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Personal Information

Current Employer (if applicable)

Roles and Responsibilities

Any Other Relevant Experience

Skills & Experience

Special training, skills, hobbies

Groups, clubs, organizational memberships

Please describe your prior volunteer experience (include organization names and dates of service)

What experiences have you had that may prepare you to work as a volunteer with children and families experiencing illness and loss due to cancer?

What do you want to gain from this volunteer experience?

What areas are you most interested in?

Have you ever been convicted of a crime?

Yes No

If Convicted for Crime

Do you have a driver's license?

Yes No

Do you have car insurance?

Yes No

Do you have a car available for transporting others?

Yes No

Are you CPR certified?

Yes No

Are you Darkness to Light certified?

Yes No

References
Please list three people who know you well and can attest to your character, skills, and dependability. Include your current or last employer.

Please read the following carefully before signing this application:
I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with The Lonon Foundation that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by The Lonon Foundation. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with The Lonon Foundation or my termination as a volunteer.

I have read and agree to the above statement.

"Thank you for jumping in immediately and supporting our family as we walk such a hard, hard journey. Knowing we aren’t alone removes some of the defeat and brings hope."

“We had the best time bowling with our family! Thank you for making the UPLIFT events happen!”

“My daughter loves being part of UPLIFT. After she received her welcome box, she seemed so proud to wear her UPLIFT t-shirt to school!”

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