Miracle Hill Ministries - Volunteer Liability Waiver
RELEASE OF ALL LIABILITY/ASSUMPTION OF RISK: I understand given the services MHM provides, there is risk associated with volunteering. I agree to hold harmless Miracle Hill Ministries, Inc. from any claims or expenses as a result of damage to personal property or personal injury which may result. This release of liability and assumption of risk, including all past occurrences, is intended to release and discharge in advance MHM, board members, officers, agents or employees, and their successors and assignees from and against liability arising out of or connected in any way with my participation.

INSURANCE: I understand that MHM does not assume any responsibility for or obligation to provide me with financial or other assistance including but not limited to medical, health or disability benefits or insurance in the event of my injury, illness, death or damage to property. If I voluntarily transport a MHM program participant in my personal vehicle, I agree to assume all risk and liability of doing so. I understand that if I am involved in a motor vehicle accident while driving for MHM my liability insurance will be used first and that the MHM liability policy will be responsible beginning at $100,000 per person, $300,000 per accident and $100,000 for property damage. If there is a gap in coverage between my liability policy and MHM’s liability policy, I understand that I will be responsible for the financial difference related to that. MHM does not cover, nor are they responsible for, comprehensive and collision coverage to my vehicle.

PHOTOGRAPHY/VIDEOGRAPHY RELEASE: I give MHM permission to use my likeness in a photograph, video or other digital media in its publications, including web-based publications, without payment or other consideration. I understand and agree that all images will become the property of MHM and waive any right to royalties or other compensation arising or related to the use of the image. I hereby irrevocably authorize MHM to edit, alter, copy, exhibit, publish or distribute these images for any lawful purpose and waive any right to inspect or approve the finished product wherein my likeness appears.

MIRACLE HILL MINISTRIES CODE OF ETHICS POLICY: All volunteers associated with MHM are expected to comply with the Code of Ethics to ensure that ethical decision making and conduct are observed in all aspects of the ministry. This document should be viewed in conjunction with the relevant policies and procedures and should not be considered all inclusive. Confidentiality: In my work with MHM, I will come across sensitive information about guests/clients in care. Information concerning guests/clients including their history of abuse and neglect, mental diagnosis and medication and/or their treatment will not be revealed or released without the written consent of the guest/client. Volunteers will not reveal the identity of any guest/client or any other Personally Identifiable Information (PII) to anyone. PII is information that can be used on its own or with other information to identify, contact or locate a guest/client. This may include name, address, email address, date of birth, birthplace, etc. If there is a concern for safety of the guest/client or others as a result of the behavior of the guest/client, I will immediately communicate this information to a MHM staff. I will do this even if the guest/client asks me not to. Gratuities/Influence: No volunteer affiliated with MHM will accept gifts of material value, favors or remuneration for personal gain from any individual, agency or organization that does business with MHM. Additionally, no volunteer will attempt to influence decisions of any funding source through donations of cash, promises of special consideration or suggestions of any valuable contributions. Preferential Treatment: MHM prohibits the preferential treatment of any employee, volunteer or consultant applying for and receiving services. Services will be granted using the necessary screening tools to ensure beneficial outcomes.External Relationships: For Adult Ministries, MHM prohibits any intimate or romantic relationships between volunteers and guests for one (1) year following the departure of the guest/client from the care of MHM, unless the relationship existed prior to the intake of the guest/client. For Children’s Ministry, MHM prohibits any intimate or romantic relationships between volunteers and clients. Required Reporting: Volunteers who observe employees or volunteers behaving in an inappropriate or unprofessional manner in the course of their assigned duties should report such behavior to the appropriate supervisor.

SOCIAL MEDIA POLICY: All online media has a direct reflection on our ministry. Any information presented online to represent MHM, including all affiliated programs and facilities must reflect the belief, image, brand and mission of MHM. Volunteers are not permitted to post any identifiable information related to the guests/clients residing within MHM facilities on social media. This includes, but is not limited to photographs (including those with images placed over the individual’s face), silhouettes of the individual or the name or birth date of the individual. Volunteers are required to refrain from participating in one-on-one social media relationships (e.g. Facebook friends, Twitter followers) with current guests/clients on social networking sites and may only interact with guests/clients through official MHM sites. Volunteers posting content about MHM business on a personal social media account or site should include the following disclaimer: While I am connected as a volunteer with Miracle Hill Ministries, Inc., everything listed here is personal opinion. Opinions, conclusions and other information expressed here do not necessarily reflect the views of MHM.
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Email *
FULL Name (first, middle, last) of Volunteer Serving: *
Date of Birth of Volunteer: *
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First and Last Name of Parent or Guardian if Volunteer under 18 years old:
Driver's License State and #:
Driver's License State and Number for the Adult Consenting on their own waiver, or on behalf of youth.
Group Name - if applicable:
If you or your youth is serving with a group, please indicate the name of the group here.
Volunteer will serve at the following location: *
Please select where the volunteer will serve! If you are unsure, there is an option to select.
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I hereby certify that I have read and understand this Release of All Liability, Assumption of Risk and Waiver and Code of Ethics Policy and that I have received a copy. *
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Today's Date: *
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