Thank you for your interest in being a volunteer at the Lehigh Valley Business Group. Please complete and submit the form below.
The Lehigh Valley Business Group needs to maintain the privacy and confidentiality of its members.
By electronically signing the form above, I acknowledge that I:
- Understand that for the duration of my visit/assignment at the Lehigh Valley Business Group I may have access to client information that is considered confidential, both legally and ethically.
- Understand that the Lehigh Valley Business Group has policies and procedures consistent with these laws, which outline authorized and unauthorized disclosure of information and any questions about compliance with these policies and procedures should be referred to a committee chair or the Founder / Chief Executive Officer.
- Shall hold all information confidential and shall not disclose information in an unauthorized manner with any persons outside of the Lehigh Valley Business Group. This information may be verbal, written, or included in audio/visual materials. I understand that all outside inquires about a member must be referred to the, without any acknowledgment that an individual is or is not a client.
- Shall respect the legal and moral right to privacy to each member, volunteer and committee chair associated with the Lehigh Valley Business Group
By my signature, I acknowledge that I have carefully read and agree to comply with these regulations adopted by the Lehigh Valley Business Group and in protection of this right to privacy.
I acknowledge there are certain inherent risks serving as a volunteer, including but not limited to physical injury and death. I acknowledge that all risks cannot be prevented and I assume those beyond the control of LEHIGH VALLEY BUSINESS GROUP faculty and staff. I represent that I am physically able, with or without accommodation, to participate in volunteer service, and that I am able to use the equipment and/or supplies described.
Should I require emergency medical treatment as a result of accident or illness arising during volunteer work, I consent to such treatment. I acknowledge that LEHIGH VALLEY BUSINESS GROUP does not provide health and accident insurance for volunteers and I agree to be financially responsible for any medical bills incurred as a result of emergency medical treatment. I will notify LEHIGH VALLEY BUSINESS GROUP staff or representative project leader at my volunteer site in writing if I have medical conditions about which emergency medical personnel should be informed.
BY SIGNING, YOU ACKNOWLEDGE THAT YOU HAVE READ AND FULLY UNDERSTAND THE RELEASE/WAIVER AND FULLY UNDERSTAND THAT YOU HAVE GIVEN UP CERTAIN RIGHTS BY SIGNING THIS WAIVER VOLUNTARILY.