Please complete this application form if you are interested in becoming a Courage Kenny Rehabilitation Institute volunteer. A valid email address is required to complete this application and will be used as a communication tool in the application process. Email addresses are kept confidential and are not shared. All items with an asterisk (*) are required fields. Once you complete the form, click the continue button at the bottom.
Please note if you are under 18, your parent/guardian wil lneed to sign at the bottom of this application.