Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

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Caregiver Name (if applicable)

Required for volunteers with intellectual disabilities. Where should we send information about Smart events, holiday parties, store closures, etc.?

First Name

Last Name

Caregiver Phone (if applicable)

Required for volunteers with intellectual disabilities.

(###)

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Please describe the level of support you will need when volunteering at Smart... *

I have a previously arranged job coach that will come with me to Smart.

I will work mostly independently with some support from Smart staff and volunteers.

I will need a job coach provided by Smart.

I will volunteer independent of any support staff.

Volunteer Name *

First Name

Last Name

Background Check *

I authorize Smart Art + Craft Supplies (Progres Inc.) to use the information I have provided in this form to perform a background check.

Name *

First Name

Last Name

Photo Usage Consent *

I give Smart Art + Craft Supplies permission to reproduce and use photos and videos of me on SmartArtAndCraft.org, social media, print marketing and other media release materials.

Parent/Guardian Photo Usage Consent

If the person above has a legal guardian, Tennessee law requires that the legal guardian agree to the publishing or posting of any photos of the individual.

I give Smart Art + Craft Supplies (Progress Inc.) permission for electronic and print publication of photos of my charge.

Acknowledgement of Confidentiality Agreement *

I acknowledge that I have read and understand Progress’s policies regarding confidentiality and agree to comply fully with these policies. Furthermore, I understand that failure to comply with the privacy protections of this agreement may result in disciplinary action including the termination of my employment or other professional agreement. I understand that I may be held liable legally or by any licensing or governing board for a breach of client confidentiality.

I understand that this agreement remains in effect during any and all times that I may have an employee/contractual/professional/student/volunteer/business relationship with Progress, Inc. and that my obligations under this agreement will continue after the termination of my relationship with Progress, Inc. Upon termination, I will immediately return any documents or media containing confidential information if such is in my possession.

Name *

First Name

Last Name

Have you been given a key to the store by a member of management? *

This form only needs to be completed if you have been given a key to the store by a member of management.

YES! (Please continue to complete this form)

NO! (Please stop now and do not complete this form)

Name *

First Name

Last Name

Being a key holder at Smart Art + Craft Supplies means that store management trusts you with the responsibility of protecting all property of Smart including but not limited to store merchandise, technology, cash and store front. Your store key is intended for your personal use to open and close the store or to access the store to perform your duties as a volunteer or employee of Smart Art + Craft Supplies. Your key should always be in your possession and never lent to another person without consent of store management. *

I have read this agreement and understand the responsibility of being a key holder.

I agree to immediately report my store key lost or stolen to store management.

I agree to promptly surrender my key at the conclusion of my relationship with Smart Art + Craft Supplies.

I will not in any circumstance make a copy of the store key without prior consent of store management.