Volunteer Application Form
Kidney Donor Conversations, Inc. encourages participation of volunteers who support our mission. The information on this form will help us find the most satisfying and appropriate volunteer opportunity for you.
Kidney Donor Conversations, Inc. is dedicated to informing groups and individuals about all types of kidney donation, and inspiring them to consciously choose their donation path.
* Required
Email
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Your email
First Name:
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Your answer
Last Name
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Your answer
Address:
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Your answer
City:
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Your answer
State:
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Your answer
Zip:
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Your answer
Phone:
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Your answer
Education/Degrees
Your answer
Job History
Your answer
Any special talents or skills you have that you feel would benefit our organization?
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Your answer
Explain why you want to be a volunteer:
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Your answer
Interests:
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Please tell us in which areas you are interested in volunteering.
Administrative support
Fundraising
Communication (email, phone, newsletter, etc.)
Social Media
Website
Donor Management (In Kind, financial, etc.)
Volunteer Management
Videography
Presentations
Marketing
Mentoring support to kidney donors and/or recipients
Advocacy (legislation)
Board of Directors
Other:
Required
Comments:
Your answer
Availability
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Please indicate days of the week you are available for volunteering.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
Please indicate time of day you are available.
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Your answer
How often do you want to volunteer?
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Daily
Once a week
Every other week
Once a month
Special events
Other:
How long would you likely be volunteering with KDC?
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Less than 1 year
1-2 years
2 years or more
Specific time period (*explain below)
Other:
*Explain:
Your answer
Name of person to notify in case of emergency (if volunteering for events):
Your answer
Relationship:
Your answer
Emergency contact phone number:
Your answer
I do hereby give Kidney Donor Conversations, Inc., their assigns, licensees and legal representatives the irrevocable right to use my name, picture, photograph, portrait, visual likeness, or voice in all forms and media in all manners, including social media, photo, film, audio and video representations, for non-profit, public purposes, and I hereby waive any right to inspect or approve the finished product that may be created in connection therewith. I have read this release, and am fully familiar with its contents.
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Yes
No
Required
Our Policy
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual identy, age, or disability.
Agreement
As a volunteer of our organization, I agree to abide by the policies and procedures of the organization. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury, or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment.
Signature:
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Your answer
Date:
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Thank you for completing this application form and for your interest in volunteering with us!
5/5/19
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