Volunteer Application

Please complete this application form if you are interested in becoming an Iowa Donor Network volunteer. For general application or volunteer program questions, please contact Anne Casey, Public Outreach Specialist at 319-665-3787 or acasey@iadn.org.

Volunteer Contact Information

Education / Employment

Your Connection to Donation

Volunteer Background Information

Personal Background Information

Emergency Contact Info

Volunteer Agreement

I understand that the following are expectations of the Iowa Donor Network Volunteer Program:

  1. I certify that the information provided in this application is true and correct in all respects without any willful omissions.
  2. I understand that I may be screened at Iowa Donor Network’s cost for a background investigation. The investigation shall include, but is not limited to: Motor Vehicle Records Check, Social Security Trace, Child Abuse Registry Check, Criminal History Check, Education Verification and/or employment verifications. A positive finding for any of the above, such as a conviction or court-imposed penalty for a crime, may preclude me from consideration as a volunteer.
  3. I will demonstrate a courteous, knowledgeable and professional manner in all interactions in my role as an Iowa Donor Network volunteer.
  4. I will complete the necessary training required for my volunteer role and keep current with Iowa Donor Network communications and information for volunteers.
  5. I agree that as an Iowa Donor Network volunteer, I am responsible for maintaining the confidentiality of all proprietary or privileged information to which I am exposed.
  6. I am advised that failure to comply with these policies may result in disciplinary action which could include release as an Iowa Donor Network volunteer.

Our Vision:

All are inspired to donate life.