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COVID-19 Volunteer Form

  2. Santa Clara County Public Health & CDC COVID-19 Information for Volunteers.

    I, the undersigned volunteer of the City of Saratoga, acknowledge receipt of the Santa Clara County Public Health and CDC COVID-19 Information.

    I understand that I am responsible for reading, understanding, and complying with all protocols set forth by the City under the recommendations of Santa Clara County Health department.

    General guidelines for all volunteer activities:
    • Face coverings that cover the nose and mouth must be worn at all times during the volunteer activity. Lowering your mask briefly to drink water is okay.
    • Remain at least six feet from other volunteers not from your same household.
    • Wash/sanitize your hands before starting activity and at regular intervals as needed.
    • Cough or sneeze into a cloth, tissue, or your elbow. Wash your hands afterwards.
    • Shared tools or supplies must be cleaned before being used by another person.
    • If you are not feeling well or experiencing cold, flu, or COVID-related symptoms, please do not come to volunteer. Stay home and take care of yourself!

    I understand that I am responsible for reading and understanding the following important public health education resources:
    • COVID-19 information from the CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html
    • CDC Guidelines for how to screen myself for COVID-19 symptoms: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
    • Santa Clara County Public Health guidelines for when it is safe to return to work if I have or have had symptoms: https://www.sccgov.org/sites/covid19/Pages/learn-what-to-do.aspx

    I understand if I have any questions or wish to request additional training, I may contact the Human Resources Divisionof the City of Saratoga.

    A parent/guardian must review these guidelines and resources with volunteers under age 18 and also sign this form.

  7. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  12. If volunteer is under 18 years old, the parent or legal guardian must also sign this document.

    19. Leave This Blank:

  21. This field is not part of the form submission.