Patient Peer Mentor Application

Thank you for your interest in providing support to other patients by being a volunteer peer mentor through the Lymphoma Canada peer mentoring program. Having been through the cancer experience yourself, you know firsthand the challenges faced as you learned about your type of lymphoma and the tests, procedures and treatments associated with it.

The Peer Mentoring Program is a service provided to Canadian patients and caregivers age 18 and over. The program matches screened and trained patient volunteers who have experience with lymphoma (mentors) with patients who are seeking support (mentees). This program has been developed to provide a short-term support opportunity for patients. In order to provide the best level of support, we match patients based on important factors such as location, age, diagnosis, etc.

We have therefore developed this survey application to better understand your lymphoma or CLL experience to best match you with a patient looking for support. The information provided in this application is strictly confidential and will only be used to create a peer match. Information provided will not be shared unless permission has been granted by you.

Thank you for applying to provide support for patients through the Lymphoma Canada patient peer mentor program. We hope to match you as quickly as possible.
Thank you!
8% of survey complete.