Berea Volunteer Agreement

Personal Information

Volunteer Name*

First Middle Initial Last

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

What kind of a number is this?*

Cell
Home
Work

Emergency Information

Emergency Contact's Name*

First Last

Relationship*

Contact Number*

What kind of a number is this?*

Cell
Home
Work

Health Insurance Information

Insurance Company*

Policy Number*

Policy Holder's Name*

Group Number*

Volunteer Agreement

As a volunteer, I will:*

Be on time for work (see schedule) and diligently complete my duties. I know that all other schedule modifications must be approved by the Volunteer Coordinator or department Supervisor.
Dress modestly. Clothing that does not have inappropriate logos, designs or phrases; t-shirts that are long enough to cover midriff, tank tops that have straps at least 1 ½ -inches thick, & shorts at least 4 in. long on the inseam. Feel free to wear Berea apparel at any time.
Wear proper footwear (closed-toe & closed-heel shoes) at all times.
Not have any drugs, alcohol, or tobacco on the Berea property.
Notify Staff 8, the one with the blue light (by ringing the bell) if there is an emergency and the Welcome Center is closed. If staying at Bristol House, notify a full time staff member living there.
Return any radio, keys, and nametag to the front office before leaving.
Listen to and respect my direct supervisor and the authority of Berea. If I have any questions or am not sure how to do something, I will ask.
Exhibit behavior that is glorifying to God at all times
Adhere to any and all guidelines and principles set forth by Berea. Participate with enthusiasm, pray for and support the ministry of Berea, and actively pursue a growing relationship with God.

As a volunteer, I agree:*

To abide by all state and federal regulations, Standard Operating Procedures (S.O.P.’s), and safety procedures.
To freely donate my time and services to Berea.
That it is mutually and expressly understood that volunteer services shall be donated, and that said volunteer is not entitled to nor expects any present or future salary, wages, or other benefits for these voluntary services.
To follow the supervision and direction of any personnel, employee, or volunteer, to whom volunteer has been assigned to perform services, and to participate in any training required by Berea in order to perform the voluntary services.
That he/she will not be considered to be an employee of Berea, for any purposes, while performing the above described voluntary services, therefore injury compensation or tort claims will not be covered by Berea insurance.
That if he/she is responsible for injuries to third parties or damages to their property while acting outside the scope of assigned volunteer duties, that the said volunteer may be held personally liable for any monetary damages a court may award to the injured party.
That the services rendered to Berea shall apply only in the case of liability arising out of the ordinary negligence that occurs during the scope of the volunteer’s services agreed to herein, and that in no way do any of these provisions apply for the benefit of volunteer, his/her heirs, executors or administrators in any action arising out of gross negligence, willful misconduct, or any other conduct on the part of said volunteer, which cause or may give rise to criminal liability.
To fully cooperate with Berea and its agents in any investigation, lawsuit, arbitration, or any other legal or quasi-legal proceedings that arise from the matters covered by this agreement. Volunteer further agrees to notify Berea immediately of any incident that occurs or may occur within the knowledge of the volunteer, which gives rise to liability on the part of the volunteer of Berea.

This volunteer agreement is valid from the time of its submission to December 31 of the same year. A new volunteer agreement must be filled out each calendar year.*

I agree.
I do not agree.

I have read this document & verify that all information is accurate to the best of my knowledge:*

First Middle Initial Last

Personal Information

Emergency Information

Health Insurance Information

Volunteer Agreement

Still have a question?

CONTACT BETH AT (603) 744-6344 OR BETH@BEREA.ORG