Volunteer Form
Volunteer Identification and Agreement
Name: _________________________________________________________________
Address: ________________________________________________________________
Phone Number: _____________________ Date of Birth: __________________
Emergency Contact: _____________________ Phone Number: ________________
MSU Department: ______________________
Supervisor’s Name: ______________________ Phone Number: _________________
Volunteer Dates: Start: ____________________ End: __________________________
(May not exceed one year)
Description of Volunteer Duties: _______________________________________________
__________________________________________________________________________
__________________________________________________________________________
Thank you for volunteering at Montana State University (MSU).
Please affirm your acceptance of the following terms with your signature below.
1 ) I agree that my participation in the activities outlined in the Description of Volunteer Duties is wholly voluntary and without salary or other valuable consideration. And, I acknowledge that I am not an employee of MSU and that it has the right to terminate my assignment as a volunteer without cause or notice.
2 ) I understand that MSU is not responsible for any accident or medical expenses incurred by me. Further, I understand that I am neither covered by Workers' Compensation nor entitled to employee benefits as a result of my volunteer affiliation.
3 ) I am aware of the terms and conditions of this agreement and am signing this agreement of my own free will.
University Volunteer's Signature _________________________Date_______________
Parent Signature (if under 18) _________________________Date_______________
Provide one copy of this agreement to the university volunteer.
Retain this agreement for three years from university volunteer separation.