Application Form

I agree to give my time and services to Portland Refugee Support Group without financial compensation and will not accept monetary gifts from clients. I agree to respect clients’ right to self-determination and help them attain their independence and self-sufficiency. I agree to report suspected abuse or neglect to a Portland Refugee Support Group staff member. I agree to promptly submit any required reports and monthly volunteer hours performed. I agree to inform the Volunteer Coordinator if I am unable to volunteer due to illness or emergency and keep them informed regarding my volunteer status and/or any on-going client needs. I understand that a background check will be performed on civil, criminal, and motor vehicle records (as appropriate). Confidentiality information about Portland Refugee Support Group clients, their families and their personal lives are to be kept confidential. Volunteers are prohibited to disclose or release client information without the proper consent of the client involved. This includes not speaking to other professionals (teachers, doctors, etc) without a Release of Information being obtained from Portland Refugee Support Group. Exceptions to this policy include disclosed or observed child, elder or other person abuse or neglect; disclosure by clients of intent to harm self or others; a medical emergency (only necessary information) and the disclosure of information required by court subpoena. Confidential documents must be disposed of by utilizing designated paper shredding machines. I understand that unauthorized use or disclosure of protected and confidential information, including information a client may share with me directly, will result in disciplinary action up to and including termination of my volunteer position. Waiver of Liability: I agree that before or during my volunteering, if I believe anything is unsafe, I will immediately advise a Portland Refugee Support Group board member. I acknowledge that I may be engaging in activities that could involve risk of injury or other loss. I assume all the foregoing risks and accept personal responsibility for the damages following injury. I hereby release and forever discharge and hold harmless Portland Refugee Support Group, or any of its staff, volunteers and/or clients, from any and all liability, claims and demands of whatever kind or nature, either in law or in equity that arise or may hereafter arise from my volunteer activities. Portland Refugee Support Group policy requires that volunteers who opt to drive clients in their personal vehicle carry 100/300/100 minimum liability automobile insurance. I understand it is my responsibility to maintain a valid driver’s license and vehicle insurance that complies with state law. In the event of an accident, the volunteer’s insurance is primary. I consent to the use, publication and reproduction of any photograph or interview taken of me by Portland Refugee Support Group, or its agents, for publicity and non-commercial advertising purposes without compensation. I waive the right to make any claim arising out of the use of such photographs/recordings and understand this release shall inure to the benefit of Portland Refugee Support Group, its successors, affiliates and assigns. I agree to all terms of the Volunteer Agreement as outlined above. I agree that I have read and will complete training with a qualifying resettlement agency located in Oregon and/or pay for a complete background check. I agree with the terms of this application and understand that any misrepresentation or omission of facts is cause for non-appointment to a volunteer position with the Portland Refugee Support Group. *

I have read and approve of the PRSG Volunteer Agreement.

PRSG Application Form