Leukemia & Lymphoma Society Patient Access Volunteer Application

Please answer questions as accurately as possible.

Gender *
I am available (check all that apply): *
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The following section will help determine what volunteer roles would be the best fit for you and LLS. Please check the skills or tasks that you have experience in or would be interested in helping with: *
Some Patient Access volunteer roles will require a background check. If required, will you agree to provide the necessary personal information to complete the background check? *
Honored Hero: An Honored Hero is a dedicated individual or family who serves as inspiration and provides support to The Leukemia & Lymphoma Society in a variety of ways. An Honored Hero is anyone who has been affected by a blood cancer. As an Honored Hero/Family your story of strength and courage will be shared with participants and donors to provide motivation and encouragement to their money-raising efforts.
LLS relies on fundraising campaigns to support our mission activities.  Are you interested in finding out more about fundraising opportunities or volunteering at our fundraising events? *
I am interested in more information about volunteering and/or fundraising for: *
Treatment you received (check all that apply):