Membership Application

Please complete this application form if you are interested in participating in Team Iowa. For general application or Team Iowa program questions, please contact Jamie Bell, Events Specialist at 319-665-3787 or

Personal Information

Education / Employment

Personal Background Information

Emergency Contact Information

Your Connection to Donation

Team Membership Type and Responsibilities

Previous Games Experience

Team Iowa Membership Agreement

I understand and agree to the following terms:

  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 will be screened at Iowa Donor Network's cost for a background check. The background 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 member of Team Iowa.
  3. I will adhere to Team Iowa's Code of Conduct and Ethics which will be provided to me in detail upon joining the team.
  4. I understand that I am required to provide proof of medical clearance from my physician two months prior to the Transplant Games in August 2022 in order to participate in any events.
  5. I agree to fulfill the fundraising requirements as a member of Team Iowa.

Our Vision:

All are inspired to donate life.