Fillable Volunteer Agreement (University of West Florida)

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Volunteer Agreement (University of West Florida)

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Revised: 01/11/2019
VOLUNTEER AGREEMENT
Last Name: _____________________________
First Name: _________________________ Middle Initial: ___________
Mailing Address: ______________________________________________________________________________________
Alternate Phone #
: ________________________________
Job Title: ______________________________________
Pho
ne #: _______________________________________
Department: _____________________________________
Are you a current UWF Student?
Yes
No
Emergency Contact Information
In case of emergency, the following person should be contacted:
Name: _____________________________________________ Relationship: __________________________________
Address: ___________________________________________________________________________________________
State: ____________ Zip: ___________________
Alternate Phone #: ___________________________
City: ________________________________
Phone #: _____________________________
Employer's Responsibilities:
Volunteer shall be assigned specific duties in a general work area by the immediate university supervisor. Volunteer shall have
appropriate training and/or experience to perform volunteer duties in a safe manner. Volunteer service should not displace work
normally performed by University employees.
Volunteer shall be covered by Workers' Compensation and by Florida State liability protection in accordance with the provisions of
Florida Statute 768.28.
Volunteer shall receive appropriate training and supervision. Volunteering does not guarantee any temporary or permanent
employment for the volunteer by the University. Time volunteered in any volunteer position cannot be credited for purposes of
retirement, benefits or retention points in a lay-off if the volunteer is later employed in a permanent position. A volunteer shall be
considered as an unpaid, independent volunteer and shall not be entitled to unemployment compensation.
The University shall provide volunteer references, if requested by the volunteer, based upon the volunteer's record of service. The
University has the right to conduct background reference checks on the volunteer prior to assigning the volunteer tasks.
Description of Duties:
__________________________________________ has volunteered to assist the ____________________________________
(PRINT NAME) (DEPARTMENT)
with the following activities: _______________________________________________________________________________
____________________________________________________________________________________________ (“Activities”)
It is expected that Activities will be provided (dates) ________________________ to ________________________
for approximately ______________ number of hours:
daily; weekly;
monthly.
Revised: 01/11/2019
Volunteer's Responsibilities:
Volunteer agrees to follow the rules and guidelines established by the appropriate department and understands
that failure to adhere to these rules may end his/her volunteer status.
Volunteer agrees to fulfill the retaining requirements of his/her program. This may include attendance at meetings,
lectures or training sessions as deemed necessary.
By signing below, the volunteer acknowledges receipt and understanding of the University policy on fraudulent or other
wrongful acts and receipt of the policy concerning the University as a drug-free workplace as outlined in HR-15.00-2004/07
Employee Code of Ethics.
I am legally authorized to work in the United States of America.
I am at least 18 (eighteen) years of age and have reviewed this agreement and understand the provisions
contained herein.
Volunteer is under the age of 18 (eighteen) years of age. As the parent or legal guardian, I have reviewed this
agreement and understand the provisions contained herein and give my consent for the above named minor to
volunteer.
I acknowledge that in exchange for the University allowing me to participate in the above-referenced or other volunteer services,
I give the University the right and permission to record my participation and appearance on videotape, audiotape, film,
photography or any other medium and to use my name, likeness, voice and biographical information in connection with these
recordings. The University may exhibit or distribute all or any part of these recordings for any educational or promotional purpose
which the University and its employees deem appropriate. All such recordings shall be the University’s property.
I will immediately report any injury to my university supervisor and will follow the University’s procedures for addressing such
injuries. Further, I acknowledge and agree that if I become aware that any claim is threatened or made against me by another
party related to my volunteer efforts, I will immediately advise my university supervisor of my understanding of the allegations or
claim against me.
I acknowledge and agree that as a volunteer at the University, I will comply with the University’s regulations, policies,
requirements and all applicable state and federal statutes while performing my university volunteer efforts to the best of my
ability.
I understand that during the Activities, I may have access to, or may observe, certain information that is proprietary to the
University and I hereby agree not to disclose, discuss or reveal any such information to parties outside of the University or to
individuals who do not have a legitimate need to access such information. I agree to keep all University records and files
confidential. I also agree to keep confidential any health or student information that I observe or access and will not disclose,
discuss or reveal any such information to anyone, except where required within the scope of my volunteer service.
I acknowledge and agree that I am required to act and perform the Activities in a mature, responsible and professional manner at
all times and further acknowledge and agree that I will be held responsible for my own behavior.
________________________________________
Volunteer Signature Date
______________________________________________
Printed Name of Parent or Guardian Phone #
_____________
_________________________________
Printed Name of Supervisor Phone #
_____________
_________________________________
________________________________________
Parent or Guardian Signature Date
(if under 18 years of age)
________________________________________
Supervisor Signature Date
________________________________________
HR Representative
Signature
Printed Name of HR Representative
Date
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Volunteer Agreement (University of West Florida)

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Completed 23 July 2020

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