Volunteer Application

As a volunteer, I understand that I will have access to clients’ confidential information through the Whatcom Council on Aging, Bellingham Senior Activity Center and/or Meals on Wheels and More. When accessing and utilizing this information, I agree to abide by the following: I understand that client records are confidential and are protected by both Federal and Washington State laws and regulations. This confidential information can be accessed by hearing or seeing it. I agree to access only that client information which is authorized and necessary for completion of my volunteer position. I agree to keep all client information confidential and to not share it with anyone. I understand that giving information to any unauthorized person may result in disciplinary action up to and including removal from position and prosecution if necessary. I understand that this confidentiality agreement will be kept on file throughout my volunteer service. I understand that upon my departure from volunteer service with the Whatcom Council on Aging my ability to access client information will end. I agree that I will not disclose any of the confidential information to any person. I have read this document and understand that checking this box constitutes my acceptance of this agreement and a violation of this agreement may result in corrective action.

All volunteers must have a History Background check completed. Information on this form will be sent to the Washington State Patrol for verification.