HAPU Sample Volunteer Form

HAPU Sample Volunteer Form

Volunteer Form created by Hnou for Hmong American Partnership's Education Department Form Preview
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  • Education

  •   School Name City, State Major (If applicable) Year of Graduation
    Most Recent/Current School
    School 2
    School 3
  •   Title Year Received
  • Volunteer/Work History

  •   Company/Organization Contact's Name Contact's Phone Number Reason for Leaving From-To (Month & Year)
  • Areas of Interest

  • Please rank the following Hmong American Departments as they correspond to your volunteer/internship interest.

  • Professional Skills or Abilities

  • Availability

  •   Sun Mon Tue Wed Thu Fri Sat
  •   Professor's Name Phone Number Required Length of Internship (# of hours, week, etc.)
    Service Quality
    Overall Hygiene
    Kindness and Helpfulness
  • Additional Information

  • 0/300
  • References

  •   Name Phone Number Relationship
  • Emergency Contacts

  •   Name Phone Number Relationship
  • Background Check Authorization

  • I certify that the information in this Volunteer Application is true, correct and complete to the best of my knowledge. I authorize Hmong American Partnership to verify any and all information I provided by contacting appropriate sources. I understand that for the protection of visitors, volunteers and staff, all adults (age 18 and up) must voluntarily authorize a background check and I hereby authorize such background check.

    I give HAP permission to investigate any job-related information that I have provided in my application, resume, or during the interview process, including all of the items checked:

  • I understand that HAP may order a consumer report to obtain this information, and I authorize the release of that report to HAP.

    I release form liability any individual, company, institution or agency that provides information that I have authorized to be released about me. I waive my right of privacy with respect to the background information listed above and agree to hold HAP and its agent harmless from any liability from the results of its investigation or actions taken on the results.

    I understand that I have a right under the "Fair Credit Reporting Act" to obtain a copy of my report by directing a written report request to HAP. I may also obtain a copy of this report my checking the yes box at the bottom of this disclosure. I further understand that I have a right to request a complete and accurate disclosure of the nature and scope of the report by directing a written request to HAP.

  • Waiver and Release of Liability

  • In consideration of being allowed to intern or volunteer my services at Hmong American Partnership, I hereby acknowledge that there are certain risks of injury involved, and I knowingly and freely assume all such risks and assume full responsibility for my participation. To the extent allowed by law, I agree to indemnify and hold harmless Hmong American Partnership, its officers, employees, agents, representatives and volunteers, of all liabilities and all loss or damage to person or property which may occur or be incident to my involvement or participation.

  • Volunteer Confidentiality and Non-Disclosure Agreement

  • I recognize that as an intern or volunteer of Hmong American Partnership, a Minnesota non-profit organization, I may have access to confidential information concerning HAP, its guests, customers, agents, employees, volunteers or representatives. In consideration of any internship or volunteer status with HAP, I agree I will not at any time, during or after volunteering for HAP, divulge or reveal to any person, firm, or corporation, any information (including, but not limited to, personal or financial information or customer lists), directly or indirectly, which might in any way be used to injure or interfere with the business of HAP, or to alienate guests, customers, agents, employees, volunteers or representatives from HAP or to cause discontent or dissatisfaction among any such persons.

    I agree that should I have any questions as to the propriety of release of any information, I will request clearance from HAP prior to releasing such information.

    The Hmong American Partnership ("HAP’) and Volunteer & Intern acknowledge that Volunteer & Intern, in performing the terms and conditions of Volunteer & Intern's, will directly or indirectly gain access to information about HAP and its operations, including, but not limited to, its modes and methods of conducting its business and marketing its services, its Volunteer & Interns, customers, funders, sponsors, contributors, donors, supporters, vendors and referral/contributor source lists, its trade secrets, its copyrighted and non-copyrighted or non-protected computer software programs, files, its techniques of operation, its financial structure, and its weaknesses, if any (hereinafter referred to as "Confidential Information").

    HAP and Volunteer & Intern acknowledge and agree that all Confidential Information shall be deemed to be highly confidential. Volunteer & Intern agrees not to disclose, communicate, reveal or divulge, in any way, any Confidential Information to any person or entity not employed by HAP or one of its affiliates, unless the Executive Director has given advance written approval to such communication. Even if authorized, in no event shall Confidential Information be disclosed or communicated, revealed or divulged by Volunteer & Intern to any person or entity who is not a HAP Volunteer & Intern, if Volunteer & Intern could reasonably foresee that such communication would adversely affect HAP's business.

    Upon termination of employment with HAP for any reason, or at any other time HAP demands, Volunteer & Intern shall deliver promptly to HAP all material, property (computer, cell phone, communication hardware, name badges, etc.), and documentation relating to HAP, including without limitation all memoranda, notes, records, reports, files, manuals, agency reference binders, drawings, blueprints, Volunteer & Intern lists, customer lists, referral lists, vendor service lists, software, programs, and other documents, whether or not of a confidential nature, belonging to HAP, including all copies of such materials which Volunteer & Intern may then possess or have under Volunteer & Intern's control. Volunteer & Intern further agrees that upon termination of employment, Volunteer & Intern shall not retain any document or data of any description containing or pertaining to the Confidential Information.

    Volunteer & Intern agrees to maintain, protect and keep secure any and all Confidential Information pertaining to HAP and to not disclose any of this information to any third parties.

    Volunteer & Intern hereby acknowledges and agrees that it is important for HAP's operations to protect and preserve its Confidential Information; HAP reserves the right to question its Volunteer & Interns, generally and specifically, regarding Confidential Information.

    Volunteer & Intern agrees that the terms of this Confidentiality and Non-Disclosure Agreement shall survive termination of Volunteer & Intern's employment, whether that termination is voluntary or involuntary.

  • Confirmation of Understanding

  • I understand that any misrepresentation of information on this application is cause for immediate termination of my volunteer or internship activity. Further, I understand and agree that my internship or volunteer experience is on an at-will basis and may be terminated at any time and without previous notice.

  • Clear
  • Hmong American Partnership is an Equal Opportunity Employer (EOE) and does not discriminate on basis of race, creed, or national origin.

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