2020 Seminar Volunteer Application

Volunteer Registration

Dear Potential Volunteer,

Thank you for offering to volunteer your time for HOBY!

Our primary event, the HOBY West Virginia Leadership Seminar, will take place May 21, 2020 through May 24, 2020. The event will be held at Davis and Elkins College, with more than 180 sophomores in attendance. During the weekend, you will join “HOBY Ambassadors” from our state, as well as many other volunteers, to enjoy a unique leadership experience. We will present multiple viewpoints on important issues and encourage students to think critically about leadership, and also begin to identify their own particular leadership strengths. The seminar will be an enjoyable experience in a stimulating workshop environment. We tell Ambassadors that what they get out of the seminar will correlate directly with their level of participation in the activities, and you as a volunteer will help them interact to get the most of this experience.

Herein included, please find several HOBY forms that require your attention, as well as some information you may like to have regarding the seminar. Please ensure that you thoroughly review and complete all of the forms ASAP.

If you have any questions, please do not hesitate to reach out to me. We are delighted to have you as part of this HOBY event and are grateful for the time and leadership you have volunteered!

Sincerely,

Mindy Robinson

Co-Director of Facilitators

304-940-9876

Mindy.Robinson01@hobywv.org

Acknowledgement

Please be advised that this volunteer application is extensive and will take you some time to complete. It contains an Annual Background Check Form, acknowledgement of the HOBY International Online Volunteer Application (which must be completed seperately), volunteer confirmation, medical history, consent & acknowledgement of risk, HOBY Code of Conduct, as well as additional information to help us best find a place for you on our volunteer team. Collection of this data is done for all volunteer applicants so that it is already on file once you begin to volunteer with us. All data is maintained securely and is protected by HIPAA law.

This application must be completed on an annual basis.

If you are under 18, this form set has multiple places that will require a parent or guardian electronic signature. You will want them present as you complete the forms.

You may save and resume completion of this form by using the link at the bottom of any page. However, without the link provided, the data you have entered cannot be retrieved and you will have to start filling out the form at the beginning. Because of the security measures in place with this form including 256 bit SSL and the highest level of data encryption available, which ensures that only verified HOBY volunteers on a need to know basis can access any submitted information, should you use "Save and Resume," providing your own self-created password will be necessary. Additionally, as part of these security measures, neither HOBY nor Formstack will be able to retrieve your personal "Save and Resume" link or password. You will be able to email yourself the link when it is provided.

As such, we recommend you have on file the following information before proceeding any further:

Social Security Number (for those 18 or older)*
Place of Birth*
Medical History+
Immunization Record+
Medical Insurance (if applicable)+

Starred (*) items are used in our background check conducted by One Source. Items with a plus (+) are collected for emergency purposes and treated as Personal Health Information (PHI) and protected by HIPAA law.

We value and respect your personal safety and security including that of your information and treat it with the highest regard.

Any questions or concerns with this form may be reported to Mindy.Robinson01@hobywv.org

I am at least 18 years of age, or will be when I arrive on site for the event.*

Yes No

Please answer this question as your age on the FIRST DAY OF SEMINAR. You do NOT need to be 18 years of age to complete this application. This question simply allows us to determine the appropriate information to further ask of you.

I understand these materials may take me significant time to complete. I acknowledge that HOBY and Formstack will NOT be able to help me recover a partially completed set of forms. As such, I have already collected important information including my social security number and medical history. My application can and will only be considered once all necessary sections have been completed and submitted.

HOBY International Online Volunteer Application

HOBY International requires all HOBY volunteers to apply through their website. You can complete the application at:

https://reg.hoby.org/HOBYVolunteerApplication/

Please Note:

If this is your first year volunteering, you do not need a username and password to enter the application. Simply click the "Continue" button under "New Volunteers". Returning volunteers should log-in using the username and password they were issued when they last volunteered. If you do not remember this or have it in an old email, contact Heather Myers, Director of National Programs, at myersh@hoby.org to retrieve it for you.

Online Application Status*

I have gone to the webpage above and successfully completed my online volunteer application with HOBY International. I am a returning volunteer and have requested my username and password from HOBY International. I will complete the application once I receive it from them. I went to the above webpage but could not complete the application successfully. I am unable to complete the online application at this time for some other reason.

