Volunteer Application

Name:          *

Address:       *

Phone:         

Email:           *

I would like to become a MOST or PreemieCare volunteer by: (Check applicable box):

1. Supporting multiple birth families for MOST through the MOST forums, email, phone calls, and online. (Optional) I also have experience with the following topics and would like to share advice or tips:

2. Applying for an open volunteer position (Indicate title below - see link at the top of the application for listing.)

3. Supporting multiple birth families by moderating one of the MOST Family Support Forums (Indicate which forum(s) below.)

4. Serving as a professional advisor/contributor with expertise that could be helpful to multiple birth families. (Explain)

5. Supporting preemie families or helping with PreemieCare projects (Provide details below.)

Acknowledgment

I, the undersigned, understand that I am joining MOST (Mothers of Supertwins) or PreemieCare, a division of MOST, based in Long Island, NY as a volunteer. This means that I am handling the project as described to me to the best of my ability but not for payment or any type of reimbursement. I will use my personal equipment for this work and I indemnify MOST from any expenses that arise from equipment failure.

I understand that as a volunteer of the organization that I am bound to confidentiality regarding any pertinent details I may learn about the organization, its members, the families it serves, its staff, and its vendors that could be used for personal gain or otherwise similar organizations. I agree to keep this information confidential at all times

I understand that I may be required to complete relevant training related to this volunteer role, and that I must notify MOST/PreemieCare should I decide, now or in the future, that I am no longer able or willing to serve in this role.

I acknowledge that MOST and its intellectual property are the sole property of (MOST) Mothers of Supertwins and cannot be reused or shared without the express consent of MOST and any outside copyright holders. This includes ALL content in the MOST Volunteer Training Program. Any legal matter arising from a dispute will be handled through the County of Suffolk, Long Island and MOST’s attorney’s fees will be reimbursed by the litigant. 

I understand that as a volunteer representative of MOST/PreemieCare, that all communications I have with families, professionals, the media, or the general public must represent MOST with respect and values embodied in its mission.

I understand and agree in full to the above duties, terms and conditions of this agreement. *

Signature (type name): *  Date: *