Burnstein CHC Volunteer Form







































As a condition of volunteering, I give permission for the Gary Burnstein Community Health Clinic to conduct a background check on me. I hereby release and agree to hold harmless from liability the Gary Burnstein Community Health Clinic, the employees and volunteers thereof, or any other person that may provide such information. I also understand that the Gary Burnstein Community Health Clinic is not obligated to appoint me to a volunteer position. If appointed, I understand that I am subject to suspension and removal for violation of Gary Burnstein Community Health Clinic policies and procedures.

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