It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the Society of St. Vincent de Paul Exeter (SVdP). I give SVdP the right to investigate all references and to secure additional information about me from sources I have not listed. I hereby release from liability SVdP and its representatives for seeking such information, and all other personas, corporations, or organizations for furnishing such information.
The Society of St. Vincent de Paul Exeter does not discriminate in volunteer placement and no questions on this application are used for the purpose of limiting or excluding any applicant?s consideration for volunteer placement on a basis prohibited by local, state or federal law. This application is current for only 60 days. At the conclusion of 60 days, if I have not heard from SVdP and still wish to be considered for volunteer placement, it will be necessary to complete a new application. I understand that just as I am free to resign at any time, SVdP reserves the right to terminate my volunteer placement at any time, with or without cause and without prior notice. I understand that no representative of SVdP has the authority to make an assurance contrarily.
I hereby grant permission to any staff person to obtain medical care from a licensed physician, hospital or medical clinic for me in the event that I should become ill or injured. I hereby grant permission to SVdP to use any and all photographs or videotape on websites or other materials produced by SVdP.
I hereby release all of the above stated entities and their agents from any and all liability in connection with providing information, investigating or evaluating my application. I waive any right that I may have to inspect any information provided about me in connection with this application.
I have read and understand the above stated information within this release and am signing below of my free will.