PLEASE READ THE FOLLOWING:
I. Application Information
I certify that all information in this application is true and complete.
I understand that any false information or omission may disqualify me from further consideration for volunteer service and may result in my dismissal, if discovered, at a later date.
II. References:
I understand that Child Advocacy Center of Aiken County requires information from me to evaluate my qualifications for volunteer service.
I authorize and release personal references, employers (past and present), and, if necessary, other applicable entities to answer questions in regards to volunteer work, employment, ability, character, medical and emotional background and, if applicable, driving history.
III. Photo Release
You consent to the capture and use of your personal image for the purpose of publicity of the Child Advocacy Center of Aiken County in formats such as, but not limited to: documents, press releases, marketing materials, and other official materials.
IV. Background Information:
I understand, in consideration of my application, a background investigation will be conducted.
I understand this investigation may include, but is not limited to, a criminal background check in the files of any Federal, state or local justice agency, driving history, SLED criminal background check, and/or Department of Social Services Central Registry Check.
I authorize Child Advocacy Center of Aiken County (CACAC) to conduct the background investigation and release CACAC from responsibility for this investigation.
I understand the requested information is for the sole purpose of gathering accurate information for volunteer services at Child Advocacy Center of Aiken County.
V. Confidentiality
While at the Child Advocacy Center of Aiken County (CAC Aiken), some of the work you do may give you access to personal information about children and their families that we serve. Additionally, you may encounter confidential information regarding employees, volunteers, board members, donors and/or other associates of our agency. Confidential information may include, but is not limited to: information about an individual’s identity, services received, what transpired at a meeting, interview or therapy session and/or any information gathered while working with the client and/or family, as well as any personal information disclosed to you in your work capacity at the CAC of Aiken.
You shall hold in confidence all information relating to the individual cases and clients with whom I come in contact. You shall not violate the confidential relationships between the CAC of Aiken, its staff, clients, victims, volunteers, donors and/or partner agency team members present at the Center. Further, when in the community, you will make every effort to protect the confidentiality of any child or family served at the Center by not acknowledging them unless acknowledged by the client first. Any violations of this agreement may result in termination from my relationship with the CAC of Aiken.
THIS ACKNOLOWLEDGEMENT INDICATES YOU HAVE READ AND AGREED TO THE AFOREMENTIONED.