Please explain.*

All volunteers must complete the online volunteer application. We can try to help you with it at Staff Training if necessary. If you think you will be unable to complete it before the seminar, please contact Mindy Robinon right away via email at Mindy.Robinson01@hobywv.org

HOBY Annual Background Check Form for Volunteers

Applicant Release Authorization

In accordance with the Child Protection Policy of Hugh O’Brian Youth Leadership (HOBY), all volunteers 18 years and older who will have repetitive access or contact with Ambassadors, or who will sit on the local affiliate corporate board must complete this form and agree to an background check annually. Background checks for individuals accepted to the positions of Regional Project Director (RPD) and Corporation President (CP) will be conducted by HOBY International; background checks on all other volunteers will be conducted by the Corporation President of the local affiliate HOBY corporate board.

The information provided on this form is required by law enforcement agencies and other entities for positive identification purposes when checking public records. It is confidential and will not be used for any other purposes. I hereby release the employer and agents and all persons, agencies, and entities providing information or reports about me from any and all liability arising out of the request for or release of any of the above mentioned information or reports.

I hereby authorize, without reservation, any law enforcement agency, institution, information service bureau, school, employer, reference or insurance company contacted by Hugh O’Brian Youth Leadership (HOBY) or its background check service provider or agent, to furnish the information described above. I understand that in the event a negative hiring decision is made based upon the results of my background check, a report will be furnished to me upon my request. I understand that, regardless of previous appointments, HOBY is not obligated to appoint me to a volunteer position. If appointed, I understand that violation of HOBY policies or principles could be subject to my suspension or removal by HOBY staff.

PERSONAL INFORMATION

HOBY State/Site*

HOBY Volunteer Position*

Name*

First Name

Last Name

Other LEGAL names you have used, including MAIDEN name(s)

Home Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Social Security Number*

Format with hyphens

Date of Birth*

Place of Birth*

City

Place of Birth*

State

Place of Birth*

Country

Home Phone*

Business Phone

Cell Phone

E-Mail Address*

Confirm E-Mail Address *

Occupation/Title*

Company/Employer's Name*

Number of Years with HOBY

HOBY Alumni Year (If Applicable)

I CERTIFY THAT THE INFORMATION ON THIS APPLICATION IS TRUE.

Signature of Applicant*

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Print Your Name*

First Name

Last Name

Date*

Medication Verification Form for Physicians

This form is to be completed by the participant’s prescribing physician. If the participant has more than one prescribing physician, then each physician will need to complete a form. Please type or print legibly.

Please download and print the Medication Verification Form for Physicians by clicking on the following link: https://drive.google.com/open?id=1oYC2yJnPFAqbHWCyY_0Fs3qfIiB_LxJI

Please return the completed form by email, postal mail, or brought with you to the event.

Forms may be scanned and emailed to: amber.kelley@hobywv.org

Forms may be mailed to:

HOBY Staff Registration Forms

Amber Kelley

17604 Slate Way

Hagerstown, MD 21740

PLEASE NOTE: if mailing the form, you MUST have it in the mail NO later than Feb. 7, 2020

I have downloaded the Medication Verification Form for Physicians. I understand that I must submit this form to my physician for its completion, and then return the completed form to HOBY as soon as possible.

Policy for Use of Medication During a HOBY Event

If a minor or adult participant is required to take medication during a HOBY event, including the HOBY Leadership Seminar, he/she must comply with the following guidelines:

1. HOBY volunteers will not dispense prescription medication for participants during the event.

2. Any participant bringing prescription medication to the event must submit a doctor’s note or completed Physician Medication Verification Form to HOBY, preferably in advance or at the event check-in, detailing the following:

a. The name and type of medication.

b. The condition for which the medication is being prescribed.

c. Dosage information.

d. Attestation that use of the medication will not impair the participant’s ability to care for his/her own safety or the safety of others; increase the risk of harm to others; or cause dizziness and/or fatigue.

This information is necessary to provide medical personnel in the case of emergency and the participant is unable to communicate the information. All prescription medication must be submitted to HOBY in its original container as labeled by the pharmacy. HOBY will store required medications in a locked facility. The medications a participant may be allowed to keep in his/her possession is any asthma medications (inhalers, oral steroids, etc.), birth control pills, acne medication, any topical medications, allergy medications, medications for treatment of diabetes (insulin, etc.) and EpiPens, as well as any other prescription medication required by the doctor to be in their possession at all times. But there will need to be a doctor’s note completed and on file for all medication brought to the event, whether stored or not.

If a participant fails to advise HOBY that he/she is taking prescription medication, is not taking the medication as prescribed, and/or has stopped taking prescription medication, HOBY reserves the right to send the participant home at the participant’s guardian or parent’s expense.

3. If the participant has a medical condition that requires any assistance, the assistance must be provided or contracted directly by the participant or his/her parent/guardian. Under no circumstances will a HOBY volunteer help with dispensing medication. If help is needed on an emergency basis, emergency personnel will be contacted.

4. Proper administration and dosage of medication shall be the sole responsibility of the participant. HOBY will have no responsibility in seeing that the participant takes the medication as prescribed by the doctor.

5. Participants should only bring as much medication as will reasonably be needed during the event.

6. Participants are prohibited from sharing their personal medication with another participant. Conversely, participants are prohibited from accepting medication from anyone, other than HOBY medical staff.

7. Any participant bringing illegal drugs, narcotics, misused prescription drugs and/or mood altering substances or alcoholic beverages to a HOBY event, using them on HOBY premises or dispensing or selling them on HOBY premises will be subject to disciplinary action, including automatic expulsion from the event. The discharged participant will be responsible for any charges/fees incurred as a result of leaving the event early (i.e. change in airfare, taxi, etc.). HOBY has a very strict/no-tolerance policy when it comes to drugs.

You may click here to download the Policy for Use of Medication During a HOBY Event.

I have read, understand, and agree to the "Policy for Use of Medication During a HOBY Event."

Health Insurance

Check this box if volunteer is NOT covered by a health insurance plan.

Health Insurance Plan Name*

Health Insurance Plan Number*

Health Insurance Group Number*

Name of Primary Insurance Holder*

First Name

Last Name

Initials of Parent/Legal Guardian: Required only for volunteers under the age of 18:*

By initialing here, I verify that all information provided in this Health Insurance Form is complete and accurate.

Initials of Volunteer:*

By initialing here, I verify that all information provided in this Health Insurance Form is complete and accurate.

Consent & Acknowledgement of Risk

Event/Activities:*

through

IN CONSIDERATION of the right to attend and participate in the Activities described above, the Volunteer hereby:

1) Agrees to abide by all rules and regulations established by Hugh O’Brian Youth Leadership (HOBY);

2) Authorizes HOBY or any of its agents to provide, obtain, or authorize any reasonable incidental and/or emergency medical treatment for the Volunteer, in the event of the Volunteer’s illness, injury, or incapacity, and hereby accepts the responsibility to pay for such treatment;

3) Grants to HOBY for any purpose connected with promoting the purposes and goals of HOBY, but not for commercial exploitation, the right to use the Volunteer’s name, voice, likeness, verbal or written quotes in any writings, photographs, films, recordings, and social media postings of the Volunteer while he or she is participating in the Activities, and any biographical information submitted by the Volunteer to HOBY, and to use, reproduce, publish, and distribute the same;

4) Acknowledges that there is an element of risk involved in any activity involving travel outside of one’s own home or community; certifies that the Volunteer is physically, mentally, and emotionally capable of attending and participating in the Activities; assumes all risk of and financial responsibility for any loss or injury to the Volunteer or others that may occur as a result of the Volunteer’s negligence or misconduct; and indemnifies and holds HOBY harmless from and against any and all costs, claims, demands, charges, liabilities, obligations, judgments, executions, costs of the suit and actual attorneys’ fees incurred or suffered by HOBY as a result of, or arising out of, the Volunteer’s negligence or misconduct;

5) Agrees to immediately advise in writing the person in charge of the HOBY event and/or HOBY International of any injury, illness, or loss that occurs to the Volunteer during the event;

6) This Consent and Acknowledgment of Risk shall not be amended, supplemented, or abrogated without the written consent of HOBY’s International Office in Westlake Village, California;

7) Volunteer has read this Consent and Acknowledgment of Risk, and understands its contents.

Initials of Parent/Legal Guardian: Required only for volunteers under the age of 18:*

By initialing here, I agree to the terms of the Consent & Acknowledgement of Risk.

Initials of Volunteer:*

By initialing here, I agree to the terms of the Consent & Acknowledgement of Risk.

Notice of Privacy Practices

WE PROVIDE THIS NOTICE TO DESCRIBE HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED. PLEASE REVIEW THE BELOW INFORMATION CAREFULLY AND IF YOU AGREE, PLEASE EXECUTE THE ATTACHED AUTHORIZATION.

