Confidentiality Policy
Martha’s Table recognizes its responsibility to ensure that information about its employees, volunteers
and the people it supports is kept in the strictest confidence. Employees, volunteers and students are to
maintain strict confidentiality regarding all information pertinent to individuals served by the
Organization, as well as business, personnel and personal matters. Exceptions to this occur when a client
has signed a written release authorizing us to disclose information or in cases where maintaining
confidentiality might cause serious harm to the client or to a third party.
Procedures:
1. Information will only be disclosed when required by federal and/or provincial statutes, or with
written permission from the individual, or other person vested with authority.
2. All staff, volunteers and students must sign a Confidentiality Agreement.
3. Unless it is part of their responsibilities and/or duties, employees, volunteers and students will not
discuss information concerning the following:
 Individuals or families supported by the Organization
 Human Resources issues
 The Organization’s financial business
Employees, volunteers or students who have the authority to discuss such information as identified above
will not do so:
 In public areas of the organization such as washrooms or waiting rooms
 At home
 In public places outside the Organization
4. Employees, volunteers and students are not permitted to leave confidential information in written
form or on computer monitors where unauthorized persons may see the information.
STATEMENT OF CONFIDENTIALITY (Please Print)
I, ___________________________________________, acknowledge that I have read the attached policy
on confidentiality of information. I am aware of the intent or related policies and procedures. I am aware
that I should discuss any questions about my responsibility regarding confidentiality and the security of
clients or other confidential information (whenever and however stored) with Management.
I understand that any breach, misuse or violation of client or other confidential information by me, will be
considered a breach of privacy and may result in disciplinary actions, including possible suspension from
duties or immediate dismissal.
Signature: ___________________________
Date: _______________________ (No time limit)
Signature of Parent or Guardian if under 18 years of age: ______________________
Name of Parent or Guardian: ____________________________________________
Date______________________ (No time limit)
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RELEASE AND WAIVER OF LIABILITY FOR VOLUNTARY SERVICES
(Please print)
In consideration of participation in voluntary service for Martha's Table, I/We _____________________
hereby forever waive and release its officers, agents and employees from any and all liability, claims,
suits or damages, including death, which may be sustained in connection with or arising out of
participation as a volunteer.
Additionally, I/We expressly agree to be solely responsible for the consequences of participation in
voluntary service, and expressly agree not to file a claim or lawsuit against Martha's Table, its officers,
employees and agents, and fully release Martha's Table, its officers, employees and agents from any
liability for personal injury or property damage sustained as a result of participation as a volunteer.
I/ We shall indemnify Martha's Table against all claims and causes of action arising out of participation in
voluntary service for Martha's Table.
I/We understand that if I use my vehicle for Martha's Table business, or as a personal choice, to help a
client, I must have a valid driver’s license and up to date insurance, including at least one million third
party coverage. Martha's Table is not responsible for injuries, damage or loss caused in an accident or
situation related to my personal vehicle use.
I/We understand that if I/we have my/our photo taken at Martha's Table it may be used in promotional
material or on their website. If at the time of the photo I/we choose to not have my/our picture used, I/We
must clearly advise the photographer of my/our wishes.
Executed this ______________ day of ________________, 20 ______.
Volunteer Signature: ____________________________________
Signature of Parent or Guardian if under 18 years of age: ___________________
Name of Parent or Guardian: _____________________________
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VOLUNTEER APPLICATION FORM
(Please print)
Name: ____________________________ Date: ______________________________________
Address: _____________________________________________________________________
Telephone: ________________________ Cell: ______________________________________
Email: ____________________________ Emergency Contact: _________________________
(Optional) Date of Birth: ________________________________________________________
Hobbies/Interests/Skills: ________________________________________________________
(List in order of preference:) Volunteer opportunities that most interest you:
______________________________________________________________________________
When are you able to volunteer? Are you able to do a regular shift? ___________________
______________________________________________________________________________
How did you hear about Martha's Table? __________________________________________
Please provide the names and telephone numbers of 2 references and indicate their relationship to
you:
1) Name: ____________________________Phone: ___________________________________
______________________________________________________________________________
2) Name: ____________________________Phone: ___________________________________
______________________________________________________________________________
**Have you ever been convicted of a crime for which you have not received a discharge? If yes, please
explain:______________________________________________________________________________
**Is there anything Martha's Table needs to know about you that might impact the experience/safety of
other volunteers, guests and staff? If yes, please explain:
______________________________________________________________________________
Our promise to our volunteers
We promise to treat you with courtesy, in a professional and friendly manner. We promise to do
our best to make your volunteer experience memorable, rewarding and positive and fun. We
recognize your valuable contribution to our mission and thank you for it.
*Please check the box if you don’t mind a phone call from us (often short notice) if we are short staffed
and need help: 
*Please check the box if you are in to volunteer with a group or on your own for a one-time or annual
event: 
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EXPECTATIONS OF VOLUNTEERS AT MARTHA’S TABLE
Thank you for choosing to volunteer at Martha's Table. We need and value your help. We want
you to know that we would not succeed in our mission without you. The Martha’s Table Code of Conduct
states specifically that volunteers have the right to expect courtesy and respect and to be treated in a fair
and professional manner. This is the way that you will be treated and the way you are expected to treat
everyone else.
We find it helpful for volunteers to be familiar with our operating structure:
The Managing Director has the full authority to manage day-to-day operations at Martha’s Table
on behalf of the Martha’s Table Board of Directors.
The Administrator works with the Director, and is in charge when the Director is away or not
immediately available i.e. if there is an emergency.
The Board of Directors establishes the path or the direction that Martha’s Table follows from
year to year.
The Committees of Martha’s Table work on specific tasks related to fundraising, volunteer
recognition, recruitment and events, operations issues and so on.
Volunteers are asked to follow policies, procedures and instructions as outlined in the “Volunteer
Orientation” handout. This includes specific instructions provided by the Director during your shift.
Should a volunteer have concerns regarding any activity, request or decision, they should discuss their
concerns with the Director as soon as possible. Every attempt will be made to rectify the issue and/or
reach an amicable solution with the goal of keeping the best interests of Martha’s first priority. While it is
our desire that volunteers have a positive, rewarding and enjoyable experience, anyone demonstrating
displays of behaviour deemed to be disruptive will be asked to take a leave of absence for a determined
amount of time. Keep in mind that you are not obligated to remain in your volunteer position if you
continue to feel dissatisfied after attempts have been made to correct an issue.
“Volunteering at Martha’s Table is our passion. We act in a professional manner while being in
the loving service of others. When our volunteering no longer serves us or Martha’s Table, we
are invited to find our passion elsewhere.”
Our ultimate goal is to improve upon the quality of life of our guests. Five days per week, we
provide nourishing meals and a mid-day informal lunch. As a volunteer, you have chosen to donate your
time. Similarly, all of our food is donated or purchased with donated money and it is our job to manage
these donations effectively and responsibly. We truly appreciate and value the work our volunteers do and
as such, we must ask that your volunteer hours with us be spent positively. In other words, be proactive
and participate to your fullest. We all benefit when we can work together.
Please sign below that you have read and understand the information/policy above.
Signature: ______________________________ date: _________________________________
Signature of Parent or Guardian if under 18 years of age: _______________________________
Name of Parent or Guardian if under 18 years of age: __________________________________
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