Student Name: _____________________________________

Class: ____________________________________________

Instructor: _________________________________________

This agreement made the date and year listed below between Glendale Community College (hereinafter referred to as “College”) and _______________________________________________________ (hereinafter referred to as “Agency”), and, for and in consideration of the mutual covenants and promises hereafter made and exchanged, the parties do agree:

That Agency is engaged in public service in the form of _________________________________________ and is in need of the assistance of volunteers to perform its function; that the College has encouraged its students to become involved in their community through volunteer efforts.

That College will advise its students of the need for volunteers by Agency and the nature of service that may be required (according to information provided by Agency).

That Agency agrees that students accepted by Agency for volunteer service will in no manner be considered the employees, agents, or volunteers of the College and that the volunteer relationship which is established will be solely between Agency and the student. Any screening for suitability for volunteer service will be the responsibility of Agency and not College. College makes no warranty of suitability for service of students volunteering with Agency.

That Agency will, to the extent permitted by law, hold College harmless from all claims or actions which may arise by reason of volunteer service being provided to Agency by the students recruited by Agency from College.

That notwithstanding the foregoing, but not in exception thereto, Agency, upon consent of the student, will allow College access to the Agency for the purpose of observation and evaluation of the students's volunteer efforts and will, if requested, provide to College written evaluation of the volunteer effort of the student in such form and content as may be reasonably requested by College.
 
 

AGENCY _________________________COLLEGE __________________________________

SITE SUPERVISOR ____________________________________________________________

(PLEASE PRINT NAME)

SIGNATURE SIGNATURE ______________________________________Date_____________

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Direct feedback to: Randy Kimmens
URL: http://www.gc.maricopa.edu/servicelearning/fplaceme.htm
Last update: Tuesday November 14 2000