2017 Kids' Camps Volunteer Application
Work E-mail Address
Other Email Address
Cell Phone Number
Address (Line 2)
Supervisor Name and Title
Supervisor Email Address
Supervisor's Phone Number
What camp positions are you most interest in?
Facilities & Grounds
Where Most Needed
What camp session do you want to participate in? Please only select one session.
Victory Junction (NC), Sickle Cell/Bleeding Disorders: June 25-29 (volunteers arrive June 24)
Victory Junction (NC), Heart Disease/Lung Disease/Kidney Disease: July 9-13 (volunteers arrive July 8)
RoundUp River Ranch (CO), Kidney Disease, Kidney Transplant: July 16-21 (volunteers arrive July 15)
RoundUp River Ranch (CO), Family Camp- Kidney Disease, Kidney Transplant, Lung Disease, Asthma: August 25-27 (out-of-state volunteers arrive August 24)
The Painted Turtle (CA), Kidney Disease and Transplant: June 25-30 (volunteers arrive on June 24)
The Painted Turtle (CA), Liver Disease and Transplant, PIDD, TPN, and IBD: August 9-13 (volunteers arrive on August 8)
The Painted Turtle (CA), Kidney Disease and Transplant Family Weekend: October 20-22
Do you plan on driving or flying to camp?
Certification ( if applicable ):
Certification/Medical License # (if applicable)
How comfortable are you working with children?
Not very comfortable
Have you ever participated in a Bridge of Life medical mission before?
Have you ever worked/volunteered at a camp before?
If yes, describe the type of work/volunteer opportunity, location and responsibilities.
What would you bring to your volunteer position that would benefit the kids at camp?
I am currently a full-time teammate, and have been employed by DaVita for at least 6 months
I accrue PTO and am willing to contribute the necessary hours to participate in the program.
I agree to fundraise towards the camp program. Volunteers who fly to camp are asked to fundraise $500. Volunteers who drive to camp are asked to fundraise $250.
I release Bridge of Life from any and all liability related to my participation in this program
I understand my hours of work will be scheduled upon arrival and may be changed daily to meet the needs of the mission
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