United Way of
Rockland County

RCVOAD Volunteer Form

* Date:    

* Name:    

* Address:    

* City:         * State:         * Zip:    

  Phone (e.g. 845-123-4567):         * Cell (e.g. 845-123-4567):    

* E-mail:    

* Business/Service Provider Work or Volunteer For:    

* are required


All volunteers must read and agree with this confidentiality agreement:

As a Volunteer of the United Way of Rockland (UWRC) and/or Rockland County Voluntary Organizations Active in Disaster (RCVOAD), I do hereby certify that I will respect the confidentiality rights of every person that I talk to on the telephone or see face-to-face. I understand that the confidentiality of each person's information is strictly maintained to protect their rights. The information I receive may not be used, publicized, or redistributed in any form other than to the UWRC Staff or the RCVOAD Executive Committee.


I declare I will abide by the above, and not discuss or otherwise communicate any form of information concerning the care or condition of any person I speak with.

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Rockland County Voluntary Organizations Active in Disaster (RCVOAD)

The United Way of Rockland in collaboration with the County of Rockland coordinates the RCVOAD. The RCVOAD is a coalition of organizations that will collaboratively plan, coordinate and implement disaster preparedness and response, as well as identify and respond to the unmet needs of people impacted by disasters in Rockland County. The RCVOAD is not a competing or exclusionary organization. It is a network for organizations active in disaster. Each RCVOAD member organization will maintain its own identity and independence while closely collaborating, cooperating, communicating and coordinating with other member organizations.