Organization:   
Address:
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I agree to the following:

1.  Basic Policies: RSVP Volunteers are requested by the Volunteer Station in  accordance with the policies and regulations of the RSVP Program.

2.  The Volunteer Station will be responsible for the supervision and orientation of the volunteer as needed at the station.

3.  The Volunteer Station shall be responsible for validating all RSVP Volunteer hours served at their station and forwarding these volunteer hour sheets to the RSVP office by the 5th of each month.

4.  The Volunteer Station will maintain a copy of all RSVP volunteer hours served at the station for a period of one (1) year maximum, four (4) month m inimum.

5.  RSVP Volunteer Accident Insurance will be provided by RSVP.

6.  The Volunteer Station will not assign volunteers to any assignment which would displace employed workers or impair contracts for service.

7.  The Volunteer Station will actively comply with provisions of Title VI of the Civil Rights Act of 1964.

8.  The Volunteer Station will not discriminate against any volunteer for any reason.

9.  SEPARATION FROM VOLUNTEER SERVICE:  The Volunteer Station may request the removal of a senior volunteer at any time.  The RSVP volunteer may withdraw from service at the Volunteer Station or from RSVP at any time.  Discussion of individual separations will occur between RSVP Staff, Volunteer Station Staff and the volunteer to clarify the reasons, resolve conflicts, or take remedial action, including placement with another volunteer station.

10.  In addition, the parties agree to the following arrangements for the RSVP Volunteers stated in the following:  Handicapped Accessibility Self-Evaluation Certification, Job Description and Community Needs Statement.

Station Representative response: