Become a Liposarcoma Mentor

Become a Liposarcoma Mentor
Thank you for your interest in becoming a Liposarcoma Mentor. We will contact you as soon as possible after the submission of this form. If you need to speak to someone about the program, you can email The Liposarcoma Support Network directly at support@liposarcomasupport.org.
Full Name*

First NameLast Name
State of residence*
Country of residence*
Are you currently a Liposarcoma Support Network (LSN) member?*

YesNoI don't know
In order to become a mentor, you must first be a member of the Liposarcoma Support Network. Please use the following link to access the membership application: Join the Community: LSN Membership Application

Or, contact a member of our team at support@liposarcomasupport.org for any additional questions.
Are you a patient or Caregiver?*

PatientCaregiver
What is your sub-type?*

Well-DifferentiatedDeDifferentiatedMyxoid / Round CellPleomorphicOther / Don't Know Yet
E-mail*
Phone

Area CodePhone Number
If you provided a phone #, what is the best time to call?
Please verify that you are human*
Should be Empty: