Camp Kno-Koma
Volunteer Application

Just complete this form. Click on Submit when ready to send.

Name:
Address:
Date of Birth:
Social Security Number:
Telephone Number:
E-mail Address:
Shirt Size:	Small Medium Large XL 2X

Do you have diabetes? Yes No

If so, what types of insulin are you currently using?

If not, do you know anyone who has diabetes and what is your relation to them?

Have you ever been at Camp Kno-Koma (describe when)?

In what area would you like to volunteer? (You may select more than one by using the "ctrl" key)
Sports and Activities Food Service Medical Staff Psychosocial Staff Education Put me where you need me

Why do you want to volunteer at Camp Kno-Koma

Do you have any experience?

List three references who may be contacted other than relatives.

Reference 1

Name:	Telephone:
Address:

Reference 2

Name:	Telephone:
Address:

Reference 3

Name:	Telephone:
Address:

I understand that all the above information is true to the best of my knowledge. I have read, understand, and agree to abide by all of the rules of Camp Kno-Koma if selected as a volunteer. I understand that all applicants are subject to a criminal background check . Yes No