F2F Leader Application

 
*
1. Today's Date
MM DD YYYY
Please enter today's date
/
/
*
2. Please provide your contact information
*
3. Are you a breast cancer survivor?
*
4. Have you ever volunteered for YSC?
*
5. How did you learn about YSC F2F networks?
*
6. In what region will your F2F be located?
*
7. Please provide a description of your F2F (Ex: Young women affected by breast cancer located in or near Boise, or Young moms diagnosed with breast cancer in New York)
*
8. Where will your F2F meet? Please list the name and address.
*
9. When will your F2F meet? (Ex: The 2nd Tuesday of each month at 6:30PM)
*
10. Have you already started your group?
11. If you answered YES to the previous question, how many members do you have in your group?
12. If you answered NO to the previous question, have you made connections with other young women locally that would be interested in being part of your F2F?
13. Do you have a Meetup.com account?
*
14. As the F2F Leader are you willing to make your contact information available on Meetup.com and the YSC website?
*
15. By submitting this application you agree to YSC's terms and conditions of serving as a F2F Leader. Please read the following statements and click the appropriate button to verify you have read and agree to these terms.
• You are a volunteer of YSC and at no time can represent yourself as an employee of YSC
• You cannot give medical advice
• You cannot use YSC’s events to sell things
• New programs delivered under our logo must be approved by YSC
• You cannot sign contracts, open bank accounts or in any other way act as a legal entity under YSC’s name

Powered by SurveyMonkey
Check out our sample surveys and create your own now!