To Join TCTB as an active Member

          Complete and/or Submit the following (usually at a Potluck or Info Meeting):

-Application Form with references/Release of Liability & Membership Agreements

-Copy of current Driver’s License

-State of MO Background Check Form

-Annual Dues of $25.00 (Renewals are due the Anniversary Month of joining TCTB)

-Read the TCTB Member Handbook

After completing/submitting the above items, you will be notified when your application has been accepted and you will be invited to an Orientation Workshop. You will be given access to the database at Orientation and set up your account profile. You will learn how to post offers/requests and

record your Time Dollars. You will have 5 Time Dollars to deposit into your account at Orientation to get you started with giving and receiving!

You will receive 1 Time Dollar each time you attend a potluck or other TCTB initiated event or meeting.

You will receive 2 Time Dollars when you bring a prospective new member with you to an Info Meeting, potluck, or event.

RELEASE OF LIABILITY & MEMBERSHIP AGREEMENTS

_____I understand that the references, employers, and volunteer organizations I have provided will be contacted and    

            that the Taney County TimeBank will do a background check on applicants.

_____I consent to the release of all relevant information concerning my ability and fitness to work as a Taney

           County Time Bank member.

_____ I understand that my contact information and selected information from my enrollment form will be published in

            the Taney County Time Bank member/services directories (on our web site) and shared with other Taney County

           Time Bank members.

_____ Members of the TimeBank offer neighborly services or skills to one another as volunteers. The TimeBank is a

            coordinating agency only; it is not responsible for the services performed by TimeBank members. Members

            provide services to the best of their ability and do not guarantee their work. Prior to receiving a service, it is my

            responsibility to ascertain the competency of the server to deliver that service to my satisfaction.

_____ I understand that expenses for any materials used will be the responsibility of the recipient, and expenses will

           be agreed upon before the service is delivered.

_____ I understand that the Taney County TimeBank cannot be held responsible for any injury to persons or 

           damage to property experienced while involved with the program. The applicant hereby agrees to hold the   

           Taney County TimeBank, as well as its employees and/or agents harmless from any and all claims or 

           liabilities for any work performed hereunder by a TimeBank volunteer.

_____ I understand that Taney County Time Bank does not assess anyone’s skills and I agree that if requesting a service requiring a

            licensed professional I must only accept service from a licensed professional.  Further, I agree that if I am providing a service

           that requires a professional license, I have a valid current license.

_____ I agree to take responsibility for any accident or injuries that I might suffer while on property owned or rented by

            any TimeBank member and waive any claim against that member.

_____I agree that if I use my personal vehicle in rendering volunteer service through the Taney County TimeBank, I

            will, in accordance with Missouri law, arrange to keep in effect adequate and legal automobile liability

            insurance covering bodily injury and property damage.

_____ I agree that I will accept no monetary payment for services, or no monetary reimbursement for driving with the   

            Transportation Program as a Timebank driver (other than money for gas of personal vehicle, pre-arranged).

_____ I understand and agree that I must hold all member health care and personal information in confidence and that

            intentional or involuntary violation of that confidentiality may result in disciplinary action which could include

            dismissal from the program.

_____ I have completed Taney County Time Bank orientation.  I have read and understand the information in the Taney County Time

            Bank member description and the information as stated in the Taney County Time Bank Handbook; I agree to abide

            by its contents as well as other forms (documents) I am required to complete before starting service and any other forms

            required by TCTB.  I understand that the Taney County Time Bank Handbook is subject to periodic revisions. 

_____I understand that failure to abide by the Taney County Time Bank member description, the contents of the Taney

           County Time Bank Handbook and other required forms would be cause for my dismissal from participation in Taney County

           Time Bank.

____ I have read this document and the handbook and understand the contents. I certify that the information given on this form and

          the application is accurate to the best of my knowledge.