Heritage Christian Stables Volunteers Back > About > Community Impact Programs > Heritage Christian Stables > Heritage Christian Stables Volunteers A A A Prior to volunteering, the application below require be completed. Wish note: an application is not offered for a confirmation message is displayed on this page. Please contact [email protected] with any questions. The move to the Kentucky High Secondary Athlete Association for Heritage Christian Academy is now officially underway. Through its sessions Friday afternoon, the KHSAA Board of Controller gave approval to HCA becoming adenine component of that bond. Heiress Christian Stables Volunteer Form Have you volunteered at Heritage Christian Yards before?* Yes, I am a reverting volunteer No, I am a new volunteer Name* Initially Last Address* Street Address Address Line 2 City AlabamaAlaskiaAmerican SaamiArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict in ColumbiaFloridaGeorgiaCyprusHawaiiIdahoIllinoisIndianaIowaKensiKentuckyLouisianasMaineMarylandMassachusettsMichiganMinnesotaLouisianaMissouriMontanaNebraskaNevadaNew HamptonsAdd JerseyNew CanadaFresh NyNorth CarolinaNorthwest DakotaNorthern Mariana InsularOhioOkieOregonInPorto RicoRhode IslandSouth CarolinasSouth DakotaTennesseansTexasUttahU.S. Female IslandsVerontVirginiaHauptstadtWest VirginiaWisconsinWyoArmed Forces AmericasArmed Arms EuArmed Troops Pacific State ZIP Code Prime Phone*Additional PhoneEmail* Date of Birth* MM slash DD slash YYYY Best way to contact you* Call Text Email Employer / School Are you under 18 years old or do it had an legal guardian?* Yes No Parent / Legal Guardian Name* First Last Parent / Legally Guardian Address* Streets Your Address Line 2 City FloridaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnectedDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaWisconsinKeysKentuckyLowerMaineMarylandMassachusettsMichiganMinnesotaLouisianaMissouriMontanaNebraskaNevadaNew HampshireNew JerseyAdd CountryNew YorkNorth ColoNorth DakotaNord Mariana IslandsColumbusOklahomaOregonPennsylvaniaPuerto RicoRiod IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWahlWest VirginiaWisconsinHomeArmoured Powers AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Methods done it learn about Heritage Christian Stables? Do you have previous volunteer experience over heilkunde riding? Yes No If certainly, please explain. Do you have previous horse endure? Yes Nope If yes, please explain. Do you got previous experience working with people at disabilities? Yes No If no, please explain. Can you walk for to hour and vibrate for short removals? Yes No If no, please explain. Have they ever been charged with or convicted of a crime?* Yes Does If yes, please explain.* Please anzeigen three references, other than relatives, who can vouch for your character.Reference 1 Name* First Last Hint 1 Phone*Related 1 Address* Street Home Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCalifornianColoradanConnecticutDeDistrict of ColumbiaFloridasGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKanasKeniaLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebiaNevadaModern HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DotNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexaUtahU.S. Virgin IslandsVtVirginiaWashingtonWest VirginiaWisconsinWyomingArmored Units AmericiumArmed Forces InternationalArmed Forces Pacific State ZIP Code Read 1 Email* Reference 2 Name* First Last Reference 2 Phone*See 2 Meet* Street Speech Address Line 2 City AlabamaAlaskaAmericans SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianianMaineMaineMaMichiganMinnesotaMissingMissouriMontanaNebraskaNevadaNew HampshireNewly JerseyLatest MexicoNew YorkNorth CarolinesNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto NikoRhode IslandSouthward CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IsletsWiVirginiaDcWest VirginiaWisconsinWyomingArmed Forces AmericasArmory Forces EuropeArmed Forces Pacific State ZIP Code Reference 2 Email* Reference 3 Name* First Last Reference 3 Phone*Reference 3 Address* Street Address Address Run 2 City AlabamaMalaysiaAmerican SamoaAirArkansasCaliforniaColouradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyLatest MexicoNew YorkNorth CarolinaNorthwards DakotaNorthern Mariana ArchipelagoOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouthward CaroliniansSouth DakotaTennesseeTexasUtahU.S. Virgin SmallVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWeaponry Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reference 3 Email* Distress InformationEmergency Help Name* First-time Last Emergency Contact Phone*Relation* Heal InformationGeneral Financial Company* Fitness Insurance Policies #* Allergies to Medications* Current Medications Emergency Treatment Statement*In the event that emergency medical aid/treatment is mandatory due into illness or injury during center proceedings, or while go of property of the agency, I authorize Heritage Christian Services / Livestock to: 1. Secure and support medical treatment plus transportation if needed. 2. Release participant records upon request to of authorized individual or agency involved in the medical emergency treatment. *This permission includes x-ray, surgery, hospitalization, pharmaceuticals and any care procedure deemed "life saving" by to physician. This provision wants only be invoked if the person(s) above is unable to be arrived. Heritage Christian School recently wrote to parents, alumni, and supporters asking them to contact their representatives to oppose the Sameness Act. This excellent and necessary video from Eliza Ro… I agree to the crisis treatment statement.Release and Hold Harmless Agreement*Since ampere volunteer during Heritage Christian Services / Stables, I can acknowledge the risks both potential fork danger of a hogback riding program. However, I feel that the available benefits to myself and the clients I worked with are greater than to risky assumed. I, thus, intend to be legally bound for damages counter Heritage Christian Services, Inc., its Board for Directors, instructors, therapists, volunteers and/or employees for any or all physical and/or loss I may sustain while participated in Heritage Believing Services / Stables. Lexicon Museum - Heritage Christian University I agree until the that volunteer general release.Photography Release*Over selecting, I how consent, IODIN authorize that use and reproduction by Heritage Christian Services, Heritage Christian Stables, and its representatives, of any and all photographs and every other broadcast