First Name:
*
Last Name:
*
Sex
*
Male
Female
Street Address:
City:
State:
Zip Code:
Email:
Phone number:
Are you at least 18 y/o?
*
Yes
No
Why do you want to volunteer at Camp KnoKoma?
*
What do you want to learn/take away from the camp experience?
*
What is your experience working with children?
*
What is your experience working with type one diabetes?
*
What is your experience with working in the field of nutrition and food service management?
*
Do you have diabetes?
Yes
No
If so, what insulin are you using?
Are you able to attend the entire week of camp (July 11-18th)
*
Yes
No
I Agree
Yes
No
I understand that I must abide by all the rules of Camp Kno-Koma if selected as a volunteer. I understand that all applicants are subject to a criminal background check.