About the Foundation
Board of Directors
Pathway to Hope
Room for Hope
Seeds of Hope
Prevention and Screening
Title (ex. Mr / Mrs)
Professional Degree (ex: MD, PhD, RN)
Preferred method of contact
Loved one who has experienced cancer (Please check all that apply)
If you are a cancer survivor, please select the cancer type you personally experienced
What was the month and year of your initial diagnosis?
It is the policy of Hope Foundation of North Dakota that volunteers who represent us do not use tobacco products. If you smoke, could you refrain from using tobacco products while representing the Hope Foundation of North Dakota?
I do not use tobacco products
Approximately how many hours a month would you like to volunteer?
What days and times are you available to volunteer?
Which specific areas are you interested in getting involved in, in your community?
Delivery of services to cancer patients/family
Fundraising activitiesFundraising activities
Recruitment of volunteers
Speaking engagements and presentations
Other (please specify below)
Other areas you are interested in getting involved in
If you would like to share information about your past volunteer experience, please describe below: Organization
Months/Years of Volunteering Description
Emergency Contact Name
Emergency Contact Phone
Application for Financial Assistance
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