Cooperative Extension Volunteer Agreement
We are pleased that you have accepted a volunteer assignment to Cornell Cooperative Extension in the
County/Department/Office of ______________________________ (hereinafter referred to as “CCE”).
Please affirm your acceptance of the terms of this agreement, stated below, with your signature. Also please accept our sincere thanks for your valuable contribution to Cornell Cooperative Extension.
1. I agree that as a CCE
volunteer my participation in the activities outlined in the attached volunteer
position description is without monetary compensation or other valuable
consideration. That document, including
the Code of Conduct it contains, shall be considered a part of this agreement.
2. I understand that I do not have
a formal work appointment for the agreed upon services. I understand that CCE shall have the right to
suspend or release me as a volunteer at any time and that I also have the right
to terminate this agreement unless I am committing my volunteer time in
exchange for education.
3. I understand that CCE does
not provide volunteers with medical insurance; therefore CCE is not responsible
for any medical expenses incurred by me.
Further, I understand that I am neither covered by Worker’s Compensation
nor entitled to employee benefits as a result of my CCE volunteer affiliation.
4. CCE will cover me as a
volunteer under the CCE commercial general liability to protect me against
claims for injury to persons or damage to property arising out of my activities
as a volunteer. In exchange for
volunteer liability insurance protection I, on behalf of myself, my heirs and
my representatives do hereby release Cornell Cooperative Extension and the
Associations, its officers, directors, employees and other volunteers from any
liability whatsoever for any injury to myself, including death, or damage to my
property that arises out of or is in any way related to my volunteer activities unless my injury is the result of the sole negligence
of Cornell Cooperative Extension or the Association. I understand that the liability insurance
coverage only applies when I am on duty and act in accordance with CCE
guidelines for my volunteer assignment.
5. CCE agrees to provide the
orientation, training, supervision and support
necessary for my successful fulfillment of responsibilities.
6. I am aware of the terms and
conditions of this agreement and am signing this agreement of my own free will.
7. This agreement is valid from
_________________ to _________________ (no greater than 2 years).
Signatures:
CCE
Volunteer _____________________________________________________ Date ____________
CCE
Representative __________________________________________________________ Date ____________
Name Title
Provide one copy of this agreement, including all attachments, to the
CCE Volunteer.
Retain this agreement for three years from CCE Volunteer separation.
See below for agreement renewals.
9.01.01
1. Evaluation of my volunteer
performance was conducted on (date) ______________________ by the individual whose signature
appears below and I attest that my reinstatement or reassignment has been
accomplished by mutual consent.
2. I reaffirm my acceptance of the terms of this agreement which is extended through (no greater than 2 years) ________________. The attached position description indicates amendments: __ Yes __ No
Signatures:
CCE Volunteer _____________________________________________________ Date ____________
CCE Representative __________________________________________________Date ____________
Name Title
1. Evaluation of my volunteer
performance was conducted on (date) ______________________ by the individual whose signature
appears below and I attest that my reinstatement or reassignment has been
accomplished by mutual consent.
2. I reaffirm my acceptance of the terms of this agreement which is extended through (no greater than 2 years) _________________. The attached position description indicates amendments: __ Yes __ No
Signatures:
CCE Volunteer _____________________________________________________ Date ____________
CCE Representative _________________________________________________ Date ____________
Name Title
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1. Evaluation of my volunteer
performance was conducted on (date) ______________________ by the individual whose signature
appears below and I attest that my reinstatement or reassignment has been
accomplished by mutual consent.
2. I reaffirm my acceptance of
the terms of this agreement which is extended through (no greater than 2 years)
_________________. The attached position
description indicates amendments: __ Yes
__ No
Signatures:
CCE Volunteer _____________________________________________________ Date ____________
CCE Representative _________________________________________________ Date _____________ Name Title
Last updated 5/29/2002