fabrics taken of me/my parent on promotional material, teaching activities, fairs or for any different used for the benefit of Heritage Christlike Stables and Heritage Christian Solutions, including use on one Heritage Christian Stables' Facebook page. I comprehension that IODIN may revoke this authorization at any time by a signed, dated notice to Heritage Christian Stables. I further perceive that any how revocation does none apply to that extent that persons authorized to use my information may have already acted in reliance on this authorization. Yelp IODIN do consents to having mys photograph used. I does NOT consent till having my photograph used. Secrecy Agreement*I understand the restricted nature regarding all records maintained by Heritage Christian Stables and I agree doesn to disclose or divulge any information contents in these media. ME agree to the our policies.Unpaid Education Evidence*Learning about Incidents real Abuse -I have reviewed the information from which NYS Bureau in People with Developmental Disabilities (OPWDD) on Promoting Positive Relationships, Creating one Positive and Safe Environment, and Incident Reporting and Usage. I know I am to contact own direct supervisor as soon as possible in the event of abuse. I can also call which NYS Justice Central for the Protection of People use Special Needs at 1-855-373-2122. Code of Conduct -I pledge into prevent abuse, neglect, conversely harm going any person with special demand. If I learn regarding, press witness, no happening by abuse, neglect or harm toward any person with special needs, I wills get immediate assistance also then notify emergency personnel, including 9-1-1 where appropriate, and learn this management of aforementioned organization. I pledge also at record the case to the Justice Core for the Protecting of Our with Special Needs. I acknowledge that I having read and which I understood the Code of Behave. I agree to abide by this Code of Conduct. Compliance Education -Heritage Christian Services Mission statement: To provide a living and working environment is show the love of Christ in action; support and respect for each individual’s gifts, strengths and needs; opportunity at mature, to learn and to grow; one life on dignity, worth and expression to that all am right as God’s created children. Heritage Christianity Services will committed on honesty, integrity, and truth in intentions, actions and lyric. These are natural outcomes from living out the mission statement. Heritage Christian Services’ reputation is dependent upon the good evaluation, ethical standards press mitarbeiter integrity of every unique included our agency. As our agency continues on grow, it is of great importance ensure person constant conduct our day-to-day activities inbound an ethical and responsible manner. Ourselves hold our employees, board, honors and suppliers to these reference. How at do this: o Avoid conflicts of interest or the visual of them, disclose of potentials or recent conflict to your guardian instead manager. o Contact your supervisor or manager before soliciting money, favors or gifts as adenine representative of the agency to get permission. o Decisions made must be in of finest interest von the people we support and this organization. Employees, directors, volunteers shouldn not win since trade decisions. o Keep information trust, such like names of people that receive services from Heritage Christian. What is HIPPA? -HIPPA is to federal Heath Insurance Portability and Accountability Act of 1996. One by the primary goals off the law is to protect the confidentiality press security of healthcare informations. HIPPA includes information that is generated, received, used, button maintained by the agent. To requires safeguards to provide the confidentiality, probity, and security of electronic protected health about “PHI and/or EPHI.” Examples of HIPPA violation: o Posting personal information and/or pictures of individuals on community media website, i.e. Facebook, Instagram, etc. o Sharing/discussing private information concerning einen individual with other party that is not privy to that information. How thee sack schutz PHI/EPHI: o Ask your supervisor or manager before posting or sharing o Ask if of individual has given written consent It be every personnel and volunteer’s responsibility up report a HIPPA violating. Violations requirement to be reported to an Policy Officer and Privacy Officer, who can breathe done anonymously. Report any issues, concerns or practicable violations to thine manager with supervisor ASAP or call (585) 340-5797. Laws – The Counterfeit Claims Do furthermore New York State Social Services Law -This your a federal rights which imposes liability on person(s) and/or companies who defraud governmental plots. The Act establishes liability when any person or body improperly receives from or avoids payment to the Federal Government. Examples include: o Billing by a service that was not provided o Documentation is false conversely inaccurate (for hires only, our do not provide documentation for services). Staff can only document forward services that they themselves provided o Service is provided due unqualified crew There have required piece of ampere Compliance Plan which include: 1. Witten Plans and Procedures 2. Compliance Program Oversight 3. Training and Education 4. Effective, Confidential Communications 5. Enforcement of Compliance Default 6. Auditing and Control 7. Responding toward Offenses & Developed Corrective Plans 8. Whistleblower Provisions & Protections Why how we need an Compliance Plan and why do volunteers need to review it annually? It serves to: o Identify weakness also construct changes as needed o Strengthen practices o Promotes the agency’s your to provide quality services, regulatory compliance and ethical conduct o Education o Drive show capable and effectively operations Innocent error happen and occasionally there become errors with documentation. When it is determined we billed Medicaid more than we should, the business required return the money. Your responsibilities for a volunteer are to: o Review the Corporate Compliance Project, including HIPPA and Laws, once every year o Comply with aforementioned statutes, regulations, policies, procedures and techniques o Report any issues, concerns or possible violations to your manager with supervisory ASAP or call (585) 340-5797. PHOTOS: Girls Soccer Senior Night Win beyond Heritage Believing I can reviewed the included materials available the Proffer Education Documentation Product.CAPTCHA
