Foster Grandparent Program Volunteer Handbook Phone: (928) 523-3560 Toll Free: (866) -856-3017 Web Site: www.nau.edu/sbs/csi Prepared by Northern Arizona University Civic Service Institute Updated February 2011 2 Table of Contents I. The Foster Grandparent Program ................................................. 5 Welcome Message from the Program Director……………………4 The Purpose of the Foster Grandparent Program ...................... 6 Goals of the Foster Grandparent Program ................................. 6 Definition of Terms ……………….…………………………………...7 History of Foster Grandparent Program………………………….9 Organizational Chart………………………………………………10 What Do Foster Grandparents Do? .......................................... 11 Eligibility Requirements for Foster Grandparents ..................... 12 Volunteer Stations .................................................................... 12 Effective Practices in Foster Grandparent Assignments ........... 13 Bill of Rights for Foster Grandparents………………………….....13 Rights of a Volunteer………………………………………………..13 II. Foster Grandparent Orientation and Placement .......................... 14 In-Service Training ................................................................... 15 Volunteer Station Training ........................................................ 15 Placement………………………………………………………….15 Foster Grandparent Assignments ............................................. 16 Selection of Assignments…………………………………………. 17 In-home assignments……………………………………………...18 III. Foster Grandparent Activities ..................................................... 19 Children Served by Foster Grandparents ..................................... 19 Termination of Assignment ....................................................... 20 How Can I Help Children? ........................................................ 22 Appropriate Activities: ............................................................... 21 Inappropriate Activities: ............................................................ 22 Keeping Children Safe ............................................................. 24 Practices for Ensuring the Safety of Foster Grandparents ........ 25 3 Safety ....................................................................................... 26 Safety Tips for Foster Grandparents ........................................ 26 IV. Foster Grandparent Benefits ...................................................... 26 The Stipend .............................................................................. 26 Meals ....................................................................................... 27 Transportation .......................................................................... 27 Physical Exam………………………………………………………29 V. Foster Grandparent Leave and Holiday Policies ......................... 29 Vacation Leave ........................................................................ 29 Sick Leave................................................................................ 31 Leave Without Pay ................................................................... 31 Funeral Leave .......................................................................... 32 Jury Duty .................................................................................. 32 Snow Policy.............................................................................. 32 Holidays ................................................................................... 33 VI. Foster Grandparent Insurance ................................................... 33 Excess Accident Medical Coverage ......................................... 33 Accidental Death and Dismemberment Coverage .................... 34 Personal Liability Insurance...................................................... 34 Excess Automobile Insurance .................................................. 35 Legal Representation ............................................................... 35 VII. Foster Grandparent Policies ..................................................... 35 Confidentiality ........................................................................... 35 Child Abuse and Neglect .......................................................... 36 Drugs and Alcohol .................................................................... 35 Smoking ................................................................................... 35 Seat Belts ................................................................................. 36 Voluntary Withdrawal ............................................................... 37 Disciplinary Action .................................................................... 37 Immediate Separation .............................................................. 38 Reassignment…………………………………………………….. 39 Volunteer Grievance/Appeal Procedure ................................... 40 Permanent Separation ............................................................. 41 Special Regulations.................................................................. 43 Recognition and Social Events……………………………………..43 Time Sheets……………………………………………………………43 Statement of Confidentiality…...................................................…….44 4 Dear Volunteer, Welcome to the Foster Grandparent Program! We are very happy to have you join us in providing such a needed and rewarding service! The goal of the Foster Grandparent Program is to enable low-income persons age 55 and over to remain physically and mentally active and to enhance their self-esteem through continued participation in needed community services. With your help, children’s lives are enriched. This handbook is designed to familiarize you with the program and to act as a reference source in the future. Please feel free to call us at any time for further information at our local number (928) 523-3555, or our toll-free number (866) 856-3017. We really hope that you enjoy your service as a Foster Grandparent! Carole D. Mandino Program Director 5 I. The Foster Grandparent Program The Purpose of the Foster Grandparent Program The Foster Grandparent Program (FGP) provides grants to qualified agencies and organizations for the dual purpose of: engaging persons 55 and older, particularly those with limited incomes, in volunteer service to meet critical community needs; and to provide a high quality experience that will enrich the lives of the volunteers. Program funds are used to support Foster Grandparents in providing supportive, person-to-person service to children having exceptional or special needs. Goals of the Foster Grandparent Program The goals of the Foster Grandparent Program are to: 1. enable low-income persons aged 55 and over to remain physically and mentally active and to enhance their self-esteem through continued participation in needed community services. 2. enable children with either exceptional or special needs to achieve improved physical, mental, emotional, and social development thereby helping them to reach social, behavioral, developmental, and educational goals. 3. provide a stipend and other benefits which enable eligible persons to participate as Foster Grandparents without cost to themselves. 6 Definition of Terms Foster Grandparent: To enable low-income persons 55 and over to work in child-oriented agencies to provide supportive services to children who are at risk FGP: Abbreviation for the Foster Grandparent Program Child Care Plan: The agreement of services to be provided by the Foster Grandparent to the volunteer station children. Child: A person age 21 or younger. Corporation for National and Community Service: The federal agency that funds the Foster Grandparent Program. Exceptional Needs: One or more physical, emotional or mental health limitations. Disability: a physical or mental condition creating the need for assistance in completing daily activities. Volunteer: This term is used interchangeably with Foster Grandparent in this handbook. Volunteer Station: A public agency, private, non-profit organization that accepts the responsibility of assigning and supervising Foster Grandparent volunteers. Volunteer Station Supervisor: Volunteer station personnel who supervise the Foster Grandparent volunteers working at a volunteer station. The FGP staff are not immediate supervisors. Work Station: The area in which a Foster Grandparent serves. Large volunteer stations may have several FGP work stations. 7 History of the Foster Grandparent Program The Foster Grandparent Program (FGP) began on August 28, 1965, as a national demonstration effort to show how low-income persons aged 55 or over have the maturity and experience to establish a personal relationship with children having either exceptional or special needs. Under the Office of Economic Opportunity’s (OEO) enabling legislation, Sections 205 and 207, Title 20A of the Economic Opportunity Act of 1964, as amended, FGP began as an employment program. An agreement between OEO and the Administration on Aging (AOA) resulted in the funding of 21 FGP project sponsors. The volunteers were placed in more than 45 institutions. About 800 Foster Grandparents were employed to provide care and attention to children up to five years of age in institutional and community settings. By 1968 there were a total of 68 FGP projects funded in 40 states and in Puerto Rico, with 4,100 Foster Grandparents enrolled. The Foster Grandparents assisted more than 10,000 children in health, education, welfare, and related settings. OEO funding (no separate FGP authorization existed at this time) amounted to almost $10 million in Fiscal Year 1968. Funding Authority was transferred to AOA in 1969 under Title 6 of the Older Americans Act, as amended. At this time, FGP became a stipended volunteer program with lowincome elderly, ages 55 or over, continuing to serve children up through 17 years of age. Under Reorganization Plan No. 1 of July 1, 1971, FGP was transferred to the newly created federal agency, ACTION. During Fiscal Year 1972, the number of projects increased to 133 in 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. Annual appropriations amounted to $25 million, supporting over 10,000 Foster Grandparents. The Domestic Volunteer Service Act (DVSA) of 1073 (Public Law 93-113) replaced Title 6 of the Older Americans Act as ACTION’s enabling legislation. The 1976 amendments to the DVSA defined “child” and “children” as any individual or individuals who are less than 21 years of age. 8 Those amendments also included a stipulation that a Foster Grandparent’s relationship with a child with a disability may, under certain circumstances, be continued after the child reaches the chronological age of 21. By the end of FY 1989, over 20,000 Foster Grandparents were serving more than 70,000 children with special and exceptional needs through 264 ACTION-funded and 12 non-federal projects. In 1993, The Corporation for National Service came into being when President Clinton signed the National and Community Service Trust Act of 1993. Congress stated its expectations for the Corporation through a statement of purpose (42 U.S.C. 12501) that, in part, included using national and volunteer service by Americans of all ages to: 1. Meet the unmet human, educational, environmental and public safety needs of the United States without displacing existing vendors; 2. Renew the ethic of civic responsibility and the spirit of community throughout the United States; 3. Expand and strengthen existing service programs with demonstrated experience in providing structured service opportunities with visible benefits to the participants and the community; and 4. Provide tangible benefits to the communities in which national service is performed. The operations of three entities came together to form the Corporation for National Service – ACTION (the federal domestic volunteer agency), the Commission on National and Community Service, and the Office of National Service. The Foster Grandparents Program became one of three existing volunteer programs for older adults to be administered by the Corporation under the banner of the “National Senior Service Corps.” By 1999, the Foster Grandparent Program included 325 local projects with approximately 28,000 Foster Grandparents, who, together, continue to make a difference in the lives of children – nearly 90,000 9 children on any given day and almost 190,000 children annually – while enriching their own lives through service. Organization Chart Corporation for National and Community Service Federal Volunteer Agency NAU Foster Grandparent Program Local Sponsor Advisory Board Project Staff Foster Grandparent Program Volunteer Station Foster Grandparent Volunteers Clients 10 What Do Foster Grandparents Do? Foster Grandparents perform person-to-person activities under professional supervision. These activities include, but are not limited to the following: a. Children in public schools, state schools, private schools, and alternative schools: Providing emotional support, helping to develop basic learning skills, tutoring in reading, and helping to prevent or delay children being placed in an institution. b. Children in Head Start centers, day care centers, or preschools enrolling children with special or exceptional needs: Helping to develop reading readiness; providing emotional support; and assisting with and teaching self-care. c. Adolescents and youth in correctional facilities: Assisting in mitigating the effects of institutionalization by creating a family atmosphere, acting as links to the community, and helping incarcerated youth prepare to return to their families or foster care. d. Status offenders and delinquent youth offenders: Helping them remain in the community as an alternative to institutional commitment. e. Abused or neglected children: Providing contact with older adults who act as positive adult role models and provide emotional support and empathy. f. Institutionalized children: Assisting children with self-care, helping to develop motor skills, providing stimulation and learning experiences, and assisting them to achieve independent living whenever possible. 11 Eligibility Requirements for Foster Grandparents To be eligible to volunteer for the Foster Grandparent Program, a person must: 1. Be at least 55 years of age or older. 2. Meet income guidelines established by Congress. 3. Complete a registration form. 4. Supply references. 5. Be able to serve 15-40 hours a week. 6. Have a sincere desire to serve children with special or exceptional needs. 7. Be willing to accept supervision as required. 8. Pass a physical examination, which is provided free by the program annually. 9. Complete 40 hours of pre-service training and orientation. 10. Not be negatively affected, physically or mentally, by any prescribed medication, drugs or alcohol. Eligibility to be a Foster Grandparent and/or client may not be restricted on the basis of formal education, experience, race, religion, color, national origin, gender, age, handicap, sexual orientation or political affiliation. Volunteer Stations Volunteer stations are public agencies, private non-profit or health care agencies who accept the responsibility for the assignment and supervision of the Foster Grandparent volunteer. Volunteer stations select children and develop appropriate Foster Grandparent assignments based on the child’s needs. Child care plans must be filled out by the volunteer station for all children the Foster Grandparent sees. Support and supervision are provided by the volunteer station. Generally, each volunteer station has a designated staff member who coordinates the Foster Grandparent Program and will provide you with supervision on a daily basis. 