Outline of the skills offered:

I/We,

understand my/our responsibility to:

1. disclose any known medical conditions or allergies relevant to this work
   
   

   Known medical conditions or allergies:
   Applicant 1
   Applicant 2

2. Provide personal character reference
   
   

   Referee 1
   Telephone No.
   Referee 2
   Telephone No.

3. abide by the current policies and procedures of Outback Links
4. fulfill the requirements for Outback Links to obtain a criminal history check
5. respect the confidentiality of information gained about the support recipient

understand that the support recipient will:

1. provide appropriate access to a living environment that is in a safe and clean condition
2. respect the confidentiality of information pertaining to this agreement
3. notify the volunteer of the location of any hazardous items that may be considered dangerous to the safety, security and well-being of the volunteer
4. inform the volunteer about any safety and emergency procedures in place on the property

Name:   Dated:

Agree   Don't Agree