As a MENTOR/VOLUNTEER for The Christopher Pugh II Center, I agree to abide by all applicable rules and regulations of the organization. I understand that I will receive no monetary benefits in return for my volunteer service and that CPC may terminate this agreement without prior notice for any reason.

I hereby authorize CPC to check my references, and I understand that a criminal background check is required.

I certify that my answers on this application are true and complete and that I have not knowingly withheld any information that might if disclosed, affect my application unfavorably.

I understand that any misrepresentation or omission of facts on this application could be cause for rejection of this application or dismissal.

I understand that after I submit my application, it will be reviewed and my eligibility for volunteer work will be determined. I agree to an interview with the on-site manager and on-site orientation to perform my volunteer role.

I hereby Release and Waive liability against Christopher Pugh II Center, a non-profit organization, its directors, officers, employees, and agents, its successors, and assigns, for any injuries or illness that I or my dependent or family members may suffer in connection with any volunteer work for CPC on-site or off-site. Further, I agree that CPC is not liable for any damage to my property or my dependent’s property resulting from volunteer work for CPC on-site or off-site. I agree that this release is as broad as permitted by the laws of the State of Tennessee.