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KING COUNTY BAR ASSOCIATION
PRO BONO SERVICES
Volunteer Application
| If You are a WA State Attorney, Please Fill This Section Out: |
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| Volunteer Program Preference: |
| We strongly encourage you to read through the position descriptions prior to selecting a program. Time commitment, benefits, and required training information available in each position description. |
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| New Volunteer Orientation: |
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The volunteer orientation is your opportunity to learn more about KCBA's Pro Bono Services programs, policies, and procedures. We will go over the
volunteer programs at KCBA, confidentiality agreement, support and resources for your as a volunteer at KCBA. The orientations are held the first
Wednesday of every month from 5 p.m. - 6 p.m. at the KCBA office.
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| Orientation Registration: |
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| CONFIDENTIALITY AGREEMENT |
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As a KCBA employee, work-study student, intern, extern, volunteer, or student observer, I understand that I may have access to confidential information regarding clients seeking legal assistance from one of the Pro Bono Services Programs. This information may be in a written form, an electronic format, or may be given verbally during intake. Examples of confidential information include but are not limited to names, addresses, telephone numbers, medical, psychological, health-related conditions and treatment, religious beliefs, finances, living arrangements, social history, the HIV status of a client, and/or facts regarding their legal circumstances. By agreeing to this statement, I am indicating my understanding of my responsibilities and agree to the following:
- I agree to uphold the confidentiality and security policies of the King County Bar Association.
- I agree not to divulge, publish, or otherwise make known to unauthorized persons or to the public any information obtained that could identify persons seeking legal assistance.
- I understand that all client information compiled, obtained, or accessed by me in the course of my work is confidential. I agree not to divulge or otherwise make known to unauthorized persons any information regarding the same, unless specifically authorized to do so by the client.
- I understand that I am not to read information and records concerning patients, clients or study participants, or any other confidential documents, nor ask questions of clients during interviews for my own personal information but only to the extent and for the purpose of performing my assigned duties.
- I understand that a breach of security or confidentiality may be grounds for disciplinary action by KCBA, and may include termination of employment.
- I understand that the civil and criminal penalties set forth in the Revised Code of Washington (RCW 70.24.080 and 70.24.084) include, for each breach of STD/HIV records, a fine of $1000 or actual damages for negligent violation and $10,000 or actual damages for intentional or reckless violation, which I would be personally responsible for paying.
- I understand that action to impose civil or criminal penalties against me may be taken by a prosecuting attorney or another party with standing if I am suspected of being responsible for a breach of confidentiality.
- I agree to notify my supervisor immediately should I become aware of an actual breach of confidentiality or a situation which could potentially result in a breach, whether this be on my part or on the part of another person.
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