Applicant's Certification & Agreement I certify that the facts provided in the above volunteer application are true, accurate, and complete
and I authorize the Deaf and Hard of Hearing Service Center to verify the accuracy of information
provided and to obtain reference information on my work performance. I release the Deaf and Hard
of Hearing Service Center from any and all. I understand, if allowed to volunteer, falsified
statements, misrepresentations of any kind, or omission of facts on the application for volunteering
will be cause to remove me from the volunteer roster. I understand that I am acting in the capacity
of a volunteer, and as such, I am not entitled to any financial compensation, DHHSC benefits or
worker’s compensation. I understand that I perform all volunteer duties at my own risk.
Sign your name by typing your full name.