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About
Products
Volunteer
Special Requests
Cancer Foundations
Contact
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0.00
0
Cart
Donate Now
Volunteer Application
"
*
" indicates required fields
Step
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14%
Personal Information
First Name:
*
Last Name:
*
Preferred Name (if different)
Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Email:
*
Phone:
*
Date of Birth (if required for role):
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Emergency Contact
First Name:
*
Last Name:
*
Relationship:
*
Phone:
*
Availability
Please indicate the days and times you are generally available (check all that apply):
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Time(s):
*
Morning
Afternoon
Evening
Are you able to commit to a regular schedule?
*
Yes
No
Occasionally
Interests and Skills
Areas of Interest (check all that apply):
*
Patient or Family Support
Office / Administrative Support
Fundraising, Vendor Shows, or Special Events
Community Outreach or Education
Transportation Assistance
Peer Support / Survivor Support
Other
Please explain "other" areas of interest:
*
Skills, Experience, and Interests:
Please describe any skills, experience, or personal interests that may be helpful (languages spoken, medical background, counseling, event planning, technology, etc.).
Experience with Cancer (optional):
Many volunteers have personal or professional experience with cancer. Sharing is optional.
Personal diagnosis
Family member or close friend
Professional experience
Prefer not to say
If you wish to elaborate:
References
Please list one or two references (not immediate family).
Reference 1
First Name:
Last Name:
Relationship To You:
Email:
*
Phone:
*
Reference 2
First Name:
Last Name:
Relationship To You:
Email:
*
Phone:
*
Background and Health Considerations
Some volunteer roles may require a background check or additional screening.
*
I understand and agree to undergo any background checks or additional screening, if required for my role.
I have questions about this process
Do you have any accommodations we should be aware of to support your volunteering?
Confidentiality & Code of Conduct
I understand that as a volunteer with Shoot the Cancer Target Company, I may have access to confidential or sensitive information. I agree to maintain confidentiality, act with compassion and professionalism, and follow all organizational policies and guidelines.
*
Yes, I agree
Signature:
*
Your Name
Your Name
Your Name
Your Name
Today's Date:
*
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