1.) I understand that I will not be compensated for providing services as a volunteer intern for Carencia and promise to adhere to Carencia’s organizational rules, procedures, and standards.
2.) I understand services provided by an volunteer intern are not meant to directly benefit Carencia, but to allow supportive and structured learning/experience in order to aquire practical application of academic training and skills post completion of graduate training.
3.) I understand that I am required to present my appointment findings/treatment recommendations to a lisenced provider with Carencia as part of each visit.
4.) I understand that timley and thorough documentation is required with each visit.All documentation is to be compete no later than by the end of the work day the visit is performed. All documentation should be reviewed and approved by a Cafrencia provider before being saved and included as part of the patient record.
5.) I agree to maintain the confidential information of the organization and of its members including information relating to personnel matters, such as information regarding salaries, medical treatment or diagnosis, terminations, layoffs or promotions, and disciplinary mesures regarding individiaul employees, financial information regarding contractual arrangements, pricing, letters of agreement or understanding, intellectual property developed by Carencia employees, identifiable confidential matters, or information regarding prospective busieness of Carencia, either during or after my volunteer service, without the consent of the President or his designee.
6.) I agree not to divulge any information obtained in the course of volunteer intern work to unauthorized persons and not publish any information regarding persons who receive services. I understand unauthorized release of confidential information may make me subject to a civil action under the provisions of the Texas Administrative Code and any additional applicable entities.
7.) I understand that I am not allowed to take with me, without first obtaining the consent of the President of Carencia, or his designee, any document or tangible evidence of confidential information or data belonging to or under the control of Carencia, whether on an external device, recorded or hard copy, whether an original or reproduction.
8.) If I am injured/do not feel comfortable/safe while performing as a volunteer, I must immediately report the concern/injury to one of the attending providers.
9.) I understand that serving as a volunteer intern for Carencia, I am a mandated reporter of Elder/Child abuse and I am required to immediately report my concerns to one of the attending providers.
10.) I understand that I must have completed all academic requirements for completion of my degree plan and be in good standing to take boards and obtain professional licensure.
11.) I understand that, if I am not currently licensed as a Psychiatric-Mental Health Nurse Practitioner, I must be registered to take the applicable certification exam within 30 days of signing this agreement.
12.) I understand as a volunteer intern I will not be provided any insurance coverage or insurance benefits.
13.) I understand I must be presentable in dress that reflects a professional, clean, and neat appearance.
14.) I understand that I am not considered to be an employee of Carencia.
15.) I understand that under no circumstances should I transport a client in my personal vehicle.
16.) I understand I am an at-will volunteer intern and my services may be terminated at any time without cause and without right to appeal.
17.) I understand that I am not being offered this position constituted by discrimination or harassment based on race, color, national origin, religion, age, disability, sex (including pregnancy), sexual orientation, gender identity, veteran status, marital status, genetic information or any other factor protected by federal, state or local law.
18.) I understand that I am required to provide and retain my own liability insurance policy coverage for the duration of my training.