AIDS Action Committee of Massachusetts: Volunteer Sign Up

Volunteering with AIDS Action

Thank you for your interest in volunteering with AIDS Action! Please take a moment to fill out the form below. Your information will be transmitted to our Volunteer Recruitment team. If you prefer, you may download the application and mail it to:

Volunteer Recruitment
AIDS Action Committee
75 Amory Street
Boston, MA 02119

AIDS Action Committee Volunteer Application

Please note, all information below will be used by AAC in accord with our privacy policy. Please omit any information you don't wish to be used in that manner. All volunteers must attend a training at the AIDS Action Committee's office. You will be notified by email about the next available training dates.

Please fill in your contact information below.

Name:

Title	First Required	Middle Required	Last Required	Suffix

Email: Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State Required	ZIP Required

Country:

Phone Number: Required

Yes, I would like to receive e-mail from AIDS Action Committee

Email Format:

Yes, I would like to receive postal mail from AIDS Action Committee

Remember me. What's this?

Questions 2, 3, 4 and 5 ask for option information used for statistical purposes only. Your answers will not affect your ability to volunteer at AIDS Action Committee.

Question - Not Required - Birth Date

Month

Day

Year

Question - Not Required - Gender

Question - Not Required - Languages

Question - Not Required - Ethnicity

	American Indian or Alaskan Native
	Asian
	Black or African American
	Hispanic or Latino
	Native Hawaiian or Other Pacific Islander
	Two or more races
	White

Question - Not Required - I am available for events only

*7.

Question - Required - Please give your first preference for volunteering:

*8.

Question - Required - Please give your second preference for volunteering:

*9.

Question - Required - Please give your third preference for volunteering:

*10.

Question - Required - Please list your availability Monday-Sunday and please indicate if you are available in the Morning, (9:00 a.m. to 12:00 p.m.), Afternoon (12:00 p.m. to 5:00 p.m.), or Evening (5:30 p.m. to 10:00 p.m.).

*11.

Question - Required - Please list any relevant work experience

*12.

Question - Required - Discuss any experience you have had in dealing with HIV/AIDS

*13.

Question - Required - Where did you hear about AAC and/or our volunteer opportunities?

*14.

Question - Required - Please list any degrees you have that would be helpful to you as a volunteer

(Maximum response 255 chars, approx. 5 rows of text)

15.

Question - Not Required - Is there additional information you would like us to know?

*16.

Question - Required - Emergency Contact

*17.

Question - Required - Relationship to you

*18.

Question - Required - Phone Number

*19.

Question - Required - May we mention AIDS Action if contacted?

Confidentiality Statement and Agreement

In your work with AIDS Action Committee, you will be exposed to a range of confidential matters and information. Confidentiality is vital to AIDS Action Committee. There are three (3) main areas of confidentiality, which follow:

I. Client information is confidential and is to be shared only among direct care providers, except in cases where there are legal considerations involved in the client’s care. At no time shall the identity, diagnosis, or condition of a client be discussed inside or outside of AIDS Action Committee, except in a context relative to the client’s care (a client of AIDS Action Committee is someone who receives any service from AIDS Action Committee).

II. Proprietary information of AIDS Action Committee is confidential and is not to be shared outside of the building. Proprietary information includes technical data, copyrights, trade secrets, and mailing lists (including client, employee, and volunteer addresses and phone numbers). Please be aware that AIDS Action Committee owns proprietary information, and you cannot use it without express written permission of a member of the senior management team. If you have questions as to whether something is proprietary information, please check with your supervisor.

III. Information shared by colleagues and/or coworkers, including clients who are volunteers or employees, must be afforded a certain level of discretion and respect for a person’s privacy. This includes any information shared by people with colleagues about their personal life or matters at AIDS Action Committee.

All employees, volunteers, and consultants of AIDS Action Committee must sign this written confidentiality agreement. If you are unsure about the confidential nature of specific information, you should ask your supervisor for clarification.

I have read and agree to abide by the above policy. I further understand that the violation of this confidentiality policy may subject me to discipline, including dismissal and possible prosecution.

*20.

Question - Required - By checking this box I verify that the information on this application is true and correct. I have read, understand and agree to the terms of the AIDS Action Committee's confidentiality policy . Yes, I understand AAC's confidentiality policy.

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