Volunteer Application Childhood Cancer Foundation

  • Volunteer Application

    Volunteer Application Form

  • Childhood Cancer Foundation of Southern California is a 501(c)(3) non-profit organization with the mission to provide emotional, social, educational, and emergency assistance to families who have, or have had, a child with cancer. We have served the childhood cancer community with the generous support of volunteers since 1981. 


    We encourage the participation of volunteers who support our mission and are willing to contribute. The information provided through this form will be kept confidential. 
    By completing this form, you will be added to the Childhood Cancer Foundation of Southern California, Inc. mailing and e-mail list to receive volunteer event information and announcements.

    Your information will not be shared with any other organization. Federal and/or State law prohibits discrimination on the basis of age*, sex, race, color, religion, national origin, marital status, or physical or mental handicap. The information acquired will only be used to better know our volunteers. 


    *Due to requirements placed by our medical advisors, we require that all volunteers be at least 14 years old. 

    To submit Volunteer Application via mail/email, DOWNLOAD the Volunteer Application to print and submit. 

  • Are you 14 years old or older?*
  • Format: (000) 000-0000.
  • Can we send text message updates to this number?*
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  • Have you ever been asked to relinquish a volunteer position?*
  • Are you requesting volunteer service hours due to a mandated community service requirement?*
  • Do you have any friends or family members who volunteer for CCFSC?

  • Emergency Contact

    Please provide contact information for an emergency contact
  • Format: (000) 000-0000.

  • REFERENCES

    Please provide information for two (2) references. References must be at least 18 years of age and a non-relative.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Family Safe Environment

  • Media Release

  • Confidentiality Statement

  • Have you ever been convicted of a criminal offense (felony or misdemeanor, except minor traffic violations)?*
  • Have you ever been reported to a social services agency, law enforcement authority, child abuse registry, or similar organization regarding abuse or misconduct involving children?*
  • Are there any other facts or circumstances in your or your background that would cause us to question your ability to supervise, guide and care for young people?*

  • I have completed and reviewed this entire form and attest that the information provided is true.

    By submitting this online Volunteer Application, you are releasing all information contained herein to Childhood Cancer Foundation of Southern California's volunteer program.
  • Date
     - -

  • If applicant is a minor, Parent/Legal Guardian must sign below. 

    By signing below you agree to the above statement and attest that applicant understands the aforementioned agreements and that the information provided in this application is true.

  • Optional Information

    The following questions are optional - and used solely to provide statistical information. Federal and/or State law prohibits discrimination based on age, sex, race, color, religion, national origin, marital status, or physical or mental handicap.
  • Which of the following most accurately describe(s) you?
  • Ethnicity
  • Race
  • Should be Empty: