Ymca Of Greater Houston Volunteer Application (Page 2 of 3) in pdf

Fair Credit Reporting Act Disclosure & Authorization for Volunteers

PLEASE SIGN AND RETURN TO THE YMCA

The YMCA of the Greater Houston Area conducts criminal history checks on prospective volunteers as part of the

final selection process. The employer’s right to check for a criminal background is governed by the Fair Credit

Reporting (“FCRA”). A report on a volunteer’s history is considered to be a “consumer report” obtained from a

consumer reporting agency and under these circumstances, you, the prospective volunteer, are considered to be

a “consumer.”

The YMCA of Greater Houston will obtain a “consumer report” about you. If the YMCA of the Greater Houston

Area considers any information in the “consumer report” when making a decision that directly and adversely

affects you, you will be provided with a copy of the “consumer report” before the decision is finalized. A copy will

also be forwarded to you by contacting the Human Resources Department. You may also contact the Federal

Trade Commission about your rights under the FCRA as a “consumer” with regard to “consumer reports” and

“consumer reporting agencies.”

Authorization

By signing below, I, _______________________________________, hereby voluntarily authorize the YMCA of

the Greater Houston Area to obtain “consumer reports” about me from a “consumer reporting agency” and to

consider the “consumer reports” when making decisions regarding volunteering at the YMCA of Greater Houston.

I understand that I have rights under the FCRA, including the rights discussed above.

Name

Date

Witness’ Name

Date

Volunteer Acknowledgement

I understand the importance of keeping YMCA clients’ information confidential and will not

___ Initial

share any of their personal information with third parties without consent.

I agree to immediately report any accidents or injuries of myself and clients to the YMCA

___ Initial

branch supervisor.

I understand that I am required by law to report known or suspected instances of child abuse

___ Initial

and that not doing so is considered a misdemeanor. If a case of child abuse is suspected, I

agree to report it immediately to the branch executive and/ or the director of the program.

I understand that if I use my automobile, I will not be reimbursed by the YMCA and that my

___ Initial

personal insurance is my primary coverage.

I understand that the policy of the YMCA is to refer all inquires from the media or press to the

___ Initial

Executive Director of the branch and that I may not speak for the YMCA.

I understand the policy of the YMCA is to cooperate with the authorities in the investigation of

___ Initial

suspected child abuse and molestation situations. I, as a volunteer, agree to cooperate with

the investigations as requested.

Ymca Of Greater Houston Volunteer Application Page 2