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 In what area do you want to volunteer? Activity Staff Pharmacy Nursing Other (please specify in application) Do you have diabetes? Yes No If so, what insulin are you using? Why do you want to volunteer? Describe any past experience? 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. I Agree Yes No