Volunteer in my Local Community

Become a Volunteer
Fill out the form below to let us know that you are interested in increasing your volunteer involvement with your local NephCure Community.

Thank you, we’ll be in touch soon!
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Ethnicity

AsianBlack or African AmericanHispanic or Latino/LatinxNative Hawaiian or Other Pacific IslanderWhite or CaucasianAfrican or Afro-CaribbeanMiddle Eastern or North AfricanNative AmericanEast AsianSouth AsianSoutheast AsianMultiracialPrefer not to sayOther
I am a

Friend or family member of patientHealthcare professionalIndustry PartnerPatientPatient caregiverPatient parentOther
What is your/your loved one's diagnosis?

C1q NephropathyC3GCongenital Nephrotic SyndromeNephrotic SyndromeFSGSIgA NephropathyIgM NephropathyMembranous NephropathyMinimal Change DiseaseMPGNOtherUnknown
Select the volunteer role(s) you are interested in*

AdvocacyFundraisingPatient Support (Adult Patient)Patient Support (Patient)Regional LeaderShare Your Story/Voice of PatientSocial Media/MarketingState Community LeaderTask volunteer - help with monthly tasks/projectsOther
Have you volunteered for other nonprofits?*

YesNo
If yes, please describe your role and the organization.
Should be Empty:

Become a Volunteer