By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, and false statements, omissions, or other misrepresentations made by me on this application may result in immediate dismissal.
I also realize that I am making a serious commitment to give a portion of my time and energy to assist Raphael Community Free Clinic as a volunteer.
I further agree to respect the privacy rights of all direct and indirect participants in any Raphael Community Free Clinic activities.
I also understand that either party has the option of terminating this volunteer relationship for any reason, expressed or not.
