Person to Notify in Case of Emergency

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Thank you for completing this application form and for your interest in volunteering with IDRF. Our Policy: It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexuality, age, or disability.