The undersigned certifies that he/she is the parent and/or legal guardian of the applicant, a minor. The minor is at least 16 years of age, but not over 18 years of age. The undersigned consents to the minor's enrollment in participation in the volunteer student program operated by the Storey County Volunteer Fire Department. The undersigned is aware that the minor shall receive a course of firefighter and related training for a period of three months, during which time the minor shall not be permitted to respond to any call, fire, rescue, or other such event unless accompanied by a Company Officer.
During the next three month period following successful completion of such training, the minor may respond to such an event, provided he or she is under the immediate supervision, direction, and control of an authorized and certified Firefighter of the Storey County Fire Department, and is engaged in tasks or actions regarding which he or she has received specific training during the prior three-month training period.
The undersigned and the minor agree to be bound by and to fully comply with all applicable rules, regulations, instructions, and Guidelines established by the SCFD in connection with this program, and acknowledge receipt of a statement of restrictions and limitations applicable to the minor's participation that has been adopted by the Storey County Volunteer Fire Department. The undersigned and the minor shall indemnify and hold harmless the Storey County Fire Department from claims or actions against it or its membership arising out of the actions and/or activities of the minor taken in connection with his or her participation in this program, whether the minor, the undersigned, or third parties bring any such claim. The undersigned and the minor shall waive any claim for damages or injury to the minor arising out of his activities in this program, except in so far as applicable workers compensation may validly cover those activities and compensation coverage. In the event of any dispute or action arising under the terms of this consent and waiver, the rules and regulations governing this program, and/or the activities of the minor in connection therewith, the undersigned and the minor agree to submit it to binding arbitration as the exclusive forum and procedural remedy therefore. Such arbitration shall be conducted under the auspices of the American Arbitration Association (AAA), or under such formal arbitration plan as the parties may mutually agree to in writing.
I have read and understand the foregoing, together with any attachments thereto, and agree and consent to same.
PURSUANT TO SECTION 5153-FEDERAL DRUG-FREE WORKPLACE AT REQUIREMENTS FOR FEDERAL GRANT RECIPIENTS AND IN KEEPING WITH STOREY COUNTY POLICY OF MAINTAINING A DRUG-FREE WORKPLACE.
For any Storey County employee to manufacture, distribute, dispense, possess or use a controlled substance and/or alcohol. Appropriate disciplinary or corrective action will be taken for:
Being found to be involved in the manufacturing, distribution, dispensing of or possession of a controlled substance while on duty.
Being found to be under the influence of intoxicants, a controlled substance without a medical doctor’s prescription or any other illegally-used substances while on duty; and/or
Drug or alcohol abuse which affects the performance of a job, if the employee has refused treatment.
Such disciplinary or correction action may include: Mandatory enrollment and attendance in alcohol/drug counseling, rehabilitation and employee assistance programs. The range of progressive discipline must run from suspension without pay, for up to thirty (30) working days, demotion, termination, or any combination thereof. For those employees covered by a Collective Bargaining unit, any discipline or grievance procedures would be pursuant to their collective bargaining agreement and this Drug and Alcohol Free Workplace policy.
That any employee of the County must notify the immediate supervisor who must notify the personnel manager of any conviction of a controlled substance or alcohol offense occurring in the workplace not later than five (5) days after such conviction.
Upon notification of such a conviction, the convicted person shall be required to satisfactorily participate in a drug abuse assistance or rehabilitation program. A finding that such notification has not been made will result in disciplinary or corrective action as outlined above.
If a supervisor has reasonable cause to believe (based on specific articulable factors personally observed about an employee’s appearance, behavior, speech, or other conduct) that the employee is under the influence of, or impaired by, a controlled substance and/or alcohol at a workplace, the supervisor will require the employee to submit to testing to establish whether a violation of the drug-free has occurred.