MEMORANDUM OF UNDERSTANDING
Triton
C
West S
uburban
2000 Fifth Ave
(708) 456-
0300,
PART I:
AGENCY/ORGANIZATION INFORMATION
PLEASE COMPLETE THE FOLLOWING (
Please print or type all information)
Volunteer Agency/Organization_______________________________________
E-mail: ____________________________
_________
2. Is this a faith-
based organization? Yes____No____
4. List staff member responsible for day-to-
day oversight
Phone (________)________________
Fax
PART II:
MANDATORY PROVISIONS
1.
Recruit, interview, enroll and orient volunteers to RSVP and refer volunteers to the
2.
Instruct RSVP volunteers in the proper use of monthly reports, reimbursement guidance and program
procedures.
3.
Provide RSVP orientation to agency/organization staff prior to placement of volunteers, and at other times, as
the need arises.
4.
Develop publicity for RSVP such as radio, TV, print or verbal presentations highlighting volunteers’ service,
accomplishments, and impact on the community.
5.
Provide reimbursement for transportation upon need or request.
volunteer between their home and the agency/organization in accordance with RSVP policies and availability
of funds.
6.
Furnish accident, personal liability, and excess automobile insurance coverage as required by program
policies.
7.
Insurance is secondary coverage and is not primary insurance.
8.
In cooperation with the Triton RSVP Advisory Council, arrange for a volunteer’s appeals procedure to resolve
problems arising between the volunteer, the
9.
Periodically monitor volunteer activities at the agency/organization to assess and/or discuss needs of
volunteers and the agency/organization.
10.
Provide for additional agreements peculiar to the individual
B. The agency/organization will:
1.
Develop volunteer assignments that impact critical human and social needs, and regularly assess those
assignments for continued appropriateness.
2. Implement orientation, in-
service instruction, or special training of volunteers.
3. Interview and m
ake final decision on placement of volunteers.
4.
Discuss assignments with volunteers referred by Triton RSVP. Provide written job description/assignment
information to volunteers and RSVP.
MEMORANDUM OF UNDERSTANDING
Between
C
ollege RSVP Volunteer Program
uburban
Cook and Southwest Du
P
2000 Fifth Ave
., River Grove, IL 60171
0300,
Ext. 3603 and 3835
(708) 583-3778 (
Fax
AGENCY/ORGANIZATION INFORMATION
Please print or type all information)
:
Volunteer Agency/Organization_______________________________________
Date _____________________________
Address_________________________________________________City_______________________Z
_________
_____________ Phone(____)_____
__________Ext._____
1. Is this agency affiliated with the Area Agency
on Aging administered program? Yes____No____
based organization? Yes____No____
3. Does this agency maintain handicapped accessible standards per ADA requirements? Yes____No____
day oversight
of the placement of RSVP volu
nteers within the
station and for assessing the impact of volunteers in addressing community needs.
Name______________________________________________________Title________________________________
Fax
(________)________________ E-
Mail ___________________________
MANDATORY PROVISIONS
A. The Triton College RSVP Volunteer Program will:
Recruit, interview, enroll and orient volunteers to RSVP and refer volunteers to the
agency/organization.
Instruct RSVP volunteers in the proper use of monthly reports, reimbursement guidance and program
Provide RSVP orientation to agency/organization staff prior to placement of volunteers, and at other times, as
Develop publicity for RSVP such as radio, TV, print or verbal presentations highlighting volunteers’ service,
accomplishments, and impact on the community.
Provide reimbursement for transportation upon need or request.
Reimbursement fo
r transportation is for the
volunteer between their home and the agency/organization in accordance with RSVP policies and availability
Furnish accident, personal liability, and excess automobile insurance coverage as required by program
Insurance is secondary coverage and is not primary insurance.
In cooperation with the Triton RSVP Advisory Council, arrange for a volunteer’s appeals procedure to resolve
problems arising between the volunteer, the
agency/organization and/or Triton RSVP.
Periodically monitor volunteer activities at the agency/organization to assess and/or discuss needs of
volunteers and the agency/organization.
Provide for additional agreements peculiar to the individual
agency/organization
and Triton RSVP.
Develop volunteer assignments that impact critical human and social needs, and regularly assess those
assignments for continued appropriateness.
service instruction, or special training of volunteers.
ake final decision on placement of volunteers.
Discuss assignments with volunteers referred by Triton RSVP. Provide written job description/assignment
P.