We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information. We may preserve the medical disclosure information (“medical information”) concerning you provided by you to HOBY for up to seven years. We use and retain these records to provide or enable health care providers to provide quality medical care to you in the event of an emergency. This notice describes how we may use and disclose your medical information. It also describes your rights, and our legal obligations with respect to your medical information.

A. How HOBY May Use Or Disclose Your Medical Information

HOBY collects health information about you and stores it in a file and on a computer. These files are the property of HOBY, but the information belongs to you. The law permits us to use or disclose your medical information for the following purposes:

1. Treatment. In the event of an emergency, we will provide medical information about you to the appropriate health care provider to provide for medical care for you. We may also disclose medical information to members of your family or others who can help you.

2. Awareness. We may also provide medical information about you to HOBY employees and/or volunteers to the extent necessary.

3. Alumni Activities. We may provide medical information about you to HOBY employees and/or volunteers in connection with alumni activities or events in which you may be a participant.

4. Limited Disclosure. We will limit the use and disclose of medical information about you as detailed below.

B. When HOBY May Not Use Or Disclose Medical Information

Except as described in this Notice of Privacy Practices, HOBY will not use or disclose health information which identifies you without your written authorization.

C. Your Health Information Rights

1. Request for Special Privacy Protections. You have the right to request restrictions on certain uses and disclosures of your health information by way of a written request specifying what information you want to limit and what limitations on our use or disclosure of that information you wish to have imposed. We reserve the right to accept or reject your request and will notify you of our decision.

2. Copy of Notice. You have a right to a paper copy of this Notice of Privacy Practices.

If you would like to have a more detailed explanation of these rights, or if you would like to exercise one or more of these rights, contact Hugh O’Brian Youth Leadership at 818-851-3980.

D. Changes to this Notice of Privacy Practices

We reserve the right to amend this Notice of Privacy Practices at any time in the future. Until such amendment is made, we are required by law to comply with this Notice. After an amendment is made, the revised Notice of Privacy Protections will apply to all protected health information that we maintain, regardless of when it was created or received.

E. Questions or Complaints

Questions or complaints about this Notice of Privacy or how HOBY maintains the medical information of your child or dependent should be directed to Hugh O’Brian Youth Leadership at 818-851-3980.

ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES

You may click here to download the Notice of Privacy Practices.

I hereby acknowledge that I received a copy of the Notice of Privacy Practices.

Initials of Parent/Legal Guardian: Required only for volunteers under the age of 18:*

By initialing here, I hereby acknowledge that I agree to and that I received a copy of the Notice of Privacy Practices.

Initials of Volunteer:*

By initialing here, I hereby acknowledge that I agree to and that I received a copy of the Notice of Privacy Practices.

HOBY Code of Conduct

Hugh O’Brian Youth Leadership (“HOBY”) is committed to the highest ideals of youth leadership development and education and expects all representatives to act in a manner that contributes to the overall mission of HOBY, consistently reflects positively on the organization and follows HOBY policies. As a HOBY representative, I accept responsibility to represent HOBY with pride and dignity conducting myself in a professional manner and as a positive role model for HOBY program participants, alumni, volunteers, and the greater public. I agree to adhere to the following standards of conduct.

- I will treat everyone with respect, dignity, patience, integrity and consideration. I will be fair, professional, and honest.
- I will encourage participation of and respect for individuals of diverse backgrounds, cultures, and perspectives, and treat everyone equally.
- I will maintain high standards of moral and ethical conduct that includes self-control and responsible behavior, including respect for the privacy of others. I will be a positive role model.
- I will respect the property of hotels, universities, dormitories, dining facilities, and other venues.
- I will ensure that HOBY is a positive experience for ambassadors, alumni, and volunteers, and will provide the highest quality event possible.
- I will provide for the general welfare, health and safety of any ambassador or alumni in my charge during the course of my assigned duties.
- I will abide by all HOBY rules, standards, policies and guidelines.
- I will obey all local, state and federal laws.
- I will refrain from the use of alcohol, tobacco products and profane language while serving HOBY, particularly while in the presence of youth.
- I will refrain from any form of personal abuse/attacks towards ambassadors, alumni, volunteers, staff, board, and others, including verbal, physical and emotional abuse.
- I will not engage in disloyal, disrespectful, and detrimental conduct to HOBY, including, but not limited to, disloyal, disrespectful, and detrimental conduct by e-mail and on the internet.
- I understand that I am only authorized to represent HOBY as specifically indicated in my position description, or as directed in a written authorization signed by my respective Director of National Programs, or as approved by the President/CEO and/or the Board of Trustees.
- I will perform all duties and responsibilities in a timely and professional manner.
- I understand that HOBY discourages relationships of a romantic or sexual nature between supervisors and those they supervise or volunteers and those they serve. I agree to maintain appropriate relationship boundaries during the course of my volunteer activities/work and agree to speak with a supervisor/staff member should any relationship develop.

