Volunteer Info Form

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Volunteer Info Form

Diabetes DESTINY Volunteer Info Form

Thanks for your interest in helping at Diabetes DESTINY's Extreme Weekend. Please provide as much information as you can and are comfortable sharing. It will help us find the perfect role for you on our team. We will contact you shortly after receiving this information and get you a meeting/training schedule and more information about what you should expect.

First Name

Last Name

Phone

Address 1

Address 2

City

State

Zip

Male or Female

Male

Female

Other:

Clear selection

Age

What is your relationship with Diabetes?

I have diabetes

A friend/family member has diabetes

I want to learn more about staying active with diabetes

Other:

Clear selection

How did you learn about DESTINY?

Have you been part of DESTINY in the past?

yes

Clear selection

If you answered yes, let us know what roles you have helped with in the past?

What do you hope to accomplish by helping DESTINY?

Are you volunteering for the med staff?

Yes

Clear selection

If yes, what degrees or certification to you have?

What previous volunteer experience do you have?

Destiny volunteers are asked to commit to arrival by 3 pm Friday May 1st, and depart 1pm Sunday May 3rd. Do you foresee any personal schedule conflicts with that time period?

Yes

Clear selection

Submit

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