P.ink Day Leader Interest Form

P.ink Day Local Leader Interest Form

If you think you're a good candidate to be a Local Leader for a P.ink Day event, please review the dropdown of locations that we are recruiting for below. Please also download and read the "How to Get Involved for Local Leaders" guide here.

We are looking for Local Leaders to organize our P.ink Day events in the following locations:*
Your Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone*
Home/Work Phone
Email*
example@example.com
More about you*

I am a breast cancer survivorI have received a mastectomy tattooI have experience planning eventsI've done past work for non-profitsOther
Please indicate areas where you have experience.*

Marketing/Social Media (creating and scheduling posts and stories with Facebook Business Manager for our Facebook and Instagram pages, TikTok, other)Creative (Adobe Suite, Canva, Newsletters, etc)Microsoft Tools (Word, Excel, etc)Google Tools (Gmail, Google Docs, Google Sheets, GSuite)Other
If "Other", please explain
Local Leaders should have some event planning experience, be detail oriented, communicative, social savvy, and compassionate! Please explain why you're a good fit for this role.
As a volunteer for Personal Ink (P.ink), a program of Fuck Cancer, I hereby release P.ink and Fuck Cancer from any liabilities, losses, or injuries that may result from, working in any building/premises/residence, or working at a P.ink sponsored event.
Signature

Clear
Date*

MonthDayYear
Date
Should be Empty:

Arabic	Hebrew	Polish
Bulgarian	Hindi	Portuguese
Catalan	Hmong Daw	Romanian
Chinese Simplified	Hungarian	Russian
Chinese Traditional	Indonesian	Slovak
Czech	Italian	Slovenian
Danish	Japanese	Spanish
Dutch	Klingon	Swedish
English	Korean	Thai
Estonian	Latvian	Turkish
Finnish	Lithuanian	Ukrainian
French	Malay	Urdu
German	Maltese	Vietnamese
Greek	Norwegian	Welsh
Haitian Creole	Persian