Add Volunteer To Kiosk

Have you ever been convicted of a felony?
Have you ever been convicted of abuse, neglect or exploitation of the eldery?

Optional:

Working With Caregiver
Help with Special Events
Prepare Mailings
Clerical / Filing
Outdoor / Landscaping
Data Entry
Work In Daycare
1. I understand that registration with Brevard Alzheimer's Foundation does not restrict my choice of volunteer jobs: I am free to accept or reject any placement offered me.

2.I understand that I am not an employee of Brevard Alzheimer's Foundation and am not covered by Workers Compensation Insurance.

3.I understand that a criminal offense will not automatically exclude me from a volunteer position; however, certain convictions will exclude me from volunteering in some positions. I understand that information will be held confidential.

4. I understand that if I volunteer regularly more than 20 hours a week in the presence of clients or client data files, a Criminal Level 2 Background Check will be needed.

5. I give my permission for photographs to be used, without compensation, for publicity and news media purposes on the Brevard Alzheimer's Website, Facebook Page and print media.