Recycling and Sustainability

Volunteer Acknowledgment and Agreement Form

Location: Goodwill Processing Center, 2745 East Stone Drive, Kingsport, TN 37660

Eligibility: This statement certifies that I and/or my parent/legal guardian (if applicable) attest that I meet the eligibility requirements of this volunteer position. Individuals with current or adjudicated charges of assault/battery, child abuse, domestic abuse, murder, rape, sexual violence offense, or a charge with the aggravated designation are not eligible for volunteer placement with Goodwill. Duration of this volunteer service is limited to a maximum of eight (8) hours. A background check is required for participants requesting a volunteer placement extending beyond eight (8) hours of service with Goodwill Industries of Tenneva Area, Inc.

Age: This statement certifies that I and/or my parent/legal guardian (if applicable) attest that I am or will be 18 years of age or older on the day(s) of service. Proof of identity (driver’s license, school, work, or other form of valid ID) is required for clock-in on the day(s) of service.

Conduct: This statement certifies that I and/or my parent/legal guardian (if applicable) attest that I will conduct myself in a professional and responsible manner while on any Goodwill-controlled property on the day(s) of service. No inappropriate conduct or language will be tolerated. Volunteers exhibiting unprofessional behaviors will be asked to leave the premises.

Safety and Security: This statement certifies that I and/or my parent/legal guardian (if applicable) attest that I will follow all safety and security procedures and protocols as instructed by Goodwill staff and/or workstation supervisors on the day(s) of service. These include but are not limited to observing all COVID-19 related safety measures and mask guidelines, wearing comfortable clothing that can get dirty, wearing appropriate closed footwear (no bare feet, flip flops, sandals, or heels), and removing any technology (such as ear buds) that may prove distracting while at the workstations. Mobile phones must be set to vibrate/silent mode while at the workstations. Gloves, safety glasses, back braces, and elbow pads must be worn as directed at specific workstations. Personal items must be stored securely in parked vehicles if on-site. Break times are regularly programmed for all personnel at the Processing Center during operating hours. Bring your own lunch, drinks, and snacks.

Do you have any physical work limitations?

Goodwill 101: This statement certifies that I and/or my parent/legal guardian (if applicable) attest that I have reviewed Goodwill 101, an integrative learning module (available by clicking here) that relates Goodwill’s history and mission services, and that I understand the mission and vision of Goodwill Industries of Tenneva Area, Inc.

Media Release: This statement certifies that I and/or my parent/legal guardian (if applicable) grant Goodwill Industries of Tenneva Area, Inc. the right and permission to take and use photographs, videos, and/or audio recordings of me related to my experience on the day(s) of service for news, publicity, social media, advertising, and other informational purposes. This statement certifies that Goodwill may use such images of me with or without my name and for any lawful purpose.

Liability Release: This statement certifies that I and/or my parent/legal guardian (if applicable) release Goodwill Industries of Tenneva Area, Inc. from any liability due to personal injury, illness, or damage to any personal property while completing community service requirements on the day(s) of service at the Processing Center, Kingsport, location of Goodwill Industries of Tenneva Area, Inc. and/or at any workstation to which I am assigned during the day(s) of service.

By typing a digital signature(s) below and clicking to submit this form, I and/or my parent/legal guardian (if applicable) certify that all information supplied in this online form is true and complete as well as acknowledge and agree to all terms and conditions of community service as set forth by Goodwill Industries of Tenneva Area, Inc. on the day(s) of service at its Processing Center in Kingsport, Tennessee.

(Required if participant is less than 18 years of age as of today’s date or subject to a legal guardianship)
Are you the participant’s parent or legal guardian?
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Online Form Authorized 05/22