By checking “I Agree” and submitting my application, I am stating that, to the best of my knowledge, the information I have provided is true and correct. I agree to:
CONFLICT OF INTEREST: It is important to the integrity and success of CSF Medical Non-Profit Foundation that all volunteers strive to avoid any actual, potential, or implied conflict between their interests and the interests of CSF Medical Non-Profit Foundation. Volunteers may have access to privileged, confidential information regarding CSF Medical Non-Profit Foundation business or professional activities and they must not use such information to derive personal benefit, either directly or indirectly, whether it is financial or otherwise.
CONFIDENTIAL INFORMATION: As a CSF Medical Non-Profit Foundation volunteer you may have access to privileged information concerning patients or employees. When you accept an assignment, you also accept an obligation to keep confidential information precisely that--confidential. Only physicians, under certain circumstances, are authorized to release medical, surgical, or laboratory findings regarding a patient or his/her diagnose. Volunteers may not reveal any of this information. Carelessness or thoughtlessness in the handling of such information is ethically unacceptable and could expose you and CSF Medical Non-Profit Foundation to legal action. You must also understand that in the performance of your duties as a volunteer, you must hold in strict confidence any observations you may make, see, or hear regarding patients, physicians, or personnel.
I understand and agree that submitting this application form does not automatically register me as a CSF Medical Non-Profit Foundation volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.
I have read the above statement, I understand the contents and I agree to conduct myself in accordance with this requirement. I will not discuss confidential information regarding patients, employees or business operations. Our volunteer positions should not be viewed as a means of obtaining permanent employment at CSF Medical Non-Profit Foundation. Persons interested in a paid position should apply within.
CONDITIONS: If accepted, I agree to abide by all policies and guidelines of the Volunteer Services Department. I understand that my volunteer service is at will, meaning that it may be terminated at any time by either party. I authorize and consent to a background screening report and health screening.
By submitting your application, you are affirming that all information you have provided in this application is true and complete and that any misrepresentation, falsification, or willful omission herein shall be sufficient reason for dismissal and/or refusal of employment.
STATEMENT OF UNDERSTANDING: CSF Medical Non-Profit Foundation makes a large investment in each person who comes into our facility to volunteer. Therefore, it is important that each volunteer applicant understand and agree to the items listed below. Volunteer placement is contingent on acceptance into the program following successful completion of the interview and screening process. Please read each and check the box at the bottom to confirm agreement and understanding: