Flood Recovery 211 Call Volunteers – Madison County

to completed ACKNOWLEDGEMENT

Heart of Indiana United Way is working with local Emergency Management to follow up with residents who contacted 2-1-1 for assistance following the recent flooding.

We are seeking volunteers to help make follow-up phone calls and assist with entering information collected through those calls. Volunteers making calls will receive a script and guidance before getting started.

We're still finalizing details, including when and where this work will take place but likely will be begin sometime next week. Completing this form lets us know you're interested and how will start the background check process.

Name *

First

Last

Email *

This is required for us to start your background check for this position. Background check email will come from "Sterling Volunteers"

Phone *

Do you have access to a computer and reliable internet if this volunteer opportunity can be completed from home? *

Yes
No
Not sure

Are you comfortable are you using a computer to enter or save information into an online form? *

Yes

Are you familiar with Madison County and its communities?

Yes
No

General Availability — select all that apply

BACKGROUND CHECK ACKNOWLEDGEMENT *

I understand that this volunteer role requires a background check and that, if selected to help, I will receive an email from Sterling Volunteers with instructions for completing it.

VOLUNTEER CONFIDENTIALITY AGREEMENT AND CODE OF CONDUCT ACKNOWLEDGEMENT *

I understand that accessing confidential information or allowing access by unauthorized individuals, whether intentional or not, or any other breach is grounds for immediate and permanent dismissal and will be investigated and possibly reported to applicable local, state, and federal authorities. I acknowledge my legal and ethical obligation to maintain the confidentiality of all information pertaining to the volunteer job position and other volunteers, staff, and clients. I understand that the unauthorized access, use, copy, disclosure, or dissemination of any confidential information or records whether stored in hard copy, film, or electronic form is strictly prohibited. I will contact United Way immediately if I think any confidential information may have been compromised. I understand that I am to maintain this confidentiality agreement even after I leave the volunteer position.I acknowledge that I have read the forgoing provisions and agree to abide by their terms.

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Anything else you'd like us to know?

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