CATHERINE COBB SAFE HOUSE
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  • Home
  • Agency Overview
  • Resources
    • Services
    • FAQs
    • Outreach
  • Volunteer Information
  • Online Chat
  • Client feedback
  • Contact
  • Donate/Fundraising Campaigns
  • Domestic Violence Awareness
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Catherine Cobb Safe House Volunteer Application

    Section 1: Volunteer Application
    Section 2: Interests and Availability
    Section 3: Confidentiality
    Summary of Confidentiality Policy for Volunteers and Visitors
    It is the policy of the Catherine Cobb Domestic Violence and Sexual Assault Program (CCDVSAP) to hold confidential all communications, and information made by, between, or about a client.

    Records and information covered by the volunteer and visitor confidentiality regulations include:
    1. Client Identity                 4. Treatment
    2. Prognostic                     5. Client Status Information
    3. Diagnostic                     6. Physical Whereabouts

    I understand by signing this form that I agree to keep all information about clients, volunteers and staff, including names and shelter location, strictly confidential while performing any tasks here at the shelter location. Violation of this policy will be considered grounds for terminating services and relationship with CCDVSAP and may have legal penalties.
    Section 4: Criminal History Information
    As an employee/volunteer of Family Counseling & Children's Services of Lenawee County, I understand that it is the agency's policy to secure conviction criminal history information as part of their employment screening process using the information provided below.
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©2017 Catherine Cobb Safe House

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Administration:    517-265-5352
                  Shelter:   517-265-6776

              Toll-Free:   800-874-5936