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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.
4. Volunteer's First Name*
5. Volunteer's Last Name*
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.

   1. I agree.
9. Volunteer's Electronic Signature*
10. Date*
    Date
12. If volunteer is under 18 years old, the parent or legal guardian must also sign this document.
14. Parent/Legal Guardian's First Name (if applicable)
15. Parent/Legal Guardian's Last Name (if applicable)
17. Parent/Legal Guardian's Electronic Signature (if applicable)
18. Date
    Date
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

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