2027 ABOA Membership Application Form

2027 Membership Application Form

Associate Board of Ambassadors - Chicago
Thank you in your interest in becoming an Associate Board of Ambassador supporting the American Cancer Society.

Application Period: September 1, 2026 - December 1, 2026

Before You Begin
Before proceeding with the Ambassador Membership Application, please review the following requirements and expectations for being considered as an Ambassador. Ambassadors serve as representatives of the ABOA and play an important role in advancing the American Cancer Society's mission through fundraising, engagement, and active participation. To ensure a meaningful and successful Ambassador experience, all applicants must be prepared to fulfill the following commitments:

1. Fundraising Commitment
Ambassadors are expected to raise a minimum of $1,500 during their term (calendar year). At least $1,000 of the fundraising commitment must directly support one of the ABOA Core Areas: Chip Away at Cancer Golf Outing, or an Individual Fundraising Page. Qualifying support may include ticket or foursome sales, sponsorships and fundraising pages totaling $1,000. The other $500 can be supported through donated goods & services for the ABOA initiatives. Other ACS programs including endurance events, will not count towards the $1,000 fundraising commitment, but will count on your total impact to ACS.

2. Board Meeting Participation
Ambassadors are expected to attend a minimum of three (3) ABOA Board Meetings during their term. Active participation and engagement are an important part of representing the organization and supporting its initiatives.
Name

First NameLast Name
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Company
Title
Membership Type:
How did you hear about the ABOA:
Have you ever attended an ABOA event:
Have you ever attended an ABOA event or social? If so, when?
Please indicate the benefits you are interested in:
Additional Information:
What is your connection to cancer
Why are you interested in joining our association?
Please list previous Boards or Volunteer organizations you have been involved in?
Any other comments or questions?
Declaration:

By submitting this application, I acknowledge that I have reviewed and understand the requirements and expectations of serving as an ABOA Ambassador. I understand that selection as an Ambassador represents a commitment to actively support the ABOA mission, participate in Ambassador activities, and fulfill the fundraising and engagement requirements outlined above.

I certify that the information provided in this application is accurate and complete to the best of my knowledge. If selected, I agree to uphold the values and reputation of the ABOA and to fulfill the responsibilities associated with the Ambassador role to the best of my ability.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

2027 Membership Application Form

Additional Information: