Name
Address
Birth Date
How did you hear about Michael’s Place?
What type of volunteer work are you interested in? Please check one or more of the choices below.
Have you ever been convicted of any felonies or misdemeanors (other than for a minor traffic offense)?
Are you interested in being a facilitator and/or working with the children?
Have you experienced the death of a family member(s) or close friend(s)?
Have you previously attended support group programming at Michael’s Place?
Do you have clinical certifications or degrees?
Do you have previous and/or current experience as a volunteer?

Confidentiality

Board Members, staff members and volunteers will, to the best of their ability, ensure confidentiality and privacy with regard to history, records, and discussions about clients and donors. Therefore, all volunteers are required to sign a confidentiality acknowledgment stating their responsibility and commitment with regard to client and donor information. Disclosure can be made only under specified conditions which are described below, for reasons related to law enforcement and fulfillment of our mission. Staff members, board members, and volunteers shall not disclose any information about a person, including the fact that the person is or is not served by Michael’s Place, or has or has not donated to Michael’s Place, to anyone outside of this organization unless authorized by the Program Director or Executive Director. This principle of confidentiality must be maintained in all programs, departments, functions, and activities.

  • Volunteers must maintain strict confidentiality regarding all records, discussions, and relationships connected to Michael’s Place, protecting the privacy of clients, donors, staff, and organizational information.
  • Volunteers may not disclose whether an individual has received services from or donated to Michael’s Place unless authorized by the Program Director or Executive Director. If asked for such information, volunteers should respond: “Michael’s Place policy does not permit me to share that information.”
  • Confidential information may only be released with a signed authorization form or when required by law or organizational policy. Volunteers may not copy, remove, photograph, or discuss records with unauthorized individuals.
  • Materials related to the Benevon Model of Sustainable Funding and other copyrighted or trademarked materials may not be shared without permission.

Professional Conduct

Volunteers represent Michael’s Place and are expected to:

  • Treat participants, families, staff, and fellow volunteers with respect, empathy, and professionalism.
  • Maintain appropriate boundaries at all times.
  • Communicate concerns, incidents, or questions promptly to staff.
  • Model calm, supportive behavior, especially in emotionally sensitive settings.

Dress Code, Hygiene & Scent-Free Environment

  • Dress in a clean, modest, and professional manner appropriate for a supportive community environment. Clothing should be neat, practical for assigned activities, and free of offensive language, images, or political messaging.
  • Practice good personal hygiene and wash hands regularly, especially when working with children, food, or shared materials.
  • Because individuals have scent sensitivities, please avoid perfumes, colognes, scented lotions, essential oils, heavily scented hair products, and strong tobacco or vaping odors.
Volunteer Agreement
Disclaimer
Today's Date
Clear Signature
Use your finger (mobile) or your mouse/trackpad (desktop) to sign inside the box.