Volunteer Application

Please complete this application form if you are interested in becoming an Iowa Donor Network volunteer.  A member of our team will follow up with you after the application has been submitted.

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.