Volunteer Registration Form

Home
About Us
Activities
Volunteer Opportunities
Donate
Donate

Thanks for showing interest in becoming a volunteer @ Cancer Gyan. Kindly go through the following questionnaire & answer the questions. Data collected will not be disclosed to anyone (unless it is a legal requirement. Please read through our privacy policy

Name *

First

Last

Phone *

Email *

Which programs are you interested in volunteering for? *

Cancer Sahay
Cancer Gyan Prachar
Cancer Gyan Bhandar
Cancer Sampark Setu
Others

Please choose at least one or more options from the above list

If you have chosen others options above, please indicate your area of interest below:

Which events are you interested in volunteering for? *

Guide to Cancer Patients
Fund Raiser
IT support
Subject Matter Expert
Event Management
Others

Please choose at least one or more options from the above list

If you have chosen others options above, please indicate which other event you would want to volunteer for:

How many hours per week would you be able to dedicate? *

3 hour or less
3 to 5 hours
5 to 10 hours
10 to 20 hours
20 or more hours

What days of the week are you available? *

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

How did you find out about our organization?

Direct mail
Advertisement
Online Search
Friend / Family
Business Colleague
Other

Choose your current status/profession *

Cancer Survivor
Cancer Patient
Student
Working Professional
Other

Please write a brief summary about yourself. Also kindly list any relevant experiences you have that you feel would benefit any of the above programs or events. *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Please upload your CV/Resume (optional)

Click or drag a file to this area to upload.

Comment

1419, 2nd Floor, 6 Cross, BEML Layout, 5 Stage, 1 Phase, Bengaluru – 560098, India

info@cancergyan.org

Google Location

Proudly Sponsored By - Academics & Beyond

Scroll to Top