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(Name, phone number, and relationship)
(Please provide a copy of your license and insurance)
Given the expectations of the volunteer position for which you are applying, explain any physical or health accomodations that are needed to allow you to participate in the activity.
Please list two references who aren't related to you that we may contact who have knowledge of your qualifications. Please provide a name, complete address, phone number, relationship, and years known for each individual.
I understand that as an Ontario County Office for the Aging (OFA) Volunteer I am entrusted with the responsibility of assisting Ontario County Senior Citizens in receiving the services that OFA provides. I understand that whatever knowledge I have as a result of my work as a Volunteer for OFA is to be kept strictly confidential. I am to share such information, as appropriate, with OFA staff only. I, therefore, pledge to keep any and all knowledge pertaining to OFA clients and their families in complete confidence, and in so doing honor them with the respect and dignity to which they are entitled. In addition, I will not discuss my personal views with OFA clients or perform any solicitation.
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