RSVP Volunteer Registration
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • As an RSVP volunteer, you will receive free liability and life insurance effective during actual volunteer service. If you are a volunteer driver, insurance coverage will include auto liability as well. 

    For RSVP Supplemental Insurance, responses to the next three questions are mandatory: 

  • Format: (000) 000-0000.
  • As an RSVP volunteer, I may learn confidential information about those I serve and/or those with whom I serve (students, transportation clients, clients at volunteer stations, other volunteers...) I agree not to discuss confidential information concerning any parties/individuals I encounter through service as an RSVP volunteer. (Examples: names, addresses, type and amount of service, information concerning social or economic circumstances, medical care, etc.) I agree to respect and protect this information to the best of my abilities as a volunteer and not to disclose it during or after my service as a volunteer has ended. 

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  • From time to time, photos will be taken of volunteers for use in promotions for the RSVP Volunteer Program. 

    PUBLICITY/IMAGE/VOICE PERMISSION 

    The RSVP Volunteer Program in Northwest Iowa normally takes photographs, video, and/or tape recording of our volunteers in action. During activities, a photograph or video/audio recording may be taken of you. Unless you request otherwise, your consent below will be considered permission for the Northwest Iowa RSVP Volunteer Program to photograph, film, audio/video tape, record and/or televise your image and/or voice for use in any publications or promotional materials, in any medium now known or developed in the future without any restrictions. 

    I agree for my image/voice to be used in promotions for the Northwest Iowa RSVP Volunteer Program: 

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  • Should be Empty: