CONFIDENTIALITY AGREEMENT & PHOTO RELEASEI understand and agree that in the performance of my duties as a volunteer representing Cook Children s Health Care System and Project ADAM I must hold in strictest confidence any observations I may make or information I may hear regarding patients, families or staff.
I verify that all of the information provided by me on this application is true, correct and complete. I attest that I have never been arrested or charged with any crime and grant Cook Children's permission to verify this information in arriving at a decision.
I understand that false or misleading statements or the omission of any information necessary to make this application complete will result in rejection of my application or termination of my service.
Additionally, Cook Children's has my consent to photograph, videotape, or audiotape me performing my volunteer duties. I understand that these may be used toward the advancement of public education, the promotion of Cook Children's, and/or any other legitimate purpose.
I understand that upon my successful completion of the volunteer placement processes required at Cook Children's, I will become a volunteer. As a volunteer, I acknowledge that I will not receive compensation for services provided.
