Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am
accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this
application may result in my immediate dismissal.
In California, failure to maintain client information as confidential is considered a violation of privacy. Volunteers
are acting on behalf of PPSC and are therefore subject to the same requirements and laws regarding
confidentiality as employed staff.
Confidential information includes:
- The fact that a person is or has been a client of PPSC
- Any information given to the volunteer in confidence by the client
- Any information about the client, his/her problems and treatment or contact with the agency
Confidentiality does not include:
- Suspected child abuse, elder abuse or intent to physically harm one’s self or another person. (The
volunteer coordinator should be called immediately if these issues arise).
Basic principles of confidentiality:
- All information divulged by the client to an agency representative is held in the strictest of confidence;
clients of PPSC are guaranteed this protection by California law.
- The volunteer should not communicate confidential information to anyone outside PPSC.
- Breach of confidentiality is sufficient grounds for termination of volunteer staff.
I have read and understand the above conditions. I shall make my best effort to fulfill my commitment to the
PPSC by completing all assignments that I accept. I shall at all times uphold the mission of the agency. All
information is to be held in the strictest of confidence.