Volunteer Application

Name *
Do you have a car at your disposal?
I have experience in the following (tick all that apply): *
Tick all the areas you could bring your skills and expertise to.
By checking this box and clicking submit, I agree to abide by the following policies: Voluntary Participation: I acknowledge that I have voluntarily applied to participate in Tara Home activities. I understand that as a volunteer, I will not be paid for my services, and that I will not be covered by or eligible for any insurance coverage or benefits provided by Tara Home, including but not limited to medical, property or liability insurance. I further agree that my participation in the Tara Home may be terminated at any time, for any reason. Confidentiality: As the purpose of Tara Home is to provide a safe, loving environment for end of life care, utmost discretion must be maintained concerning the affairs of each resident, their family, friends, and care providers. Except to the extent disclosure is made pursuant to any governmental requirement or otherwise required by law, all information regarding resident, resident’s family and all affairs concerning resident’s mental and physical health and treatment shall be regarded as confidential. Authorization: No information is to be imparted to any person, group, or media representative, without prior approval of the Executive Director. I understand that failure to uphold this policy is grounds for immediate dismissal, and possible prosecution by law. Indemnification: In consideration of the opportunity afforded me to volunteer at Tara Home, I agree to indemnify, hold harmless, protect and defend Tara Home, its officers, directors, employees, volunteers, contractors, suppliers, affiliates, and leaseholder, Land of Medicine Buddha, from and against any and all liable actions, causes of action, costs, and expenses arising in connection with any claim for injury, death, or property damage arising or resulting from or connected with my acts or negligence while participating in Tara Home activities.