Volunteer Application Childhood Cancer Foundation

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.

Name *

First Name Last Name

Birth Date *

Month Day Year

Are you 14 years old or older? *

Yes No

Email *

example@example.com

Phone Number *

Can we send text message updates to this number? *

Yes No

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Upload a photo of your Government Issued ID *

Minors between 14-17 years can upload a photo of their school ID if a government issued ID is not available to them.

Select your available days

What foreign language(s) do you speak / read / write ?

Do you have any volunteering experience? If yes, please describe.

How did you hear about our volunteer program?

Areas of interest?

Have you ever been asked to relinquish a volunteer position? *

Yes No

If so, reason?

Are you requesting volunteer service hours due to a mandated community service requirement? *

Yes No

If so, reason for volunteer service requirement?

Do you have any friends or family members who volunteer for CCFSC?

Yes No

Their Name(s):

Volunteer Application

Emergency Contact

REFERENCES

Family Safe Environment

Media Release

Confidentiality Statement

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

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

Optional Information