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Volunteer Agreement

Thank you for participating with Columbine Health Systems.

To ensure safety and health related issues are addressed and responded to in a timely manner, Columbine Health Systems requires that all volunteers follows appropriate procedures and policies.

Procedure:
When accepted as a Columbine Health Systems volunteer you will review and sign the following forms:

1. Appropriate Behavior in the Workplace Policy

2. Safety Policy

3. HIPAA Polices and Procedures Agreement

4. Computer & Information Usage Agreement

5. Provide TB results if required.

6. Provide background check results if required.

7. My services are donated to the Columbine Health Systems facility without contemplation of compensation or future employment and given with humanitarian, religious or charitable reasons.

8. I understand that it is a crime to solicit business for attorneys. I shall not solicit any business for attorneys or insurance companies, both on or off hospital property, or act as a runner or capper for an attorney in the solicitation of business. I shall report all known occurrences of solicitation for attorneys to Activity Director or the Administrator.

9. I shall not sell or attempt to sell goods or services, request contributions or solicit persons to sign or distribute political petitions on any Columbine Health Systems facility premises.

10. I shall be punctual and conscientious, conduct myself with dignity, courtesy and consideration of others and endeavor to make my work professional in quality.

11. I shall attempt to resolve any problems related to my activities with the supervisor and or contact the Administrator.

12. I shall make my best effort to fulfill my commitment to the by completing all assignments that I accept.

13. I understand that the Columbine Health Systems Volunteer program reserves the right to terminate my status as a result of:

A. failure to comply with company policies, rules and regulations;

B. absences without prior notification;

C. unsatisfactory attitude or issues with residents/staff

D. performing tasks which I have not been trained to do or applying direct patient care.

E. any other circumstances which, in the judgment of the Activity Director, and/or Administrator or supervisor that would make my continued service as a contrary to the best interests of the facility.