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Group Volunteering Activity

Volunteer

Volunteer Form

Are you currently employed?
Yes
No
If you are employed may we contact you at work?
Yes
No
Areas of Interest (Check all that apply) *
Do you speak a language other than English?
Yes
No
Are you a veteran?
Yes
No
Do you have experience with addiction and recovery?
Yes
No
How did you hear about Lake Circle of Care? (Check all that apply)
All employees and volunteers are required to pass a drug screen and background check. Are you willing to submit to a drug screen and background check at our expense?
Yes
No

Declaration: As a volunteer I realize that I am subject to a code of ethics similar to that which binds the professional in the field in which I work. I, like them, assume certain responsibilties and expect to account for what I do in terms of what is expected of me. I understand that any information that is disclosed to me while assisting Lake Circle of Care is confidential. I agree to respect the confidentiality of any client information I may acquire int he course of my volunteer activities. I interpret "volunteer" to mean that I have agreed to work without compensation in money but having been accepted as a volunteer worker. I agree to respect the confientiality of any client information I may acquire in the course of my volunteer activities. Do you agree with these statements?

I will sign a form upon acceptance.

Get in Touch

Contact us

Please Select a Subject

Address

1862 Parallel Drive

Lakeport CA 95453

Contact

707.263.6222 or

1.800.900.8820

FAX 707.263.4045

Email

Opening Hours

Office - M-F 8 am to 4:30 pm

Clinical Staff on Call 24/7

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Lake Circle of Care | Medicare Certified Since 1989

Serving Lake County, California Since 1979 | Recognized by CHAP Accreditation for Meeting the Industry’s Highest Nationally Recognized Standards in Hospice and Palliative Care.

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