Women's Cancer Resource Center
VOLUNTEER APPLICATION

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Today's Date:

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Please provide your name and address:

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Please provide your phone numbers and email address:

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Ethnicity/ies:

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Occupation:

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Birthdate:

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Languages you speak other than English:

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Optional Information:

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Preferred Gender Pronouns:

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Optional Information:

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Have you ever had cancer?

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If yes, what kind?

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When diagnosed?

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When treated?

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How long out of treatment?

Some of our most effective volunteers are survivors of cancer themselves or of a loved one. WCRC honors self-care as a priority, so we strongly recommend that volunteers be one year out of treatment to work directly with our client community. We are happy to discuss this recommendation on a case-by-case basis, and also have other volunteer positions where you can get started!

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How did you hear about WCRC?

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Please describe any other volunteer work you have done:

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What skills, either personal or professional, and/or talents are you able to bring to WCRC?

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Do you have transportation (regular access to a vehicle)?

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Do you need disability access?

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Why are you interested in volunteering at WCRC?

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What times and days are you available to volunteer?

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Will you be able to make a six-month commitment?

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What programs are you interested in? Please make sure you are available during the times listed.

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