Confidentiality Agreement

By signing below, I certify that the information provided on this application is true and complete. I understand that any misstatement falsified information, significant omission or representation provided by me will make me ineligible for selection retention as a volunteer for Samost JFCS of SNJ. I authorize Samost JFCS of SNJ to investigate all statements and information contained in this application, to make inquiries as may be necessary in arriving at a decision and to obtain a criminal background check, as well as a New Jersey Motor Vehicle History Report. I further understand as a Samost JFCS of SNJ volunteer, I must: (1) maintain full client confidentiality; (2) fulfill the responsibilities and comply with guidelines of the volunteer position as specified in the service description; and (3) maintain ongoing contact with the Volunteer Director and Social Worker. I certify that I have read, fully understand, and accept all terms of the foregoing application. I understand that this application is not a guarantee of placement.