12 Effective Practices in Foster Grandparent Assignments Effective Practices for Drawing on the Unique Qualities of Volunteers to Meet the Needs of the Community and the Clients Served The project: a. Ensures variety among volunteer stations such that volunteer assignments appeal to a diverse group of volunteers and accommodate varying volunteer skills and interests; b. Works with volunteer stations to involve volunteers in developing volunteer assignments; c. Routinely notifies volunteers of new volunteer assignments that are developed or become available; d. Ensures that volunteer stations provide volunteer assignments that challenge volunteers to be advocates on behalf of their children and/or the community. Effective Practices for Communicating with Foster Grandparents a. The project clearly communicates with Foster Grandparents about their roles and responsibilities by: 1. Developing with the Foster Grandparent and volunteer station a written volunteer assignment plan that specifies the needs of the client and the role and activities of the Foster Grandparent in delivering the needed services; 2. Providing volunteers with a written description of the conditions and terms of volunteer service, including annual and sick leave, holidays, service schedules, and cost reimbursement; and 13 3. Ensuring the Foster Grandparents know their key contacts and sources of assistance or help during their service, and how to contact them. b. The project conducts annual performance appraisals with each Foster Grandparent that provides feedback and guidance in key areas such as: reliability, actual progress and outcomes for children, and initiative. Bill of Rights for Foster Grandparents 1. You have the right to pat yourself on the back when you do well, especially IF your clients don’t. 2. You have the right NOT to be perfect. Give yourself a break. Remember you are not a saint and guilt is not a part of your job description. 3. You have a right to say NO to something that is not required by the Foster Grandparent Program. 4. You have a right to let yourself have a Ten Minute break to relax and set realistic limits for yourself. 5. You have a right to Not take volunteer-related problems home with you. II. Foster Grandparent Orientation and Placement All Foster Grandparents must complete forty hours of pre-service training, which is a combination of classroom and on-the-job training, before they can be placed as a Foster Grandparent at a volunteer station. Occasionally, volunteers may be enrolled and placed before they have attended this training. However, they must attend training within three months of placement. The orientation provides the volunteer with information concerning their future Foster Grandparent 14 assignments. Foster Grandparents receive additional training throughout their volunteer service, including: a. Confidentiality training: Foster Grandparents work very closely with children and may learn personal or sensitive information about them. This information and the identification of children and their families are to be held in strict confidence. b. In-service training: Foster Grandparents attend monthly in-service trainings to keep the volunteers updated on program news, community services and methods of working with clients. c. Volunteer station training: Occasionally a Foster Grandparent will be asked to attend a special training with volunteer station staff. Volunteers receive a stipend of $2.65/hour and transportation reimbursement for each day of orientation. The orientation is usually held over a two-week period. If a volunteer is required to pay for a meal during a day of training, the Foster Grandparent Program will reimburse the volunteer up to $2.50 for a meal. In-Service Training All volunteers must attend the monthly in service meetings. The meetings are 4 hours long, once a month and must be recorded on your timesheet under “T” for training. Round trip mileage for the meeting may be included in the mileage section of the timesheet. All volunteers are required to attend the trainings. If a volunteer is unable to attend, the volunteer is responsible to attend a community training during that month. This could be training at the local Community Center, Area Agency on Aging, Caregiver Coalition or anything that would help the volunteer learn what is available for seniors in the community or to provide information/referral for resources. 15 If a volunteer misses an In Service Training and will be attending a local training, the volunteer coordinator must approve that training. Missing three (3) trainings that have not been made up, results in a volunteer being placed on probation. During a 6 month probation time, if a volunteer misses one In Service Training, the volunteer may be separated from the program. Placement At the successful completion of orientation, a Foster Grandparent will be matched with an assignment. Every attempt will be made to see that the placement is meaningful and rewarding to the volunteer and children with whom they will work. Volunteers will be able to choose from a variety of different placement stations. However, placements may be assigned due to openings and closeness to home. The Volunteer Station: 1. selects the children to be served. 2. prepares a child care plan to be used by the Foster Grandparent as a guide to serve his or her client(s). 3. discusses the placement with the Foster Grandparent to decide if the placement is appropriate and acceptable to both parties. Once an agreement is made, the Foster Grandparent begins at a date and time agreed upon by the volunteer station and the Foster Grandparent. This schedule will be maintained on an on-going and regularly scheduled basis. The Foster Grandparent Volunteer Station will: 1. Actively supervise the FGP volunteer. 2. Complete an Assignment Plan for each child seen by an FGP volunteer. 16 3. Complete a Assignment Plan assessment by April 30th of each year. 4. Call the program staff if an accident or any problems occur. The Foster Grandparent Program Staff: 1. Introduces the Foster Grandparent to the volunteer station staff and children on the initial visit to discuss the care plan. 2. Makes semi-annual visits with the child/children or volunteer station supervisor to review placement and care plan. If the offered placement is unacceptable, the Foster Grandparent will be notified of other openings, if available, and the same placement process will be repeated. If the Foster Grandparent does not accept placement, and there is not another assignment available, he or she will be placed on a waiting list until an appropriate placement is available. Foster Grandparent Assignments Criteria for Foster Grandparent Assignments Volunteer station professional staff selects the children to be served and prepare a volunteer assignment plan for the Foster Grandparents to use as a general guide in serving their assigned children. The sponsor and the Foster Grandparent must concur with each assignment. All assignments must meet the following criteria: a. Assignments and activities must involve person-to-person supportive relationships with the children served. Each Foster Grandparent must be assigned to individual children in order to develop a personal relationship with each child. b. Assignments may not include administrative support service to the volunteer station. c. Individuals served by Foster Grandparents must be children with special or exceptional needs. 17 d. A Foster Grandparent must serve a minimum of nine months a year for an average of 20 hours of service per week. e. It is strongly recommended that each volunteer station have a minimum of three Foster Grandparents. This facilitates supervision, transportation arrangements, other management activities, and support team building among volunteers. Having at least three volunteers also provides the volunteer station with a level of support that justifies the station’s investment in the volunteers. f. Assignments and activities should serve the dual purpose of providing a high quality experience that will enrich the lives of the volunteers and meet critical community needs, providing specific outcomes for the children served. Selection of Assignments a. Assignments and terms of service, including the service schedule, should reflect individual Foster Grandparent preferences and needs of children. Project and volunteer station staff should assure that a range of service opportunities are available to provide a choice of assignments for Foster Grandparents. b. Because Foster Grandparents are a limited resource, assignments should be carefully selected taking into account community priorities for children with special and exceptional needs, such as the potential of children to achieve significant improvements in their lives. c. Foster Grandparents should be assigned to children who are manageable in terms of size, strength, and behavior. In-Home Assignments a. In-home assignments of Foster Grandparents require planning by the sponsor and by volunteer station professional staff in 18 cooperation with child and parent, whenever applicable. Inhome placements may be made through many types of volunteer stations. These include, but are not limited to, agencies serving unwed adolescent parents, juvenile diversion programs, mental health centers, health organizations, hospitals, and visiting nurse associations. Where a Foster Grandparent serves a child in-home and within the context of the child’s family, volunteer activities must primarily and directly benefit the child. b. In-home placements require the volunteer station’s commitment to: 1. Provide necessary training for Foster Grandparents regarding their specific assignments. 