MyLifeLine.org - Support for cancer patients

Ambassadors for MyLifeLine.org spread the word to all those who benefit. Some Ambassadors are cancer survivors who have used the site, some are caregivers, some are oncology professionals, and others just plain believe in the cause.  

Our Ambassadors are our spokespeople. They connect with their nurses, social workers, and doctors about how MyLifeLine.org helped their journey. They visit support groups and share their experiences using the site. They share their story in our newsletter and on our website. The possibilities are endless!

We are actively looking for people to join our focus group, help with event planning, join a committee, provide cancer center education, host a MyLifeLine.org table at a conference in your area, or inspire others with your story.

Thank you for taking the time to fill out our volunteer form. With your help we can reach more cancer patients right at diagnosis, so they can utilize our service from the beginning.

  Ways to get onvolved
Ambassador/Volunteer Application
 * Required
First Name:*
Last Name:*
Address:
City:
State:*
Zip Code:
Email:* (must be a valid email address)
Telephone number:*
Mobile number:
Birthdate (mm/dd/yy):*
Gender: Male Female
Do you speak another language?    If yes, which one(s)?
Cancer survivor: Yes No
Care giver: Yes No
Healthcare professional: Yes No
Physical limitations: Yes No
Education: (highest level completed)
Former work/occupation:*
Most recent employer:* (optional)
List previous volunteer experience:*
Volunteer availability:
(check all that interest you) 		Volunteer
Focus Groups Event Planning Marketing/Communications
Fundraising/Development Innovation Member Engagement
Cancer Center Education Host a MyLifeLine.org table at conferences in your area
Please send me materials to take to my cancer center

Share Your Story
Sharing story on website, homepage, and through newsletters
Sharing story at support group meetings
Visiting oncology centers and telling their nurses and other health care providers about MyLifeLine.org
Number of days per week:
Monday Tuesday Wednesday Thursday Friday Weekends No preference
 
Skills: 1.
2.
3.
(List your skills and indicate proficiency level)

In an emergency, please notify:
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email: (must be a valid email address)
Telephone number:

Agreement: *
I agree to serve any client who is assigned to me, regardless of race, sex, creed or national origin.
 
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MyLifeLine.org Cancer Foundation, 55 Madison St., Suite 750, Denver, CO 80206 USA
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