You may click here to download the Code of Conduct.

By signing here, I acknowledge that I have read and understand that the Code of Conduct applies throughout the year and failure to adhere to any or all parts of this code may result in suspension from my duties and/or termination of my relationship with HOBY.*

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Social Media and the Code of Conduct

The Code of Conduct was created to provide guidance and expectations of behaviors on behalf of those serving HOBY. It was designed to protect HOBY, the Ambassadors, volunteers and local sites from behavior that could be detrimental to the effectiveness of the programs, the health and safety of Ambassadors and volunteers, as well has the reputation of HOBY as an organization. For the most part, the Code of Conduct is very straightforward and clear. However, it’s worth reviewing a few particular points.

First, much of the Code of Conduct applies beyond the 3 days of a seminar, the 8 days of WLC, or the one day of a CLeW or Alumni Event. Violations of the Code of Conduct which negatively impact HOBY; any programs; other volunteers, Ambassadors, or alumni can, and sometimes do, occur outside of specifically scheduled programs and events. For example, one of the bullet points in the Code states: “I will refrain from any form of personal abuse/attacks towards ambassadors, alumni, volunteers, staff, board and others, including verbal, physical and emotional abuse.” Clearly, such abuse can occur at any time. If HOBY International is notified of possible violations of the Code of Conduct, an investigation is conducted, documentation gathered and disciplinary action, if necessary, may be applied.

Recently, social networking has been a subject of some debate regarding the Code of Conduct. Social networking sites are wonderful communication and networking tools. They have helped keep HOBY stakeholders connected, motivated and inspired. In fact, the Official Facebook HOBY Fan Page, HOBY Twitter, and HOBY YouTube Channel are great examples. (If you haven’t joined yet, please do so at http://www.facebook.com/HOBY, http://www.twitter.com/HOBY, and http://www.youtube.com/HOBY.

However, cyber-bullying, inappropriate commentary and/or photos can be violations of the Code of Conduct, regardless of when they were posted. HOBY is not unique in this regard. Many employers will also act (including reprimands, suspensions, and terminations), in response to social network postings deemed inappropriate, even if the activity occurs outside company time. Employers and university admissions offices often look at social networking sites prior to accepting candidates. What is written, photographed, or recorded and posted can have a negative impact beyond what one might expect.

Obviously, HOBY does not have the staff, nor frankly, the inclination to search for and review postings and other activities by our vast network of volunteers and alumni. And fortunately, for the most part, we don’t have to do so. But when an issue is raised or a complaint filed, though a rare occurrence when considering the total number of HOBY volunteers and alumni nationwide, we do have an obligation to investigate and act accordingly. HOBY volunteers remain some of the most dedicated and inspiring people in the country, and for that we are grateful! If you have any questions regarding the Code of Conduct and its practical application, please do not hesitate to contact your DNP.

With this information in mind, HOBY recognizes that the line in using your own social media space as a HOBY volunteer or other stakeholder is often blurred when dealing with other HOBY stakeholders or the general public. We encourage members of the HOBY community to use social media as a way to stay connected, but remember that while social networking is fun and valuable, there are some risks you should keep in mind. In the social media world there is often no line between what is public and private, personal or professional. We've created these general social networking/media guidelines that are important for you to consider as you share your thoughts, views and perspectives—as a member of the HOBY community—in the virtual world.

Use Good Judgment

We expect you to use good judgment in all situations—that applies in the world of social networking/media as well.
Remember to know and follow the HOBY Code of Conduct.
Just as we work to maintain an environment in our programs that is positive, respectful and inclusive for all our stakeholders, let's work together to do the same in the social networking/media world.

Be Transparent

Even though you are a HOBY volunteer, unless you are specifically authorized to speak on behalf of the organization or one of its affiliates as a spokesperson, you should state that the views expressed in your postings, etc. are your own.
Be open about your affiliation with HOBY and the role/position you hold.