2. The accessibility of the supervisor and frequent and regularly scheduled meetings with the Foster Grandparents to review activities, problems encountered, and progress made. Traditional forms of supervision are difficult in home settings. Frequent meetings with volunteer station staff area critical part of Foster Grandparent supervision. 3. Ensure that a child’s parent is in the home during a Foster Grandparent’s visit. An objective of any Foster Grandparent home placement is supporting the child in a family environment. However, if it is in the best interest of the child, as determined by the station’s professional staff and the sponsor, and if there is adequate provision for the volunteer’s interest and safety, a volunteer placed inhome may be allowed occasionally to serve a child without the parent being present. This service, if practiced, must be carefully controlled. Foster Grandparents are not assigned for purposes of respite care or “babysitting” service. 4. Visit the Foster Grandparent in-home with the assigned child on a scheduled basis. 5. Structure Foster Grandparent activity in a way which does not place the Foster Grandparent in the position of competing with the child’s parent(s) for the affection of the child. 19 6. Other specific conditions included in the Letter of Agreement or volunteer assignment plan. III. Foster Grandparent Activities Children Served by Foster Grandparents a. Age of Children Children assigned to Foster Grandparents must be chronologically under 21 years of age. When a Foster Grandparent is assigned to a mentally retarded child, the assignment may continue beyond the child’s 21st birthday, provided the following conditions specified in the Regulations, Section 2552.82 are met: 1. the Foster Grandparent was assigned to the child before the child reached 21 years of age; 2. the volunteer station professional staff responsible for the child’s care certifies that continued assignment is in the best interest of both the Foster Grandparent and the child; and 3. The Foster Grandparent, sponsor, volunteer station professional staff, and the child’s parent, or a person legally responsible for the child, agree to the continued assignment. In cases where the assigned Foster Grandparent becomes unavailable to serve a particular mentally retarded individual, the sponsor may select another Foster Grandparent to continue the service. b. Selection of Children to be served Volunteer station professional staff are responsible for, and project staff must concur in, the selection of individual children to be served by each Foster Grandparent in accordance with the criteria and definitions in the FGP Regulations. 20 1. The professional evaluation of a child’s need is to be provided by a volunteer station, according to the Regulations. In an educational setting, the professional is an educator; in a health setting, a physician, psychiatrist, psychologist, registered nurse or licensed practical nurse, or physical therapist. In these and other settings, the primary requirement is that the person evaluating the child’s need has had professional training in a field directly related to the child’s need. 2. Where state, county or local sponsor’s definitions of children having exceptional needs and children with special needs vary from the definitions in this Handbook, the State Program Director will determine the suitability of non-CNS definitions in regard to placement of Foster Grandparents with children. Termination of Assignment a. When possible, plans should be made to phase-out the Foster Grandparent-to-child relationship gradually to avoid a sudden disruption. Under the following conditions, discontinuance of a relationship should be arranged with the guidance of volunteer station professional staff when a: 1. child’s need for individual attention through a person-to-person relationship diminishes; 2. relationship is no longer satisfying for the Foster Grandparent; 3. child becomes unmanageable in terms of size, strength, or behavior; 4. child reaches age 21; 5. conflict between the Foster Grandparent’s physical or mental condition is detrimental to themselves or to the child(ren) served. b. Regardless of the cause of termination of an assignment, the decision must be made jointly by project and volunteer station staff, with input of the Foster Grandparent, if appropriate. 21 How Can I Help Children? You can provide social and emotional support to children: 1. Provide friendship and guidance. 2. Talk and listen. 3. Be a good companion. 4. Have fun! 5. Be sympathetic and patient. You can share information and be a child advocate: 1. Help children learn about community resources. 2. Advocate for children’s health and well being. You can help children in school: 1. Help children learn to read, to take tests and how to listen well. 2. Show children how to use the library. 3. Find age appropriate books on topics in which children are interested. 4. Do academic and art projects together. 5. Provide help with assignments and homework. 6. Teach children how to use computers. You can help children with personal development: 1. Help children learn problem-solving and decision making strategies. 2. Help children learn to communicate better with their family and friends. 3. Help children identify their strengths. Give praise. 4. Discuss good manners. 5. Help children with personal needs and encouraging good health and positive social habits in children. 6. Discuss how to handle peer pressure. 7. Help children set goals. Appropriate Activities Illustrative examples of appropriate Foster Grandparents activities to assist children with special or exceptional needs include: 22 A. Tutoring children with literacy or English language learning needs. B. Providing children in public, state or private schools; Head Start centers; or day care centers with emotional support and assistance in developing basic learning skills. C. Helping adolescents and youth in correctional facilitates to mitigate the effects of institutionalization, acting as a community link, and helping incarcerated youth prepare for independent living. D. Assisting status offenders and delinquent youth offenders to remain in the community as an alternative to institutional commitment. E. Assisting in the prevention of juvenile delinquency. F. Helping abused or neglected children affected by drugs, HIV/AIDS, or homelessness, regain stability through contact with older adults and providing these children with emotional support and empathy. Inappropriate Activities Some examples of inappropriate Foster Grandparent activities include: A. Serving in staff roles B. Performing household or custodial functions C. Serving as a babysitter D. Acting as substitute teachers, teacher’s aide, group leaders or other similar positions that would detract from the person-toperson relationship. E. Providing respite care for parents/guardians F. Supervising of children or staff, and G. Disciplining of children Foster Grandparent Do’s 1. Read to the children or have the children read to them 2. Assist the children with teacher-assigned tasks 3. Talk to the children 23 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Listen to children Help keep children “on-task” Play games, puzzles, help with crafts and classroom activities Model good manners Reinforce what the teacher is teaching Help students tie shoes, zip up coats, etc Praise the child, give advise, share wisdom Help the students stay organized Help the children with their letters, colors, numbers, shapes, etc... Redirect children when needed to help prevent conflicts Help the children with their writing, math, reading, and other teacher-directed activities Be an extra set of eyes and ears in the classroom for the teacher Work with the children one-on-one or in small groups Help the children at recess or field trips (some FGs, however, do not go out to recess or on field trips due to physical limitations. Some medicines require you to stay out of the sun.) Participate in trainings provided by the volunteer station Participate in recognition events given by the volunteer station Have fun!!! Foster Grandparent Don’ts Foster Grandparents should never… 1. Assist the children IN the bathroom (they can escort children TO the bathroom) 2. Provide medical services 3. Be left alone with the children (If the teacher has to leave the classroom for something, the FG can stand in the doorway. They are never left alone with the children) 4. Grade papers 5. Be assigned to the work room laminating, cutting, etc... (Federal guidelines prohibit a lot of paperwork) 24 6. Discuss the children with the parents (FGs direct all parent inquiries to the teacher) 7. Do custodial work - cleaning, shoveling snow, etc... 8. Cook or work in the kitchen (Only if the FG is participating in a classroom project that involves food. FGs can clean off a table or help clean up a room IF the children are doing it, too. The FG is modeling good behavior.) 9. Be with the children outside the service time as a Foster Grandparent or anyplace other than their assigned volunteer station. (Unless on a field trip) 10. Transport children 11. Give food, candy or gifts to the children without prior approval from the teacher or staff member Keeping Children Safe Children of all ages are informed about “good touch and bad touch.” It is your responsibility as a Foster Grandparent to make sure that the children feel safe with you. Please read the tips below to be sure that you are up to date on appropriate behavior with children so that nothing you do or say will be taken the wrong way by children, parents or volunteer station staff. Effective Practices for Ensuring the Safety of Foster Grandparents The project: a. Addresses all relevant safety issues, including working conditions at volunteer stations, prior to permitting Foster Grandparents to begin their assignments; b. Works closely with volunteer station to ensure that Foster Grandparents are provided with pre-service and ongoing training on safety issues; 25 c. Works jointly with volunteer stations to assess, on a regular basis, safety issues related to Foster Grandparent service; and d. Promptly and effectively responds to Foster Grandparent emergencies and complaints and designates a staff person to respond to such concerns. Safety Everybody has the right to be safe and experience the benefit of working in a safe environment. Safety is very important to the Foster Grandparent Program. If you ever feel threatened or unsafe, leave your volunteer workstation and call the main office toll free at (866) 856-3017 as soon as possible. Safety Tips for Foster Grandparents 1. Never put yourself in a position where your actions could be misinterpreted by someone walking in the room. 2. Make sure you are never left alone with children; there should be a volunteer station staff person with you and the children at all times. If you are left alone with children, report this to the FGP staff immediately; do not wait until the next in-service meeting. 3. Do not touch children on areas of their bodies which would be covered by a bathing suit. 4. Do not work with a child alone, behind a closed door; leave the door ajar so that anyone can walk in at any time. 5. Do not tease children in a hurtful way. 6. Do not threaten children with physical punishment, restraint or abuse. 7. Do not take the child to the bathroom alone, even during recess. If you do take a child to the bathroom at another time, make sure that you stand in the bathroom doorway or in another position so that the other adults in the room can see you. 8. Never release a child to another person to be taken home from the volunteer station. This is the teacher’s responsibility. 9. Never fall asleep when you are with a child or with an individual who lives at a facility. If you are too tired or too sleepy to stay 26 awake while you are volunteering, it is better to stay at home and call the FGP staff and volunteer station staff. 10. Do not leave unattended items (art materials, pencils, pens, etc.) within the reach of children. 11. Report unsafe conditions and activities to the volunteer station staff or FGP staff immediately. IV. Foster Grandparent Benefits What are the benefits of being a Foster Grandparent? Aside from the stipend and reimbursement for travel and meals, many Foster Grandparents have said how the experience of working with children has enriched their lives. The bonds that Foster Grandparents form with children allow them to share their years of experience and wisdom. This experience helps the volunteer realize how much they have to offer to children and the community. Foster Grandparents surveyed in Michigan said that their health and social resources improved when they volunteered with FGP. They reported being “more satisfied with life.” Other Foster Grandparents said that they felt “increased self-esteem, renewed feelings of health and vigor, explored new relationships with peers, and experienced greater financial security.” We are happy you are joining us as a Foster Grandparent volunteer! The Stipend Foster Grandparents serve a minimum of 15 hours each week, and receive a stipend of $2.65 per hour. The stipend is paid for time spent with the children, for earned leave, and for special activities such as training, advisory board meetings and volunteer recognition events. 27 Volunteers are not reimbursed for travel time to and from home. Meals, if eaten with the children/students as part of the volunteer assignment, are included in the hours volunteered each week. The Foster Grandparent stipend, travel and meal reimbursement is not subject to any tax or charge or treated as wages or compensation for retirement, public assistance or similar benefit payments or minimum wage laws. These payments shall not reduce or eliminate the level of eligibility for assistance or services any Foster Grandparent may be recovering under any federal, state or local government program (Public Law 93-1130). The Social Security Administration has issued an instruction that stipends are excluded as income in determining the amount a volunteer will receive in his or her social security check. The stipend cannot be used in calculating a Foster Grandparent’s eligibility for Supplemental Security Income (SSI), food stamps, low income housing, or any other federal programs that base eligibility on income. Meals Foster Grandparents may be provided with one or two nutritious meal per day by the volunteer station when possible. Not all volunteer stations are able to provide this. Foster Grandparents who carry a lunch will be reimbursed $2.50 for a sack lunch per day. Transportation Foster Grandparents will receive mileage reimbursement for travel to and from volunteer assignments and activities, such as orientation, in-service training, advisory board meetings and recognition events. Foster Grandparents are encouraged to use the least expensive means of transportation between their homes and volunteer stations. Volunteer station related transportation is not reimbursable by the NAU Foster Grandparent Program. 28 Using Buses and Dial-A-Ride Foster Grandparents who ride the bus or Dial-A-Ride will be reimbursed actual fare paid. Using a Personal Vehicle Foster Grandparents who drive their own cars will be reimbursed at a rate set by NAU Civic Service Institute Foster Grandparent Program. Foster Grandparents who pick up other grandparents will be paid for the extra distance they travel, if authorized by the Project Director. All Foster Grandparents who drive their personal vehicle must comply with Arizona state laws; have a valid driver’s license, and current automobile insurance. If Foster Grandparents are found in violation of these rules, they will be immediately terminated. Passengers Foster Grandparents who ride with another Foster Grandparent will not be reimbursed for any transportation costs since the driver is reimbursed. For insurance reasons, volunteers must not pay one another for transportation expenses. Combined Modes of Transportation Foster Grandparents who use two modes of transportation will be reimbursed two ways. When the Foster Grandparent rides the bus, he or she will be reimbursed the actual bus fare for the days they ride the bus. When a Foster Grandparent drives, he or she will be reimbursed at the current rate. The dates and types of transportation used must be noted on the time sheets so that the Foster Grandparent can be reimbursed correctly. Parking Costs Parking should be recorded and it will be reimbursed at the actual rate. 29 Physical Examination The Foster Grandparent will be provided with a physical assessment prior to their entrance into the FGP, and annually thereafter. There is no cost to the Foster Grandparent for the examination. The exam will determine whether or not a volunteer has any condition (physical or mental) that would be a barrier to his or her successful performance as a Foster Grandparent. Failure to pass a physical examination is cause for dismissal from the FGP. The physical assessment is arranged through the Foster Grandparent office. The cost of supplemental tests or medications is the responsibility of the Foster Grandparent volunteer. Foster Grandparents may use one sick day for the annual physical exam. If an examination reveals symptoms that endanger a Foster Grandparent, he or she will be suspended or terminated at the discretion of the Foster Grandparent Director. Volunteers must repeat physical examinations annually to continue their service as a Foster Grandparent. V. Foster Grandparent Leave and Holiday Policies Vacation Leave Foster Grandparents become eligible for vacation leave after 6 months of service. Vacation leave is accrued at a rate of .0919 per hour worked (this is equivalent to 24 vacation days). Vacation leave shall be earned during orientation and after a volunteer begins assignments. Foster Grandparents are encouraged to take a vacation each year. Vacations of one or more weeks must be requested in writing at least 30 one week in advance for approval. Foster Grandparents should not accrue more than 72 hours (2 weeks) of vacation. If this occurs, the Foster Grandparent will be requested by the FGP office to use accumulated vacation leave before the end of the calendar year (June 30). Sick Leave Foster Grandparents accrue sick leave at a rate of .0463 per hour worked (this is equivalent to 12 sick days per year). Sick leave is earned starting with orientation & training and for all served hours thereafter. Sick leave may be used when the companion is unable to work due to a personal illness or because of a medical or dental appointment. The client, FGP staff, and volunteer station must be notified when the companion is ill. Accumulated sick leave may be used if a member of the immediate family is ill. Immediate family members include: Mother Father Sister Brother Daughter Son Mother-in-law Father-in-law Sister-in-law Brother-in-law Daughter-in-law Son-in-law Wife Husband Granddaughter Grandson If a Foster Grandparent uses sick leave for personal illness for more than 4 consecutive days, he or she may be asked to submit a signed doctor’s statement to the FGP office. When accrued sick leave is exhausted, eligible vacation time will be used. Leave Without Pay Foster Grandparents may take up to 16 weeks leave without pay. After 16 weeks, the Foster Grandparent must reapply to the program. 31 Volunteers must ask for leave without pay in advance of taking such leave. Funeral Leave Foster Grandparents may take up to 3 days leave with stipend for instate travel and 5 days leave with stipend for out-of-state travel in the event of a death of an immediate family member or close friend. The FGP staff must be notified for approval of funeral leave. Jury Duty Foster Grandparents will receive their stipend minus what they are paid by the court until they are released from jury. Snow Policy Listen to the radio! Snow Day School Closure If the school district announces a “snow day” and schools are closed, or if there is no public transportation due to snow, do not go to your volunteer station. You will be paid for your regular hourly schedule for that day. No mileage or meal allowance may be claimed on a snow day. Snow Day Schedule If the school district announces a snow day schedule or that the school will open one or two hours later than usual, you may go to the volunteer station one or two hours later or leave one or two hours earlier and still claim your regular hours on your time sheet. 32 Holidays The following 13 holidays are observed by the Foster Grandparent Program. Some of your stations may observe different days that may be subbed for the days below; however, you cannot go over 13 holidays a year. New Year’s Day Martin Luther King Day President’s Day Spring Holiday (may be used for Good Friday, Passover) Memorial Day Independence Day Labor Day Fall Holiday (may be used for Columbus Day) Veteran’s Day Thanksgiving Friday after Thanksgiving Christmas Christmas Eve or the day after Christmas When an observed holiday falls on a day that the Foster Grandparent is scheduled to be at their volunteer station, that day is considered a holiday with pay. If a holiday falls o a weekend then the holiday is scheduled with pay for the Friday or Monday when the holiday is observed. VI. Foster Grandparent Insurance Foster Grandparents are eligible for three kinds of insurance: accident, personal liability, and excess automobile liability. These are not substitutes for personal insurance and only apply while volunteers are engaged in program activities or traveling to program activities. This insurance coverage is considered secondary. Any insurance you have, such as Medicare, any other health insurance, auto insurance, etc. is billed first. Excess Accident Medical Coverage 33 This will pay up to $25,000 for medical treatment, hospitalization and nursing care required as a result of an injury that occurred while the Foster Grandparent was working. The maximum benefit of this coverage is $25,000. It does not duplicate benefits payable under Medicare or any other collectable insurance coverage. The coverage is for any personal injury that occurs while the volunteer is traveling directly to and from the volunteer station and while participating in volunteer activities. It also covers the volunteer while attending orientation, in-service training, advisory board meetings and recognition activities. Medical expenses must be incurred within 55 days of the incident. Expenses are covered for a one-year period following the incident. Other than dental X-rays, dental care is covered up to $500 per tooth, per accident. The maximum benefit per accident is $900. This insurance also covers up to $50 for repair of eyeglass frames and $50 for lenses. Also included under this policy is: Accidental Death and Dismemberment Coverage This coverage pays for death or loss of limb or sight occurring within one year after a covered accident. The benefits are as follows: Loss of life (paid to beneficiary) $2,500; loss of both hands, feet or eyes $2,500; loss of either hand, foot or eye $1,250. Personal Liability Insurance All Foster Grandparents are (collectively) provided with liability insurance with a limit of $1,000,000 per occurrence per organization. This provides protection for a personal injury or property damage liability claim that arises from the performance of the Foster Grandparent. Exclusions to this policy include: injuries that arise from the use of a car, aircraft or watercraft; errors or omissions in connection with the Foster Grandparent’s services; personal injury resulting from assault and battery committed by the volunteer; property damage to property 34 in care or control of the volunteer; and injury or damage by any person who is part of a court-ordered program. Excess Automobile Insurance This insurance protects the volunteer for personal injury and property damage that arises out of their volunteer activities, including driving between their home and volunteer station. The maximum benefit of this policy is $500,000/accident. Legal Representation Foster Grandparents may receive legal counsel, court costs and bail for a suit held against them when it is the result of the volunteer activities. If you have an accident that results in personal injury, contact the Foster Grandparent Program Director at (928) 523-6584. In the event of a liability claim, immediately call the Program Director at (928) 523-6584. VII. Foster Grandparent Policies Confidentiality Confidentiality is a very serious matter to the Foster Grandparent Program. We believe that everyone has the right to his or her own privacy, and under NO circumstances will Foster Grandparents: 1. Reveal a child’s or a family’s identity to anyone outside of the volunteer site. 35 2. Discuss the personal life of a child or his/her family with anyone outside of staff who are directly involved with the child. 3. Discuss the personal or work life of other Foster Grandparents with anyone. Child Abuse and Neglect Foster Grandparents may encounter situations where they may suspect abuse or neglect of their assigned child by another person. They should document what they suspect or have witnessed to the best of their ability and report this to their volunteer station supervisor as quickly as possible so that the supervisor may take the appropriate action. Should a Foster Grandparent be accused of child abuse, CONTACT THE FGP OFFICE IMMEDIATELY. Whenever possible, the program director will be present during interviews with the volunteer. The Program Director will contact The Corporation of National and Community Services, the CIMA insurance office and the sponsoring agencies to make sure that proper procedures are followed. The volunteer will not work at their volunteer station while the matter is investigated. The Foster Grandparent may not return to work until the investigation is complete and the volunteer has been cleared. Drugs and Alcohol Any volunteer who is found to be using drugs or alcohol while serving as a Foster Grandparent will be suspended from the program pending further investigation by the Personnel Grievance committee. The time of suspension will be determined by the Advisory Council. At no time will a Foster Grandparent purchase or provide transportation or be the means to purchase alcohol or illegal drugs for a child or adolescent. Reports of such activity will be investigated and a Foster Grandparent found in violation of this policy will be subject to immediate dismissal. 36 Smoking Foster Grandparents may not smoke while at their volunteer stations. Consult the volunteer station supervisor regarding smoking policies outside of the building. In some cases, smoking may not be allowed even outside of the building. Seat Belts Foster Grandparents will abide by the local and state laws governing seat belt use and buckle up on every trip. Should a Foster Grandparent transport other volunteers, those individuals must also buckle up. Foster Grandparents are not to transport the children with whom they work. Voluntary Withdrawal On occasion Foster Grandparents choose to leave the program. It is suggested that the volunteer submit a written statement of resignation stating the date he or she will leave the program, and the reasons for withdrawal. It is suggested that volunteers give the volunteer station and the Foster Grandparent Program a two-week notice prior to withdrawal. Disciplinary Action The intent of the Foster Grandparent Program is to provide positive and meaningful experiences for the volunteers and the children who they serve. Unfortunately, occasions do occur where disciplinary action must be taken to insure consistent quality in the Foster Grandparent Program. Actions That May Result in Disciplinary Action: The following is a list of actions that may result in disciplinary action. Items highlighted in italics may result in immediate dismissal. 37 1. Violation of Confidentiality 2. Multiple, unexplained absences at in-service training 3. Repeated cancellation to work, cancellation without cause, or cancellation without notifying FGP staff 4. Failure to accept supervision from volunteer station or FGP staff 5. Failure to follow care plans or negligence in the performance of volunteer assignment 6. Repeated refusal to take an assignment when not serving at least 15 hours a week 7. Inappropriate behavior while on duty (uncooperative attitude, sleeping, tardiness, excessive use of telephone, etc.) 8. Failure to report change in economic status after enrollment 9. Misrepresentation or falsification for enrollment, time sheets, travel or meal reimbursements or other records 10. Use of abusive, profane or threatening language toward a child, staff, volunteer or others 11. Unauthorized possession or use of drugs; bringing alcohol or other intoxicants to work; reporting to work in an intoxicated condition 12. Possession of firearms or other weapons while at the volunteer station 13. Stealing or unauthorized possession of property belonging to others; destroying or damaging property of others 14. Hitting or hurting a child or volunteer staff deliberately or through negligence 15. Any other reason, which is deemed unlawful or inappropriate and discredits the Foster Grandparent Program’s service. Disciplinary action It is the intent of the Foster Grandparent Program to provide a positive and meaningful experience for each volunteer. Unfortunately, occasions do occur where disciplinary action must be taken to insure the maintenance of a quality program. Disciplinary Procedures 38 Upon a first offense the Volunteer Station Coordinator should meet with the volunteer to give a written warning to the Foster Grandparent with a written memorandum that is placed in the Foster Grandparent’s file and a copy given to the Foster Grandparent and the FGP staff. This memo should include the date and time of incidents, disciplinary consequences or a request for reassignment. The following are examples of actions that may result in disciplinary action: 1. Violation of confidentiality 2. Multiple unexplained absences 3. Repeat cancelation on clients, cancelation without cause, or cancelation without notifying staff 4. Failure to follow the Client Care Plan 5. Failure to accept to supervision from volunteer station and/or staff 6. Repeated refusal to take an assignment when not serving 15 hours a week 7. Inappropriate behavior while on duty (i.e. sleeping, tardiness, excessive use of the telephones, etc.) 8. Inappropriate behavior while off duty that may reflect a volunteer’s poor judgment and inability to effectively provide service to the community (i.e. abuse of illegal substances, sexual misconduct, child or elder abuse, etc.) Immediate Separation from the Program Arizona is an “at will” State and volunteers serve at the will of Northern Arizona University. Should Northern Arizona University decide, you can be terminated as a volunteer at the will of Northern Arizona University at immediate notice There is zero tolerance for volunteers who engage in the following activities while on-duty: 9. Elder abuse 10. Child abuse 11. Sexual misconduct 12. Use of alcohol or illegal drugs 39 13. misrepresentation of volunteer hours, mileage, or meals to defraud the program 14. Financial misconduct with clients There is zero tolerance for volunteers who engage in activities while off duty that reflect poor judgment. These actions include, but are not limited to: 1. Abuse of any elderly person 2. Abuse of any child 3. Abuse of illegal substances 4. Theft or embezzlement 5. Sexual misconduct Reassignment Reassignment is the change of a Foster Grandparent from a current volunteer station assignment to another. Reassignment is made solely by the FGP staff and depends on availability of service opportunity at an appropriate alternative placement and acceptance of the new assignment by the Foster Grandparent and by the new volunteer station. The FGP staff may reassign a Foster Grandparent when: 1. A decision is made to remove a Foster Grandparent from the current volunteer station due to any incompatibility between station and/or client and volunteers, and for reasons that in the opinion of FGP staff would not preclude assignment to an alternative volunteer station. 2. The Foster Grandparent requests a change to meet new circumstances of health, transportation, residence, or for reasons of convenience or preference in type or place of assignment. 3. FGP staff requires changes due to program considerations such as transportation costs, needs of another volunteer station, termination of the current volunteer station’s participation with the program, changes in the FGP focus or objectives, etc. 40 4. Mutual discussion of FGP staff, the volunteer station supervisor and/or the companion, determine that the companion’s opportunities of service would be improved or enhanced in an alternate setting. 5. Reassignment actions will be preceded by a discussion involving the FGP staff, the Companion and the appropriate volunteer station(s). Grievance and Appeals Procedures The purpose of the grievance procedure is to provide a just and equitable method for the prompt resolution of grievances without discrimination, coercion, restraint, or reprisal against the Foster Grandparent or the assignee/client being served who may submit or be involved in a grievance. The procedure as follows: Step one: The Foster Grandparent submits a written complaint to the Volunteer Station Supervisor with a copy sent to the Foster Grandparent Program Coordinator so the Coordinator is aware of the complaint. Stage two: If the complaint is not resolved, Foster Grandparent may submit a written complaint to the FGP Volunteer Coordinator within 30 days after the action has taken place Stage three: If further action is needed, or if the Foster Grandparent disagrees with the outcome of the review, the Foster Grandparent may submit a written complaint to the Foster Grandparent Program Director of the program in order to appeal the Volunteer Coordinator’s decision. The Program Director’s decision is the final decision; there are no other options for appeal. Permanent Separation Permanent separation from the Foster Grandparent Program can only result from official action and notification by the program director. 41 Such notification will be made in writing to both the Foster Grandparent and the current volunteer station. Immediate separation may occur without advance notice to the volunteer or volunteer station in the following circumstances: 1. A decision to remove a volunteer from the current volunteer station under a procedure outlined in the grievance and appeals procedure determines that the volunteer should not be considered for alternative placement. 2. Excessive absence or absences from an assignment for 3 or more consecutive days without notice to the FGP office or volunteer station. 3. Theft, embezzlement or misuse of the funds or property belonging to the agency, volunteer station staff or children involved in the FGP. 4. Falsification, of documentation of hours, income statement or information on the application form. 5. Abuse of clients of or volunteer station staff or property. 6. Action of the volunteer that endangers the health and safety of the volunteer station staff, children, FGP staff or the Northern Arizona University Regional Civic Service Institute. 7. Use of the Foster Grandparent position for personal gain. 8. The volunteer’s annual income increase to more then 20% above the eligible level set forth by the Corporation for National and Community Service. Permanent separation from the Foster Grandparent Program may also occur under other circumstances listed below. In these circumstances, a separation action will be preceded whenever possible by at least 2 weeks written notice to the volunteer. A copy of the notice will be sent to the current volunteer station. When appropriate, the 2 week period must provide an opportunity for correction of the problems. 1. Reduction of total number of Foster Grandparents needed by the Northern Arizona University Civic Service Institute Foster Grandparent Program from funding limitations. 2. Failure of the volunteer to abide by the rules and policies stated in the Foster Grandparent Handbook 42 3. Refusal or the inability of the volunteer to carry out a reasonable and necessary function of the Foster Grandparent role. 4. A decision to remove the Foster Grandparent from the current volunteer station has been made and no opportunity exists for an appropriate alternative assignment. Separation from the Foster Grandparent Program may result when the volunteer notifies the program staff of resignation from the program. The volunteer is requested to give notice in writing of the effective date of resignation and to provide a minimum of 2 weeks notice to permit other arrangements to serve children served in the FGP. The FGP staff will inform the volunteer station supervisor immediately of a volunteer’s verbal or written resignation notice. Special Regulations Non-Discrimination We are an inclusive project. No persons shall be excluded from participation in, or be denied benefits of participation in the Foster Grandparent Program on the grounds of race, sexual orientation, creed, belief, color, national origin, sex, age, disability, or political affiliation, as protected by federal law. Religious Activities Foster Grandparents will not give religious instruction, conduct worship services or attempt to influence children or volunteer station staff’s religious beliefs. Political Activities Foster Grandparents may not while on-duty or in situation when offduty while representing themselves as Foster Grandparents: 5. Influence the outcome of any election to public election to public office. 6. Engage voter registration activities 43 7. Transport voters to the polls or similar connection with an election. 8. Participate in any unlawful demonstration or civil disturbance 9. Engage in lobbying activities. Foster Grandparents, however, may be involved in legitimate group activities of the organization to which he or she is assigned that may involve legally-conducted petitioning. Recognition and Social Functions An annual volunteer recognition will be hosted for all Foster Grandparents by the Foster Grandparent Program. Volunteers will be given awards for service in the program. Volunteer stations are encouraged to also formally recognize the Foster Grandparents who volunteer at their agency. Timesheets Timesheets and business postage prepaid envelopes are sent to volunteers at the beginning of each month. The timesheets are from the first day of the month to the last day of the month. Timesheets are completed with the following information: 1. 2. 3. 4. Volunteer name and station at the top of the timesheet The date is provided “D” = the number of hours volunteered “T” = the number of hours for training, in-service, meeting, workshops, conferences, etc. 5. “C” = the number of hours for community service projects of events 6. “H” = the number of hours claimed for holiday leave. 7. “VL” = the number of hours claimed for vacation leave. 8. “SL” = the number of hours claimed for sick leave. 9. “Clients” – FGP Volunteers write the name of the client visited. “Activities” –FGP Volunteers write one worked describing the activity i.e. “tutoring”, “reading”, “art”, etc. 10. Number of miles driven round trip 44 If using Van Go or another type of senior center van, please write the total amount paid round trip, i.e. $4.00 11. If brown bagging or purchasing a meal, write “1” 12. If the volunteer site donates a meal indicate the number of meals donated to you that day. At the end of the month, the station supervisor and volunteer must sign the timesheet and mail it in as soon as possible. Paychecks are mailed out about 1 week after receiving the timesheet at the office. Paychecks may be picked up at the office if arrangements are made with office staff. The checks are generated by NAU accounting and so have the NAU insignia on the check. Foster Grandparent Statement of Confidentiality I fully understand that it is my responsibility to keep confidential any personal, family, medical or financial information concerning any client with whom I am in contact. I will not discuss anything concerning my client with anyone other than my supervisors. I will not divulge any information which may identify the client or his or her family which may cause embarrassment to him/her or to his/her family. If necessary to speak of a client, I will use a first name only. I will not give out a client’s name, address or phone number. I understand that I can be held liable for willfully and knowingly releasing confidential records or information about a client. Signed Date 45