Count Me In

Thanks for your interest in Ascent 121! Please provide the information below and a member of our team will reach out to you soon! Please note that by submitting this form you acknowledge that you have read and agree to the conditions listed below.

Home Address
What are you interested in?(Required)
Please check all that apply.

Confidentiality & Non‑Disclosure Agreement

As a volunteer with Ascent 121, I understand that I may have access to confidential, sensitive, or personal information about clients, staff, or agency operations. I agree that:

- I will maintain strict confidentiality regarding all information I encounter.

- I will not disclose, repeat, copy, or discuss any identifying or sensitive information outside of my volunteer responsibilities.

- I will not photograph clients, client areas, or confidential materials.

- I understand that maintaining confidentiality is essential for client safety, privacy, and dignity.

I understand that violating confidentiality may result in immediate termination of my volunteer role and may carry legal consequences.

Liability Waiver

I understand that volunteering with Ascent 121 may involve participation in activities where injury or accident could occur. In consideration of being allowed to volunteer, I hereby:

- Release and hold harmless Ascent 121, its staff, board, volunteers, and partners from any liability, claims, or demands arising from participation in volunteer activities.

- Acknowledge that I am voluntarily participating and assume all risks associated with volunteer activities.

- Agree that Ascent 121 is not responsible for lost, stolen, or damaged personal property.

Medical Emergency Consent

- I authorize Ascent 121 staff or representatives to contact emergency medical services (EMS/paramedics) on my behalf in the event of an accident, illness, or medical emergency.

- I understand that Ascent 121 is not responsible for the cost of emergency treatment or transportation.

Background Check Notice & Consent

- A criminal history check is required before volunteering.

- I authorize Ascent 121 to conduct a background check through an approved third‑party service.

- I understand that final acceptance as a volunteer is conditional upon background check results.