Volunteer Health Questionnaire / Policy Form

As a volunteer for the Hope Center in Lexington, KY, I hereby acknowledge that said organization is doing everything they can to protect the public as well myself as a volunteer from COVID-19. To this extent, I agree to follow Center of Disease Control (CDC) and local health department guidelines, along with the Hope Center’s policies and procedures for social distancing to reduce the spread of COVID-19. This will require me to maintain six (6) feet of distance between myself, fellow volunteers, and Hope Center clients as much as possible. In addition, I agree to wear a cloth or surgical mask or a face shield to reduce the risk of exposure to myself and others while inside any Hope Center facilities. I agree to wash or sanitize my hands after using the restroom, sneezing, coughing, and before eating or preparing/serving meals, and will properly wear and utilize sterile gloves. I will leave the Hope Center facilities if I begin to feel ill or experience COVID-19 symptoms, including cough, fever, or shortness of breath. I understand that I am volunteering in a higher-risk, residential setting, in which the COVID-19 virus can spread quickly. I agree to take all necessary precautions and adhere to Hope Center policies, and I understand that Hope Center staff members may ask volunteers to leave at any time, if they feel that the safety of clients and staff is at risk.