Information and Application Package
Family and Community Support Services821 Switzer Drive,Hinton AB, T7V 1V1Email: fcss@hinton.ca Phone: 780-865-6036
Please check which times and days of the week you are available.
I hereby state that to the best of my knowledge the information submitted on this application is true and accurate. I understand that I will be matched with a Recipient of the Friendly Visitor Program.
Re-entering your name here serves as a digital signature confirming that you consent to have your information shared for the purpose of taking part in our Friendly Visitor Program.
Confidentiality Policy
The Town of Hinton strives to uphold the highest standards of integrity. For this reason, it is the ethical responsibility of all program staff and volunteers to maintain the confidentiality of information obtained while participating in the program.
All personal information about the Friendly Visitor while involved with the Friendly Visitor Program will remain confidential during and after your involvement with the program.
Limits of Confidentiality
Certain information disclosed by program participants will fall outside the limits of confidentiality. The limits of confidentiality are as follows:
Confidentiality Agreement
I understand that any personal information about others learned while participating in the Friendly Visitor Program is of a confidential nature and is not to be shared unless required under the Limits of Confidentiality. Should I learn information regarding any form of abuse, self-harm, or intended self-harm towards another program participant, I will inform Family and Community Support Services and/or the appropriate authorities, such as the RCMP.
I agree to maintain client confidentiality during and after my involvement with the Friendly Visitor Program and I understand that any breach of confidentiality could lead to my dismissal from the program.
Re-entering your name here serves as a digital signature and attestation to the above agreement.
with participating in the Friendly Visitor Program. I agree that I will not hold the Town of Hinton, its staff, or the Friendly Visitor responsible for any loss I should incur while participating in the Friendly Visitor Program.
Thank you for your application. You will be contacted in 2-3 business days to schedule volunteer training and orientation for the Friendly Visitor Program.
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