buildOn In-person Immersion Partner Participant

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buildOn Immersion Participant Information
Basic Information

















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On the following page you will complete an E-Signature and Email Verification


Partner Covenant

 

Please review the details about the immersion purpose, expectations and guidelines. This form also includes a media release, the buildOn Volunteer Code of Conduct and buildOn’s COVID-19 pledge.

After agreeing to this covenant, you will be prompted to sign electronically.

PURPOSE OF THE IMMERSION PROGRAM

To provide an opportunity for partners to:

  • “Walk in the shoes” of buildOn students.

  • Serve in solidarity with buildOn students and their community.

  • Engage in a genuine cultural exchange as participants seek to understand our students’ lives and the impact they are making in their communities.

  • Broaden perspectives by making genuine connections with buildOn students.

  • Learn how you can support youth in their efforts to effect change.

APPLICANT RESPONSIBILITIES

By signing this covenant, the buildOn Staff trusts that you will meet and surpass the expectations contained within.

buildOn PARTNERS WILL

  • Attend & actively participate in any pre-immersion orientation calls and review the orientation slide deck

  • Respect, communicate and follow the directions of buildOn Staff.

  • Participate in all aspects of the exchange.

  • Behave in a way that is respectful of different cultures and life experiences at all times. 

  • Support and foster the learning process of the other team members.

  • Agree to fill out a post-survey about their experience within two weeks of program conclusion.

VOLUNTEER CODE OF CONDUCT

buildOn believes that volunteers play a very important role in our mission.  Your volunteer work assists us with many programs and buildOn relies on your support.  As a volunteer, buildOn expects that you comply with the following Code of Conduct:  

As a volunteer, I will treat everyone with respect, patience, integrity, courtesy, dignity, and consideration.  I will use positive reinforcement rather than criticism, competition, or comparison when working with buildOn youth.   I will not take any actions intended to, or which may, frighten or humiliate buildOn youth, including the use of profanity.  

As a volunteer, I will not smoke or use tobacco products in the presence of buildOn youth, nor will I use, possess, or be under the influence of alcohol or illegal drugs at any time while volunteering.  I will also avoid situations where I am alone with children and/or youth at buildOn activities.  I will never touch a child and/or youth in a sexual or other inappropriate manner.  

I understand and agree that I am providing my services as a volunteer without any expectation of compensation.  I understand that I am under no obligation to continue to provide volunteer service to buildOn.  

I understand that as a volunteer working with children and/or youth, I am subject to a thorough background check including criminal history.  I understand that any action inconsistent with this Code of Conduct or failure to take action mandated by this Code of Conduct may result in my removal as a volunteer with buildOn youth.

MEDIA RELEASE FORM

I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes of the participant named above by buildOn. I also grant the right to edit, use, and reuse said products for non-profit purposes including use in print, on the internet, and all other forms of media. I also hereby release buildOn and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.  

 

COVID-19 Concerns and Pledge

buildOn will implement reasonable measures and safeguards (as recommended by recognized scientific, medical and disease prevention experts on a rolling basis) to mitigate the transmission of COVID-19 during any in-person activities. These measures may include a volunteer pre-activity temperature check and health screening questions related to COVID-19.  However, effective mitigation also requires that volunteers act responsibly to protect themselves and others around them. 

 

Permission:

I give buildOn my permission and consent to confirm my vaccination status, take my temperature, and ask health screening questions related to COVID-19. 

By signing this form, I acknowledge and give consent for my temperature to be taken by buildOn or its designee, and permit buildOn or its designee to ask other health screening questions related to COVID-19, as well as collect vaccination confirmation.

 

Disclaimer and Release

I release and hold harmless buildOn, its officers, directors, employees, agents, successors and assigns, and the school/board of education (and its members, officers, employees and agents), from any claim or damage relating to my participation in any buildOn activity subject to this permission and consent form. 

 

I understand and agree:

- buildOn is not responsible for the personal property of volunteers;

- buildOn staff is not certified or trained to give medical treatment

 

I also understand that my participation in any in-person activity may increase the risk of contracting COVID-19, and I will not hold buildOn or its related parties liable for any resulting illness, injury or further transmission.

I, undersigned, agree to the above-mentioned conditions for participating in buildOn’s Program.



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