VOLUNTEER OPPORTUNITIES FOR PATIENTS, THEIR FAMILIES, AND MEMBERS OF THE COMMUNITY

First Name *

Last Name *

Date *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Day/Work Number *

Home Number *

Email Address *

Are you a: *

Patient

Family Member

Other

If a blood cancer patient, please provide the following details:

Diagnosis of Patient

Date of diagnosis

Treatment status

Please check the ways in which you would like to be involved with our chapter:

"Help Strengthen Patient Programs"

Patti Robinson Kauffman First Connection: Reach out to other patients with a similar diagnosis to give them hope and support if you are feeling physically and emotionally well enough. A family member can also reach out to other family members through this peer support program called First Connection. First Connection training is conducted periodically.

Help support a Family Support Group in your area as a diagnosed patient/caregiver, by committing to attend the group each month and be in charge of arranging and bringing refreshments, room set-up and general oversight of the group. This role does not involve counseling as there are facilitators for the group.

Assist planning, set-up and staffing of a Patient Education Program.

Join a group of Advocacy volunteers working to strengthen national cancer programs. Send emails to members of Congress urging their support of research efforts to accelerate cure rates.

Be an Ambassador for Patient Services by distributing informational brochures to patients, families, hospitals or clinics in your area who may not know about our services. Please indicate where you would like to serve:

Location

Treatment Center

Medical Center

"Share Your Story"

Help our Special Events Fundraising Campaigns by becoming a "Patient Honoree" or "Honored Hero". Event participants raise funds in honor of children and adults affected by blood cancers. A special relationship develops between patients and fundraisers, motivating them to raise money for blood cancer research and to improve quality of life of patients/families.

Be interviewed for radio, television or local print media.

Allow your name and/or photo and story to be used in grant proposals, fundraising letters, and chapter newsletter stories.

Be a speaker at a Board Meeting, fundraising committee meeting or special event to educate our Board and volunteers about your experience in dealing with a blood cancer.

"Give of Your Time"

Join our Volunteer Office Staff in Denver. Come in as needed to help with administrative, word processing, data entry, etc. Individuals experienced with MS Office, including Excel, Powerpoint and Outlook, are preferred.

Work the Survivor area at one of our Light The Night events. You may join the walk when it starts.

Please tell us about your availability:

Which day of the week is best for you? *

Which hours are best for you? *