Don’t Share Everything

Do not publish, post, or release information that is considered confidential or not public. Online 'conversations' are never private!
If it seems confidential, it probably is. If you have any questions about what is considered confidential, check in with your Leadership Seminar Chair, Corporate Board President, or Director of National Programs.
To ensure your safety, be careful about the type and amount of personal information you provide to anyone, including fellow members of the HOBY community.
NEVER give out or transmit personal information of participants or fellow volunteers.

Show Respect

Please respect brand, trademark, copyright information and/or images of HOBY, its affiliates, and sponsors.
You may use photos and video (products, etc.) from events, but do so with the permission of those included in the material.
Please do not post pictures of others (participants, fellow volunteers, etc.) without their permission.

Scenario:

Q: You see something on YouTube/Facebook (or any other sharing/social media type site) regarding HOBY and you aren’t sure if the content is appropriate, what do you do?

A: Ask yourself the following questions:

Is it HOBY appropriate?

If a potential corporate donor was doing research to decide whether to give you a donation, and they saw this posting would it make a favorable impression?

If a foundation to which you applied for a grant was doing research to decide whether to give you a donation, and they saw this posting would it make a favorable impression?

If a potential GIK donor was doing research to decide whether to give you a GIK donation, and they saw this posting would it make a favorable impression?

If a school administrator or guidance counselor was doing research to decide whether to send a student to your seminar, and they saw this posting would it make a favorable impression?

If a potential volunteer was doing research to decide whether to volunteer with your site, and they saw this posting would it make a favorable impression?

If a potential ambassador was doing research to decide whether to attend your seminar, and they saw this posting would it make a favorable impression?

If a parent of a potential ambassador was doing research to decide whether to send their son or daughter to your seminar, and they saw this posting would it make a favorable impression?

If your answer to any of these questions is no, it shouldn’t be online. But it is. And you don’t have control over everything that is online and what gets video-taped and posted, but you do have control over what actually happens at your seminar or HOBY event. If you discover an unfavorable posting, it should be taken down immediately, or report it to your DNP for investigation.

Anything with the name of HOBY on it affects us all - all sites, HOBY International, WLC, TI, seminars in other countries - not just the particular site where the posting originated.

You may click here to download Social Media and the Code of Conduct.

Acknowledgement of Social Media and the Code of Conduct*

I have read and understand the Social Media Addendum to the Code of Conduct. I understand that it applies throughout the year and failure to adhere to any or all parts of this code may result in suspension from my duties and/or termination of my relationship with HOBY.

Donations

As you may know, HOBY WV Leadership Seminar is made possible solely on donations. We encourage local, state and federal businesses and programs to donate to this life changing event. We want your help in reaching out to your community to help grow our program to be the best it can be. We would love your input on who you know would like to contribute to HOBY WV Leadership Seminar. Please fill out at least three businesses or individuals you know who might want to donate to our seminar site and we will do the work for you. Our Director of Fundraising, Zach Morris, will reach out to them personally so you don't have to. This program would not exist without our loyal contributors and dedicated volunteers, so who do you have in mind?

Donor Name/Business 1*

Please include any contact information you may have for this donor, including phone number, email, and address if possible.

Donor Name/Business 2*

Please include any contact information you may have for this donor, including phone number, email, and address if possible.

Donor Name/Business 3*

Please include any contact information you may have for this donor, including phone number, email, and address if possible.

Certification

By signing below, I certify that all statements made and information provided in this application are true and complete to the best of my knowledge. This signature serves to validate and acknowledge the proper submission of travel information, medical history record, health insurance information, consent and acknowledgement of risk, acknowledgement of the notice of privacy practices, agreement to the Code of Conduct, and the Social Media supplement to the Code of Conduct as well as all answers contained herein this application.

Signature of Parent/Guardian:*

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Date/Time*

Signature of Volunteer:*

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Date/Time*

Save and Resume Later

Progress

Form secured by Formstack

Volunteer Registration

Acknowledgement

HOBY International Online Volunteer Application

HOBY Annual Background Check Form for Volunteers

Volunteer Confirmation Form

Travel Information

Location Details

Medical History Record

Emergency Contact Information

Medication Verification Form for Physicians

Policy for Use of Medication During a HOBY Event

Health Insurance

Consent & Acknowledgement of Risk

Notice of Privacy Practices

HOBY Code of Conduct

Social Media and the Code of Conduct

Donations

Preferences

Certification