Volunteer Agreement

Volunteer Agreement

  • Thank you for your interest in volunteering for There With Care. We value your privacy and respect your honesty. Volunteer applications are kept confidential, using the same standard of privacy as dictated by HIPAA.

    Please read through the following agreement, check your acceptance, sign below and submit. We thank you for your time.

  • Contact Information

  • Release Acknowledgements

  • Please select to confirm that you have read and understand the statements above.
  • Please select yes to give permission or no to refuse permission for photography and video use.
  • Please select to confirm that you have read and understand the statements above.
  • Please select to confirm that you have read and understand the statements above.
  • Please select to confirm that you have read and understand the statements above.
  • Please select to confirm you have read and understand the statements above.
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    Please select to confirm that you have read and understand the statements above.
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  • Signature
  • Thank You and Next Steps

    We thank you for your interest in volunteering for There With Care, supporting our mission to care for families facing critical illness. Please note, in order to protect the privacy of the families we serve and to comply with our HIPAA obligations, anyone 18 years of age or older volunteering in a capacity that involves family contact or access to family information is required to complete a criminal background check that will be automatically renewed every three years while the volunteer is actively volunteering. Once you submit this application and register for a Volunteer Training, a confirmation email will be sent containing a link to submit your background check. If you are able to cover the $15 fee for the background check, please bring cash or check to your volunteer training. Thank you.