YSC Nordstrom Volunteer Interest Form Survey

YSC is partnering with Nordstrom on October 25th and 26th for their We Heart a Great Fit Event. We need volunteers to hand out YSC materials and talk to employees and customers about YSC programs and resources. Please complete this survey if you are interested. Email majango@youngsurvival.org if you have any questions.

1.Please enter your contact information so we can follow up with you about volunteering at the Nordstrom We Heart a Great Fit event.(Required.)

Name:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

2.Are you a breast cancer survivor?(Required.)

Yes

No

If yes, at what age were you diagnosed?

3.Are you a YSC State Leader?

Yes

No

4.Are you a YSC F2F Leader?

Yes

No