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Confidentiality Form

If you are volunteering as part of a group, please fill out this confidentiality form prior to your volunteering date.

Prefix
First Name *
Middle
Last Name *
Country
Address Line 1 *
City *
State/Province *
Postal Code *
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Due to the nature of our work and the need to protect the safety and confidentiality of our clients, we expect all staff and volunteers to follow our Ethical Standards and Core Values. Please click the link below to read these guidelines and then check the box on the form to indicate your agreement to abide by them.

ETHICAL STANDARDS:
CONFIDENTIALITY STATEMENT:
LIABILITY RELEASE:
ORIENTATION/ TRAINING:
PHOTO/MEDIA RELEASE:
BOUNDARIES & CONDUCT:
  • Do not exchange personal contact information with clients
  • Do not accept gifts from clients
  • Do not loan or give money to clients
  • Do not engage in non-professional relationship with clients
  • Do not hug, shake hands, or place hands on client's shoulders without asking permission
  • If a child does not initiate a hug, "high fives" or "fist bumps" are preferable
  • Be non-judgmental, respectful and flexible
  • Redirect clients to staff if they ask for your advice or opinion regarding their situation
DIVERSITY STATEMENT:

The checked boxes above and my signature below constitute my understanding and acceptance of these policies set forth by the FBWC.

This box must be checked in order for your application to be processed.

2021 Impact

  • Crisis Hotline Calls

    8,428

  • Survivors and Children Served

    1,990

  • Clients Receiving Emergency Shelter

    304

  • Counseling Hours Provided

    11,406

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