MEMORANDUM OF UNDERSTANDING
P
age Counties
Fax
)
Date _____________________________
Address_________________________________________________City_______________________Z
IP_______-________
__________Ext._____
on Aging administered program? Yes____No____
3. Does this agency maintain handicapped accessible standards per ADA requirements? Yes____No____
nteers within the
volunteer
Name______________________________________________________Title________________________________
Mail ___________________________
agency/organization.
Instruct RSVP volunteers in the proper use of monthly reports, reimbursement guidance and program
Provide RSVP orientation to agency/organization staff prior to placement of volunteers, and at other times, as
Develop publicity for RSVP such as radio, TV, print or verbal presentations highlighting volunteers’ service,
r transportation is for the
volunteer between their home and the agency/organization in accordance with RSVP policies and availability
Furnish accident, personal liability, and excess automobile insurance coverage as required by program
In cooperation with the Triton RSVP Advisory Council, arrange for a volunteer’s appeals procedure to resolve
Periodically monitor volunteer activities at the agency/organization to assess and/or discuss needs of
and Triton RSVP.
Develop volunteer assignments that impact critical human and social needs, and regularly assess those
Discuss assignments with volunteers referred by Triton RSVP. Provide written job description/assignment
5. Provide supervision, related follow-up support of volunteers on assignments, and adequate safety of
volunteers.
6. Collect, validate and submit time sheets to Triton RSVP on a monthly basis.
7. Contribute to volunteer’s transportation and/or meal? The agency/organization:
will______ is not able to _____ provide transportation or transportation reimbursement for RSVP
volunteers between their home and the volunteer station or
will______ is not able to_____ provide meal or meal reimbursement to volunteers working four or
more hours in a day.
8. Submit contribution statements to Triton RSVP when meal, transportation or other contributions are made, to
verify non-federal support of the project.
9. Furnish volunteers with any materials or transportation required by an assignment.
10. In consultation with Triton RSVP, make investigations and reports regarding accidents and injuries involving
RSVP volunteers. All reports will be submitted in writing.
11. Provide outcome data measurement or evaluations tools, when applicable for volunteers as a resource.
PART III. SPECIAL PROVISIONS FOR AGENCY/ORGANIZATION AND RSVP VOLUNTEER
PROGRAM
A. This Memorandum will be in effect upon dated signature of the agency/organization’s representative and the
RSVP director.
B. Conditions of this Memorandum may be amended or terminated in writing at any time at the request of any
party. It will be reviewed every three years to permit needed changes.
C. This Memorandum contains all the terms and conditions agreed upon by the contracting parties. No other
understanding, oral or otherwise, shall be deemed to exist or to bind any of the parties hereto.
D. Separation from Volunteer Service: The agency/organization may request, at any time, the removal of
an RSVP volunteer. The RSVP volunteer may withdraw from service at the agency/organization or from RSVP
at any time. A confidential discussion of individual separations will occur among RSVP staff,
agency/organization staff and the volunteer to clarify reasons, resolve conflicts or take remedial action,
including reassignment to another agency.
E. Religious Activities: The agency/organization will not request or assign RSVP volunteers to conduct or
engage in religious, sectarian, or political activities.
F. Displacement: The agency/organization will not assign RSVP volunteers to any assignment which would
displace employed workers or impair existing contracts for services.
G. Prohibition of Discrimination: The agency/organization will not discriminate against RSVP volunteers or in
the operation of its program on the basis of race, color, national origin, including limited English proficiency,
sex, age, political affiliation, religion or on the basis of disability, if the volunteer is a qualified individual with a
disability.
H. Accessibility and Reasonable Accommodation: The agency/organization will maintain the programs and
activities to which RSVP volunteers are assigned accessible to persons with disabilities (including mobility,
hearing, vision, mental, and cognitive impairments or addictions and diseases) and/or limited English language
proficiency and provide reasonable accommodation to allow persons with disabilities to participate in programs
and activities.
I. Recognition: RSVP will carry out volunteer recognition events. Volunteer supervisors will participate
whenever possible.
J. Programming for Impact: In connection with the agency/organization, RSVP will provide a method to
substantiate the value and role volunteers have on our community and volunteer stations by reporting this
information to state and federal legislators.
By signing this Memorandum, the agency/organization representative certifies that the agency is a public agency,
secular or faith-based private non-profit organization or proprietary health care organization.
RSVP Volunteer Program at Triton College Agency/Organization Name: _______________________
By: _______________________________ By: ___________________________________________
(Signature) (Signature)
Date: _____________________________ Date: _____________________________
(MOU0413)
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