Volunteer for Bluebird Cancer Retreats

Active. Committed. Caring.

Volunteers are a vital part of the Bluebird Cancer Retreats mission. They provide support, service, programs, and hospitality to all who participate in a retreat. They also are integral to the success of Bluebird’s special events. The rewards of volunteering go far beyond the pure joy of helping others. Many volunteers make true friendships with staff, campers, and other volunteers. But most importantly, they are all part of ensuring that the dynamic experience of a Bluebird Retreat is available to everyone who needs it!

If you are interested in participating with Bluebird Cancer Retreats as a volunteer, please fill out the form below. If you have any questions, please email us at [email protected] or give us a call at 616-847-0839.

Today's Date *

Personal Information

Full Name *

Gender *

T-Shirt Size *

Street Address *

City *

State *

Zip *

Phone Number *

Alternate Number

Email Address *

Emergency Contact *

Phone Number *

In what capacity do you hope to volunteer?

Employment Information

Employer

Title

Years in current position

Job Responsibilities

Do you hold any current licensing relevant to a volunteer opportunity with Bluebird Cancer Retreats (MSW, LPN, RN, EMT)?

Volunteer Experience

Other Related Experience (volunteer or paid, describe responsibilities)

Have you volunteered with Bluebird Before? *

Yes

When?

Have you ever been a Bluebird Retreat Participant? *

Yes

When?

How did you learn about Bluebird?

Do you have any talents or hobbies that you could share as a volunteer?

Have you ever been convicted of a felony or misdemeanor? *

Yes

Please Explain

Photo Consent *

I agree

I hereby grant to Bluebird Cancer Retreats its agent or assigns, my permission to use my first name, any/all pictures, photographs of or news stories about me for reproduction in any form for, but not limited to, advertising, illustration, television, or scientific publication.

Confidentiality *

I agree

Volunteers are responsible for maintaining the confidentiality of all proprietary or privileged information to which they are exposed while serving as a volunteer, whether this information involves a single staff, volunteer, client, or other person or involves overall agency business. Failure to maintain confidentiality may result in termination of the volunteer's relationship with the agency or other corrective action.

Signature and Disclaimer

I have completed the above information and acknowledge that the same is true. I acknowledge that as a Bluebird Cancer Retreat volunteer I will be providing support and guidance only as needed to the participants within the scope of my professional practice and/or ability and in accordance with the Bluebird Cancer Retreat job description and guidelines. I understand that my role is to help facilitate a safe and positive camp experience for all.

Digital Signature *

Date *