1. I certify that my answers on this application are true.
2. I authorize New Hope Clinic to verify the information submitted in this application and to contact the references provided.
3. If accepted as a volunteer at New Hope Clinic, I agree to abide by the rules and regulations of New Hope Clinic, Inc.
4. My services are donated without contemplation of compensation or future employment.
5. I shall not solicit any business for attorneys or insurance companies "for compensation", both on or off Clinic property, or act as a runner for an attorney in the solicitation business. I shall report all known occurrences of solicitation for attorneys.
6. I shall not sell or attempt to sell goods or services, request contributions, or solicit persons to sign or distribute political petitions on Clinic premises.
7. I shall attempt to resolve any problems related to my volunteer activities with the New Hope Clinic Executive Director.
8. I understand that the Clinic reserves the right to terminate my volunteer status as a result of (a) failure to comply with Clinic policies, rules and regulations; (b) absences without prior notification; (c) unsatisfactory attitude, work, or appearance; or (d) any other circumstances which, in the judgment of the Executive Director, Medical Director, Dental Director, or Pharmacy Director, would make my continued service as a volunteer contrary to the best interests of the Clinic.
